Clomid monitoring?

mharison · July 2010

I've looked for this info, but can't find it. DH and I have our first RE appt. on Tuesday, and I know that Clomid will be brought up. I know that I need to push for proper testing while taking it, but can't seem to remember what tests on need on what days and why. Can some of you who have taken Clomid tell me? What bw and u/s do I need and why? I know that I need to request a HSG and have DH's SA done before Clomid as well. I want to go in prepared!

Thanks!

BBColt78 · July 2010

I won't answer about Clomid because I've only done injects.

For sure make them do an HSG and SA. I'm sure they'll suggest it anyway, but we've all heard of people taking clomid without those first. Clomid and monitoring could be a waste without the HSG and SA.

Good luck at your appointment!

MegannJay · July 2010

HSG and SA for sure before you start. Once you go on it you need CD3 b/w and ultrasound to make sure you don't have any cysts and to make sure everythings "quiet". After you finish taking it you need to go back for montioring to see how many follicles are developing. That could be anywhere from 1 appt to 10 (depends on how your body is responding and what the dr. wants to do). After I trigger I don't normally have another u/s until CD3 of the next cycle.

Some RE's will do a progesterone test 7dpo to make sure you ovulated (NOT CD21-- thats only if you have the magical CD14 ovulation :P)

Hope this helps. If you're seeing an RE they should be on the ball with all of this but if you don't feel like you're being properly monitored, say something.

MegannJay · July 2010

MegannJay:

HSG and SA for sure before you start. Once you go on it you need CD3 b/w and ultrasound to make sure you don't have any cysts and to make sure everythings "quiet". After you finish taking it you need to go back for montioring to see how many follicles are developing. That could be anywhere from 1 appt to 10 (depends on how your body is responding and what the dr. wants to do). After I trigger I don't normally have another u/s until CD3 of the next cycle.

Some RE's will do a progesterone test 7dpo to make sure you ovulated (NOT CD21-- thats only if you have the magical CD14 ovulation :P)

Hope this helps. If you're seeing an RE they should be on the ball with all of this but if you don't feel like you're being properly monitored, say something.

Oh, and the actual number of appts varies.. .I just said 10 because that's how many I ended up doing last cycle. I don't think most have that many appts.

Mrs.Saxy · July 2010

Here's info I've compiled from here and my own searching.

You should have bloodwork on cd 3, andultrasound on cd 3 checking for cysts caused by clomid, an ultrasoundaround cd 12-13 to check follicles and lining, 7 dpo bw (p4-progesterone)

https://www.conceivingconcepts.com/learning/articles/clomid_patient.html

https://www.houstonfertilityspecialist.com/clomid.html

https://www.dukehealth.org/health_library/care_guides/fertility/medications/clomid

https://www.fertilitydr.com/clomid.html

SweetieD21 · July 2010

A thorough dr won't prescribe clomid until all the necessary testing has been done...b/w, hsg, and sa.

Monitoring: u/s on CD3 to get a baseline of your uterine lining and to check for cysts after you've done one cycle of clomid, b/w around CD10-12 to check to see how close you are to Oing, u/s around CD10-12 to check the size of your follicles and the thickness of your lining. B/w at 7dpo to check your progesterone (on a medicated cycle it should be above 15).

I didn't respond that well to 50mg of clomid, so my RE put me on 100mg, but also did a post-coital test to see if/how well the sperm were swimming. Clomid can cause hostile cervical mucus, which it did for me. The post coital test showed that the sperm didn't have any mucus to swim in, so we immediately moved on to IUI.

mharison · July 2010

Thanks for all of your help!

mrsarjiltobe · July 2010

MegannJay:

HSG and SA for sure before you start. Once you go on it you need CD3 b/w and ultrasound to make sure you don't have any cysts and to make sure everythings "quiet". After you finish taking it you need to go back for montioring to see how many follicles are developing. That could be anywhere from 1 appt to 10 (depends on how your body is responding and what the dr. wants to do). After I trigger I don't normally have another u/s until CD3 of the next cycle.

Some RE's will do a progesterone test 7dpo to make sure you ovulated (NOT CD21-- thats only if you have the magical CD14 ovulation :P)

I agree with this.

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