Important Clomid Dose Question

adonorovich · August 2012

Sorry to ask another question but you ladies seem to know so much more about Clomid then what I can get from my OB office. And I know that we should not take Clomid through an OB. I have an appointment with an RE on Monday but that will be CD7 so I need to start the Clomid before I meet with her.

This is my second round of Clomid and since my progesterone levels were low the doctor wants me to double the dose of Clomid this month. So I will be on 100 mg. I expected this but the receptionist that called me back just now said that the doctor wants me to take it for 10 days instead of 5 this month. Has anyone heard of that or is she crazy?

I am on a list to have the doctor call me but I have been on it for over 24 hours so I am not hopefully to get answers quickly.

Thanks ladies!

notquiteblushing · August 2012

I have not heard of that and frankly it sounds like a terrible plan. Are you asking for a midcycle ultrasound this time around?

megemoney · August 2012

I have never heard of anyone taking Clomid for such a length of time. I am going to have to go with NQB here and ask if you are requesting to be monitored this cycle. It is really important to be monitored while taking ovulation induction meds.

I'm glad to hear that you are meeting with an RE.

adonorovich · August 2012

I did have a mid cycle ultrasound last time on CD12 and it showed no mature or dominate follicles. I was on 50mg CD5-9. I then started Estradiol after she saw thinned lining on the CD12 u/s. I did that until my LH surge and then started on Crinone 8% 3 days later for 2 weeks. Last Friday was CD28 and I did the progesterone bloodwork.

The OB office called with my results yesterday morning and said my levels were too low and the doctor wanted me to double the next dose of Clomid and she wanted me to come in. The problem was their next appointment was a week and a half way and CD 1 was yesterday. So they put me on a list for the Doctor to call back but she still hasn't. I called about an hour ago to check in and they said I am still on the list. Then they called me back a few minutes later and told me that the doctor wanted to up me to 100 mg for 10 days. The receptionist was very confused though and thought it started on CD 1 and said something about sitting a cycle out.

So now I am not sure if the receptionist knew what she was talking about and what days I will take this medicine. Ugh!

deelopi9 · August 2012

My opinion, I would stop taking Clomid until your RE has correctly diagnosed you and DH. Doctors are only supposed to prescribe 6 rounds of clomid - don't waste a precious cycle without fully knowing what game plan your RE has for you. For the progesterone deficiency my doctor RX 200 mgs 2x a day after confirmed O - through transvaginal ultra-sound.

notquiteblushing · August 2012

I know it sucks to sit out a cycle but that's what I would do. You have an appointment on Monday with an RE which is great. It took me 7 weeks to get my first appointment. That way you can do all the testing and such this cycle and get a better plan.

angelamaster1986 · August 2012

deelopi9:
My opinion, I would stop taking Clomid until your RE has correctly diagnosed you and DH. Doctors are only supposed to prescribe 6 rounds of clomid - don't waste a precious cycle without fully knowing what game plan your RE has for you. For the progesterone deficiency my doctor RX 200 mgs 2x a day after confirmed O - through transvaginal ultra-sound.

This and above NQB post. Sorry love. Good luck to you though!!

asilwhite · August 2012

deelopi9:
My opinion, I would stop taking Clomid until your RE has correctly diagnosed you and DH. Doctors are only supposed to prescribe 6 rounds of clomid - don't waste a precious cycle without fully knowing what game plan your RE has for you. For the progesterone deficiency my doctor RX 200 mgs 2x a day after confirmed O - through transvaginal ultra-sound.

This! I would definitely stop taking the Clomid and wait for your RE appointment. I know the waiting sucks, but a correct DX and monitoring by a RE are KEY when taking Clomid. GL!

Neesey · August 2012

My mom took 150mg of clomid for 10 days but that was after much testing and no earlier response. She was an OB/GYN nurse and had twice weekly ultrasounds. It is definitely not something to mess with.

Have you already had your HSG and SA? If not, you really need to sit this cycle out. Get your testing done and then start meds. Good luck!

adonorovich · August 2012

Hi all!

I appreciate all of the advice. I know that my DX is correct so I don't know what waiting for the RE for testing would do. I have already done all of the b/w, u/s, HSG, and DH has done his SA.

I will be seeing the RE on CD7 so I think I will do the 100mg of Clomid but ask her if I take the extra 5 days or not. I did a lot of online research and found that others have had to do 10 days and have had success. When I did the u/s during the Clomid last month none of my follicles were developed at all but I still got an pos OPK on CD14. I think she is wanting me to take it longer to give the follicles more time to develop. I will confirm this with the RE before taking the 2nd 5 days worth. If nothing else since 50 mg didn't work at all the next step would be 100mg. I'm just glad I will see the RE in the middle of it so I can get a second opinion. I am also getting my test results sent so the RE will have everything in hand at the appointment.

