Fertility clinics are the best places to obtain and monitor Clomid treatment due to their highest expertise in infertility.
Clomid is still considered low-tech fertility treatment and is typically a covered benefit by any primary health insurance, including HMO plans like Kaiser Permanente. Kaiser patients with infertility issues can read more about the Kaiser Permanente fertility treatment options here.
Transvaginal ovarian ultrasound monitoring is the best way to evaluate ovarian physiology. In limited circumstances, a diagnosis of ovulatory dysfunction can be made by patient history and presenting symptoms in a remote consultation with an experienced reproductive endocrinologist. Blood tests can confirm this diagnosis, and Clomid therapy can be initiated remotely. Monitoring ovulation at home might be a challenge since a vast majority of patients with ovulatory dysfunction suffer from PCOS and might have increased baseline Luteinizing Hormone LH levels.
Thus, detecting ovulation becomes somewhat tricky, but a patient can be guided on how to correctly interpret the results and, in some cases, use diluted urine specimens to improve the specificity of urine strip ovulatory tests.
Modern urinary fertility monitors further detect Estroneglucuronide, and this can alert the Clomid user of rising estrogen levels and a developing follicle. However, no home monitor can provide information on the number of developing follicles or thickness of the uterine lining. In general, unmonitored Clomid therapy might only be justified with patients with irregular or absent periods.
Patients with regular periods seeking Clomid therapy are strongly encouraged to have monitored cycles only! Clomid can be used for male infertility. It can be combined with HCG or used alone. It is vital to avoid hyperstimulation of the testicles, and you need an experienced fertility urologist or fertility specialist for a consultation.
Any fertility medication will only be successful if it can adequately address the underlying problem. If appropriately used, particularly in patients with anovulation, Clomid therapy can be hugely rewarding with a high pregnancy rate.
If used randomly with no clear rationale, it might induce ovarian cysts and further complicate female infertility treatments. Timing the ovulation with either ovulatory predictor kits OPK or artificial ovulation trigger in combination with timed intercourse or IUI can further improve the treatment success rates. It is best to contact an experienced reproductive endocrinologist who can provide you with guidance and proper assessment and ensure your Clomid Therapy Success.
Clomid Questions and Answers Infertility Treatment Drug since the s Clomid aka Clomiphene Citrate, Serophene, Cloramifen is widely used in infertility and has helped millions of women ovulate.
Are you the right candidate for Clomid Treatment? Who should take it? What about the Clomid side effects? Does the response to Clomid vary? In these cases the hope is that there will be an improvement in the chance for getting pregnant by increasing the number of follicles developing in the ovaries — and therefore the number of eggs releasing.
This is called controlled ovarian hyperstimulation or superovulation. It is best to have intercourse on the day of ovulation if possible. Some women will prefer to use ovulation predictor kits which are urine tests that the woman can do at home. These kits are designed to detect the presence of the LH surge in the body.
The LH surge in the blood begins approximately 36 hours before ovulation. The ovulation prediction test is usually done in the mornings. Sex on the day it turns positive or the next morning is best for fertility. In many women, the menstrual cycle is lengthened somewhat by Clomid. This is only a temporary effect while on the medication. Clomid cycles on the average are a few days longer than the average menstrual cycle length in the same woman without Clomid.
Ovulation is usually about 14 days prior to the start of the next menstrual period. There are many variables involved in a fertility situation. This is the day you will begin taking clomid. Take the medication on days 5, 6, 7, 8 and 9. You may then label the calendar on the days you may ovulate most likely days You should have intercourse at least on days 12, 14, and 16 of your cycle. Clomid is a fertility medication. One important side effect is the possibility of multiple births.
The chance of having more than twins is rare. Ovulation Induction — Clomid Occasionally women need to have their ovulation induced when they are having problems conceiving. You should ideally take the Clomid at the same time every day, and some say that taking the pill before bed can help you sleep through some of the side effects.
Some do better if they take the pill in the morning. Ovulation typically occurs 5 — 10 days after taking the last Clomid pill. So if you took Clomid on days 3 to 7 of your cycle, you are most likely to ovulate between days 10 and Even though you take Clomid for only five days, the chain reaction that starts with your first pill continues throughout the month. This is one reason why you may continue to experience some side effects days after you take your last dose.
Progesterone is a hormone that rises after ovulation, and testing for it can confirm whether or not Clomid triggered ovulation.
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