Clomid Dosage - Carlock,IL

Sometimes they don't switch the dosage, but the days you take it. That is what my dr. did and it worked.

A couple of questions - is your dr. a fertility specialist? If not, I highly recommend that you switch drs. The first time I tried to get pregnant I stayed with my regular dr. and we did clomid, with different dosages, and it didn't work. She did not do ultrasounds to see if it was doing its job - so basically the problem was not getting the dosage/timing right. I felt I wasted months and months with her. (It took us a total of 14 months to get pregnant).

Then I switched to a fertility specialist. We had a plan of attack - three months with clomid, then onto the next one. Often they recommend artifical insemeniation to also increase the chance of getting pregnant. The big difference was that they did ultrasounds to see what the clomid was doing to my ovaries and if it was working. So the first time it didn't work, the next time they switched the days not dosage and it did work. They also used the ultrasounds to determine the correct day to give the shot. And I got pregnant the first time with that dosage.

I had my second child with no help (again it was try 3 times with no help, then we do clomid).

I'm now pregnant with my third. I had to use clomid again - my PCOS came back. And again they used the ultrasounds to determine what was working.

My dr. is Dr. Chen of Progressive Care for Women at Northwestern.

Good luck

Hi B.,
My doctor also doesn't like to increase the amount of clomid given. He has several reasons for doing that and they might also be what your doctor is thinking. One reason is that clomid can increase vaginal dryness so if you aren't doing IUI that is a factor. Also, clomid at higher doses can effect your uterine lining, making implantation more difficult. And last but not least, if you're getting at least one good follicle to develop then in theory the clomid is working even if it is not resulting in a pregnancy. You should ask your doctor though, especially about the 6 tries before anything else. Usually it is the "3 strikes" rule where you try something for 3 months and then move on to something else if it is not working. I wish you the best of luck. I know firsthand how hard it is to stay patient and positive. Good luck!!!!!
Becki

I would talk to your doctor about her plan of attack. My doctor would only use the clomid 4 times so each time it didn't work he increased it by 50 mg. So our plan was 50, 100, 150 and 150. Luckily it always worked when we hit 150. It never hurts to ask.

Good Luck!
J.

If your insurance is paying for your fertility treatments, you might actually have to wait through a few cycles. My insurance basically wanted us to start with the simplest, least invasive procedures before moving up to higher dosages, etc.

Another factor that could influence that decision is the reason for your inability to get pregnant. For some, the issue is related to the endocrine system while for others it could be a physical problem like a blocked tube. Fertility treatment is certainly not a one size fits all procedure, and I'm going to guess that there is a reason why your doctor wants you to try the Clomid + hCg injectables. Next time you are there, press the issue - learn more about why she has you on the path you are on just so you can learn more.

Finally, you've only done two cycles. In the world of infertility, you are only in the early stages. It's tough but you need to be patient and let treatments have a chance before discarding them as useless. Clomid is a drug that your body may need to become adjusted to, so give it time and let it run it's course. I'm sure you've read lots of posts here from women who took anywhere from 1-10 years to get pregnant. I know it's not easy to be patient, but you will drive yourself crazy if you get stressed out over every little thing, and that stress definitely does not help someone get pregnant.

My doctor did 4 cycles of Clomid, increasing with hcg and IUI and I had no success. After 4 cycles, I went to Follistim, with hcg and IUI, and it worked the first cycle with all four of my kids. I think that you should probably ask her what her plan is, and work with her to come to a plan that works best for both of you. She may have a very good reason to wait to increase your dosage of Clomid. You have a right to question, so you should!