TTC after 35

Clomid Question

So, after 6 months of no results, I went to see my GYN.  It appears that I'm ovulating (I've been charting).  She has suggested maybe putting me on Clomid for 3 months.  I thought Clomid was to help if you DIDN'T ovulate.  I mentioned that and she said they use it sometimes to help stimulate things a bit more. 

I'm 37 and I've seen some conflicting results using it over 35.  I mentioned that as well but she said she's never seen any problems.

I've also decided to go ahead and make the appointment to get my levels and hormones tested as well.  No sense wasting more time if it is something beyond Clomid.

Any experiences/stories would be appreciated.

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Re: Clomid Question

  • It is usually wise to go ahead and get additional testing PRIOR to taking the clomid.  Tests like an HSG - to ensure you don't have any blockage in your tubes; and an SA - for your hubs.  And, the most important thing is to make sure that your GYN is monitoring you while on clomid!  Meaning, you are having an u/s on CD3 to ensure you don't have cysts - which are common with clomid...as is your lining being thinned out.

    If your GYN is not willing to monitor you while on clomid, I would ask for a referral to an RE - reproductive endocrinologist.  I've heard some pretty bad stories from fellow bumpies about not being monitored while on clomid and I wouldn't risk it...especially since there are a limited number of cycles we can take clomid...I think only 6...but don't quote me on that.  

    GL!!

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  • I've done just one cycle on Clomid so can't speak to it too much, but my OB put me on it for the same reason. I'm 38 and have been TTC for 1 1/2 years. I definitely ovulate as well, but just haven't had that BFP yet, so my OB recommended I do Clomid for three months, too.

    Definitely a good idea to get your levels tested before you start. I went through the whole gamut (HSG, thyroid, prolactin, FSH, LH and progesterone, ultrasound, etc.) before she suggested the Clomid. I would think your OB would want to know where you're at before you start taking the meds so you can compare with results after taking it - as well as to monitor how your body deals with the medication.

    There are other ladies on here with more experience with Clomid and can give much better advice, and many will recommend going to an RE rather than an OB. My OB advised that she'll refer me to an RE if there's no BFP after 3 months on Clomid.

    Good luck!

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  • When I was TTC our first my ob/gyn put me on clomid also even though I ovulated regularly. He basically said that it was highly unlikely that it would do anything for me, but that it was pretty much the only kind of fertility treatment that he could prescribe to me - short of going to an RE. I was in my early 30s at the time and as he predicted, the clomid did nothing.

      I wound up going to an RE and had my first DD via my first IVF with ICSI. Conceived DD #2 naturally the first month after a failed IVF with ICSI.

  • Thanks for the advice ladies.  My husband did have his SA and everything was good except morphology was 11% and I guess normal is considered 14%?  So, a little low which might explain -if everything is fine on my end - why we haven't had that BFP yet.

    I have decided to go to a RE and get all my levels tested.  My OB gave me some referrals.  Where time is limited, I would rather know where I stand and don't want to waste time on a treatment if I need something more than Clomid.  And she did say she would only put me on it for 3 months due to my age.

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  • My RE was great.  He did an HSG for me and a SA for my husband first.  Then he tested all of my levels.  I did two rounds of clomid before I got a BFP.  The first round was CD 5-9 and the second was 3-7.  While I was on the clomid he had me come in twice a week to look at my ovaries to see how well the follicles were developing and also measure them.  When the follicle reached a size that he was comfortable with he would adminster the the HCG trigger shot to release the egg.  After the HCG trigger shot he prescribed progesterone.  He informed me that some doctors choose not to use progesterone because they don't believe that research proves that it will sustain a pregnancy, but my doctor said it wouldn't hurt, and it worked!  Good Luck!
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