why wouldn't I take clomid?

[Anonymous]

I have one tube left after an ectopic pregnancy. I'm considering asking my OB whether or not taking Clomid is right for me to increase the chance of pregnancy (since theoretically, every other cycle I am not able to get pregnant).

Has anyone done this? Any reason not to?

[Anonymous]

The only reason I avoid Clomid is the risk of twins (which would be bad for me for medical reasons). You're in the clear on that!

[Anonymous]

Thanks. I'm in the clear b/c Clomid can make you ovulate on both sides? (Which wouldn't matter to me, obviously, since only one egg is going to get there)?

[Anonymous]

Anonymous wrote:Thanks. I'm in the clear b/c Clomid can make you ovulate on both sides? (Which wouldn't matter to me, obviously, since only one egg is going to get there)?

No, I think you misunderstand. The risk of twins isn't just because it can make you ovulate on both sides but you can get multiple follicles on a single side. The majority of upper-multiple order births, 4+, (Octomom notwithstanding) are from Clomid, not IVF. I would not use Clomid without ultrasound monitoring to see what's happening there and how many follicles you have preparing.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Thanks. I'm in the clear b/c Clomid can make you ovulate on both sides? (Which wouldn't matter to me, obviously, since only one egg is going to get there)?

No, I think you misunderstand. The risk of twins isn't just because it can make you ovulate on both sides but you can get multiple follicles on a single side. The majority of upper-multiple order births, 4+, (Octomom notwithstanding) are from Clomid, not IVF. I would not use Clomid without ultrasound monitoring to see what's happening there and how many follicles you have preparing.

Her risk is still lower, however.

[Anonymous]

OP here- thanks for the responses. I would definitely be "productively" ovulating at exactely half the rate I would otherwise (well, we think half, although it may be less since it looks like I ovulate better on my the side witrh the "bum" tube ). So that would reduce the risk of multiples, somewhat.

I guess the qusetion for me is why the RE I saw a couple years ago said that it wasn't a helpful thing to do in my case... the cynical side of me said he wantde me to go straight to IVF.

[Anonymous]

I had to have one ovary and tube removed due to a benign but large and involved tumor. We used Clomid under RE supervision for three cycles (before moving to IVF) and for one out of the three cycles, my RE said not to have sex because I had too many follicles that month. I was on a minimal dose.

We wanted to give the Clomid a try but had to move to IVF because DH had male factor issues (bad morphology).