PCOS-MEDICATION Messages for May, 2002: Re: Clomid, pregnancy, and confused by dr.s! Help

Re: Clomid, pregnancy, and confused by dr.s! Help

From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Sun, 12 May 2002 14:28:42 +0200

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<masterpettrimmer@yahoo.com (Melissa)> 2002.05.10. 22:31:20 -5h-kor írta:

> Sorry if this is long but I am so frustated and confused! I was put on
> Clomid by my doctor 2 months ago. Since then I moved from one state to
> another and had to find another doctor. I went in to see the new doctor
> thinking all I needed was a pap smear and I could continue with the
> Clomis since that's all my other doctor required. I was shocked to find
> out that the new doctor would not continue the Clomid and wanted to send
> me directly for IVF. So I called another doctor because I don't want to
> go IVF. Both new doctors said I should have had a histecepingagram
> (sp?) where they inject dye into the fallopian tubes. The one doctor
> that sais she would continue the Clomid siad I would have to go in for
> bloo tests every 21st day of my cycle. My previous doctor required none
> of this. So whois right. I have one doctor who won't even prescribe
> Clomid, one who wants lab work every month, and one who just required a
> pelvic exam.
> Now I have been on Clomid for 2 months. Now it will be interrupted. My
> old doc said the Clomid wouldn't have a chance of working until the 3rd
> month. Imagine my disappointment.
> One more question before I go. On the questionaire for the new doctor
> they asked about a discharge, if there was any, and it related to PCOS.
> I forgot to ask about this. Does anyone have any idea what that might
> mean? Thanks.
>
> --
> Melissa
>

Hi Melissa,

To answer your question:everybody is right but nobodoy completely so. 1: It is prudent to have a hysterosalpingography (sp!) before starting any medication to anhance your ovarian function, b/c if your tubes are blocked, to whole medication is useless (but you are still exposed to the side effects). 2: It is necessary to monitor ovarian function while on clomid (to see whether you ovulated and if so, to see your corpus luteum function). But d21 blood test is a stupid way to do it. D21 is in a healthy women, ovulating on d14, when corpus luteum function is at its highest level. But as PCOS women tend to ovulate (if) irregularly, most often later than d14, the d21 test has little value. The test should be done on d7 after ovulation. For this you also have to monitor your ovulation by ultrasound or hormonally. Few drs do this. A good substitute for the complicated US or hormone exams is a BBT chart, which most drs seem to think obsolete (or too messy to have a look at it every cycle). 3: i doubt a dr saying clomid has no effect before 3 mo of use. For your info

Sam

Next message: =?iso-8859-2?q?Zalányi Sámuel ?=: "Re: Help!!!!!!/Dr Sam/Anyone/Lab Tests"
Previous message: =?iso-8859-2?q?Zalányi Sámuel ?=: "Re: PCOS w/o insulin resistance? (was Re: PCO Diagnosis)"
Maybe in reply to: Melissa: "Clomid, pregnancy, and confused by dr.s! Help"
Next in thread: =?iso-8859-2?q?Zalányi Sámuel ?=: "Re: Clomid, pregnancy, and confused by dr.s! Help"

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