HCG Drppped- M/C in Full Swing- Nurse says NO to Clomid

[rdh1981]

Hey Gals,

As many of you know I got a + on Sunday (HCG 19), then Tuesday HCG was 16. Well today I finally starting bleeding, so I called my doctor and spoke to the nurse. She told me that I can't take Clomid this month. The only reason she really gave me was it was not a good idea to stimulate my ovaries.  So, what do you ladies think??? She told me I can take if I want but she does not recommend it. Here's the thing, I would have to start taking it on Saturday and my doctor will not be back in the office until Monday.

We did get pregnant on our own this month, but I am basically taking the Clomid to help with my progesterone levels. My low progesterone is why this pregnancy failed. so I am just not sure what to do.

Any advice????

[Maddiesmom0801]

I don't know if we will wait or not.  I asked my good friend's mom to pray for us.  I am praying too, but am unclear of God's instructions due to my desire to be pregnant.   I am trying to put aside the OPKs and calendar because dh does not want this time around for things to be planned and stressful as were the other pregnancies.  He wants us to relax and just let things happen.  However, MD instructed me to use the OPK to know when to take the Prometrium (you know how I have to do it... take it 3 days after I get my LH surge and then until cycle comes or if cycle does not come take it until 12 wks preggo).  Today has been rough.  I had a patient last night who reminded me of myself.  Her issue was different though.  She is 27.  She has been with her spouse 12 years, married for 4 years and last December she delivered her baby at 25 wks gestation due to her incompetent cervix. Her baby passed away at birth since it was so early.  She is now 24 wks pregnant.  She got pregnant 5 months after her C-section. She has a cerclage (a stitch that is supposed to keep the cervix closed until baby is close to full term) but she is dilating already and her and dh are freaking out because this is the same time they lost their other baby.  I feel so sorry for them and I know how scared they must be.  I know she is probably blaming herself because the baby is healthy, but her cervix just will not cooperate to give that baby more time in utero.  All this is so frustrating.  I try to keep myself together, but of course I too still grieve for myself and my patients.  Lord help me please!!!  Why does it have to be so hard for us who are trying to go about things the "right" way...married, stable?  The Lord knows best, but I sure wish He would let me in on His plan.  
Too cute, "Cooper and Maddie sitting in the tree......." Haha.  I love it.  Thanks for making me laugh chick.  I needed that.  I am dehydrated from crying (lol).      

[adgal]

Hey Rachel, when I had my chemical pregnancy, they had me wait one full cycle until starting on the clomid as well.  They didn't really give me a reason, and didn't tell me not to try to conceive again right away, but held off the clomid until the following cycle.

I also have a prescription for prometrium, but this month instead of waiting to see if I get a BFP, I also will be starting it right after ovulation.  I am taking it orally, but apparantly its more common through suppositories.

Good luck with the TTC...its going to happen for you!!

Hugs, Amanda

[rdh1981]

Thanks ladies!!!!

dainsey- You know the that is what I was thinking. I am going to call my OB back round "o" time. This weekend the doctor on call started me on 200mg of Prometrium, so I already have a full bottle of progesterone, I see no reason why I can't use it.

Lica- Oh, I am so glad you gave me a nickname to use!! I wanted to shorten your name like you always do to me, but I was not clever enough!!! Girl, you know I follow the doctor's orders, I just wanted to put it out there. Please don't ever feel like you can't talk about yourself. You know I love you and your sweet little Baby Angel Maddie!! I could never be mad at Cooper's Girlfriend's Mamma!!!! I will be a good girl and wait or you going to be a good girl and wait??? Talk to soo and stop working so hard, I miss talking to you!!!!

[Maddiesmom0801]

Rachel,
The nurse gave you good advice.  I suggest that you wait because if your HCG levels do not return to the non-pregnant level of less than 5 and you conceive again you run the risk of micarrying again or the MDs would not be able to track your next pregnancy properly due to the combination of HCG levels.  I hate to say this, but you have to wait to give your body a chance to get rid of this pregnancy.  I pray that you remain encouraged.   After all, you got pregnant on your own girlie.  Maybe that was God's way of letting you know that what He has given you is sufficient.  It is hard to give you this advice, when I myself am debating following my MDs orders to wait 6 months.  As I told you before, we want to ttc beginning November 1st, but I am still unsure. Anyway, forget about me (sorry, I just had to vent a little).  Listen to the nurse and please do not take the Clomid this month so that your body may return back to normalcy.  Think about it this way.  This month will be over in 15 days.  You can do it.   Sending you a big elephant hug.
-Lica

[dainsey]

Just a suggestion but if low progesterone is the problem, can't you start taking progesterone suppositories starting from the day after ovulation?  That's what my doctor has me do.  Then I test 14 days after my period and if I'm not pregnant then I stop taking it so that my period comes.  If I do get pregnant again then I continue with the progesterone!