Trouble TTC

100mg Clomid prescribed on 1st treated cycle??

Hi ladies! So I know questions about Clomid are repetitive and annoying but I just have a quick one.

I had my appt yesterday with my RE and he prescribed Clomid but told me to take TWO tablets per day, which equals 100mg. (This is my first treatment cycle and he also wants to do IUI.)

Just judging by what I've read on here before, isn't it somewhat unusual for my doc to prescribe 100mg right off the bat?? I thought you usually started with 50mg...especially considering that I ovulate on my own just fine. Is this weird to anyone else? Should I be concerned?

Admittedly, I may be over analyzing this since I haven't been feeling 100% comfortable with this RE.  I'd just appreciate any feedback you can give me. Thank you so much!

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Re: 100mg Clomid prescribed on 1st treated cycle??

  • What was his reasoning for doing that. It sounds very strange to me, especially because you ovulate on your own.
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  • MrsVoMrsVo member

    I took 100mg of Clomid all 3 times but I DON'T ovulate on my own.  I would probably question it too since you do.

    Also...I love your siggy.  Makes me want to get up and dance, LOL.


    Diagnosed PCOS 2/07, TTC #1 since 8/09
    11/10 - Clomid Round 1 = BFN
    12/10 - Clomid Round 2 = BFN
    1/11 - Voluntary Break = BFN (duh)
    2/11 - Clomid Round 3 = BFN
    3/11 - Femara + IUI = BFP * Beta#1=56 * Beta#2=266
    *Cautiously expecting baby girls on November 28, 2011*
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  • I started at 100. I am overweight and I don't ovulate on my own so it absolutely made sense.
    Trying to grow our family with both fertility treatments and adoption since March 2009 
    IUIs#1-4 = BFN, IVF#1 = c/p, IVF#2 = OHSS, FET#1=BFP
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  • imageondjima:
    What was his reasoning for doing that. It sounds very strange to me, especially because you ovulate on your own.

    I wasn't given any reasoning. That's one of the reasons I am so fed up and unsure of this doc....they don't explain ANYTHING and when I try to ask questions it's like they are annoyed that I'm asking. It's like pulling teeth to get any information from them. 

    I'm going to try calling and question this now that I know it isn't just me being paranoid. I'm sure they'll give me their typical answer which is just to act like I'm being crazy and assure me that it's normal. GAHHHH! I'm so annoyed.

    Whip mah hurr Pictures, Images and Photos

    Trying to get sperminated since February 2010

    Mar-May 2011: 3 Cycles IUI + Clomid = BFN Jan 2012: Injectables + TI = ?? image

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  • I just got my 1st rx for Clomid today and it is 50mg and I ovulate on my own. You might want to just play dumb and call RE's office and ask. Better to be safe than sorry.

    Also, I asked nurse if the horrid side effects of Clomid were true and she said "Have you been reading blogs on The Bump?" Had to laugh. Stick out tongue

    Best of luck to you!

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    DX Unexplained IF but low E2+L4 = probably LPD
    1st IUI 3/24/11: Clomid 50mg+hCG trigger shot+E2&L4 supps = BFN
    2nd IUI 6/6/11: Clomid 100mg+hcg trigger shot+L4 supps = BFN
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    It's a boy!!!
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  • alhalalhal member

    Are you sure that he prescribed you 100 mg?  This was my first medicated cycle and the RE prescribed 50 mg (which was two pills), so I'm just wondering whether you are assuming it is 100 mg since it is two pills when really it is only 50. 

    If he truly did prescribe you 100 mg to start with, then I do think that sound unusual.  However, he very well may have a reason.  I'd just call the office and ask for an explanation to put your mind at ease.

    This was my first treated cycle and my RE also had me do Clomid + IUI, if that makes you feel any better.  I know it seems weird to go from "all natural" to medicated IUI, but my RE explained that Clomid alone would not increase my chances of conceiving.

    HTH!

