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Need some opinions-fertility treatments
I started clomid this past cycle. Unfortunatly I got AF today. So I called theNP at the office to see what the plan was for this cycle. She said I could stick with 50 mg of clomid or come in for a sonogram and get an injection. I don't know what to do. When I did clomid to.get pregnant the first tome it was with my ob(with different doctor now) and only did clomid. I will be talking to Dh tonight but wanted other opinions. I have to let her know by tomorrow because the paperwork has to be processed asap.
Sorry about any spelling errors. I'm on my phone
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Re: Need some opinions-fertility treatments
Did they take your progesterone to see if you ovulated?
Does your insurance cover injectables?
Normally they will do a few cycles of clomid with a serum progesterone to make sure you ovulated then move to injectables. We're you charting? There are so many variables. I conceived both my girls on clomid.
I do chart. I have been charting since we started trying in October 2010. I was able to get pregnant on my own in January but had a m/c. We started trying as soon as we were given the green light. We did CD 3 bloodwork and everything looks good. They did not take my progesterone to make sure I ovulated since I am charting and had a clear temp rise each cycle. I don't remember how much of the injectables my insurance covers. When we switched to this plan last year, we looked into infertility coverage and there was coverage there. I just can't remember if it is a copay or coinsurance that we will have to pay. Our plan didn't change this year.
With Abby, we were trying for 6 months when that doctor had me go for blood work and to check my tubes. Once everything came back we started clomid. I did two cycles, one was 50 and one was 100. The cycle I conceived we were off of the clomid due to cysts. They still consider Abby a result of clomid since it stays in your system for 6 weeks.
There is some concern with me taking fertility treatments since I do have endo. They told me the medicine will make it grow. She said the quicker I am pregnant the better. She will go with whatever I decide and be as aggressive as I want.
I'm sorry I don't have much insight or advice to offer. I have no experience with Clomid and I'm not sure I 100% understand all the information in your post. But if it were me, I would want to be as aggressive as possible TTC. What would make the injection better than the 50 mg of Clomid that they started you on? Would the injections affect the endo more than the 50 mg? If they think the injections would have a better chance for success and the cost/side effect would not be a deterrent to you, I think I would definitely try it.
Good luck with whatever you decide. I'm sorry that you are dealing with this and that it is such a stressful process for you. I will keep you in my t&p.
Have you thought of going to Buffalo IVF? I was going to just go through my OB for clomid but something made me think twice about it.Mainly that I am afraid of multiples. I love Buffalo IVF, they do so much monitoring with everything throughout your cycle. I am glad that my friends really encouraged me into going there. I got in there super quick and they got the ball rolling. You don't need a referral.
https://www.buffaloivf.com/
Good Luck!
"Just keep swimming, just keep swimming..."
"Just keep swimming, just keep swimming..."
m/c 1/2/08 and 3/12/08
Eve Amelia- Born 2/24/09. 6lb 9.9oz
Natalie Ruth - Born 6/13/11 7lb 6.6oz
Personally I would go to an RE ASAP. I did 3 cycles of clomid with my OB and would never do it again. I was uneducated on the drug, knowing how all things RE work now makes me wonder why they dispense it like candy. I would want monitoring, even with clomid.
The nice thing about injectables is they work at the source, right at your ovaries where clomid works with your brain (this is the reason for some of the side effects).
Good luck!
Reading my post again, I realized I didn't make somethings clear. So I am going to try and make things a little clearer. When I was trying to get pregnant with Abby it was my old ob, that I left, that prescribed me clomid. My new ob is not the one prescribing clomid. She sent me to a specialist in the practice. She can prescribe clomid, fermera(offered this but we decided to try clomid again first since it worked before). She would be the one doing the injections, not my ob. I forgot to mention she wanted bloodwork done after ovulation but I was out of town and wasn't sure of my coverage for out of state bloodwork.
After talking with DH, I think we decided to try clomid again. He said we can do injectables next time if this doesn't work. This will give us time to verify our coverage and talk about if we want to go see someone else. He is convinced it will work this time since it took 2 doses to get Abby. Plus is pointed out that this is our lucky month. Both my pregnancies happened in January.
Thank you for all the advice. I will take anymore advice that anyone has. I will be talking with her more about the steps we are going to take if this doesn't work. I will also be asking to do blood work after ovulation to verify that I did ovulate, not just relying on my chart.
I am glad you are seeing somebody who specializes in this. However, my blood work confirms that I ovulate BUT the monitoring I have done to check follicle size shows that my follicles are slow growing and therefore when I ovulate it may not be the best quality of eggs. They also check my lining which has been thin and give me estrace to thicken it up during my leutal phase. Had I just relied on my blood work I would have not known this.
Just an FYI I have only done 1 cycle of clomid (100 mg) and am currently on a femara cycle, but my follicles have been slow growing on both. So next cycle we are increasing the femara.
If you do injects I hope that your follicles are monitored because you can over produce on them, just as you can with the oral meds but I think it is more likely.
Hope Jan is your month!
"Just keep swimming, just keep swimming..."
"Just keep swimming, just keep swimming..."
Personally I would get to an RE because now TTC #2 has been over a year. I would do a unmediated monitored cycle to see what is happening and then try out drugs if that seems like the best option.
I say get to an RE because even though OB's might have specialists (unless it's a RE) you want to make sure once you start taking hormonal medications to help stimulate your ovaries that you being monitored aka internal ultrasounds to make sure you don't get over stimulated, cysts etc. I've seen ladies have tubes rupture because they were not monitored properly and it's really such an easy thing to have done.
Best of luck in what you decide.
The office I go to works closely with Dr. K at Syracuse fertility and they are well versed in the medication and infertility.
Clomid has been around for over 40 years. Clomid is an anti estrogen so it can thin your lining. More providers are now prescribing Estrace along withthe clomid to help combat it. Ovulation rate is about 80% and pregnancy rate 30-40%. Having a serum progesterone is helpful because not only does it tell if you ovulated but if your progesterone is low they can supplement you.
My progesterone was at a 4 post O, without progesterone I'm not sure my current pregnancy would have stuck.
Clomid is usually given for 4-6 months with increase dosing when ovulation doesn't occur.
Per the medical standard unless a patient is having symptoms ultrasound examination aren't required between cycles. (they prefer manual exams at my office).
The rate of multiples is 8-13%.
6.9-9% of pregnancies are twins
0.3-0.5% triplets
These rates COULD be reduced with us monitoring and not having IUI.
14% of women have ovarian enlargement with Clomid but overstimulation (like in IVF) is rare.
These are 100% medically validated facts( not Dr. Google). I've had very good luck with Clomid and if I were in your place I would do another round, but ask for a 7dpo progesterone level.
Good luck!