Thank you again for all of your advice and concern.

deelopi9 · August 2012

adonorovich:
Hi all!
I appreciate all of the advice. I know that my DX is correct so I don't know what waiting for the RE for testing would do. I have already done all of the b/w, u/s, HSG, and DH has done his SA.
I will be seeing the RE on CD7 so I think I will do the 100mg of Clomid but ask her if I take the extra 5 days or not. I did a lot of online research and found that others have had to do 10 days and have had success. When I did the u/s during the Clomid last month none of my follicles were developed at all but I still got an pos OPK on CD14. I think she is wanting me to take it longer to give the follicles more time to develop. I will confirm this with the RE before taking the 2nd 5 days worth. If nothing else since 50 mg didn't work at all the next step would be 100mg. I'm just glad I will see the RE in the middle of it so I can get a second opinion. I am also getting my test results sent so the RE will have everything in hand at the appointment.
Thank you again for all of your advice and concern.

I honestly hope it works out for you.

honeygirl500 · August 2012

adonorovich:
Hi all!
I appreciate all of the advice. I know that my DX is correct so I don't know what waiting for the RE for testing would do. I have already done all of the b/w, u/s, HSG, and DH has done his SA.
I will be seeing the RE on CD7 so I think I will do the 100mg of Clomid but ask her if I take the extra 5 days or not. I did a lot of online research and found that others have had to do 10 days and have had success. When I did the u/s during the Clomid last month none of my follicles were developed at all but I still got an pos OPK on CD14. I think she is wanting me to take it longer to give the follicles more time to develop. I will confirm this with the RE before taking the 2nd 5 days worth. If nothing else since 50 mg didn't work at all the next step would be 100mg. I'm just glad I will see the RE in the middle of it so I can get a second opinion. I am also getting my test results sent so the RE will have everything in hand at the appointment.
Thank you again for all of your advice and concern.

Why do you ask us, if you know you will be taking it anyways? Why not just do your research online before you post questions?

adonorovich · August 2012

honeygirl500:
adonorovich:
Hi all!
I appreciate all of the advice. I know that my DX is correct so I don't know what waiting for the RE for testing would do. I have already done all of the b/w, u/s, HSG, and DH has done his SA.
I will be seeing the RE on CD7 so I think I will do the 100mg of Clomid but ask her if I take the extra 5 days or not. I did a lot of online research and found that others have had to do 10 days and have had success. When I did the u/s during the Clomid last month none of my follicles were developed at all but I still got an pos OPK on CD14. I think she is wanting me to take it longer to give the follicles more time to develop. I will confirm this with the RE before taking the 2nd 5 days worth. If nothing else since 50 mg didn't work at all the next step would be 100mg. I'm just glad I will see the RE in the middle of it so I can get a second opinion. I am also getting my test results sent so the RE will have everything in hand at the appointment.
Thank you again for all of your advice and concern.
Why do you ask us, if you know you will be taking it anyways? Why not just do your research online before you post questions?

I was asking to see if anyone else on this board had been on the same dose. Or knew personally of anyone who had.

GonnaBMrs.A · August 2012

FWIW, 50mg of Clomid did nothing for me either and one month my RE did have me stair-step from the 50mg to 100mg after proper monitoring (so I did end up taking it for 10 days). I obviously didn't get pregnant but that did produce one follie and I was able to trigger. At the very least, you should definitely consult with the RE on Monday about taking the next 5 days worth. Your OB shouldn't have just told you to take it for 10 days without seeing what happens after the first 5 days. Just make sure you keep getting monitored because you can easily get cysts(especially with PCOS). Good luck!

larhun3 · August 2012

honeygirl500:
adonorovich:
Hi all! 
 I appreciate all of the advice. I know that my DX is correct so I don't know what waiting for the RE for testing would do. I have already done all of the b/w, u/s, HSG, and DH has done his SA.
I will be seeing the RE on CD7 so I think I will do the 100mg of Clomid but ask her if I take the extra 5 days or not. I did a lot of online research and found that others have had to do 10 days and have had success. When I did the u/s during the Clomid last month none of my follicles were developed at all but I still got an pos OPK on CD14. I think she is wanting me to take it longer to give the follicles more time to develop. I will confirm this with the RE before taking the 2nd 5 days worth. If nothing else since 50 mg didn't work at all the next step would be 100mg. I'm just glad I will see the RE in the middle of it so I can get a second opinion. I am also getting my test results sent so the RE will have everything in hand at the appointment.
Thank you again for all of your advice and concern.  
Why do you ask us, if you know you will be taking it anyways?  Why not just do your research online before you post questions? 

