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Fertility / Infertility (Expert Forum)
Starting Clomid w/ IUI and Trigger shot
Answered by
Shayne Plosker, MD - fertility, infertility
USF Health
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.
Starting Clomid w/ IUI and Trigger shot
by Celwed, Jan 28, 2008 01:28PM
Does this sound right??
On days 3-7 I am to take 100mg of Clomid after that I am to monitor ovulation thru OPK's on the night that I get a positive I am to go in the very next morning to schedual the IUI. That morning they will give me a shot of Ovidrel.
I thought you were supposed to take the shot before the IUI..
This is new for me does anyone know how this works exactly? Will this process work??
Any advice is appreciated.
Thanks!!!
On days 3-7 I am to take 100mg of Clomid after that I am to monitor ovulation thru OPK's on the night that I get a positive I am to go in the very next morning to schedual the IUI. That morning they will give me a shot of Ovidrel.
I thought you were supposed to take the shot before the IUI..
This is new for me does anyone know how this works exactly? Will this process work??
Any advice is appreciated.
Thanks!!!
Doctor's Answer
by Shayne Plosker, MD, Feb 16, 2008 10:47PM
, Feb 16, 2008 10:47PM
To: Celwed
Dear Celwed - there are several ways to approach this. One approach is to do urine OPK testing as you are doing, and have an IUI the next AM. This is the approach I often take with my patients. A second approach is to do ultrasound monitoring, and give ovidrel when ultrasound shows a mature follicle. Although I have not used the approach your doctor is taking, it is a reasonable approach in my opinion, by supplementing your body's own LH trigger with HCG. To explain how this works, there is a hormone from your pituitary gland called LH, which stand for luteinizing hormone. LH starts to surge to high levels in the blood 36h before ovulation. It is this surge which is the body's natural ovulation trigger. It is also what is pickedu up by OPK testing. HCG biochemically is very similar to LH, and is used by fertility doctors because it works just like LH, to act as an ovulation trigger. I would encourage you to speak with your fertility doctor - it is important that you understand your treatment. Good luck!
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i took clomid days 5-9, trigger shot on day 12 (I ovulate early - found month prior) and IUI on day 13.....DTD on day 13 as well...... now i am in the 2 week window
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