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Fertility / Infertility  (Expert Forum)
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ttc
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.

ttc

by Melissa229, Feb 01, 2008 01:49PM
hello everyone im new here and i came to this site to see if i could get some help ive been ttc for 3 years now i just recently went to the doctor about 3 weeks ago and he put me on prometrium 400mg everyday for 10 days and then letrozole or femara 5mg cycle days 3 through 7 anyway im checkin for ovulation now and my test have not shown any surge of LH yet but its my first day to test what im wondering is is it normal to cramp what feels like in both my ovaries right before ovulation? my doctor says im not ovulating and another thing im worried about is i hear talk of stress and bein worried all the time will stop ovulation is or will my fertility meds over power my nerves and work anyway ok well so if you read this you can tell im in a mess and i need help thanks!

by Shayne Plosker, MD, Feb 16, 2008 08:10PM
To: Melissa229
Dear Melissa 229 - are your periods regular when you are not on femara? If they are not regular, and you are not ovulating, then femara is a good choice. However if your periods are regular even without femara, then your chances of getting pregnant might be improved if intrauterine insemination is added to your treatment. Regarding urine ovulation prediction, if the femara is going to work to get you to ovulate, your ovulation is most likely to happen 7-10 days after your last femara. Since urine ovulation prediction kits turn positive 1-2 days before ovulation, the earliest to expect a positive urine ovulation prediction would be day 12, but it might not happen until day 15,16, or even 17. The cramping is normal. Femara usually, but not always, works and only time (and a positive ovulation prediction test, or a pregnancy, or a period) will tell. Good luck!

Shayne Plosker, MD
Member Comments (3)

by jen023, Feb 08, 2008 11:15AM
To: Melissa229
we are also getting close to our 3 year mark of ttc... I have never really had a problem with ovulating but am on Clomid right now to help with progesterone levels. I think everyone is different, but I usually get slight cramping around ovulation time... I think that's normal. I don't know about the stress affecting you - I do keep hearing it all the time tho - people tell me I'm not getting pg because I'm stressing about it too much... I don't know if there is any truth to that - I usually just ignore that as I don't think stress is affecting me and ttc. I wish I could tell you more, but I'm not familiar with the meds you are taking... hopefullly someone can help you better than I can.. Good luck!

by jenandjon, Feb 11, 2008 09:20PM
I've head of Femara working for people when Clomid didn't.  Are you doing OPKs several times a day.  I've had a negative at 2 pm negative at 8 pm positive at 10 am and negative by 2 pm.  So sometimes you've got a very narrow window.  U might try testing 2x a day if you're not already.
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