You will be notified to have timed intercourse or undergo intrauterine insemination. Your doctor might monitor your progesterone blood level.
A pregnancy test is done about 14 days after ovulation. Yes, there are other oral medications that can stimulate the ovaries by the gonadotropin-releasing effect. Some of them are Letrozole and Tamoxifen.
They can be utilized instead of Clomid. In-fact, Letrozole has replaced Clomid as the first-line agent for ovulation induction in PCOS patients due to better success rates. A more potent alternative is injectable fertility drugs, typically used in IVF. Your gynecologist or fertility doctor can provide you with a prescription. Sometimes a general health practitioner can also provide you an order.
We recommend seeing a fertility specialist whenever possible. Their expertise in female infertility can ensure that Clomid is the appropriate treatment for your condition. Fertility clinics are the best places to obtain and monitor Clomid treatment due to their highest expertise in infertility. Clomid is still considered low-tech fertility treatment and is typically a covered benefit by any primary health insurance, including HMO plans like Kaiser Permanente.
Kaiser patients with infertility issues can read more about the Kaiser Permanente fertility treatment options here. Transvaginal ovarian ultrasound monitoring is the best way to evaluate ovarian physiology. In limited circumstances, a diagnosis of ovulatory dysfunction can be made by patient history and presenting symptoms in a remote consultation with an experienced reproductive endocrinologist. Blood tests can confirm this diagnosis, and Clomid therapy can be initiated remotely.
Monitoring ovulation at home might be a challenge since a vast majority of patients with ovulatory dysfunction suffer from PCOS and might have increased baseline Luteinizing Hormone LH levels. Thus, detecting ovulation becomes somewhat tricky, but a patient can be guided on how to correctly interpret the results and, in some cases, use diluted urine specimens to improve the specificity of urine strip ovulatory tests.
Modern urinary fertility monitors further detect Estroneglucuronide, and this can alert the Clomid user of rising estrogen levels and a developing follicle. However, no home monitor can provide information on the number of developing follicles or thickness of the uterine lining. In general, unmonitored Clomid therapy might only be justified with patients with irregular or absent periods.
Patients with regular periods seeking Clomid therapy are strongly encouraged to have monitored cycles only! Clomid can be used for male infertility. It can be combined with HCG or used alone. It is vital to avoid hyperstimulation of the testicles, and you need an experienced fertility urologist or fertility specialist for a consultation. Any fertility medication will only be successful if it can adequately address the underlying problem. If appropriately used, particularly in patients with anovulation, Clomid therapy can be hugely rewarding with a high pregnancy rate.
If used randomly with no clear rationale, it might induce ovarian cysts and further complicate female infertility treatments. Timing the ovulation with either ovulatory predictor kits OPK or artificial ovulation trigger in combination with timed intercourse or IUI can further improve the treatment success rates. It is best to contact an experienced reproductive endocrinologist who can provide you with guidance and proper assessment and ensure your Clomid Therapy Success.
Clomid Questions and Answers Infertility Treatment Drug since the s Clomid aka Clomiphene Citrate, Serophene, Cloramifen is widely used in infertility and has helped millions of women ovulate. Are you the right candidate for Clomid Treatment? The dosage of clomid may fail to induce ovulation. In this case, you will not have a period, and will have a negative pregnancy test. We will most likely increase the dosage of the medication at this point. If your period does start, then repeat the cycle with clomid again.
Mark the days on your calendar with the instructions below to ensure that you are following them correctly. If you have a period on days after taking clomid, then the medicine is working correctly.
You should continue taking the medication and have intercourse at the time of ovulation. If you fail to have a period, but your pregnancy test is negative, you are not pregnant. We will induce a period with medication. During your next cycle, we will increase the clomid to mg. Injectable medications are considered more potent and, in most cases, more successful, but are expensive and subject to greater complications.
Injectable protocols require greater supervision and are usually managed by reproductive endocrinologists. Though more simple to use than injectables, the Clomid and Femara medications can produce side effects and, in rare circumstances, cause significant medical complications. Most women tolerate these medicines without significant side effects. Possible complications include an increased risk of multiple pregnancies twins, triplets, etc and ovarian hyperstimulation OH.
Though OH is uncommon with these medications we recommend you immediately report any significant pelvic pain or increase in abdominal size. It was once thought that long term use of fertility medicines may raise the risk of invasive ovarian cancer but more recent studies have shown that this is not true. There remains some concern that there may be an association with borderline ovarian tumors and the long term use of fertility drugs.
Clomid is used in doses of 50, or mgs.
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