anovulatory cycles

[BarefootGirl]

I'm not sure if this is the right place for this...

I'm TTC and am currenly having what I think is an anovulatory cycle. I'm on CD 35 and my temps have been all over the place. I have had a few anovulatory cycles in the past. I'm not sure how many, since I haven't been charting long, but at least 4 in the past year and a half.

I took Clomid for 2 cycles and O'ed by did not conceive and then took this cycle and haven't O'ed. Is there any way to speed along AF so I can get back in the game for next cycle?

Also, I am going to the doctor tomorrow for discussion. I don't know if they will be increasing my Clomid dose, switching me to something else, or having me take a few cycles off. Any opinions? I want to be able to do my own research and make an informed decision without blindly accepting my doc's advice.

[Sasha299]

Well, I'll give you my take which may overwhelm you.
1. Have you had a HSG or Sonohysterogram done? Those tell you if your fallopian tubes are blocked or if you have any structural anomalies such as septums.

2. Have they done Day 3 blood work followed by post ovulatory around cd 14 blood work to verify that you are ovulating?

3. Are you being monitored - CD 3 transvaginal ultrasound to find out how many follicles you have (call this your antral follicles - they are the ones that will grow and if you ovulate they will be the ones you want to watch)?

If you have answered yes to the above its time to move on to trigger - this is giving you an HCG injection when your follicles are at the correct size. This forces your body to ovulate. Usually though, when the trigger is involved you are required to do more monitoring to ensure that you do not have too many large follicles (this leads to multiple pregnancies) and that they are the correct sizes to trigger (so small and eggs are not mature and too large and they are overdone)

Usually it goes this way
1. clomid/femara cycles - Femara usually causes 1 egg to be released while Clomid allows release of multiple eggs.
2. clomid/femara cycles with HCG trigger (with or without IUI) IUI = interuterine insemination
3. Follistim/gonal-F etc cycles with HCG trigger (usually with IUI)
4. IVF cycles


If you need more information - let me know

[BarefootGirl]

Sasha,

Thanks for responding. I had some basic bloodwork done before starting the Clomid to check my thyroid, hormone levels, etc and they said everything was normal. I haven't had any additional testing done yet, but am seeing my doc tomorrow.

Based on what little charting I have done, I am ovulating sometimes on my own and twice on Clomid. But I've only charted a few months, so I don't know if I'm ovulating more or less often than not.

Thanks for the info so that I know what may be suggested when I see my doc tomorrow. If they want me to try the Clomid again, I will tell them I'd like to be monitored if they do not suggest it up front.