WOMENS-HEALTH Messages for August, 1997: Re: Uncertain about Clomid

Re: Uncertain about Clomid

From: Kelly (anonymous@obgyn.net)
Fri, 22 Aug 1997 12:03:40 -0500 (CDT)

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At Thu, 21 Aug 1997, Kszachta wrote: >
>I went to my ob/gyn today about my infertility problem. He decided to
>put me on Clomid. I am kind of nervous about taking it. I have been
>reading that it could diminish the cervical mucus to the point where I
>may need to be artificially inseminated, yet my doctor didn't mention
>this to me. Does this usually happen or is it rare?

The incidence of poor cervical mucus with Clomid is only about 15% . If it happens, intrauterine insemination is often recommended.

He also made no >mention of increasing the dosage if it doesn't work in the first few
>months, like I have read that most doctors are doing.

I start with 50 mg cycle days 5-9; if ovulation doesn't happen at that dose (determined by basal body temps, urinary ovulation predictor tests or saliva testing), then I increase to 100mg. If ovulation doesn't occur wiht 150mg then I order some blood work and refer to a reproductive endocrinologist. All of us general ob-gyns have different comfort levels in treating infertility; I have a fairly high level (probably because I'm an infertility PATIENT myself)

He said if it >doesn't work, I will be sent to an infertility specialist.

That's his comfort level. It's very smart to refer rather than do things one is not happy doing.

Does this >drug increase your chances of becoming pregnant, or decrease the chances
>because of the cervical mucus?

If your only problem is lack of ovulation then Clomid greatly increases the chances of pregnacy.The problem wiht the cervical muscus is relatively uncommon and easily treated if it does occur.

I am confused. Please help

I know how confusing and frustrating infertility can be, especially since we doctors don't always agree on how to do things. Hang in there, talk to your doctor, ask for a referral to a specialist if you are more comfortable with that, and good luck!

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

Next message: Kelly: "Re: Menstrual problems status post tubal ligation"
Previous message: Kelly: "Re: intense menstural cramps"
In reply to: Kszachta: "Uncertain about Clomid"
Next in thread: Jennifer: "Re: Uncertain about Clomid"

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