Trying after a CP

Brookeadrenaline · July 2013

I am now 18 days past a chemical pregnancy (counting CD1 as the first day of bleeding). I have not ovulated yet. When I was at the doctor last week she did a sonogram and found that I have a lot of follicles, but they were all very immature. She recommended Clomid for 5 days and then Progesterone after ovulation. I was nervous to take the Clomid and am wondering if I should go to an RE as opposed to my ob/gyn. Also, I typically see that people are prescribed Clomid at a certain point in their cycle. I haven't had a period yet so I don't know how she knew it was just ok to take at that point?

I'm getting frustrated that I haven't ovulated, but I know that it can be delayed after a loss.

Just interested in hearing others' experiences and recommendations for an RE vs. ob/gyn.

lindsebert · July 2013

Um, don't take it. Do some research about clomid in the blog as PP suggested, as well as other places. Get, at minimum, a second opinion. Yes, you are right, clomid is taken on certain days of your cycle, and you should me monitored while taking it.
Read the blog, lurk, and intro. GL to you.

ETA: You are only 18 days past a loss. It is not uncommon to have wonky cycles after a loss, as well as it's not uncommon to have an anovulatory cycle after a loss.

EKGibs · July 2013

As someone who took Clomid under the care of an OBGYN, I will strongly urge you to not do this. A RE will monitor you closely, doing ultrasounds & blood work. An OBGYN will usually only do blood work without close monitoring. I took clomid for no reason because I ovulate like clock work. OBGYN's sometimes think its a cure all drug. Now I'm terrified that I will develop ovarian cancer since I took this without needing it.

Do you chart? Do you know that you need clomid to O? Cycles can be very wonky after a loss so it may take a little while for your body to get back on track. I hope you research clomid a bit more before taking it without monitoring.

I'm very sorry for your loss & suggest putting info in your siggy. Also, post an intro so we can get to know you better. Welcome to the board!

sarah_beth2005 · July 2013

I am very sorry for your loss. After my m/c last year, my OB had me call if my period didn't start after 35 days. She had me take Provera at that point to jump start my cycle. As others said, your cycle can be weird for a few months after a m/c or cp. I wouldn't recommend Clomid unmonitored (I did it for months without realizing just how awful the side effects are...). My OB also wanted me to have 2 full cycles before we started TTC again (which took about 3 months, since everything was so wonky and I have slightly longer, irregular cycles anyway). It's perfectly normal to have a long cycle or two after a m/c or cp - all the hormones in your body throw everything out of whack.

jenkellen · July 2013

I think since you have doubts about your doctor that means you should see a new one or talk to an RE.

MollySm · July 2013

I am sorry for your loss. I did not have a chemical pregnancy, but after my miscarriage I did not ovulate between the miscarriage bleeding and my first AF. I am now in my first cycle and I am fairly sure I just ovulated (I need one more day of high temps to confirm). Unless you have a history of difficulty ovulating, I would just wait it out for a bit and not see any doctors. 18 days is not very many, though I know when you are waiting to TTC it feels like an eternity.

Junebug060609 · July 2013

lindsebert said:
Um, don't take it. Do some research about clomid in the blog as PP suggested, as well as other places. Get, at minimum, a second opinion. Yes, you are right, clomid is taken on certain days of your cycle, and you should me monitored while taking it.
Read the blog, lurk, and intro. GL to you.

ETA: You are only 18 days past a loss. It is not uncommon to have wonky cycles after a loss, as well as it's not uncommon to have an anovulatory cycle after a loss.

This. There is stuff about Clomid, and why you should be monitored on it on the blog. Why is your doctor pushing medication this soon vs giving your body (and your mind) time to process your loss?

Also, it is totally normal to have not ovulated 18 days after a loss...or to have an annovulatory cycle right after a loss (I did!). It can take a while for your body to sort itself out after a loss, and you may find your body will have a new normal.

Eta: I forgot to say I was sorry for your loss.

doglover31 · August 2013

After a loss cycles can be wonky. Before my first loss I would ovulate on day 12-13. After my loss my I would ovulate from days 17-20. Now after my second loss its between day 13-16.

Is there a reason why you are taking Clomid? As PP have said you should be closely monitored while on it, and you shouldn't take it unless there is a medical reason to.

shandorfml2 · August 2013

Do you have a hx of trouble TTC or ovulating? If not, don't take clomid! You're only 18 days out from your loss. It could take a few cycles to get back to "semi" normal and some ladies get a whole new normal.

Brookeadrenaline · August 2013

Thanks for the helpful feedback everyone!

I have a history of not ovulating for long periods of time (years) and after the sonogram my doctor recommended Clomid based on how my lining and follicles looked.

I have not taken it and probably won't until I meet with an RE. I agree with others about being monitored. From what I have read, Clomid is commonly given out by OB-GYNs without much follow up. I'd prefer to wait and make sure that is what I need and if it is what I need then I get the monitoring with it.

lindsebert · August 2013

Qfrump said:

Brookeadrenaline said:

Thanks for the helpful feedback everyone!
I have a history of not ovulating for long periods of time (years) and after the sonogram my doctor recommended Clomid based on how my lining and follicles looked.
I have not taken it and probably won't until I meet with an RE. I agree with others about being monitored. From what I have read, Clomid is commonly given out by OB-GYNs without much follow up. I'd prefer to wait and make sure that is what I need and if it is what I need then I get the monitoring with it.

If you have PCOS, which it sounds like you might, the RE is probably a better place for you anyway.

Agreed. So glad you are looking in to this more.

Brookeadrenaline · August 2013

The doctor said it looks like PCOS except that the follicles aren't lined up like a string of pearls so maybe it would be PCO? I'm not quite sure. I asked a lot of questions, but never really felt like there was a clear answer.

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