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  • Hey Saucy! I'm sorry to hear that the RE visits aren't going so well afterall. I think you have a reason to be hesitant, and I can't imagine them not wanting to explain things thoroughly being as Clomid is a dangerous drug.  I'll be taking 50mg my first treatment cycle, and I also O on my own.  I hope you get some answers to your questions!
    TTC since 04/2010
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    3/25/11 IUI#1= BFP m/c; D&C at 7w3d (Trisomy 16)
    IUIs #2, #3, #4 and #5= BFNs
    Onto IVF #1= BFN
    FET 4/6/12= 2 extended blasts transferred, with one hatching
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  • That does sound really annoying. I guess sometimes we are just numbers to these specialists. I would def call and have them explain it. Will you be closely monitored?
  • Hey hon!

    Ditto PPs that 100 mg is a lot if you are ovulating on your own.  I think another big issue is that they aren't communicating with you.  I truly hope your time with the RE is short, but if you need to move on to any other treatments you are going to have millions of questions, and it will add to the stress of everything.

    Good luck, love...I'd ask to speak to the RE, not the nurse, and see what s/he says.

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  • MrsVoMrsVo member
    imageSaucyRedhead:

    imageondjima:
    What was his reasoning for doing that. It sounds very strange to me, especially because you ovulate on your own.

    I wasn't given any reasoning. That's one of the reasons I am so fed up and unsure of this doc....they don't explain ANYTHING and when I try to ask questions it's like they are annoyed that I'm asking. It's like pulling teeth to get any information from them. 

    I'm going to try calling and question this now that I know it isn't just me being paranoid. I'm sure they'll give me their typical answer which is just to act like I'm being crazy and assure me that it's normal. GAHHHH! I'm so annoyed.

    What I bolded above?  Unacceptable.  You aren't just a patient you are a customer.  I had to remind myself of that too and it is ultimatley what made me leave my first RE. If you feel this way and have the option, I would switch.

     


    Diagnosed PCOS 2/07, TTC #1 since 8/09
    11/10 - Clomid Round 1 = BFN
    12/10 - Clomid Round 2 = BFN
    1/11 - Voluntary Break = BFN (duh)
    2/11 - Clomid Round 3 = BFN
    3/11 - Femara + IUI = BFP * Beta#1=56 * Beta#2=266
    *Cautiously expecting baby girls on November 28, 2011*
    imageimage
    Pregnancy Ticker
  • I took 100mg on my first cycle. I am DOR/AMA but ovulate on my own. Even with 100mg, I only got one follicle.  Are you unexplained?  Make sure you are being monitored with u/s to make sure you don't produce too many follicles.

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
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  • imagealhal:

    Are you sure that he prescribed you 100 mg?  This was my first medicated cycle and the RE prescribed 50 mg (which was two pills), so I'm just wondering whether you are assuming it is 100 mg since it is two pills when really it is only 50. 

    If he truly did prescribe you 100 mg to start with, then I do think that sound unusual.  However, he very well may have a reason.  I'd just call the office and ask for an explanation to put your mind at ease.

    This was my first treated cycle and my RE also had me do Clomid + IUI, if that makes you feel any better.  I know it seems weird to go from "all natural" to medicated IUI, but my RE explained that Clomid alone would not increase my chances of conceiving.

    HTH!

    That was my first thought too but I checked and each tablet says "50mg" on the back so I'm pretty positive that two tablets would be 100mg.

    Thanks for your response and help! I have a call in to the RE right now so hopefully I will get some answers soon.

    Whip mah hurr Pictures, Images and Photos

    Trying to get sperminated since February 2010

    Mar-May 2011: 3 Cycles IUI + Clomid = BFN Jan 2012: Injectables + TI = ?? image

    My Cooking (and More) Blog
  • imagesteff13914:
    Hey Saucy! I'm sorry to hear that the RE visits aren't going so well afterall. I think you have a reason to be hesitant, and I can't imagine them not wanting to explain things thoroughly being as Clomid is a dangerous drug.  I'll be taking 50mg my first treatment cycle, and I also O on my own.  I hope you get some answers to your questions!

    Hey lady!! Thanks for the response. I am truly so unsure of this RE now that I'm afraid he may put my health in jeopardy.  I want to switch but I'm just not sure how long that process will take with my insurance....I'm going to be making some phone calls today to try to find out!

