Trouble TTC

Clomid not working.....

KissmarkKissmark member
edited May 2014 in Trouble TTC
So the first cycle I was on clomid doc gave me 50mg each day. No effect, still ovulated same time I usually do (CD15 or 16) and still only 1 matured follie. This cycle, *EDITED* my doc gave me 100mg for 5 days. It seems I am getting a bit more follie, but at CD12 the biggest one is only 10mm so I think in the end maybe only 1 or 2 remains. I dont want to waste time with clomid anymore if it's not working for me. My doctor said he doesn't like Femera. Then what's next? Injections? patches? 
Me: 38, DH: 41
TTC#2 since Feb 2013
10/13: 1st IUI, BFN
02/14: 2nd IUI, BFN
03/14: HSG done, found out right tube is slightly blocked
04/14: 3rd IUI, BFN
05/14: 4th IUI, BFN
07/14: IVF no. 1, BFN
11/14: IVF no. 2, BFP



Pregnancy Ticker

Re: Clomid not working.....

  • Well, you've only had it for one cycle on one level dosage. Be patient. Your doc will likely adjust the dosage an try again. Things can take a few cycles and still be good. One cycle is nothing. I'm mobile and can't see your siggy; are you seeing an RE? How long TTC?
    Love 2010 | Marriage 2011 | TTC #1 since 2012
    PCOS | Anovulatory | Metformin + Letrozole
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  • 50 mg is a very conservative dose so try to keep that in mind.  My doctor started me at 150 mg, and I responded well (usually 2-3 mature follies at time of IUI).  For whatever reason it just didn't work for me, however.  I've moved on to Femara + Follistim and am currently in the 2WW so we'll see how that worked this time :) Anyhoo, be patient with the meds.  They'll probably vary based on your response and I imagine your doctor will bump your dose next cycle to increase your response. 

    And before you jump the gun for injects, beware they are crazy expensive.  Not just the meds but the extra monitoring.  I spent $2100 this cycle - and that was with a generously donated vial of Follistim.  My Clomid cycles were about $1100, so it's almost twice the cost.  Also: higher risk of multiples.  Something to think about before using injects.

    Just my two cents :) Good luck!!!

  • I stopped responding as well (as in 2+ mature follies) to Clomid 50mg after my 6th dose so my RE bumped me up to 100mg the next time. Maybe your RE will increase your dose and that will help. Some people need more than 50mg.



    ********Siggy/Ticker Warning***********



    Me (35) no known issues DH (37) MFI. TTC 21 months (24 cycles)
    Dx MFI with low to normal count, low motility, morphology 3%
    HSG normal, ultrasound and labs on me all normal. 

    1 cycle of Clomid 50mg and TI, unmonitored by OBGYN= BFN
    1 cycle of Clomid 50mg and IUI, unmonitored by OBGYN= BFN
    Started seeing an RE!!
    2 more cycles of clomid 50mg (great response), with IUI and Pregnyl trigger (4.8-8 mil good ones after wash) = all BFN
    1 cycle of clomid 50mg (3-7) followed by Follistim 75iu (7-11) + IUI = BFN
    December 2013 DH saw urologist and is taking Anastrozole, CoQ10, and L-Carnitine
    IUI #5 natural cycle (needed a med break) = BFN
    IUI #6 Follistim 75iu (CD3-10) + Pregnyl (CD11) + IUI (final count after wash 300K) = BFN
    IUI #7 Follistim 75iu (CD3-9) + Pregnyl (CD11) + IUI on 2/20 (post wash count 12.5 million)= BFN
    IUI cancelled (DH OOT) Clomid 50mg (CD3-7) 1 follicle +(not well timed) TI = BFN
    IUI #8 and last one!! Clomid 100mg (CD3-7) +OPK before US + IUI 4/17 (post wash 8.5 mil)= BFN

    Pre-IVF testing complete! SHG great and measurements taken! Labs for infectious diseases completed, FSH (5.4), TSH (1.6), Prolactin (11), AMH (2.6), Estradiol (40).

    Started BCP 5/29 and Lupron 6/11 prep for IVF #1! Started follistim 225u/day on 6/28. Monitoring on 7/2 >15 follicles measuring 11-14, E2 758. Monitoring on 7/5 all ready to go!! Great follicle sizes and lining is at 9. Tigger 7/5, ER 7/7 16R 9M 3F. Stimmed too fast in just 7 days. 7/10 3dt of 2 8-cell grade 2 & 4. 7/14 P4 >60.
    Holy crap BFP!!!
    Beta #1 (14dpo) 7/21 112 Beta #2 (16dpo) 7/23 286 a Beta #3 (18dpo) 7/25 761 Beta #4 (21dpo) 2631!!! Hold on tight little embies!!
      First Ultrasound 8/7- 1 perfect little bean with a beating heart 117bpm!! EDD 3/30.
    Second ultrasound 9/2 Little bean measuring a few days ahead with a heart rate of 161!



