OB GYN

OB-GYN questions? Ask a gynecologist online.

Ask a Doctor,
Get an Answer ASAP!

I have been taking ovulation induction drugs for 5 cycles…

Customer Question
I have been taking ovulation...
I have been taking ovulation induction drugs for 5 cycles now and am not sure whether it is worth continuing as I seem to be getting highly mixed results. I have tried:
- Clomiphene 5 mg - oestradiol day12 = 1600, didn't scan for follicles, no progesterone at day 21. Took Provera, got a period.
- Clomiphene 2.5 mg - oestradiol day 12 = 1200, didn't scan for follicles, no progesterone at day 21. Took Provera, no period.
- Letrozole 2.5 mg - oestradiol day 12 134; oestradiol day 16 122, scan day 16 no dominant follicle (a few follicles around 10mm) and endometrial thickness 6mm. No period. Took provera. No period.
- Letrozole 5 mg - oestradiol day 10 =212, oestradiol day 17 = 157; scan day 17 showed one dominant follicle 24x22mm but endometrium only 5mm; used Ovidrel day 17; progesterone test day 25 = 19. Got period day 30.
Had a break from taking drugs for a month then tried:
- Letrozole 7.5 mg - oestradiol day 12 = 1040; scan day 12 showed one dominant follicle 30mm so used Ovidrel, got period on day 25.
- Letrozole 7.5 mg - oestradiol day 12 = <44!
I have no idea what is happening. Is it worth continuing with Letrozole or trying Clomiphene again with scans this time? I'm so confused and my gynocologist isn't getting back to me so I think she may not know what to do either. What would you recommend?
Submitted: 2 years ago.Category: OB GYN
Show More
Show Less
Ask Your Own OB GYN Question
Answered in 45 minutes by:
2/25/2016
OB GYN Doctor: Dr Ted Manos, Board Certified OB/GYN replied 2 years ago
Dr Ted Manos
Dr Ted Manos, Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 977
Experience: 40 years experience; Board certified Ob-Gyn
Verified

Hello, I'm Dr Manos MD, board certified obgyn. I'm retired from active practice for over a year but I'm consulted off and on because of my reputation in obstetrics and infertility. I've read your information and I don't understand the clomiphene dosing. For many decades, Clomid 50 mgs day 5-9 of the cycle was the standard and the results were quite good. I always followed the follicle or two and when it looked ripe I had the patient have intercourse. I followed a few cycles and would increase the Clomid to either 50mgs for day 4-11 or 75 mgs day 4-9. We didn't have lotrozole and I imagine it might have been a little better in taking it once and it blocked estrogen to boost FSH and LH production. Either way scanning is very important to see which way to go. With Clomid and I imagine lotrozole the direct effect on the endometrium was a concern but the least of the concerns. Good follicle, good endometrium. I would inquire about the dose of Clomid and why so low a dose for starters

Ask Your Own OB GYN Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with an ob gyn doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. C. Your Own Question
Dr. C.
Dr. C.
Dr. C., Board Certified
Category: OB GYN
Satisfied Customers: 2,537
2,537 Satisfied Customers
Experience: 30 years of experience and an award-winning educator.

Dr. C. is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Dr. C.

Dr. C.

Board Certified

2,537 satisfied customers

30 years of experience and an award-winning educator.

Monika Hearne, M.D.

Monika Hearne, M.D.

Board Certified OB/GYN

5,752 satisfied customers

With experience and compassion, I treat my patients like family.

DR PRABIR KUMAR DAS

DR PRABIR KUMAR DAS

CONSULTANT GYNAECOLOGIST

1,651 satisfied customers

MBBS(CAL)MD(G&O)

Dr.JBB

Dr.JBB

Board Certified OB/GYN

1,293 satisfied customers

15 yrs experience in Women's Health, Pelvic reconstruction and Incontinence

Dr. Lawrence

Dr. Lawrence

OB/GYN

822 satisfied customers

Board Certified OB/GYN and accomplished educator

Dr.Ashwini Joshi

Dr.Ashwini Joshi

OB/GYN (Doctor)

400 satisfied customers

Consulting Obstretician & Gynecologist

Dr C

Dr C

OB/GYN (Doctor)

