Clomid

There is so much information you can find. You can hear many things from different doctors, find different websites contradicting each other and new studies always coming out make comfort hard to find.

Instead of doing research I decided it would be helpful to have input from those who we see every day who know what you’ll go through, because they are.

Jkfranklin

After 15 cycles, I used clomid to get pg with my DS. I had no side effects at all. I had a base line vaginal u/s between CD1-3 and then took the clomid for 5 days (I want to say it was starting CD 5?) and then had another vaginal u/s to check my follies. They called me that day and told me to DB on Sunday morning and Monday morning (I believe I had the 2nd u/s on a Thursday or Friday). They guessed when I would O by the size. And about 2 weeks later I got my BFP.

BzeetyD

For the past 2 cycles TTC, started taking 50mg of Clomid days 3-7. Both times I experienced some significant bloating and some noticeable discomfort in my ovaries. The first cycle was the worst for these effects, the 2nd cycle wasn’t as bad.

On CD12 or 13 (depending on when I thought I would O according to the opks I used) I got a follicle scan/ultrasound. The first cycle I had 2 good sized follies that our doc thought would go at the same time and 2 smaller follies that she thought would likely not rupture. The second cycle I had 1 great follicle and another decent sized one. She thought this time only one would go.

We were advised to BD every other day being sure to BD on the night of O – which both times for me was predicted as the same day I had my follicle scan.
We got PG on our 2nd cycle of Clomid (I was also taking Prometrium for the 2nd cycle). I got a positive test on 12dpo (10 and 11 dpo were negative).
When we’re TTC again, we’ll try the same dosage of 50mg. And of course we’re hoping for a sticky healthy baby.

Carolee

I’ve taken Clomid for 7 cycles and am probably going to be starting my 8th tomorrow unless my RE changes meds on me.

I O on my own, but I am taking Clomid to increase my progesterone levels post-ovulation. I started at 50 mg, but when I started seeing my RE, he had me take 100 mg after telling me he never puts patients on 50 mg. I actually took it unmonitored for 4 cycles with my OB, but insisted on monitoring after that. Then my OB referred me to my RE. I discovered that many OBs hand Clomid out like candy and being monitored is really important because that way you know how you are responding (how many eggs you’re producing and if your lining is decent). I have always taken Clomid on days 5-9 of my cycle. The only side effects I get are hot flashes and insomnia. The hot flashes last for the majority of my cycle, but the insomnia is really only when I’m taking the pills. I take it at night, and I have heard that can minimize side effects, which might be why I don’t have that many.

Flagirl

I took Clomid for two cycles and got a BFP. Like others have said, I had to get an u/s between cd1-5. I started taking it cd 6-10. I get really bad cramps during O…(I did before Clomid, but I think its makes them worse) And other than that I didn’t have any other side effects. This is my first cycle after my loss and I’m back on it!

A special thank you to all who offered advice and experience, it’s very appreciated. If you have any questions that you’d like to ask these ladies or anyone else who might be going through what you are, please feel free to ask below or on the TTCAL board

Polycystic Ovary Syndrome- PCOS

First off. What is PCOS?
Polycystic ovary syndrome is a condition in which there is an imbalance of a woman’s female sex hormones. This hormone imbalance may cause changes in the menstrual cycle, skin changes, small cysts in the ovaries, trouble getting pregnant, and other problems.

PCOS is one of the most common causes of fertility issues in women, but it’s rarely addressed publicly and can be, at times, hard to diagnose. Starting as young as 13 or 14 and ranging up to menopause, PCOS can affect any woman and with a variety of symptoms.

Symptoms of PCOS can be mild, moderate or severe. They can also be a ‘coctail’ of any that are listed below:

Changes in the menstrual cycle:
Absent periods, usually with a history of having one or more normal menstrual periods during puberty (secondary amenorrhea)
Irregular menstrual periods, which may be more or less frequent, and may range from very light to very heavy

Development of male sex characteristics (virilization):
Decreased breast size
Deepening of the voice
Enlargement of the clitoris
Increased body hair on the chest, abdomen, and face, as well as around the nipples (called hirsutism)
Thinning of the hair on the head, called male-pattern baldness

Other skin changes:
Acne that gets worse
Dark or thick skin markings and creases around the armpits, groin, neck, and breasts due to insulin sensitivity

Some women may only exhibit irregular periods or some women may have irregular periods, increased hair, insulin resistance, elevated testosterone, etc. all at once.

When you sit down with your Dr, OB or Endochronologist, and list out your symptoms, be they many or one, you may be given a round of testing. These tests will determine your insulin, how it’s processed, your testosterone, estrogen and thyroid. There are other tests that may be run, but the previous listed are the most common. Other tests may include:

Estrogen levels
FSH levels
LH levels
17-ketosteroids
Lipid levels
Pregnancy test (serum HCG)
Prolactin levels
Vaginal ultrasound to look at the ovaries
Pelvic laparoscopy to look more closely at, and possibly biopsy the ovaries

Once a diagnosis is confirmed, treatment may begin. As varying of the symptoms, so are the treatments. Some may only need a diet and weight modification. Others may need medications as well as diet and exercise adjustments. All will be an effort to balance hormones and increase ovulation regularity.

Medications include:
Birth control pills or progesterone
Metformin or Clomid
LH-releasing hormone (LHRH) analogs

Only you and your doctor can determine what the best course of action is. If you are ever uncomfortable with a diagnosis or treatment, seek a second opinion. Learning from others with the same experience can also be beneficial. There are two fantastic groups called SoulCysters and PCOSSupport that can help connect you with others, give you information and help guide you through this confusing time.

Never be afraid to ask a question or ask for help. PCOS can be confusing and scary at times. Follow directions and try to stick to a healthy diet and exercise routine.

Additional information:
Medical publication- http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001408/
WebMD Overview- http://women.webmd.com/tc/polycystic-ovary-syndrome-pcos-topic-overview
Medications- http://www.newsmax.com/FastFeatures/Polycystic-Ovary-Syndrome-drugs/2011/03/09/id/370670