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Re: another ovu. question

From: Mary (anonymous@obgyn.net)
Tue, 4 Jan 2000 22:20:17 -0600


> I can't get in to see a new doc for a while so I am hoping you can help
> me. This is my second time on clomid. The first time I ovulated the
> first day after my last pill was taken. I became pregnant and m/c 3
> weeks later. I waited 4 weeks took provera and 12 days later had a
> period and started clomid again. I didn't ovulate this time at all, not
> even a trace. So what would/could be the reason for no ovulation?
> Also, my doc(whom I don't want to see agin) gave me 3 refills of clomid.
> When I start my period again should I double-up? I s that what you would
> recommend to your pts? Or what would you recommend? Advice would be
> helpful.
> Oh yeah one more thing, do you give a physical exam to your pts. between
> every clomid cycle to check for cysts?

I know Dr Harvey gave a reply already but I wanted to add my 2 cents as a woman who has been on clomid in the past.

I don't think it is very responsible of a doc to give out more than a one month Rx for clomid. The risk of hyperstimulation is real and you need to be monitored. You need *at least* a pelvic exam after your period begins and before you start the next round of clomid to be sure you aren't having any problems, many docs do ultrasound scans of your ovaries too.

And I would not double up on clomid without your doc knowing/advising it.

JMHO, FWIW. :)

--
Mary Shoup
Pregnancy & Birth Coordinator
mary.shoup@obgyn.net





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