    Whip mah hurr Pictures, Images and Photos

    Trying to get sperminated since February 2010

    Mar-May 2011: 3 Cycles IUI + Clomid = BFN Jan 2012: Injectables + TI = ?? image

    My Cooking (and More) Blog
  • imageondjima:
    That does sound really annoying. I guess sometimes we are just numbers to these specialists. I would def call and have them explain it. Will you be closely monitored?

    What exactly is the definition of "closely monitored"? This is another thing I've been worrying about. I went in for an ultrasound on CD2 (yesterday), they gave me the script for Clomid, and they said they want me back on CD12 for another ultrasound "to see if Clomid worked and if we move forward with IUI". Is that normal? Or should I be having more monitoring than that?

    Whip mah hurr Pictures, Images and Photos

    Trying to get sperminated since February 2010

    Mar-May 2011: 3 Cycles IUI + Clomid = BFN Jan 2012: Injectables + TI = ?? image

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  • imagemagnolia_femme:

    Hey hon!

    Ditto PPs that 100 mg is a lot if you are ovulating on your own.  I think another big issue is that they aren't communicating with you.  I truly hope your time with the RE is short, but if you need to move on to any other treatments you are going to have millions of questions, and it will add to the stress of everything.

    Good luck, love...I'd ask to speak to the RE, not the nurse, and see what s/he says.

    Thanks, magnolia! I am definitely going to look into switching RE's if things don't start looking up with this one.

    Whip mah hurr Pictures, Images and Photos

    Trying to get sperminated since February 2010

    Mar-May 2011: 3 Cycles IUI + Clomid = BFN Jan 2012: Injectables + TI = ?? image

    My Cooking (and More) Blog
  • imageMrsVo:

    What I bolded above?  Unacceptable.  You aren't just a patient you are a customer.  I had to remind myself of that too and it is ultimatley what made me leave my first RE. If you feel this way and have the option, I would switch.

     

    Thank you. It's good to know that I'm not overreacting to this whole thing. Switching RE's is looking like a distinct possibility (if my insurance allows it). 

    Whip mah hurr Pictures, Images and Photos

    Trying to get sperminated since February 2010

    Mar-May 2011: 3 Cycles IUI + Clomid = BFN Jan 2012: Injectables + TI = ?? image

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  • imageSaucyRedhead:

    imageondjima:
    That does sound really annoying. I guess sometimes we are just numbers to these specialists. I would def call and have them explain it. Will you be closely monitored?

    What exactly is the definition of "closely monitored"? This is another thing I've been worrying about. I went in for an ultrasound on CD2 (yesterday), they gave me the script for Clomid, and they said they want me back on CD12 for another ultrasound "to see if Clomid worked and if we move forward with IUI". Is that normal? Or should I be having more monitoring than that?

    This is what my RE does depending on if you are taking it from 3-7 or 5-9, because from what my RE said most patients O anywhere from 5 to 7 days after the last clomid dose, so they will probably assess your situation at CD12 and then make an determination based on your follie sizes from there.  You can probably expect 1 to 2 u/s bw sessions depending on how well you respond I'm thinking.

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  • I hope it is ok that I am posting (you don't have SAIFW/PAIFW in your siggy)- I thought I might give you a little reassurance.  If not, please feel free to skip my post.

    I have always ovulated on my own and regularly (our issue was MFI).  My first medicated cycle (after the 2 unmedicated IUIs), I was given 100mg of Clomid.  I was told by the nurse that my RE starts everyone on 100mg.  I went to Cornell (one of the best fertility clinics in the country) and I really trusted my RE's judgment.  I was also heavily monitored, so if there was an issue, he would know pretty quickly.  That first cycle on 100mg of Clomid, I had no side effects (normal lining, no cysts, etc) and produced 1 mature follicle (with a 2nd one that may have made it, but probably wasn't big enough) and that was our BFP cycle.