367 satisfied customers

MD

< Previous | Next >

Related OB GYN Questions
I am trying to conceive. Went off BC almost a year ago and
I am trying to conceive. Went off BC almost a year ago and had long cycles, anywhere from 28-38 days but always got a period. I had spotting days before and after each time. Talked to my OBGYN in Sept… read more
Dr. J
Dr. J
Physician, Partner
Doctoral Degree
821 satisfied customers
I would have a question please. I have followed a series of
Hi there,I would have a question please. I have followed a series of IUIs from March to June this year. However, before planning for an IVF, my TSH indicated a high value (went up to 9). I followed th… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
4,220 satisfied customers
My periods are late by 15 days and dint get them even after
My periods are late by 15 days and dint get them even after Meprate 10 Mg course for 5 days. Pregnancy tests have been negative and this is the first time ever in my life that I have delay in getting … read more
Dr.Scheufele
Dr.Scheufele
Arzt für Gynäkologie u. Geburtshilfe
Doktor
7 satisfied customers
I have started clomid on cycle day 2-6. I am on cycle day 12
I have started clomid on cycle day 2-6. I am on cycle day 12 and yesterday had a scan on cycle day 11 measuring 12mm follicle. Is this slightly small? Or is there a chance I will ovulate with this fol… read more
Dr Owen
Dr Owen
Ob/Gyn Doctor
Doctoral Degree
406 satisfied customers
I took clomid day 3 to 7, on cd 11 i went for u/s my dr said
hi i took clomid day 3 to 7 , on cd 11 i went for u/s my dr said i have 2 cysts , measure ( 29mm*23mm) and (25mm*21mm) he told me i am out this month Today i felt ovulation , mucus secration , so i we… read more
Dr. Norm S.
Dr. Norm S.
Doctoral Degree
8,202 satisfied customers
Please read entire thing)My husband and I have been trying
please read entire thing)My husband and I have been trying to conceive for almost two years with no success. I have normal cycles and everything normal except slight PCOS, my husband had a very high s… read more
Dr Owen
Dr Owen
Ob/Gyn Doctor
Doctoral Degree
406 satisfied customers
I hv experienced two miscarriages during last 2 yrs. My
Hi. I hv experienced two miscarriages during last 2 yrs. My period cycle is 28 days. Last period was on 2nd Jan. We went to a doctor on 16th Jan (after 15 days from period) he gave me to hv letoval 2.… read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,710 satisfied customers
My husband and i had been trying to conceive for 8 months.im
My husband and i had been trying to conceive for 8 months.im 29 years old fit and healthy and he is 35 fit and healthy. I came off birth control pills and consistently had 38-42 day cycles with a 12-1… read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,710 satisfied customers
Ive just finished my 3rd round of Follicle tracking and
Hi, Ive just finished my 3rd round of Follicle tracking and injections of Puregone, 1st month nothing happened no follicles grew, second month way to many large follicles so cycle cancelled due to ris… read more
Alan Gibstein, M.D.
Alan Gibstein, M.D.
Doctoral Degree
1,527 satisfied customers
I need to delay my period next month I tried to do it this
I need to delay my period next month I tried to do it this month with Provera and took 1 10 mg of Provera daily, I started taking it 5 days before my period was due, I have read you should take it 2-3… read more
Dr Owen
Dr Owen
Ob/Gyn Doctor
Doctoral Degree
406 satisfied customers
I am a 36 year old female. Following a miscarriage and two
Hi, I am a 36 year old female. Following a miscarriage and two years trying to conceive without success, I was diagnosed with mild endometriosis. Following two IUIs I conceived twins and delivered one… read more
khagihara
khagihara
Post-Doctoral Degree
5,119 satisfied customers
I have had 4 previous early miscarriages and have been
I have had 4 previous early miscarriages and have been diagnosed with having stage 1 endometriosis and a minor form of PCOS. I also have a clotting disorder and have been placed on low dose aspirin Ca… read more
Dr. Pfeiffer
Dr. Pfeiffer
Doctoral Degree
5,290 satisfied customers
I have a problem. i am trying to get pregnant this month and
hi, i have a problem. i am trying to get pregnant this month and tried 3 different brands of ovulation tests but did not detect LH, on day 14 of my menstrual cycle, i went to see a doctor to have a fo… read more
Monika Hearne, M.D.
Monika Hearne, M.D.
Board Certified OB/GYN
Doctoral Degree
5,752 satisfied customers
I suffered from polycystic ovaries and couldn't conceive. I
I suffered from polycystic ovaries and couldn't conceive. I unexpectedly got pregnant at age 45 and had a baby in June this year. I bled for three weeks after birth then not at all until 14th October … read more
Dr.JBB
Dr.JBB
Board Certified OB/GYN
Doctoral Degree
1,293 satisfied customers
My husband and I have been trying to conceive since January.
My husband and I have been trying to conceive since January. I have irregular periods. Blood tests in June showed nothing abnormal in my levels. I did 2 months of acupuncture to help increase regulari… read more
Dr Owen
Dr Owen
Ob/Gyn Doctor
Doctoral Degree
406 satisfied customers
I do not have PCOS, but have irregular periods problem. I
I do not have PCOS, but have irregular periods problem. I have developed this for the past 3 years. My hormones have a normal count. I'm 26 years of age and married. I'm planning to conceive and the d… read more
Alan Gibstein, M.D.
Alan Gibstein, M.D.
Doctoral Degree
1,527 satisfied customers
61 YEAR OLD FEMALE WEARING FEMRING (5 YEARS WITH PERIODIC
61 YEAR OLD FEMALE WEARING FEMRING (5 YEARS WITH PERIODIC BREAKS) FORGOT TO TAKE PROVERA (10 DAYS A MONTH) FOR LAST 6 MONTHS. (iWAS HIT BY A CAR AND WAS TAKING TOO MUCH OTHER MEDS AND FORGOT TO TAKE I… read more
Dr Owen
Dr Owen
Ob/Gyn Doctor
Doctoral Degree
406 satisfied customers
Quick background hx: Abortion at the age of 16; 32 y.o. now;
Quick background hx: Abortion at the age of 16; 32 y.o. now; Anemia; Gallbladder removal in 2003; fibrods removed (myemectomy) in 2006; 2007 October 7 no cycle til December 24th after recieivng an IV … read more
Alan Gibstein, M.D.
Alan Gibstein, M.D.
Doctoral Degree
1,527 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x