what?! opk/clomid help please?

TeacherMer · March 2012

OK so i consider myself a somewhat informed ttcer, but this is my first cycle on clomid and only my second using opks. Hopefully someone who has taken clomid might be able to give me some insight into my Ute, or rather my ovaries. I am very confused.

I was afraid i would get a false positive from the clomid (took it cd 3 through 7) but last night and this morning were negative. I just got a positive tonight. Could this be a false pos even after the negs? Or could i be ovulating early? Its the very tail end of cd 9 for me. Again, i am so confused. any info would be very appreciated.

ufsandra85 · March 2012

I do clomid with monitoring so I can't help you with opk but I know when I'm on clomid I sometimes ovulate later than normal.good luck!

buckeyebaby814 · March 2012

First, Clomid does not give you false anything on your OPKs. The only time your OPK readings are not 'correct' is after you've been given an hCG trigger shot to make you ovulate within 36 hours. The hCG shot will turn your OPK positive even if your body had not begun a natural surge.

Second, are you being monitored? Yes, I still use OPKs while on clomid and moderately temp because I am a major type A personality and like to know. OPKs are not necessary for me though because my RE tells me when I am going to O via u/s.

You should have had an u/s prior to beginning clomid (typically CD 3) to measure beginning follicle growth, then again (1,2,3 more depending on your response) near CD 10-12 to measure your maturing follicles. You may not have responded well to clomid or you may over respond (OHSS or multiples).

If your doctor is not monitoring you, they're putting you at risk.

ll3414 · March 2012

My RE warned me not to use OPKs until 5 days after my last dose - they said it could lead to false positives. Not sure if that's the case or not - but I always waited and got my + around CD 13/14.

paisleybaby33 · March 2012

Same thing happened to me on my last cycle of Clomid in Dec (we need up getting pg). I was very over zealous about the OPKs, got a positive around day 9, then another one around day 14. Since I was bound and determined and somewhat crazy from that stupid medicine, we BD'd every day from day 9 to 18.

This post probably isn't helping at all. But just wanted to share. I wasnt being followed closely by u/s or monitoring at the time like BEB is mentioning (dont know if you are or not) but since the we've been referred and seen by an RE. Good luck!

CashewsMommy · March 2012

buckeyebaby814:
First, Clomid does not give you false anything on your OPKs. The only time your OPK readings are not 'correct' is after you've been given an hCG trigger shot to make you ovulate within 36 hours. The hCG shot will turn your OPK positive even if your body had not begun a natural surge.
Second, are you being monitored? Yes, I still use OPKs while on clomid and moderately temp because I am a major type A personality and like to know. OPKs are not necessary for me though because my RE tells me when I am going to O via u/s.
You should have had an u/s prior to beginning clomid (typically CD 3) to measure beginning follicle growth, then again (1,2,3 more depending on your response) near CD 10-12 to measure your maturing follicles. You may not have responded well to clomid or you may over respond (OHSS or multiples).
If your doctor is not monitoring you, they're putting you at risk.

Yes

raecheleblue1 · March 2012

buckeyebaby814:
First, Clomid does not give you false anything on your OPKs. The only time your OPK readings are not 'correct' is after you've been given an hCG trigger shot to make you ovulate within 36 hours. The hCG shot will turn your OPK positive even if your body had not begun a natural surge.
Second, are you being monitored? Yes, I still use OPKs while on clomid and moderately temp because I am a major type A personality and like to know. OPKs are not necessary for me though because my RE tells me when I am going to O via u/s.
You should have had an u/s prior to beginning clomid (typically CD 3) to measure beginning follicle growth, then again (1,2,3 more depending on your response) near CD 10-12 to measure your maturing follicles. You may not have responded well to clomid or you may over respond (OHSS or multiples).
If your doctor is not monitoring you, they're putting you at risk.

This, x100. Monitoring on Clomid is crucial. I ended up last cycle with a large cyst from Clomid and had I not been monitored I would have started another Clomid cycle only feeding the cyst causing it to get larger until it ruptures. You don't want that! I'd call your dr at the very least to tell them about the positive opk and ask if you can come in for monitoring to see how you are responding to Clomid.

TeacherMer · March 2012

Thank you all so much. BEB, I did ask my RE about monitoring after my last clomid question that you answered for me (thank you so much, btw). He told me to go forth with this cycle, and next cycle we would do an US on cd12 to see if I was responding. I didn't realize there are so many times l should be getting an ultrasound. This makes me nervous about this plan he gave me...i wonder if its because I haven't had any problems getting pregnant or ovupating and the clomid is primarily for a lp issue?? Would that make a difference as to why he isn't thinking I need to be monitored?

So, I tested negative this morning. I am going to call him and ask what the hell might be going on.

Thanks again everyone for all the information.

buckeyebaby814 · March 2012

ll3414:
My RE warned me not to use OPKs until 5 days after my last dose - they said it could lead to false positives. Not sure if that's the case or not - but I always waited and got my + around CD 13/14.

