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?
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.
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!
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.
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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
Andrea (31), married Aaron (36) September 2012
Parents to fur babies Tiki and Gizzmo and 2yr old Georgia IF veterans; #1 conceived on second clomid+HCG+IUI, #2 conceived on 1st Letrozole+HCG+IUI EDD: Feb 5, 2018
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.
Me: 40, Hypothyroidism, well managed, TSH 1.99
DH: 44 Fine except for low morphology
TTC since 02/2013
08/13: Day 3 tests (ESTRADIOL 20.8; AMH 1.1; FSH 6.2)
12/13 HSG, all clear
11/13-5/14 - IUIs #1-3, BFNs,
6/14 to present: Taking a break, getting healthier, researching IVF
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!
- Failed attempts at clomid with OB - HSG with OB, nothing found - Met with RE. Laparoscopy/Hysteroscopy done on 08/04/2014. Results: Hymenal stenosis, minimal endometriosis, and PCOS
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...
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.
**siggy warning** **everyone welcome**
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
DS- 11.07.02
DSS- 6.26.04
Married- 6.29.13
TTC Again- Sept. 2013
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Test Results/Diagnosis-HSG & SA totally normal
DX: 3/2014 Prolactinoma/Hyperprolactinemia- Started cabergoline 2/2014
5/2014 Possible mild PCOS in addition to hyperprolactinemia??
7/2014 Adding probable tubal factor to the diagnosis list
9/2014 And now adding hypothyroid to the list- Started synthroid 9/2014
Slowly rising betas - Ectopic suspected on 8/8/14 & confirmed on 8/11/14
Methotrexate on 8/12/14 -HCG negative on 9/2/14
IVF #1- November- Antagonist protocol: 11/1: start stims, 200iu of Follistim; 11/12 ER 17R/14M/14F; 11/17 5 day transfer of two blasts, 2 blasts and 2 expanding morulas frozen; 11/22 BFP!! (On FRER at 5dp5dt)
Betas: 9dp5dt 205, 11dp5dt 497, 14dp5dt 1,709
u/s at 5w0d- 1 sac; u/s at 6w0d 1 baby with heartbeat, another sac without a heartbeat
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
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.
Me: 26(PCOS - Diagnosed May 2014)DH: 30(Normal - In the process of testing)
Married: 03.16.13
TTC Since: April 2013
Treatment: Daily Metformin + Clomid Days 5-9 each Cycle
May 2014 - June 2014: 50 mg Clomid + timed BD = BFN
June 2014 - July 2014: 50 mg Clomid + timed BD = BFN - progesterone test 1.6
July 2014 - August 2014: 100 mg Clomid + timed BD = CANCELLED due to bleeding on day 14
August 2014 - September 2014: Unfortunately not medicating as we are waiting to see an RE in September!!!
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!
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 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.
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!
Re: Clomid question
Rainbow Surprise Baby due 05/26/2017
IF veterans; #1 conceived on second clomid+HCG+IUI, #2 conceived on 1st Letrozole+HCG+IUI
EDD: Feb 5, 2018
Unmonitored Clomid - The Bump
TTC Since August 2013
First TTC Journey:
- Failed attempts at clomid with OB
- HSG with OB, nothing found
- Met with RE. Laparoscopy/Hysteroscopy done on 08/04/2014. Results: Hymenal stenosis, minimal endometriosis, and PCOS
::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...
@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.
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.
33 years old, Married Oct '11,
Summer '14: Diagosed with hypothryoidism, pollup, LPD, Low AMH, strong FSH.
BFP: 1/22/15. EDD: 9/23/14. Rainbow baby!