Are you doing an IUI cycle? Based on your ultrasounds and the timing of your trigger shot, your doctor will tell you when to come in for the IUI. In most cases, you can also have sex on your fertile days at home in addition to your IUI.
Think of it as extra credit! Both gynecologists and fertility specialists typically order a progesterone blood test sometime between days 19 and 21, though it may be given later if your doctor knows you have ovulated later than day 21 of your cycle.
Progesterone is a hormone that rises after ovulation, and testing for it can confirm whether or not Clomid triggered ovulation. Another reason for testing progesterone levels is to ensure levels aren't too low. If they are, your doctor may order a progesterone vaginal suppository as a supplement. The two-week wait begins after you ovulate and ends either with a positive pregnancy test or your period. This is probably the hardest part of the cycle to endure.
All you can do is wait and see if the cycle worked. During the two-week wait , you may experience mild symptoms of ovarian hyperstimulation syndrome OHSS. The most common symptom of OHSS is bloating. A severe case is rare when taking Clomid, but it can occur. Be sure to contact your doctor if your symptoms are severe or if you're concerned. Note : Some women confuse the bloating from the Clomid-stimulated ovaries as an early pregnancy symptom , when in fact it isn't.
Remember that some of the side effects of Clomid can mimic "pregnancy symptoms," and try to remember that feeling pregnant doesn't mean you are pregnant. Finally, the day you waited for all month: pregnancy test day. Your doctor may order a beta pregnancy test a blood test that measures the quantity of hCG in the middle of your two-week wait and at the end, or they may order blood work only at the end.
It's also possible they will simply ask you to take an at-home pregnancy test sometime between days 28 and 35 of your cycle and instruct you to call if you get a positive result. If the test is positive , congratulations! Your doctor will likely monitor the pregnancy for a few weeks to be sure everything is going smoothly, and to check if you've conceived twins or more.
If you're feeling more nervous than excited, be reassured that it's normal. Pregnancy after infertility isn't always easy, especially emotionally. If your pregnancy test is negative , your doctor may wait and retest you again. It's possible the pregnancy hormone levels just aren't high enough yet. If you get your period while waiting to test again, the cycle probably didn't work. Having an unsuccessful cycle can be upsetting, and it's common to feel defeated and lose some hope.
Remember that you can try again and that sometimes treatment needs adjustments before you reach success. What happens after a failed Clomid cycle? Every case will be different, but here are some possibilities. Another cycle of Clomid at the same dose you just used. You just might need another try or two. Remember that even people with good fertility rarely conceive the first cycle they try. The same could be said about Clomid or any fertility treatment.
If this happens to you, the dosage may be increased. Your doctor will probably keep trying higher dosage levels up until a certain point, after which other treatments might be considered. There are a variety of options if this happens to you, including switching to the drug letrozole or taking Clomid along with metformin. Get diet and wellness tips to help your kids stay healthy and happy. American Society for Reproductive Medicine.
Updated October Your Privacy Rights. To change or withdraw your consent choices for VerywellFamily. If your period does start, then repeat the cycle with clomid again. Mark the days on your calendar with the instructions below to ensure that you are following them correctly. If you have a period on days after taking clomid, then the medicine is working correctly. You should continue taking the medication and have intercourse at the time of ovulation.
If you fail to have a period, but your pregnancy test is negative, you are not pregnant. We will induce a period with medication. During your next cycle, we will increase the clomid to mg. We will continue to increase the dose if you do not ovulate when taking the lower dosage. Depending on the Clomid protocol you're on, that means you should be having sex every day or every other day starting on Day 11 through Day 21 of your cycle.
Some doctors recommend taking Clomid on Days 3, 4, 5, 6, and 7 of your cycle, while others recommend taking Clomid on Days 5, 6, 7, 8, and 9. If you're on the Day 3 to 7 protocol, this would mean you're most likely to ovulate on average sometime between Day 14 and Day 17 of your cycle. To conceive, you want to have sex before you ovulate. So, you might want to have sex every day or every other day starting on Day 11 and ending on Day If you're on the Day 5 to 9 protocol, you're most likely to ovulate on average between Day 16 and In this case, you'd want to start having sex every day or every other day starting on Day 13 through Day These are just averages.
