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Infertility Support and Discussion
| Can a regular OBGYN give you that or do you have to go to a RE. I have irregular ovulation at this point. I have an appointment this thursday but want to know if I can ask her for it. |
| My OB was very willing to offer it - many of them hand it out like candy. Worked for me both times I took it (one m/c for genetic issues, one healthy DS). Post partum my cycles were much more regular and I conceived again accidentally. |
| I would never take Clomid unless the doctor prescribing it was able to do mid-cycle monitoring. You could EASILY end up with higher order multiples (more than twins). |
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Agree about the monitoring, which is why it might be worth going to an RE. If you don't ovulate at all on your own, the starter dose of 50mg clomid is *probably* only going to give you one egg. Or you might not even respond to 50mg at all. But if you already ovulate on your own, clomid could cause you to ovulate more than one egg (and possibly a lot more!).
In my first clomid cycle with the RE, I was on 100mg and I produced 7-8 mature follicles - fortunately I was being monitored and the cycle was cancelled b/c of the high risk of multiples. I am almost 40 and never in a million years did I think I would have that kind of response (my RE was surprised as well). Now I'm on 50 mg and am having a more moderate response but still have gotten 3-4 mature follicles each cycle (currently on my 3rd cycle). The point is that you don't really know what your response will be unless you are being monitored by ultrasound and blood estrogen levels. |
| Agree with getting monitored cycles by a RE ...it is more time intensive but can prevent multiples, if this is something that scares you....one of the girls I work with was on unmonitored clomid cycles...she just had triplets last week. She now has four kids under the age of 2. |
It should be something that scares everyone. Singleton pregnancies should be the goal of all fertility treatments; even carrying twins is considered high-risk. |
| Also, clomid can thin your uterine lining, which makes pregancy less likely. Without monitoring, you won't know if that is happening so you could be taking clomid without getting any benefit. Since taking clomid for long periods of time has been linked to cancer, it doesn't seem worth the risk (to me at least) if you're not under an RE's care. |