I don't know tons about it, but femara tends to have less side effects including it doesn't thin the lining or mess with CM. On the infertility treatment board it sounds like most RE's don't use clomid anymore because they have better results with femara and you've usually tried clomid before you see them. Maybe they could do a follicle scan close to the time of ovulation to see if you're growing good follicles? This last cycle, my first with the RE and this whole protocol I went as soon as AF started for an ultrasound to check for cysts (would have stopped everything), then they gave me very specific details on taking the meds, then I went back after the femara and gonal-f were finished for another u/s to look at the follicles. Since I had 2 good follicles and matching blood test they called me later that day and told me to take my trigger shot, then BD that night and every other night for a week. I had used OPK's for months, but with such specific instructions and monitoring my RE suggested I not do them since they weren't necessary and probably just add stress.View Thread
Have you seen an RE to discuss your options? There are certainly higher doses of clomid you could try. A lot of women that don't have success with clomid have success with femara. My tests were all normal but I wasn't ovulating properly. Clomid didn't work so I was passed on to an RE and injections. That worked for me on the first cycle! I will suggest calling every pharmacy you can find to price the injections. I was shocked at how much variation there was. My RE's office gave me a list of pharmacies to call and I found others on my own. I was able to get the total cycle including doctor's fees to just under $1000. I was really struggling with the idea of IVF. As disappointing as every cycle is I couldn't imagine the disappointment if we saved for a year to do a cycle and it failed, then would have to save another year to try again. Good luck!View Thread
Day 3 labs won't show if you ovulated. Day 21 labs indicate if it was likely, but are still not definite. My day 3 labs were fine, but I wasn't ovulating. Is your doctor planning to do day 21 labs with the clomid? It's important to know if you o'd to adjust the dose next cycle if you didn't. Good luck! Clomid works for a lot of women. It didn't work for me and I had to move to injections, but got my BFP first cycle with injections.View Thread
A doctor you trust is critical to this journey. If you aren't comfortable with this doctor it might be time to look for a different one. The standard response is that if you have been trying more than a year it's time to look for possible problems. My doctor didn't even make me wait a full year because it was obvious something wasn't right when I went for my annual after 9 months of trying. Good luck!View Thread
As I understand it Follistem is basically the same as the Gonal-F I used, just different brands. I got my BFP on the first round! I did make me feel lousy and in pain. When I went for my second ultrasound before taking the trigger shot the tech told me I had a follicle on each side the size of a normal ovary and that explained the pain. This cycle I did femara, Gonal-F, and Novarel trigger shot. Good luck! Hopefully it will work the same magic for you.View Thread
My OBGYN wrote the order for my husband's semen analysis and directed us to the lab at the hospital. I had to call and ask for the results because when the hospital sent them they didn't get matched up with my chart. There are lots of options before IVF, but that will depend on what they find with both of you. My OBGYN handled all the testing before he sent me on to an RE (reproductive endocrinologist- fertility specialist). I was surprised the RE didn't order any additional testing, so my OBGYN must have done a thorough job.View Thread
Hopefully you won't be around here long enough to learn all the abbreviations! RE is a reproductive endocrinologist (fertility specialist). CD = cycle day, first day of your period is day 1 SA = semen analysis DH = dear husband
I started by using OPK's and taking that info with me to my OBGYN for my annual. Since I never got a negative I took one every day even through my period and had 100 negative ones before getting my first positive. That pushed my doctor to start looking for problems and treating me even though I hadn't been trying for a year yet. It was obvious I had a problem. Good luck!View Thread
I'd recommend starting with an OBGYN. A family doctor is not likely to know what to do with IF. Don't let the OBGYN drag on too long before moving on to an RE. An RE is going to be much more aggressive but also more expensive. My OBGYN did some initial bloodwork, then 4 rounds of clomid with CD 21 progesterone tests, then a SA on DH and HSG on me. After my 4th round of clomid he passed me on to an RE. I'm waiting on AF to start the new treatment regime, probably in about a week. Good luck!!View Thread
It doesn't sound like you've consulted a doctor. I'd suggest finding either a good OBGYN or an RE and have them run some tests. There are so many things that could be causing you to have problems and a lot of them are relatively simple to fix. Something as small as her thyroid being off could keep you from conceiving. A semen analysis is also pretty simple and inexpensive to see if there's a problem with you. It's more common than most people realize to have trouble conceiving, but most people that have trouble do eventually get there with some extra help. Good luck!View Thread
My HSG was all good. Since the radiologist actually did the procedure he told me the results when he was done. DH did a SA the same day but we haven't heard results yet and the holiday weekend just makes us wait longer.View Thread
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