Clomid "Monitoring"

bplusr · June 2013

Hi all. I've heard several people say that it's really important to be "monitored" when you are on clomid. What exactly does that mean?

Just stay in touch with your doctor or does that mean going in and being physically checked somehow? My doctor didn't say anything about this?

And, what is a "follie?"

I feel like I need a dictionary here. lol

Soon2BMrsHess · June 2013

When I go to monitoring it consists of a Internal Sonogram and blood work to check my hormone levels. When they do the sonogram they are looking to see how many follicles (follie) I have and what the sizes are. It's important because they also check the thickness of your lining and sometimes Clomid can thin that out. Hope this helps!

bplusr · June 2013

Wow. My doctor did not mention ANY OF THIS. She literally just talked about potential side effects (mood swings) and said that we would correspond via email while I'm on the pills.

I have no idea how to even bring up the topic, considering it was not at all on her radar.

It's so discouraging how it always seems like I'm chasing doctors to do their jobs. (Pity party moment!)

ErinSays · June 2013

Are you seeing an obgyn or an RE? That's usually the difference - obgyns tend to just dispense medicine while REs are concerned with properly monitoring your cycles after doing some pretty important testing to make sure there are no hidden issues.

Alicia_R1 · June 2013

I had this issue with my OBGYN who was just going to hand out the clomid and say well if after 3 months you aren't pregnant we will up the dose. He only mentioned the side effect of maybe multiples. So I was glad I knew in advance before talking to him.

In TTC and with clomid I have found in my experience you need to be your own advocate.

I mentioned my concerns in the office and then again when I called them back until I got some form of an answer, which in my case was "we don't do that" with respect to the ultrasounds. So I left and found an RE.

It sucks that you have to pretty much tell them that yes you need to do this and this is why, but if they won't or can't do it, I would find another doctor. There are too many horror stories that women on here have experienced with clomid, that it isn't worth the risk unmonitored.

So yeah, I would just call up you office and speak with your doc again and express your concerns and what you want to do and if she won't, then I'd say RUN away from that doc.

best of luck to you.

novelblessings · June 2013

Alicia_R1:
I had this issue with my OBGYN who was just going to hand out the clomid and say well if after 3 months you aren't pregnant we will up the dose. He only mentioned the side effect of maybe multiples. So I was glad I knew in advance before talking to him.

My obgyn has tried to do the same thing. I have asked several times about monitoring (because it would be cheaper to stay with her) and she has said they don't need to use ultrasounds with such a low dose of clomid. But she has also said she can give me a referral to the fertility center I just need to ask. Then followed up with handing me a prescription, I declined. We will be asking for a referral once we find out the results of our SA and HSG.

I would find a new doctor if I were you.

Alicia_R1 · June 2013

novelblessings:
Alicia_R1:
I had this issue with my OBGYN who was just going to hand out the clomid and say well if after 3 months you aren't pregnant we will up the dose. He only mentioned the side effect of maybe multiples. So I was glad I knew in advance before talking to him.

My obgyn has tried to do the same thing. I have asked several times about monitoring (because it would be cheaper to stay with her) and she has said they don't need to use ultrasounds with such a low dose of clomid. But she has also said she can give me a referral to the fertility center I just need to ask. Then followed up with handing me a prescription, I declined. We will be asking for a referral once we find out the results of our SA and HSG.
I would find a new doctor if I were you.

Us, or the OP?

We did, I was on my insurance site the next day looking for an RE in network. My DH was quite concerned when I was on the phone with the OB's office explaining why if they want me to take this I need monitoring and what that exactly entailed. I was disgustested with their office. We now have a great RE that we have been seeing since mid May (with our insurance we didn't need a referral) and will next cycle start monitored clomid + Trigger.

normally I just lurk around these parts, which is why I had been able to read up and educate myself on what the right way to do these medicated cycles is, why, and what can happen. I know I am thankful for the wealth of knowledge that you all have on these boards and your willingness to share.

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