Clomid question

artichoken · November 2013

my sister has been on.Clomid for 3 cycles. she's only getting one u/s per cycle. I thought proper Clomid protocol was 3 or so a month. can any of you please help?

musickphan912 · November 2013

Usually the start you out at 50 mg (one pill) and see if you ovulate. If you do, the keep you on one pill for 6 months to a year or until you conceive. If you don't ovulate on 50, they bump you up to 100, or 2 pills. If you still don't ovulate, they bump you up to 150, or 3 pills. My doctor told me this is because if you take a higher dose than is needed, your chance of twins or triplets go way up.

musickphan912 · November 2013

Woops, I misread what you were asking. My doctor didn't use Ultrasound when I was on Clomid because 1) most insurances won't cover them, which can run 60-150 dollars a pop and 2) blood tests are more accurate and cheaper. Again, sorry for misreading!

gidge · November 2013

I didn't use clomid so I'm not sure how accurate my info is, but I think if the u/s is close enough to TI or IUI that is ok. Then they can check that there aren't too many follicles/ evaluate the risk of multiples.

CeCe8579 · November 2013

Some REs do ultrasounds and some prefer OPKs and bloodwork because it is more accurate and less expensive.

Aeml1985 · November 2013

Lurking from TTTC, my MD only used CD21 bldwork to check for ovulation, no ultrasounds and has requested we not use OPK's. This is the case with both TI and IUI

jaco0207 · November 2013

I think it is different for every woman based on her age, diagnosis, and insurance coverage. I just had my first round of clomid this month. My MD is also only using one ultrasound per cycle due to cost (all out of pocket), however I had a friend whose insurance covered iui and she had several per cycle. They are bumping me up to 100 mg next cycle and if the ultrasound shows a normal response they will be ok with skipping the u/s in the future (much lower chance of a 38 year old having multiples). She should ask her dr about it, I think the main reason my dr. likes to use at least one is to make sure you don't have too many big follies.

jjsmommy0714 · December 2013

I asked a question about unmonitored Clomid on TtGP last night and the first comment has a GREAT answer for what monitoring is supposed to happen.

Unmonitored Clomid - The Bump

hayleydeee · February 2014

I had 3 (unsuccessful) rounds of clomid, and never had an ultrasound.

mrsbark711 · March 2014

musickphan912 said:

Woops, I misread what you were asking. My doctor didn't use Ultrasound when I was on Clomid because 1) most insurances won't cover them, which can run 60-150 dollars a pop and 2) blood tests are more accurate and cheaper. Again, sorry for misreading!

Did clomid work for you @musickphan912 ?

SassFrass · March 2014

musickphan912 said:
Usually the start you out at 50 mg (one pill) and see if you ovulate. If you do, the keep you on one pill for 6 months to a year or until you conceive. If you don't ovulate on 50, they bump you up to 100, or 2 pills. If you still don't ovulate, they bump you up to 150, or 3 pills. My doctor told me this is because if you take a higher dose than is needed, your chance of twins or triplets go way up.

::lurking from 2if::

One pill per cycle? Im jw because this month is my first round of Clomid. But I was instructed to take 1 pill everyday from cd5 to cd9, this would total 5 pills for one cycle...

lebradford · April 2014

SassFrass said:

musickphan912 said:
Usually the start you out at 50 mg (one pill) and see if you ovulate. If you do, the keep you on one pill for 6 months to a year or until you conceive. If you don't ovulate on 50, they bump you up to 100, or 2 pills. If you still don't ovulate, they bump you up to 150, or 3 pills. My doctor told me this is because if you take a higher dose than is needed, your chance of twins or triplets go way up.

::lurking from 2if::

One pill per cycle? Im jw because this month is my first round of Clomid. But I was instructed to take 1 pill everyday from cd5 to cd9, this would total 5 pills for one cycle...

::lurking from 3T::

@SassFrass‌
She means 1 pill a day. Each tablet is 50mg, so if you're on the 50mg dose, you take 1/day, if you're on 100mg you take 2/day, etc.

Some of the other information in this thread is scary and/or false though, so be aware of that. No good doctor would recommend anyone take the same Clomid dosage every month for a year if it didn't work in the first 3-4 months. The package insert even says that.

Kam310 · July 2014

I am on my third round of clomid and I have not had any u/s. I have blood work done on cd 24 (I ovulate later) my levels increase each month but still no bfp

doucettechristina · July 2014

I second what @NariaDreaming said! U/Ss during Clomid are so important! One u/s per cycle should be ok, but they generally recommend more. Most OBs hand out Clomid like candy w/ no monitoringwhich is horrible and why most people should see an RE when on Clomid. I'm on my 3rd cycle of Clomid and luckily my OB works closely with an RE so that my insurance will cover my treatments and he monitors with u/s and blood work each cycle, but this is a very rare situation.

MrsS728 · August 2014

I'm on my 3rd cycle and this one I will be monitored (pervious 2 I was not). I had a u/s yesterday and then go back on Monday to see if any are ready to go. I haven't ovulated yet on Clomid. If this doesn't work we are moving toward other, more aggressive medical interventions as I'm 31 and my husband is 35. I feel better being monitored honestly. I've heard horror stories and the idea of being closely watched is reassuring. Good Luck!

GeorgiaDottie · October 2014

I also back what @Nariadreaming said. I am currently on my second cycle of Clomid but have been working with a RE for over a year. I am on 50mcg and my RE will not do more than 3 cycles. If I understand correctly, the ultrasound on day 2-3 is to determine if there are cysts and how many follicles you have. A doctor may do a mid-cycle if you have NOT ovulated. The Mid-Cycle is to determine not only if you ovulated but how many follicles grew. However the mid-cycle is not as important as the beginning cycle one. It is very important to do at least the ultrasound on days 2-3 of your cycle so they can monitor you. Unfortunately my insurance as a teacher does not cover the ultrasounds but we believe the $200 cost is worth it should there be any problems.

I hope this helps @Artichoken.

kyleejanisse · July 2015

I have done two rounds of clomid. The first was 50mg and second was 100. Both times I went in on cd10 for bloodwork, full bladder ultrasound and an internal ultrasound. After that, I went back every other day for bloodwork and an internal ultrasound until the follicle reached 17mm. At that point they had me come in daily for monitoring.

roosh1982 · July 2015

This is my 2nd month on clomid and Premarin (I was anovulatory after coming off the pill in 2/15), I am ovulating nicely, but I of course started trying too early to test! Period is due on 7/30 and I have had 2 days of BFN!!! I am working with a o/b and did the potency ultrasound, good leader follicle and a day21 lab of 17.2 with a lining of 6 on day12! I heard FREP is the best and I for some reason thought that was going to be a magic stick this morning! So discouraged! But I am hoping I'm not out of the game! Assume pregnant until AF!

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