    That being said, my RE always took the time to answer my million questions, so if they are annoyed at you for your questions, I would definitely go somewhere else where I was treated more appropriately.  GL :)

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  • image99luftballoons:

    I hope it is ok that I am posting (you don't have SAIFW/PAIFW in your siggy)- I thought I might give you a little reassurance.  If not, please feel free to skip my post.

    I have always ovulated on my own and regularly (our issue was MFI).  My first medicated cycle (after the 2 unmedicated IUIs), I was given 100mg of Clomid.  I was told by the nurse that my RE starts everyone on 100mg.  I went to Cornell (one of the best fertility clinics in the country) and I really trusted my RE's judgment.  I was also heavily monitored, so if there was an issue, he would know pretty quickly.  That first cycle on 100mg of Clomid, I had no side effects (normal lining, no cysts, etc) and produced 1 mature follicle (with a 2nd one that may have made it, but probably wasn't big enough) and that was our BFP cycle.

    That being said, my RE always took the time to answer my million questions, so if they are annoyed at you for your questions, I would definitely go somewhere else where I was treated more appropriately.  GL :)

    Of course it's okay! Thank your for responding. I just recently started posting on here so I'm not up on all the lingo and stuff but I'm always open to ANY responses that could help! :)

    Thank you for your response. It does make me feel better and I'm so happy to hear that it worked for you! 

    Whip mah hurr Pictures, Images and Photos

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  • Saucy, I don't have any specific answers to the question of Clomid, but I just wanted to tell you to trust your insticts. Thankfully, you have enough knowledge to question what he is doing with you and you should be. Don't be afraid to ask and insist on answers. This is your body being messed with!
    Proud Doxie Mommy
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  • I am not familiar with Clomid protocols but it does sound bizarre. Because if you do happen to overstimulate and get too many follicles then your RE will cancel the cycle and you'll be out the money, time and any side effects that you suffered. With that said, I had to take a higher dose of Femara to get a good response for IUI. I ovulate on my own, but still have to take a higher dose than average.

     The biggest issue to me is that they are not taking the time to address your concerns and questions. If you opt to stay with them, then if I were you, I would take 50mg without telling the RE that you took a lower dosage. Later, if you don't respond well, then you could tell him that you didn't feel comfortable taking the 100mg for your first cycle and you could try 100mg on your second one, if needed. If you are truly worried about it and they aren't giving you the answers, then don't do anything you are uncomfortable with. 

    I hope you get some answers soon.  

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  • I have unexplained IF, ovulate like clockwork. I love my RE and trust her 100%. She's very up to date on the current treatment recommendations, and is very receptive to my questions, etc. I have done Clomid twice at 100 mg. First time, had two follies, second time had 4. I asked about a lower dose, and she explained that she'd like me to have at least 2 follies, since we don't have a diagnosis, so we are assuming there is something wrong with fertilization and/or implantation, and need to up our odds that something will stick. Thus, we started (and are continuing) with 100 mg, but will cancel the cycle if there are more than 4 follies. I am on the same monitoring cycle as you.

    So I think your plan is a reasonable one (since it is basically the same as mine Smile), but if you don't feel comfortable with your RE, you are always going to be second guessing everything they recommend. This is such a hard hard thing to go through, and you need someone 100% on your side and willing to work with you. I hope you can find someone you are comfortable with, who is willing (and able!) to answer your questions. good luck!

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  • My RE prescribed me 100mg for my first (and subsequent) cycle and I ovulate on my own every month.  I was a little surprised too, but the nurse just said that it's ok since I've never been pregnant before.  Ooooooook!
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  • Thank you so much for sharing your experiences and opinions ladies! I truly appreciate the responses.

    I'm still waiting on a call back from my doctor (grrr) so I'm not sure if I'm going to just take the 100mg tonight or only take 50mg. I'm still on the fence.

    P.S. Hi maybebride & brandywine!! Good to see you girls!

    Whip mah hurr Pictures, Images and Photos

    Trying to get sperminated since February 2010

    Mar-May 2011: 3 Cycles IUI + Clomid = BFN Jan 2012: Injectables + TI = ?? image

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  • I just re-checked this thread this morning. Let me know what you decided, girlie! I hope you have a great Wednesday! 
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