WOMENS-HEALTH Messages for April, 2001: Re: 4th cycle of clomid, different dossage????

Re: 4th cycle of clomid, different dossage????

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 19 Apr 2001 21:45:36 -0500 (CDT)

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In reply to: Malinda: "4th cycle of clomid, different dossage????"

At Thu, 19 Apr 2001, Malinda wrote: >
>I have irregular cycles lasting from 28 day to 44 days. My doctor put
>me on clomid, the usual 50mg on days 3-7. After my third try with
>clomid, I got my period on Day 20 and it was a very harsh period.
>Anyway, I went into the doctor and She prescribed clomid at 25mg from
>days 2-9. I went in for an ultrsound at day 12. My left ovary measured
>20 mm. She gave me a shot of something, I think HSG. Anyway, we had
>sex on day 12, 13 and 14. My questions are:
>1. Does lowering the Clomid dosage make sense?

Not really.

>2. Is 20mm a sign that I was going to ovulate?

It says the follicle is about ready.

>3. I did not have a positive OPK prior to my ultrasound, why?

Either because the test is inaccurate or because you didn't have enough of the hormones to cause ti to be positive. The HCG shot was to take the place of that hormone.

>4. She wants me to come in for a Progesterone check on day 19. What
>will this test tell her.

If elevated, ti is a good indicator of ovulation.

>5. When and how is the earliest I can test for pregnancy?

2 weeks post ovulation

>6. When would implantation take place if this was a successful cycle?

6-10 days post ovulation

>7. Shouldn't my doctor have given me hormone testing around day 21?

Day 19 progesterone is probably just as reliable as day 21.

>
>I know I have a lot of questions but I never seem to have the time or
>remember to ask.

Write them down and ask them. Nurse practitioners are very good at what they are trained in. Very very few have any training in ovulation induction.

A lot of times I just get the Nurse Practioner which >is great but...
>Thank you so much for your time.
>
>--
>Malinda
>

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

Next message: R. Daniel Braun, MD: "Re: Endometrial Ablasion & Pregnancy"
Previous message: Angie: "Help Please"
In reply to: Malinda: "4th cycle of clomid, different dossage????"

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