clomid days 1-5

[rudyk74]

hi guys its me again, just dropping in to say hi, i havent been posting in a while...no real ocd to speak of at this point, and been pretty busy.

did want to let you guys know i found the research on clomid and days 1-5, its still in the preliminary stages of research, and only 1 real study has been done. the study group was divided in half, and the one group was given clomid on days 5-9, the standard indication, the other was given 1-5. in the 5-9 group no one got pg, in the 1-5 group about 20% were pg. didnt go into depth on all the underlying conditions of all the women, so im assuming there were many variables, but still its a start, and something other women might want to bring up to their mds as an option, your taking it anyway maybe starting earlier will help.

so in a blatent attempt to undermind my md i took mine on days 1-5 not 3-7 like i was supposed to i know VERY bad, but i figured that i have the same if not more access to up to the date drug indications being in the medical field, pharmacy for that matter, so i figured id make an executive decision for myself i know people in the medical field make the worst patients, my dr tells me this all the time and its true.

just did have 1 real concern that maybe you can help with, i keep hearing about peoples temps being elevated while on clomid, i have had none of this just the norm, well for me, temps in the low 97 range same as last month, so i hope this isnt indicative of the clomid not working well enough and another "bad" ovulation still kills me that it was bad, now my o are being rated. well talk to you all soon-kel

[stacy-ann]

I know it's your decision to make the changes but I don't think it was a wise idea. The reason why I am saying that is your doc did put you on the 1-5 days protocol with the Clomid for a reason and two you have to be monitored while taking it. It will now throw off your monitoring. See info. below on Clomid monitoring. When I was on Clomid I was monitored.

Once on Clomid, the only way to determine if it is "doing it's job" is proper monitoring. A cd 3 scan may reveal any cysts, another scan around cd 11 or 12 may be conducted to check follicular development and the lining, and a progesterone check six or seven days past ovulation may be performed to see if progesterone levels are high enough to support a pregnancy (p4 levels should be "15" or better).

Also, a post coital test (PCT) should be done when either blood work or ovulation predictor kits detect an LH surge. If hostile mucous presents a threat to the sperm, then an IUI should be done. When follicle(s) are big enough, an HCG shot followed within 36 hours by an IUI procedure may provide optimal results.

May I suggest you call your doc and tell him/her. What I have learned while I was in TTC was how to communicate with your doc. If I felt the TTC wasn't working our a period of time I would do my research and then at my next visit suggest some of my findings.

Also may I ask how long have you been on Clomid and the dosages? Generally, research shows that if the drug doesn't work in four to six cycles, it isn't likely to work.

That being said I am praying you will be successful with this cycle. Lord knows I have risked it and begged my doc to put me on 50mg of clomid and it recked my cycle. I went from a regulaer 28cd to a 33cd and from Oing on a reg cd14 to cd18. Like you said you never know it might just work for you.

Good luck
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[rudyk74]

see thats just the thing, im not going to a RE my ins will not cover it...any of it including diagnosis i know some plans will pay for diagnosis, not treatment, but not mine, it pays for nothing. the res in this area go for around 300 or so a visit, and thats just to sit down and talk, not including ultrasounds and all the other hoopla
im just going to my gyn, ive know her for about 10 yrs, and i trust her with my life, i better she was the first person to ever touch my dd . she knows me and what i do for a living, LOL shes even called me at work about pregnancy catagories on obscure drugs some of her other pt are taking. so there is a mutual trust there. it was my decision to go on the clomid as a first line defense after 1 1/2 years of nothing "not preventing". we are monitoring with bloodwork only, because we can "hide" that from the ins company under menstrual irregulartites. im on my 2nd cycle of clomid, at 50mg i had a 9.5 pogest, she said i did o, but it was a bad o, she wants it 15 or over, so this month im on 100mg, if still not a good o, then next month will be 150mg and if no good o after that, we are DONE

