Hi!
If you were my patient, the first thing I would do is an HSG. (hysterosalpingogram) I would want some more information about those tubes. For example, did the ectopic pregnancy harm the tube, and is the other tube open or not. I would want to have this information ASAP before I had you invest a lot of time and money in medications.
If your tubes are blocked, the only thing that really helps is IVF!
If your tubes were open ( at least one ) then I would have you go ahead and start the Clomid on days 3-7. and estradiol as directed. I would encourage you to continue the baby aspirin and Robitussin. I would probably go ahead and start ultrasounding to see how the follicles were developing and confirm ovulation with a progesterone level on day 21. Actually, I like Femara better than clomid, and I would be inclined to use Metformin too.
If your tubes are blocked or damaged, I would send you right off for IVF.
Good luck!
Dr B
hi dr i need ur expertise once again i took the meds as my dr prescribe and i dnt think the clomid as work for me this month if u remember i took provera to make my period come and i took clomid 3-7 and estradiol 8-12 today is cd 29 and i was suppose to do and preg test on cd27-28 and both test come back negative...and i had an hsg test done 2008 and i didnt have any blockage everything was fine...and with the ectopic pregnancy it didnt damage my tube cuz i was early and the give me the shot to make it go away...
and that was on oct 28 2009...so now i dnt know wat to do cuz i really was hoping that i get preg this month cuz ii just turn 32ys...please dr advise me on wat to do or have my dr do cuz im so desperate...