If you are given a trigger shot, be aware that a pregnancy test taken within a week afterward may register as positive, even if you're not pregnant. The test will just be picking up on the hormones given via the injection. Ovulation typically occurs 5 to 10 days after taking the last Clomid pill. If you took Clomid on days 5 through 9, ovulation is most likely to occur between days 12 and 17 of your cycle. Ovulation can, however, occur even later than 10 days after your last Clomid pill, so it's something to keep in mind.
If you were given a trigger shot, then ovulation will occur 24 to 36 hours after the injection. Unless your doctor tells you otherwise, you should begin having sex every other day or every day, starting three days after you take your last Clomid pill.
You should continue having sex until you've confirmed that ovulation occurred. You may get confirmation from a body basal temperature BBT chart or a progesterone blood test given on day 21 of the cycle. Are you doing an IUI cycle? Based on your ultrasounds and the timing of your trigger shot, your doctor will tell you when to come in for the IUI. In most cases, you can also have sex on your fertile days at home in addition to your IUI.
Think of it as extra credit! Both gynecologists and fertility specialists typically order a progesterone blood test sometime between days 19 and 21, though it may be given later if your doctor knows you have ovulated later than day 21 of your cycle. Progesterone is a hormone that rises after ovulation, and testing for it can confirm whether or not Clomid triggered ovulation. Another reason for testing progesterone levels is to ensure levels aren't too low.
If they are, your doctor may order a progesterone vaginal suppository as a supplement. The two-week wait begins after you ovulate and ends either with a positive pregnancy test or your period. This is probably the hardest part of the cycle to endure. All you can do is wait and see if the cycle worked. During the two-week wait , you may experience mild symptoms of ovarian hyperstimulation syndrome OHSS. The most common symptom of OHSS is bloating. A severe case is rare when taking Clomid, but it can occur.
Be sure to contact your doctor if your symptoms are severe or if you're concerned. Note : Some women confuse the bloating from the Clomid-stimulated ovaries as an early pregnancy symptom , when in fact it isn't.
Remember that some of the side effects of Clomid can mimic "pregnancy symptoms," and try to remember that feeling pregnant doesn't mean you are pregnant. Finally, the day you waited for all month: pregnancy test day. Your doctor may order a beta pregnancy test a blood test that measures the quantity of hCG in the middle of your two-week wait and at the end, or they may order blood work only at the end. It's also possible they will simply ask you to take an at-home pregnancy test sometime between days 28 and 35 of your cycle and instruct you to call if you get a positive result.
If the test is positive , congratulations! Your doctor will likely monitor the pregnancy for a few weeks to be sure everything is going smoothly, and to check if you've conceived twins or more. If you're feeling more nervous than excited, be reassured that it's normal. Pregnancy after infertility isn't always easy, especially emotionally. If your pregnancy test is negative , your doctor may wait and retest you again. It's possible the pregnancy hormone levels just aren't high enough yet.
If you get your period while waiting to test again, the cycle probably didn't work. Having an unsuccessful cycle can be upsetting, and it's common to feel defeated and lose some hope. Remember that you can try again and that sometimes treatment needs adjustments before you reach success. What happens after a failed Clomid cycle? Every case will be different, but here are some possibilities. Another cycle of Clomid at the same dose you just used. You just might need another try or two.
Remember that even people with good fertility rarely conceive the first cycle they try. The same could be said about Clomid or any fertility treatment.
If this happens to you, the dosage may be increased. Your doctor will probably keep trying higher dosage levels up until a certain point, after which other treatments might be considered. There are a variety of options if this happens to you, including switching to the drug letrozole or taking Clomid along with metformin.
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Clomid blocks estrogen production, and this stimulates your hypothalamus and pituitary glands to produce gonadotropin-releasing hormone GnRH , follicle stimulating hormone FSH and luteinizing hormone LH.
The presence of these hormones catalyzes the maturation of the egg follicles, increasing the chances of ovulation. Thus, Clomid is not an infertility treatment cure-all. Clomid does not increase your chances of pregnancy if you have infertility factors that are unrelated to ovulation, such as blocked tubes, uterine abnormalities, ovarian failure, pelvic lesions, certain male infertility factors, etc. One of the reasons doctors and their patients prefer Clomid is that it has reasonable success rates and minimal low-risk side effects.
Those who do have side effects report bloating, nausea or headaches. Blurred vision and hot flashes have also been reported. Very few women ever experience serious side effects from Clomid. Your physician or fertility specialist should closely monitor these cycles. Certain medical conditions may prohibit the use of Clomid. Clomid works by tricking the brain into thinking that your estrogen levels are unusually low. Since estrogen levels appear to be low, your body thinks there are no growing follicles; and responds by releasing hormone that signals your pituitary gland to produce more FSH follicle stimulating hormone and LH Luteinizing hormone.
The higher levels of FSH stimulate the ovaries, and the higher levels of LH eventually trigger ovulation. As the follicles on the ovaries grow, they release estrogen. The increase in estrogen signals the brain to slow down the production of FSH, which in turn slows down the stimulation of the ovaries. Clomid should not be used for more than six cycles in your life due to the slightly increased risk of ovarian cancer if used for more than 12 cycles.
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.
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