It's possible you'll ovulate earlier or later than the average. This means you could theoretically miss your most fertile time if you start having sex too early or too late. Your best bet to tell when you're ovulating is to use an ovulation predictor test. If you've never tried an ovulation predictor test OPK , they work a lot like pregnancy tests. You pee on a stick, and the test will indicate whether you're in your fertile window or not. You can start taking the OPKs the day after you finish your Clomid pills.
Keep taking the tests until you get a positive result. A positive result indicates that you're nearing ovulation and should have sex. One thing to keep in mind: a positive OPK doesn't mean you ovulated. It just means the hormone LH was detected in your urine.
If you want to be surer that you ovulated, consider charting your basal body temperature. This will let you know when and if you actually ovulated. Sometimes, Clomid is used together with injectable medications.
The most common injectable medication is the hormone human chorionic gonadotropin hCG. This is sometimes called a trigger shot because it triggers ovulation to occur within 24 to 48 hours after injection. Unless your doctor tells you otherwise, start having sex on the day of your trigger shot.
Sometimes a general health practitioner can also provide you an order. We recommend seeing a fertility specialist whenever possible. Their expertise in female infertility can ensure that Clomid is the appropriate treatment for your condition. Fertility clinics are the best places to obtain and monitor Clomid treatment due to their highest expertise in infertility.
Clomid is still considered low-tech fertility treatment and is typically a covered benefit by any primary health insurance, including HMO plans like Kaiser Permanente.
Kaiser patients with infertility issues can read more about the Kaiser Permanente fertility treatment options here. Transvaginal ovarian ultrasound monitoring is the best way to evaluate ovarian physiology.
In limited circumstances, a diagnosis of ovulatory dysfunction can be made by patient history and presenting symptoms in a remote consultation with an experienced reproductive endocrinologist.
Blood tests can confirm this diagnosis, and Clomid therapy can be initiated remotely. Monitoring ovulation at home might be a challenge since a vast majority of patients with ovulatory dysfunction suffer from PCOS and might have increased baseline Luteinizing Hormone LH levels. Thus, detecting ovulation becomes somewhat tricky, but a patient can be guided on how to correctly interpret the results and, in some cases, use diluted urine specimens to improve the specificity of urine strip ovulatory tests.
Modern urinary fertility monitors further detect Estroneglucuronide, and this can alert the Clomid user of rising estrogen levels and a developing follicle. However, no home monitor can provide information on the number of developing follicles or thickness of the uterine lining.
In general, unmonitored Clomid therapy might only be justified with patients with irregular or absent periods. Patients with regular periods seeking Clomid therapy are strongly encouraged to have monitored cycles only! Clomid can be used for male infertility.
It can be combined with HCG or used alone. It is vital to avoid hyperstimulation of the testicles, and you need an experienced fertility urologist or fertility specialist for a consultation. Any fertility medication will only be successful if it can adequately address the underlying problem.
If appropriately used, particularly in patients with anovulation, Clomid therapy can be hugely rewarding with a high pregnancy rate. If used randomly with no clear rationale, it might induce ovarian cysts and further complicate female infertility treatments.
Timing the ovulation with either ovulatory predictor kits OPK or artificial ovulation trigger in combination with timed intercourse or IUI can further improve the treatment success rates. It is best to contact an experienced reproductive endocrinologist who can provide you with guidance and proper assessment and ensure your Clomid Therapy Success.
Clomid Questions and Answers Infertility Treatment Drug since the s Clomid aka Clomiphene Citrate, Serophene, Cloramifen is widely used in infertility and has helped millions of women ovulate. Are you the right candidate for Clomid Treatment?
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