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Fertility treatment with Clomid

by Dr Howard Lee

question
I have never had a regular cycle; most of my cycles are between thirty-five and fifty days. I'm receiving fertility treatment and am on Clomid for the second time in my life. The first time I was on Clomid was two years ago. I got pregnant in the first three months but had a miscarriage at eight weeks. After I had the miscarriage I stopped taking Clomid for one year. Last month, I was put back on Clomid.

My first doctor did an ultrasound to see if my eggs are big enough and if it's the right time to have intercourse. My second doctor did not do the ultrasound and instead did some blood tests to check my progesterone levels. Why didn’t he do the ultrasound? Without doing the ultrasound, how will I know when is the best time to have intercourse?

answer

Treatments for fertility, especially Clomid, are really in their ‘infancy’. It’s very common to find variations in the exact routines followed by health professionals in different health authorities.

Usually a woman will start Clomid to increase progesterone levels in her blood, and the dose may be increased gradually to obtain the optimum necessary to stimulate ovulation. It’s an added ‘luxury’ when ultrasound is possible (in order to view possible mature ovarian follicles) but it’s not vital for the treatment.

To find out when you're fertile you can buy an ovulation predictor kit which tests for LH (Lutenising Hormone) in your urine.This hormone increases as ovulation approaches and the test will tell you that ovulation is likely to happen in the next 24-36 hours. The kits don't predict the precise moment of ovulation.

Alternatively, you can watch for other signs and symptoms in your monthly cycle. You'll find these listed in our article considering conception.

I do wish you well, and success with the Clomid treatments.

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