dh and i both agree, god has blessed us with 1 biological child and we are thankful because that is more than some people have. so we dicided that if this dosent work, rather than spending thousands and thousands of dollars on something that MIGHT produce a child for us, we will put that money towards an adoption where we will HAVE what it is that we want and thats another child, i know thats probably not a very P.C. correct statement on a if board but, we are lucky to have been blessed with one child already, i guess we just feel there are so many children who need parents, and so many parents who need children it just seems logical.
so basically im putting all my eggs in this basket
no pun intended! so my md is aware of my stubborness, and she knows that this is the end of my if journey so i will kick myself if i dont make it count talk later-kel

[stacy-ann]

I understand now. You have a long and great relationship with your Gyn and that's all that matters. I hope I didn't step out of line with my post below. If I did I apologise.

Ins. Co. can be a pain in the #@$#. I am so sorry you are going through this without coverage. It sure adds additional stress with your IF's issues.

I pray that you won't need to go any higher with your dosage and this cycle will be succseeful. Hang in there ok.

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[rudyk74]

omg i didnt think you stepped out of line...isnt that the whole reason for a bb is to post what you think and get others input, and support? so i think as a mod you were just doing your job, and a **** fine one at that

yeah it does bite that my ins will pay for nothing, but i guess im lucky to have knowledge of ins companies, drugs, and a gyn who will work with me to "hide" the real reason for my bloodwork, and appts. with her, LOL when i have to get my bloodwork, i call her and she will fax the paper to me and leave the diagnosis code blank so that i can fill that part with the right diagnosis code, because the nurse will usually fill that out and put in a code for if. what can i say shes a great md.

i just hope i didnt overstep my bounds with the post about adoption, i know some people dont want to hear that word even mentioned, but for us its a real option that plays a big part in how far we are willing to go in our if struggle. o well i think ive done enough damage around here so ill be going talk later-kel

[stacy-ann]

OMG!!! no you didn't over step your boundries. Fr some it's a reality and it goes along with the IF stuff too. For me I didn't consider it seeing I was in TTC for just 2.5 yrs before DS. Adoption is a beautiful thing in my opinion.

You do have a great doc and I would stick it out with her too. My docs have done the same thing too when I started TTC with my OB. I have been with him for years!!! I have move further South and still take the long drive to see him. Hey, the Ins. Co. are the blood suckers here. They make me so mad. Thank God we were blessed with the coverage when I was in TTC. It's really not the Ins. Co. it's the job or companies that refuses to take out Infertility coverage for there employees because it is too expensive. WTF!!!!

Anyway you hang in there ok. What is your dx?

[rudyk74]

my dx is up in the air , i went in her office convinced i had pcod, im a little overwieght, have oily skin and hair, irregular periods(before i was on the pill at age 18 to about 1 1/2 years ago, the only break being the 1 yr to have dd and im 30 now) and a strong family history of diabetes, so i just knew it. did the day 3 bloodwork for the hormone levels, thyroid panel, and glucose challenge test. all normal! there was only a 0.1 difference between my lh and fsh which she said was fine, they want to see it close to double to look into pcod. she said i responded to the clomid last month, just not well enough, so she thinks i may just need more so uped me to 100mg so as far as i can see its just anovulation. so hopefully this will work, my good friend has pcod, and weve been ttc together and she just found out she was pg and her pogest levels were 0.3 before she went on met. with the clomid, so she says to not get disscouraged with my 9.5 on clomid alone so this is another month and im on cd8, and my temp this morning was 97.3, keep hearing about womens elevated temps while on clomid but i have yet to see this, hope that dosent mean its not working oh well got to go talk later-kel

[dee32]

Don't know if this helps or not but I was put on clomid for days 5-9 at 50mg. and ovulated barely, next month was put on clomid for days5-9 at 100mg. and the same thing and than the third month he switched to clomid for days 5-11 and I ovulated big time with a progesterone of 16.5 and now I'm 14 weeks pregnant.