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Fertility / Infertility (Expert Forum)
Clomid issues
Questions in the Fertility/Infertility forum are answered by doctors affiliated with USF Health. Topics covered include fertility or infertility issues, egg quality, fertility drugs and side effects, fertility tests, genetic testing, in-vitro fertilization (IVF), ovulation, relationship issues, risk factors, sperm count/quality, and surgery.
Doctor's Answer
by Forum-M.D.-SP, Jan 15, 2008 12:00AM
Dear jewel_13,
In order for me to accurately answer your question, I need a little more info. First, when you say you finished clomid on Dec. 23, do you mean that December 23 was your last day of clomid, or that was the day your bleeding started after your first month on clomid. Also, do you mean 4 mm, or 4 cm, regarding the size of your cysts? Four mm cysts would suggest you did not respond to the clomid or that the ultrasound was taken early in your cycle (1-5 days after the start of bleeding) whereas 4 cm cysts are larger and could be due to clomid, requiring that you rest a cycle. Regarding whether or not the bleeding was a true period, this depends on whether you ovulated or not. Any progesterone value greater than 3, and certainly greater than 5, suggests that you ovulated.
The short cycle is possible.
At the end of the day:
1) If you have 4 cm cysts, then you should sit out a cycle before starting clomid again. If 4 mm, this is not necessary
2) You and your provider need to decide if you ovulated or not. If you did not ovulate, then perhaps a higher clomid dose will be recommended. If you did ovulate, you could stay on the same dose, watching carefully for cyst reformation if you had 4 cm cysts.
Finally, if you do not have regular periods, then clomid with intercourse is a good treatment. However if your periods are regular even without clomid, it might be a good idea to add intrauterine insemination to your treatment.
In order for me to accurately answer your question, I need a little more info. First, when you say you finished clomid on Dec. 23, do you mean that December 23 was your last day of clomid, or that was the day your bleeding started after your first month on clomid. Also, do you mean 4 mm, or 4 cm, regarding the size of your cysts? Four mm cysts would suggest you did not respond to the clomid or that the ultrasound was taken early in your cycle (1-5 days after the start of bleeding) whereas 4 cm cysts are larger and could be due to clomid, requiring that you rest a cycle. Regarding whether or not the bleeding was a true period, this depends on whether you ovulated or not. Any progesterone value greater than 3, and certainly greater than 5, suggests that you ovulated.
The short cycle is possible.
At the end of the day:
1) If you have 4 cm cysts, then you should sit out a cycle before starting clomid again. If 4 mm, this is not necessary
2) You and your provider need to decide if you ovulated or not. If you did not ovulate, then perhaps a higher clomid dose will be recommended. If you did ovulate, you could stay on the same dose, watching carefully for cyst reformation if you had 4 cm cysts.
Finally, if you do not have regular periods, then clomid with intercourse is a good treatment. However if your periods are regular even without clomid, it might be a good idea to add intrauterine insemination to your treatment.
Member Comments (2)
by lloydsgurl, Jan 12, 2008 12:00AM
I have no adverse side effects, but i've been taking clomid for over a year my doctor even bumped me up to 4 pills a day on days 5-9 . and i still haven't gotten pregnant. ive been using ovulation tests, because i was diagnosed with PCOS. and i haven't even ovulated. . whats up with this??????
