Can i take clomiphene




















Clomid is often prescribed by primary care physicians or OB-GYNs before they refer a couple to see a fertility specialist for more specialized care. Some reproductive specialists prescribe Clomid as well.

Day three, four, or five is typical for a Clomid start date. Doctors will usually prescribe one, two, three, or sometimes four pills to be taken at the same time each day, depending on how they think you will respond to the medicine.

Some doctors will want you to come back for blood work to measure hormone levels or a transvaginal ultrasound to look at your ovarian follicles. This information can help them determine when you should begin having intercourse or have an intrauterine insemination.

It can also help them determine the appropriate dose for your next cycle. Your doctor may extend this if it takes a few cycles before they find the dose that works for you. Clomid is often prescribed to women with polycystic ovary syndrome, or PCOS, which is a syndrome that can cause irregular or absent ovulation. Not everyone will respond to this medication. Women with primary ovarian insufficiency, or early menopause, and women with absent ovulation due to low body weight or hypothalamic amenorrhea are most likely to not ovulate when taking Clomid.

Women with these conditions may need more intensive infertility treatment. Clomid is usually covered by your health insurance, when other fertility medications may not be. If you do not have insurance coverage for your medication, or are having difficulty paying for it, speak with your doctor about your options. While this medication is generally pretty safe, there are some side effects that you should be aware of.

If they are, your doctor may order a progesterone vaginal suppository as a supplement. Mild, in the form of abdominal discomfort, feeling sick, breast tenderness, headaches and dizziness.

Severe, in the form of ovarian hyper-stimulation where the ovaries become enlarged and you feel unwell or are getting visual disturbances. Please note that Clomid is a fertility medication. One important side effect is the possibility of multiple births. The chance of having more than twins is rare. If your symptoms get worse, you should definitely seek medical attention by contacting myself, your GP or nearest emergency department.

Ovulation typically occurs 5 to 10 days after taking the last Clomid pill. If you took Clomid on days 5 through 9, ovulation is most likely to occur between days 12 and 17 of your cycle. Ovulation can, however, occur even later than 10 days after your last Clomid pill, so it's something to keep in mind.

If you were given a trigger shot, then ovulation will occur 24 to 36 hours after the injection. Unless your doctor tells you otherwise, you should begin having sex every other day or every day, starting three days after you take your last Clomid pill. You should continue having sex until you've confirmed that ovulation occurred. You may get confirmation from a body basal temperature BBT chart or a progesterone blood test given on day 21 of the cycle. Are you doing an IUI cycle? Based on your ultrasounds and the timing of your trigger shot, your doctor will tell you when to come in for the IUI.

In most cases, you can also have sex on your fertile days at home in addition to your IUI. Think of it as extra credit! Both gynecologists and fertility specialists typically order a progesterone blood test sometime between days 19 and 21, though it may be given later if your doctor knows you have ovulated later than day 21 of your cycle.

Progesterone is a hormone that rises after ovulation, and testing for it can confirm whether or not Clomid triggered ovulation. Another reason for testing progesterone levels is to ensure levels aren't too low. If they are, your doctor may order a progesterone vaginal suppository as a supplement. The two-week wait begins after you ovulate and ends either with a positive pregnancy test or your period.

This is probably the hardest part of the cycle to endure. All you can do is wait and see if the cycle worked. During the two-week wait , you may experience mild symptoms of ovarian hyperstimulation syndrome OHSS. The most common symptom of OHSS is bloating. A severe case is rare when taking Clomid, but it can occur. Be sure to contact your doctor if your symptoms are severe or if you're concerned.

Note : Some women confuse the bloating from the Clomid-stimulated ovaries as an early pregnancy symptom , when in fact it isn't. Remember that some of the side effects of Clomid can mimic "pregnancy symptoms," and try to remember that feeling pregnant doesn't mean you are pregnant.

Finally, the day you waited for all month: pregnancy test day. Your doctor may order a beta pregnancy test a blood test that measures the quantity of hCG in the middle of your two-week wait and at the end, or they may order blood work only at the end.

It's also possible they will simply ask you to take an at-home pregnancy test sometime between days 28 and 35 of your cycle and instruct you to call if you get a positive result. If the test is positive , congratulations! Your doctor will likely monitor the pregnancy for a few weeks to be sure everything is going smoothly, and to check if you've conceived twins or more. If you're feeling more nervous than excited, be reassured that it's normal. Pregnancy after infertility isn't always easy, especially emotionally.

If your pregnancy test is negative , your doctor may wait and retest you again. It's possible the pregnancy hormone levels just aren't high enough yet. If you get your period while waiting to test again, the cycle probably didn't work. Having an unsuccessful cycle can be upsetting, and it's common to feel defeated and lose some hope.

Remember that you can try again and that sometimes treatment needs adjustments before you reach success. What happens after a failed Clomid cycle? Every case will be different, but here are some possibilities.

Another cycle of Clomid at the same dose you just used. You just might need another try or two. Remember that even people with good fertility rarely conceive the first cycle they try. The same could be said about Clomid or any fertility treatment. There are two methods for administering fertility medications: orally and via injections.

This makes Clomid a more palatable first-choice fertility drug because injectable medications are more involved and can have more intense or serious side-effects. It is also a preferred choice for women who have PCOS since the dosage can be closely monitored, minimizing the chances of high order multiples triplets or higher.

Clomid blocks estrogen production, and this stimulates your hypothalamus and pituitary glands to produce gonadotropin-releasing hormone GnRH , follicle stimulating hormone FSH and luteinizing hormone LH. The presence of these hormones catalyzes the maturation of the egg follicles, increasing the chances of ovulation. Thus, Clomid is not an infertility treatment cure-all. Clomid does not increase your chances of pregnancy if you have infertility factors that are unrelated to ovulation, such as blocked tubes, uterine abnormalities, ovarian failure, pelvic lesions, certain male infertility factors, etc.



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