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Yesterday, I had a consult with new fertility clinic. The doc wants me on Clomid, but I don't want to do Clomid, I want to do injectables because I've done two Clomid cycles in the past, and one I had cysts and a thinned endometrium and the other I had a thinned endometrium, and both times my CM was a mess, and I didn't conceive on either cycle. And when I say "thinned" I mean very thin, like 7 mm thin. (I was told ideal was 18mm+, and anything less than 10 is considered thin.)

So, my question - is there anything they can do to prevent Clomid from thinning the endometrium, is this something that may have changed in the 2+ years since I've had Clomid, or is this a situation that's likely to recur, thus making me a bad candidate for Clomid again?

Also, does anyone have any tips on negotiating treatment protocols with the clinic? Should I try to switch doctors? I had a terrible "click" with this doctor, and there are other doctors in the clinic, but no other clinics in our area.

I am quite interested in getting ultrasound and bloodwork cycle monitoring, and a trigger shot, and an ultrasound to figure what's going on this cycle (today is CD 22, no sign of ovulation), but none of these things were offered to me. In fact, I was quite surprised she didn't want to do an u/s yesterday to find out if I have any follicles, and I was suprised that she didn't offer me Provera to end this seemingly fruitless annovulatory cycle. (I would have declined Provera without an ultrasound to check for follicles, but I am suprised she didn't suggest it.)

I've been sent home to wait for CD 3 (without any of the usual niceties like - unless you get pregnant this cycle, maybe you won't need us, or anything hopeful like that) so I'm feeling a little discouraged since CD 3 is presumably anywhere from two weeks to three months or even (best case scenario) 9 months away.