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An appointment I don’t want to make

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It’s dawning on me that May is quickly coming up on the horizon. May marks a few landmarks this year:

1. Hubs graduates from his PhD program and defends his dissertation.Yay!

2. Hubs and I celebrate our 1 year anniversary with a trip to Catalina. Yay!

3. May will mark 8 months since I have ovulated. I am not fooling myself into thinking that I will ovulate on my own before that. It’s simply not gonna happen. Fuck.

4. May was our proposed “Clomid start month”. Sigh.

The reality of #3 combined with #4 means that I will need to make an appointment I don’t want to make with my gyno to get a prescription for the stuff and run through where I’m at to-date. He’s booked up sometimes, so I will have to make the appointment soon. Not sure when in May I will start the Clomid. Perhaps I should wait until after Hubs and I take the anniversary trip… I’d hate for Clomid to whack me out and make things all hormonal on our mini vacation. This would put me starting whatever protocol I need to start on May 21st.

Oy.

On one hand, I’m excited. On the other hand…I’m scared as shit.

I am interested to hear from anyone who has used Clomid–in retrospect, are there any things you wished you knew before hand, or questions you wished you had asked your doc that I might be able to arm myself with going into the appointment? Any little bit of info helps. My gyno is not always the most detailed information imparter when it comes to this stuff, and I find I need to be highly knowledgeable about questions to ask him before I go in.

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About Sunny

I'm a happily married, 31 year old gal who is just starting her journey to conceive. I also have ovaries that may need a jump start. This blog is an attempt to channel my obsessive research on my Polycystic Ovarian Syndrome into something positive....like a pregnancy test. That would be awesome. I also hope that other women with this condition will find support in this blog. There are a lot of us out here! Happy reading, whatever your journey may be.

11 responses »

  1. First piece of advice…don’t take Clomid from your gyno. Once you’ve reached the point you’ve reached which is PCOS and zero ovulating on your own you NEED to see an RE. And you will be thankful for it if you ever need to take the next step. Gynos hand out Clomid like it’s candy and don’t take it as seriously as they should. You need to be monitored through a Clomid cycle and very few gynos will do that for you.

    Seriously, skip your gyno and head for the fertility specialist. If you find a good one they will not pressure you to do anything more than Clomid (even though they might mention IUIs each and every time you walk in the office!) until you’re ready and are EXCELLENT with giving you lots of information (and lots of ultrasounds)…of course this is a generalization, but since they’re actual job is to get you pregnant they are MUCH more helpful than an OB/GYN at the actual getting you pregnant part.

    Also, please please please get your hubby checked (actually I think you guys did this part, but just checking!) and get an HSG before you take Clomid. It’s a strong powerful drug and you shouldn’t be taking it like the aforementioned candy if you have a blocked tube or your hubby’s sperm aren’t up to par.

    And good luck! It’s not as bad as it seems, I promise! I was scared shitless too and I now realize that it was silly and I would definitely try Clomid again if Baby #2 is as elusive as Baby #1.

    Reply
    • Really sound advice Jesica. My only hesitancy to go straight to an RE is that my insurance doesn’t cover it. I have cleared it with my gyno that he will monitor me carefully during the Clomid cycle via ultrasound to make sure I don’t get OHSS, and he will bill it through my insurance as a routine check. Once I start getting into RE land, all insurance covers is an initial consult. The rest is out of pocket for me, including all of the ultrasounds… I will definitely ask him to do an HSG before Clomid–good call. Not sure if gynos do HSGs, in which case…I’ll need to reevaluate. Hubs had his boys checked, and all is pretty good there.

      Reply
      • I did my clomid treatments through my gyno and had everything billed as routine as well. Just make sure you get CD 1-3 and CD 12 ultrasounds and then the CD 21 blood work. Also, discuss all possible side effects because I had way more than my gyno told me about! I’m excited for you because clomid works for most people! Our problem was timing the BDing. But if you have any specific around,

      • Whoops! If you have specific questions about my experience, I would be happy to answer them.

    • I agree with Jesica. Make sure you get that HSG done first, if at all possible. I had six rounds of Clomid, and then got an HSG. I had a slight blockage in the right tube, so all of that Clomid was kind of pointless. If you can go to an RE, that would be ideal, but if you feel your gyno is competent and they are covered by insurance, maybe that’s best.

      I personally had hot flashes, night sweats, and completely dried up CM with Clomid. My gyno added some estrogen, but that didn’t work for me. And, every other cycle I got a yeast infection, which I have never had a problem with. Clomid also made me feel like I was losing my freaking mind, so be aware that if you feel like you are going crazy, that can be a side affect.

      I hope this works for you! Or that Intuitive Health Lady and your new diet make all of this Clomid talk unnecessary.

      Reply
  2. question… is there a reason why clomid is preffered to femara in women with pcos? The difference in price does not seem like much, and femara seems a better drug on multiple fronts- why do women with PCOS keep getting saddled with clomid?

    Reply
    • Good question, Jay. I have heard positives and negatives about Clomid and Femara. What I think the issue with Femara might be (with some docs) is that it’s an “off label” drug that is really used in the treatment of breast cancer. I will discuss this further with my gyno, as a lot less side effects are reported with Femara. My main concern with Clomid is the fact that my uterine lining is so thin to begin with. I hear Clomid can thin it even more…

      Reply
      • Oops! I also forgot to mention another reason some docs don’t prescribe Femara–there is a small risk of birth defects if the drug is not completely out of your system when you become pregnant on Femara. Some docs don’t want to risk the liability.

  3. First, congratulations on your anniversary and the graduation!

    Now, on to IF…I second Jay’s comment…we were going to use clomid for our IUI’s, but my husband (who is less shy about asking questions) asked if there was a way we could lower the risk of twins. That’s how we ended up on femara/letrozole. My RE said that he doesn’t offer it first, because it’s an off-label use, but he does see a lower rate of twins and fewer side effects. I think in my own research I found something that says it stays in the body for a shorter length of time than clomid (on the order of days versus weeks or months, I think?). I don’t have PCOS though…maybe there’s something else going on that makes clomid preferable for people with a PCOS diagnosis.

    Finally, good luck!!! May will be here so soon!

    Reply
  4. Clomid made me a crazy woman, and I don’t just mean a little I’m kind of nuts crazy. I mean full tilt I’ll cut you one minute, cry while throwing things the next minute, curl up in a ball sobbing five minutes later. Clomid did not put me in my happy place. Wait until after your trip to start it! TRUST ME! And you might want to warn the hubs to strap on his body armor, and maybe the coworkers too, just in case. Granted, this is my experience, and the last thing I want to do is scare the hell out of you. I just want you to be forewarned. You are going to go on a solid month of star trek grade hormone rocket fuel. Do lots of deep breathing and hang in there.

    Reply
  5. Thanks for all of the comments and cheers! I will absolutely give Hubs fair warning before I take Clomid, as I am somewhat moody in general. And after reading about the joys of the hormonal roller coaster I could be in for, I will DEFINITELY wait until after the anniversary trip!

    Reply

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