PREGNANCY-BIRTH Messages for March, 2001: Re: How long do you use Clomid before it's too long? What's next?

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Re: How long do you use Clomid before it's too long? What's next?

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 15 Mar 2001 09:16:35 -0600 (CST)

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In reply to: Jan: "How long do you use Clomid before it's too long? What's next?"
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At Wed, 14 Mar 2001, Jan wrote: >
>Having been on Clomid (100 mg) for 9 months, and having NO luck at all
>(all infertility testing says hubby and I are just fine...)what is the
>next drug of choice? I seemingly ovulate, I have good progesterone
>levels each month, follicles are seen on the ultrasounds. I've had
>IUI's, hcg shots to make me ovulate and nothing. Nada. Zip. The only
>thing that I can think of is that somehow I'm not ovulating correctly or
>something. Would it be a logical step to procede to more powerful
>fertility drugs? My RE is really sort of "assembly" line and I'm not
>happy with him, but I can't get into another one until AUGUST!!! Any
>ideas or suggestions would be appreciated, from one and all (esp. the
>wonderful docs...)

Studies show that if Clomid has been used for 6 months, all other factors being equal, and there is no pregnancy, there is no benefit to continue it longer. The next step depends upon you and your RE. There are really two main options. One is called hyperstimulation. Medications are used that induce egg production, more than Clomid with the thought that you are increasing your odds by having more eggs available. This is combined with ultrasounds and blood tests to assure follicle (egg) maturation and ovulation. Finally, it is also combined with intrauterine insemmination of your husbands prepared semen specimen. The other option is IVF, which is self explanatory and more expensive than the hyperstim... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: pregnant in postpardum?"
Previous message: Lynn D. Montgomery, MD: "Re: thyroid medication and pregnacy"
In reply to: Jan: "How long do you use Clomid before it's too long? What's next?"
Next in thread: Katt: "Re: How long do you use Clomid before it's too long? What's next?"

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