it's not typical to get ohss from clomid alone, but it can happen because you do have lh. in almost every case, it is in women with gonadotropin therapy also in one form or another- usually a trigger shot, sometimes pergonal, i dont know what other ones they use. you can absolutely o follies on your own without a trigger, and be ok or have mild ohss. but if you have lots of follies, a responsible hcp will not trigger you because of the risk of severe ohss, which is nothing to fool with. it's also worse if you get pg that cycle, because the normal hcg exacerbates it too, in the same way the trigger hcg does, because it's all the same chemical- if your ovaries are overstimulated, the degree of ohss you are at risk for is related to how much lh you have or hcg- and that is made higher with a trigger, or if you get pg, than just a natural lh surge. bad ohss can put you in the hospital for a week, or worse, and a lot of very bad things can happen. this isn't common to have it that bad, but that's what can happen even when you are under the close monitoring of an RE! maybe since the ovaries aren't overstimed to begin with, hcg around o wouldnt be any problem. maybe if you are doing soy it would? i am only brainstorming here, because i do not want to see anyone get hurt, that's all. but risks of ohss aside, that still doesnt help me understand how hcg diet drops might help with ttc. i dont know anything about those drops. the only thing maybe i can think of is the supposed increased fertility post m/c, if it comes from something having to do with having that hcg in your system in the previous cycles?