WOMENS-HEALTH Messages for August, 2001: Re: Clomid-No Ovulation

Re: Clomid-No Ovulation

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 30 Aug 2001 14:00:37 -0500 (CDT)

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In reply to: Cecile: "Clomid-No Ovulation"

At Thu, 30 Aug 2001, Cecile wrote: >
>I used Clomid for the first time this cycle (50 mg days 5-9). My OBGYN
>did a vaginal ultrasound on day 23 and saw some follicles on my ovaries.
>He did a bloodtest to measure progesterone levels. I got the results
>yesterday, they said the levels were of very early ovulation. In view
>of the date taken, most likely it meant that I did not ovulate,
>according to the nurse practitioner. They want me now to wait for a
>period, get another ultrasound to check for hyperstimulation of the
>ovaries, and then up the dosis to 100 mg Clomid for 5 days in the next
>cycle.
>
>My questions are:
>
>1. does this sound like normal policy?
>2. What are the chances to ovulate past the normal range (I saw in the
>archives different opinions from different dr.'s but on average it seems
>anywhere from day 14 through 20)

That is correct. A low post ovulation progesterone on day 23 of cycle could be normal.

>3. I did not get my period for the last six months without use of
>prometrium, will it happen now spontaneously even though I did not
>ovulate?

Not likely

>4. My BBT's were eratic once again this month (they were this way too
>before I was on Clomid and did not ovulate). I think I am doing
>everything right, should there not be some kind of patern, even if I do
>not ovulate. It seems they are all over the place.

That is the problem with BBT's (Interpretation)

>
>Thanks for your help.
>
>--
>Cecile
>

--
R.Daniel Braun, MD  FACOG   FOG
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