I was all prepared to beg my OB for a Provera prescription so I could get going on my next cycle, and perhaps start a round of Femara. But then…
I got a temp rise. Not a big one, not nearly as big as last time, but it’s been sustained for a couple of days. The thing is, if this really is what I think it might be, I ovulated ON CD28! On Clomid! I realize this isn’t unheard of, but I certainly wasn’t expecting it. I so wasn’t expecting it, I know for a fact that I didn’t get pregnant this cycle. So now I have the 2ww just so I can start my next cycle.
If I really did ovulate, I’m not sure how to take this. Sure, it’s great that the Clomid apparently did work, but M and I really cannot handle going at it nonstop for 2-3 weeks straight every cycle (see previous post). OPKs don’t work for me. My CM is unreliable (you just gotta love PCOS). So do I switch medications to Femara? Do I up my Clomid dosage to 150 mg, and hope that doesn’t lead to more CM problems? Do I go directly to IUI? Do I request an HCG injection (and I don’t think my OB does them, so I would have to go to the RE, which is not covered under my insurance)? I am so torn. I would really appreciate some advice. Have many of you ovulated really, really late under the influence of Clomid?
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Hmm. I'm just on my first Clomid round, so I'm still waiting to see what it does (or doesn't do) for me. I can relate to the PCS bit, though - so frustrating! I'm seeing an RE, but my protocol is that I will take OPK for 5 days starting CD11. I call when it's positive and come in for u/s. If no positives, then I come in on the 5th day. And then, I guess, we'll see what happens. Can your OB do a u/s to see what's going on?
My first round of Clomid (50 mg) I O'd between CD 30 and 35. The next three rounds were increased to (100 mg) - I O'd between CD 18 and 22. (All negative on the pregnancy part.)
This last round I had a mature follicle on CD 14 and they gave me the HCG shot to release. Since my body wasn't cooperating. It was also my first monitored IUI cycle with blood draws everyday from CD 11.
Ultimately, my assvice would be to get more monitoring. If you can - blood draws to determine LH hormone and maybe some ultrasounds to see if you are actually producing an egg before your release naturally.
(I firmly believe that my problem has been overly mature eggs. Plan on asking my RE on Monday about it.)
Also, my cheap-o-deepo insurance doesn't cover the ultrasounds or any treatments, but they do cover blood work. So your insurance may also. Good luck!
I ovulated pretty late on the Clomid, when I ovulated at all. I'd second the suggestion for more monitoring - PCOS does funny things to cycles, even on Clomid, and getting an ultrasound to check follicular development might really help. And seeing an RE, even out of pocket, might prove to be cost and time-effecient in the long run. Plus with monitoring and a possible HCG trigger, the forced sex march will be less crazy.
Welcome to the infertility blogosphere, Ann. Sorry you're here for these reasons, but still, welcome!
Can your OB order a progesterone level check to confirm ovulation? That would give you a good point to start from.
Clomid pushed my ovulation up sooner, so you might also want to ask about upping your dose.
But then, I'm an inferile engineer and not a doctor, so might want to take all this with a grain of assvice.
Clomid did absolutely nothing for me in the ovulation department. The two cycles (at 50mg then 100mg) that I did were with my gyn before I started seeing my RE. I had no monitoring, so I had no idea what was really going on... When I finally got in to see the RE he practically laughed that my gyn would even remotely think of putting me on Clomid (cuz there was no chance that it would work with me.)
My suggestion is to definately inquire about monitoring-that way you can REALLY know what's going on (which is sublimely important when you want to hit that 36 hour window.)
Now a bit of assvice (please don't hate me): I understand completely that seeing an RE isn't covered by your insurance. COMPLETELY. But... an OB is not a fertility specialist. Some like to think that they are, but the bottom line is that you are not getting the best care/advice/knowledge availble to you in order to best help you get pregnant.
I am so hoping that all it takes is one more cycle for you, Ann. But if you do need to continue to seek treatment it's probably time to seek out the help of a specialist...
(I really, really, really don't want to offend you, I am just trying to pass on valuable advice that I too was given.)
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