I had not heard this. I'm not even supposed to be using OPKs Embarrassed cause my RE doesn't want me to stress. I just know in most cases, they're not needed/recommended when being properly monitored.

twotexans · March 2012

buckeyebaby814:
ll3414:
My RE warned me not to use OPKs until 5 days after my last dose - they said it could lead to false positives. Not sure if that's the case or not - but I always waited and got my + around CD 13/14.
I had not heard this. I'm not even supposed to be using OPKs cause my RE doesn't want me to stress. I just know in most cases, they're not needed/recommended when being properly monitored.

My RE says the same thing. We do modified monitoring on my clomid cycles, since we are just TI and not IUI. I have a baseline at cd3 and a check at cd12. As long as cd12 only shows between 1 and 3 dominate follies, I trigger once I get a positive opk. Each cycle I got a +opk on cd14.

buckeyebaby814 · March 2012

TeacherMer:
Thank you all so much. BEB, I did ask my RE about monitoring after my last clomid question that you answered for me (thank you so much, btw). He told me to go forth with this cycle, and next cycle we would do an US on cd12 to see if I was responding. I didn't realize there are so many times l should be getting an ultrasound. This makes me nervous about this plan he gave me...i wonder if its because I haven't had any problems getting pregnant or ovupating and the clomid is primarily for a lp issue?? Would that make a difference as to why he isn't thinking I need to be monitored?

So, I tested negative this morning. I am going to call him and ask what the hell might be going on.

Thanks again everyone for all the information.

I also have no problem getting pregnant or ovulating AND my primary cycle issue is short LPs. Clomid monitoring has nothing to do with type of treatment plan you're on or for what reason, it's done because of the risks involved in taking a serious fertility medication.

buckeyebaby814 · March 2012

twotexans:
buckeyebaby814:
ll3414:
My RE warned me not to use OPKs until 5 days after my last dose - they said it could lead to false positives. Not sure if that's the case or not - but I always waited and got my + around CD 13/14.
I had not heard this. I'm not even supposed to be using OPKs cause my RE doesn't want me to stress. I just know in most cases, they're not needed/recommended when being properly monitored.
My RE says the same thing. We do modified monitoring on my clomid cycles, since we are just TI and not IUI. I have a baseline at cd3 and a check at cd12. As long as cd12 only shows between 1 and 3 dominate follies, I trigger once I get a positive opk. Each cycle I got a +opk on cd14.

When I was with my OBGYN this is how she monitored as well. She said I could have more u/s's if I wanted them to monitor up to O, but I was always a millimeter or two away from having mature follies so it didn't really matter.

twotexans · March 2012

buckeyebaby814:
twotexans:
buckeyebaby814:
ll3414:
My RE warned me not to use OPKs until 5 days after my last dose - they said it could lead to false positives. Not sure if that's the case or not - but I always waited and got my + around CD 13/14.
I had not heard this. I'm not even supposed to be using OPKs cause my RE doesn't want me to stress. I just know in most cases, they're not needed/recommended when being properly monitored.
My RE says the same thing. We do modified monitoring on my clomid cycles, since we are just TI and not IUI. I have a baseline at cd3 and a check at cd12. As long as cd12 only shows between 1 and 3 dominate follies, I trigger once I get a positive opk. Each cycle I got a +opk on cd14.
When I was with my OBGYN this is how she monitored as well. She said I could have more u/s's if I wanted them to monitor up to O, but I was always a millimeter or two away from having mature follies so it didn't really matter.

I always O on my own, but without clomid I O late and have a short LP. She doesn't see the point of additional u/s's if I always get positive opks. It saves us money too, since we don't have any IF coverage.

buckeyebaby814 · March 2012

twotexans:
buckeyebaby814:
twotexans:
buckeyebaby814:
ll3414:
My RE warned me not to use OPKs until 5 days after my last dose - they said it could lead to false positives. Not sure if that's the case or not - but I always waited and got my + around CD 13/14.
I had not heard this. I'm not even supposed to be using OPKs cause my RE doesn't want me to stress. I just know in most cases, they're not needed/recommended when being properly monitored.
My RE says the same thing. We do modified monitoring on my clomid cycles, since we are just TI and not IUI. I have a baseline at cd3 and a check at cd12. As long as cd12 only shows between 1 and 3 dominate follies, I trigger once I get a positive opk. Each cycle I got a +opk on cd14.
When I was with my OBGYN this is how she monitored as well. She said I could have more u/s's if I wanted them to monitor up to O, but I was always a millimeter or two away from having mature follies so it didn't really matter.
I always O on my own, but without clomid I O late and have a short LP. She doesn't see the point of additional u/s's if I always get positive opks. It saves us money too, since we don't have any IF coverage.

I'm the exact same way! We do not have IF coverage either, but thankfully even with the u/s's being coded as 'IF' they're still covered because they're considered 'diagnostic'.

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what?! opk/clomid help please?

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