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TTC after 35
Unmonitored cycle
Hi ladies,
I am currently on day 12 of my first Clomid cycle. I have read on here that most REs monitor during medicated cycles. I am curious as to why my RE hasn't suggested this? Does anyone know the actual standard of care regarding this? Please also keep in mind that it was me who suggested that my progesterone be checked and also me who suggested that I have CD3 bloodwork. She didn't recommend any of that. I'm starting to feel a bit uncomfortable and like it's me directing this show, not her. What are your thoughts? Has anyone else experienced this?
Thanks!
m/c at 6 wks 2002
Endometriosis, s/p lap 2009
Behcet's disease, s/p partial vulvectomy 2010
Started bromocriptine to lower prolactin level 2010
Clear HSG 11/2010
DH morphology = 4, rest of SA looked good 01/2011
02/2011 First Clomid 50mg cycle
BFP 03/02/2011
No heartbeat at 10w5d 04/18/2011; D&C 04/23/2011
07/2011 Second Clomid 50mg cycle, BFN
08/2011 Third Clomid 50mg cycle, BFN
10/2011 First Clomid 100mg cycle with Ovidrel trigger = BFN
11/2011 Second Clomid 100mg cycle with Ovidrel trigger = BFN
12/2011 Third Clomid 100mg cycle with Ovidrel trigger = BFFN
01/2012 Fourth Clomid 100mg cycle with Ovidrel trigger = ?
Endometriosis, s/p lap 2009
Behcet's disease, s/p partial vulvectomy 2010
Started bromocriptine to lower prolactin level 2010
Clear HSG 11/2010
DH morphology = 4, rest of SA looked good 01/2011
02/2011 First Clomid 50mg cycle
BFP 03/02/2011
No heartbeat at 10w5d 04/18/2011; D&C 04/23/2011
07/2011 Second Clomid 50mg cycle, BFN
08/2011 Third Clomid 50mg cycle, BFN
10/2011 First Clomid 100mg cycle with Ovidrel trigger = BFN
11/2011 Second Clomid 100mg cycle with Ovidrel trigger = BFN
12/2011 Third Clomid 100mg cycle with Ovidrel trigger = BFFN
01/2012 Fourth Clomid 100mg cycle with Ovidrel trigger = ?
This discussion has been closed.
Re: Unmonitored cycle
Initially my OB/GYN did not monitor the cycles. He did order bloodwork during the first cycle but none after. It was not until the RE that I was really monitored. Maybe ask your RE how She is going to know if the Clomid has worked for you.
5 cycles of Clomid with satisfactory response=BFN's
Fibroid removal Nov2010
IUI Clomid #1 Feb 2011...BFN..damn it!
IUI Inject's #2 Apr 2011...CANCELLED...low estradiol
IUI Inject's #3 June 2011...BFN
IUI Inject's #4 Sept2011...BFFN
Lap Dec 2011...severe endo..cyst removed..some remains...
IVF#1 Apr 2012 ....cancelled due to over suppression
IVF#2 July 2012....6 follies...only 1 retrieved....BFFN
surgery suggested to move ovary to an better placement but....we moved two time zones away and are financially and emotionally empty
You are with a Reproductive Endocrinologist, right? Not just a regular OB?
That would make me very nervous. The reason for monitoring on Clomid is that the Clomid stimulates your ovaries. It's possible that they can be overstimulated which can be dangerous. And as PP said - how will they know how you respond to Clomid, which dosage to try next cycle, or even to try a different drug.
If you have options of other RE's, I would probably be looking and calling around. I'm obviously not a doctor but I would think that your RE would want to know all your hormone levels so that s/he knows your situation and how best to treat you.
Best of luck!