there's a couple of things
I'm assuming you are doing a predictor kit to determine when you are ovulating?
yes, i have a clear blue fertility monitor
those can be a bit tricky
because they measure an LH surge, which is required to ovulate..but doesn't necessarily mean you did ovulate
what should I use?
ovulation is normally confirmed with a progesterone level
a blood test that is best on cycle day 21
now...that said, that's my personal choice and how I determine if the dose needs to go up or not
i can go to my doctor to get that - i can do that for this cycle then
another thing I do with my PCOS patients is add a medication called metformin
it helps make the clomid more effective
you can go about it either way..
yes, i have read about it - was planning to ask my consultant when i see him next
increasing the dose of clomid to 100 on days 3-7 or 5-9
or add the metformin and stay at the 50 mg dose
bumping your dose to 100 for this cycle is reasonable as he suggested...
but, going forward those are some other tips for you
ok - thank you. He initially told me day 2-6 for 50mg but if I do 100mg you thnk I should start on day 3?
I think day 3 is fine
I usually have my patient do days 5-9
but they are both described in the literature...
ok. Is the aim to ovulate as near to day 14 as possible to get the egg healthiest?
I think it's more of a doctor's personal preference.
you have to realize that a woman has a period 14 days after ovulating
and the 'perfect' cycle is 28 days
that makes timing much easier to conceive......so you can identify which days to have sex.
as long as you ovulate the egg is fine...
the eggs have been in you since you were a fetus in your mom's belly
ok, that's interesting. And reassuring! In your opinion then, as I seem to be ovulating now (22 & 24) would you advise me to start on 50mg or to increase to 100mg, if I was your patient?
as long as you were ovulating I wouldn't increase the dose
because the medicine is doing it's job...and too much of the clomid can over stimulate the ovaries
ok - I will stay on 50 but make sure I get a proper blood test to check if it is really happening
and you might talk about the metformin too
yes, I definitely will. one last question - can you have a period after a LH surge instead of proper ovulation?
because when the egg is release the progesterone level increases..
and if conception doesn't occur, a period doesn't happen....
Ok - so i have my period now, so that would suggest I am ovulating rather than just a LH surge
usually it ends up with a heavy and clotty period every couple to every few months
yes...you are correct
and it is exactly 2 weeks after the monitor showed ovulation
so it looks hopeful!
yep...so get an idea of your cycles and start having sex a couple days before you expect to ovulate for 5 straight days
is the main problem with PCOS that it reduced chances of getting pregnant due to reduced ovulation? Or does the condition make reduce chances of conception in other ways?
no..it's reduced ovulation
ok - thank you very much for your help
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