    PAIF/SAIF/All Welcome!

    image




    Pregnancy Ticker




    March 15 Siggy Challenge: You had one job

    image
  • 50 mg is a really low dose. I would try a higher dose before I would move onto anything else. There's also nothing wrong with ovulating on CD 15 or 16 (though I understand why you were hoping for more than one follicle). 
    **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
    Cycles 1-4 - Sept.-March- All Anovulatory 
    IUI #1 March/April-  Clomid 50mg + Clomid 100mg +Trigger + IUI #1 = BFN
     IUI #2 April/May-Clomid 100mg + Clomid 150mg + Trigger + IUI #2 + Endometrin=BFN
    IUI #3- June- Follistim 75iu + Trigger + IUI #3  Benched due to a 40 mm cyst. :-(
    IUI #3- July- Follistim 75iu + Trigger + IUI #3 + Endometrin = BFP! on 7/25/14
    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
    image


  • rella22rella22 member
    My ob/gyn started me on 50mg of Clomid but once I switched to an RE they immediately started me on 100 mg and I responded well. I don't think your numbers sound bad with a mature follie and positive opk! I know sometimes it's easy to question your RE (I found myself doing it last week) but you really have to try and trust them and that they know what they're doing!

    ***SIGGY WARNING***




    me: 28 - all test normal
    DH: 33 - SA normal

    *unexplained*

    TTC since September 2011
    2011-Oct.2013 - trying off and on, ob/gyn, no meds
    November 2013-December-EOD, ob/gyn, no meds

    January 2014- ob/gyn ordered Clomid (50 mg) unmonitored, EOD-BFN
    February-Clomid 50 mg. unmontiored, EOD - BFN
    March-Switched to RE
    April- 100 mg Clomid/Ovidrel-BFN
    May - 100 mg Clomid/Ovidrel-BFN
    June-*BREAK/Switch RE*
    July- 5 mg Femara/Ovidrel + IUI #1- BFN
    August- 5 mg Femara/Ovidrel + IUI #2 - BFP!!!!

    EDD: May 7th, 2015: Team PINK



  • I never used Clomid, but did use Femara and responded decently. I did switch to injects in January. As @wishiwaspreggo stated, they are expensive if insurance does not cover them. They also come with increased monitoring appointments and an increase in the likelihood of multiples. They also come with the possibility of cancelled cycles. I have had two and they are emotionally draining and in some senses, a waste of money and time. Though you have no way of knowing that it will end up that way. From what I understand, 50 mg of Clomid is pretty conservative, so maybe you just need a little more.

    Me: 30  DW (aka C): 29

    Together since 2/15/11 ~ Legally married in NY on 9/29/12

    ***CP mentioned***

    We've been working on baby #1 since July 2013 using Open ID donor sperm.  8 IUI attempts with 5 actual IUIs and one chemical pregnancy.  We have one fresh IVF cycle under our belts as well as a FET.  I have endometriosis and a uterine septum that was corrected via surgery in November 2013. 

    11/14/14 -  Second HSG shows that tubes are still clear and ute is looking good. 

    12/6/14 - Started BCPs in prep for IVF #2

    12/22/14 - Saline u/s and endometrial scratch (All was clear and OUCH!)

    1/2/15 - Began stimming for IVF #2

     ****All Welcome!****

    We are Mommas to four fur babies - 3 dogs and 1 cat.

    image   

  • Ladies, thank you so much for your response and I must apologies, I did not write my initial post completed. For the first cycle, I was on 50mg which had no effect. This cycle, doc upped the dose to 100mg, but still on CD12 the largest was only 10mm. This was what I was trying to say. Maybe ask to increase to 150 next cycle? I'm not sure if 150 would have any effect if I'm not responding at all to 100mg. 
    Me: 38, DH: 41
    TTC#2 since Feb 2013
    10/13: 1st IUI, BFN
    02/14: 2nd IUI, BFN
    03/14: HSG done, found out right tube is slightly blocked
    04/14: 3rd IUI, BFN
    05/14: 4th IUI, BFN
    07/14: IVF no. 1, BFN
    11/14: IVF no. 2, BFP



    Pregnancy Ticker
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