Intro/Clomid question

charley0624 · May 2013

Hi ladies. I posted the question below on Infertility and it was suggested I also ask here. Also as additional input to my question, I do tend to ovulate late (CD18) so being drawn on CD21 may be too early, and my RE is NOT monitoring my Clomid as many do; for whatever reason he doesnt seem to think its needed. Thank you in advance.

"Hi all. I have lurked on TB for some time but this is my first post. I hope my question about Clomid is OK to ask here; please redirect me if it isnt.

A little about me: DH and I have been TTC for a year; still relatively not a long time I know. I am under the care of an RE and after a surgery to correct a septated uterus, he has started me on Clomid. Its only been two cycles, but it appears it isnt working? The first cycle I was on 150 mg but when my progesterone levels were drawn on CD21, my levels were only 2.9. This cycle he bumped me up to 200 mg and again when the levels were drawn, I was only 2.3. Has this happened to any of you and were you given any reason/hypotheses as to why it didnt work? I think my RE is as perplexed as I am. I dont really want to keep taking it if it isnt working; next steps would be IUI and then IVF which we cant really afford at the moment.

A little more info that may help explain further. I am overweight and suspect I have PCOS though I havent officially been diagnosed. I have not yet started charting post-surgery but know that I should; especially since to my knowledge I have never had an issue with ovulating before.

Thank you in advance for any insight you may be able to provide.

Twinkie0612 · May 2013

I replied to your thread on the infertility board.

My best advice is to find a new doctor.

The first RE I saw wanted me to do unmonitored Clomid cycles. I said no thank you and found a new doc.

charley0624 · May 2013

Thanks Twinkie. I saw your post and replied. :-)

I may have to... He really has good bed side manner and when I first met him I thought it was going to be a good fit. But the further along I go on this road the more I feel uninformed and confused. Thx again for your reply.

Twinkie0612 · May 2013

charley0624:
Thanks Twinkie. I saw your post and replied. :-)
I may have to... He really has good bed side manner and when I first met him I thought it was going to be a good fit. But the further along I go on this road the more I feel uninformed and confused. Thx again for your reply.

GL. I hope you find a doctor who gives you the care you deserve.

RachC624 · May 2013

OP, if you do O late getting your b/w drawn on cd 21 isn't going to be accurate. It has to be done 7 dpo. Definitely agree that If your RE isn't going to monitor you correctly, find a new one! Good luck!

ttuprincess · May 2013

That is a pretty large dose of clomid not to be monitored. Have you have an HSG? Has your DH had an SA?

Sounds to me like Twinkie is right....I would look for a new doctor. Good luck!

charley0624 · May 2013

Thx all, I have an inquiry into one of the best RE offices in my area to discuss a possible doc change.

Ttuprincess, he did not do an HSG (did have a saline US though) and no SA either, I suspect because we did get pregnant on our own twice but unfortunately they both ended in early miscarriages. But I agree, I think the dose I am on is one of the largest doses you can be on and everyone else I have spoken with is monitored. :-(

wearebirds · May 2013

I'm sorry you are dealing with all of this! I would definitely find a new doc ASAP! CD 21 bloodwork only works on women who ovulate on cd 14....I ovulate late also, so when I needed that done I just told them when FF gave me crosshairs and they told me to come in 7days after ff had indicated.

As for the unmonitored clomid, my OBGYN offered that to me also unmonitored. I said no thank you and waited for the RE. I have had issues with cysts, and DH even spoke up and said "not a chance" to my OBGYN.

I hope you get it all straight soon!!

charley0624 · May 2013

Thx wearebirds; I actually mentioned to him last month that I typically ovulate on CD18 so shouldnt I come in on CD25 at the earliest just to check, and he said that I could if I wanted to, but he thinks the Clomid should be making me O on CD14 so getting another blood test was not going to help him at all.

This month however he now wants to do a draw later in case I O'ed later. WTH?

Thx again for everyone's replies.

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