Agreed. OP, you're being an idiot. Waiting for the REs recommendation isn't stupid or a waste of time. Have you had a baseline u/s? If you have lining issues taking more clomid can compound this problem. Maybe the RE would have a better treatment plan for you. Sounds like you are just being impatient. JMO.

ball.and.chain · August 2012

GonnaBMrs.A:
FWIW, 50mg of Clomid did nothing for me either and one month my RE did have me stair-step from the 50mg to 100mg after proper monitoring (so I did end up taking it for 10 days). I obviously didn't get pregnant but that did produce one follie and I was able to trigger. At the very least, you should definitely consult with the RE on Monday about taking the next 5 days worth. Your OB shouldn't have just told you to take it for 10 days without seeing what happens after the first 5 days. Just make sure you keep getting monitored because you can easily get cysts(especially with PCOS). Good luck!

This. In my last cycle I was on 100mg for 5 days and ended up with no mature follicles (despite ovulating fine without meds). Instead of canceling the cycle, my RE had me do 5 more days of the 100mg. So yes I was on 100mg for 10 days (although not 10 straight days), but only after determining that the 5 days had been a bust. I did end up with 1-2 mature follies after the second dose but I did not get pregnant.

Kershnic · August 2012

Stair stepping mentioned above, yes, I did that once and many others on the internet have as well. 10 days in a row sounds bizarre and highly suspect. You can pretty much start clomid anywhere from CD 1 to CD 5.

This board is really uptight about clomid monitoring, but if you're having a midcycle ultrasound I say you're good. I'll probably get flamed for that.

larhun3 · August 2012

Kershnic:
Stair steppingnbsp; mentioned above, yes, I did that once and many others on the internet have as well.nbsp; 10 days in a row sounds bizarre and highly suspect.nbsp; You can pretty much start clomid anywhere from CD 1 to CD 5.This board is really uptight about clomid monitoring, but if you're having a midcycle ultrasound I say you're good.nbsp; I'll probably get flamed for that. nbsp;

Anyone can google and find people who tried something or did something. It still doesn't make it right. No one in this thread is being "uptight" about the dosing...I think it's stupid for someone to take medication without having clear instructions from their dr or instead of just waiting for the re to make a treatment plan. Anyone who encourages irresponsibility is also an idiot bc op clearly says she has issues that clomid can exacerbate. Why anyone would risk making things worse is beyond me.

Durham1008 · August 2012

Kershnic:

Stair stepping mentioned above, yes, I did that once and many others on the internet have as well. 10 days in a row sounds bizarre and highly suspect. You can pretty much start clomid anywhere from CD 1 to CD 5.

This board is really uptight about clomid monitoring, but if you're having a midcycle ultrasound I say you're good. I'll probably get flamed for that.

I think the bigger issue is you calling us names rather than having a different opinion. I don't see the point of going by one doctor's plan if you intend to go to a different doctor in less than a week. What if the RE doesn't want her on 100 mg of Clomid?

deelopi9 · August 2012

katyj25:
larhun3:
honeygirl500:
adonorovich:
Hi all!
I appreciate all of the advice. I know that my DX is correct so I don't know what waiting for the RE for testing would do. I have already done all of the b/w, u/s, HSG, and DH has done his SA.
I will be seeing the RE on CD7 so I think I will do the 100mg of Clomid but ask her if I take the extra 5 days or not. I did a lot of online research and found that others have had to do 10 days and have had success. When I did the u/s during the Clomid last month none of my follicles were developed at all but I still got an pos OPK on CD14. I think she is wanting me to take it longer to give the follicles more time to develop. I will confirm this with the RE before taking the 2nd 5 days worth. If nothing else since 50 mg didn't work at all the next step would be 100mg. I'm just glad I will see the RE in the middle of it so I can get a second opinion. I am also getting my test results sent so the RE will have everything in hand at the appointment.
Thank you again for all of your advice and concern.
Why do you ask us, if you know you will be taking it anyways? Why not just do your research online before you post questions?
Agreed. OP, you're being an idiot. Waiting for the REs recommendation isn't stupid or a waste of time. Have you had a baseline u/s? If you have lining issues taking more clomid can compound this problem. Maybe the RE would have a better treatment plan for you. Sounds like you are just being impatient. JMO.
Fully agree with this. In the realm of IF, 1 cycle is a walk in the park. Put on your patience panties OP.

you took the words right out of my mouth

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