New to Provera and Clomid... Questions! - Mothering Forums

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#1 of 18 Old 11-28-2006, 07:22 PM - Thread Starter
 
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Hi! I just got my labs and ultrasound results back and the doctor wants me to begin taking Provera to induce menstruation and Clomid to induce ovulation. My labs were all normal, but my estradiol levels were low enough that she doesn't think I'm ovulating (49 on CD 19... my cycles have been 36+ days so that would have been shortly before ovulation). Here are my questions:

1. Does the Provera make you get AF after you stop taking it? I'm supposed to take it for 5 days... when should I expect AF?

2. Do you know if 10mg once a day for 5 days is a common dosage of Provera?

3. Would you recommend that I stick it out a few days longer and hope AF shows on her own without the Provera or should I jump right into the Provera? My doc said I could do either and I'm not sure!

4. I'm supposed to take Clomid on CD 3-7 (50 mg)... what day is it safe to begin testing for ovulation? I don't think I've actually ovulated in 6 months or more, so I have no way to guage when a 'normal' ovulation would occur for me.

5. I read that you shouldn't take vitex/chasteberry while taking Clomid, so I'll stop taking that, but is it ok to continue with B6/B complex?

Thanks in advance!!
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#2 of 18 Old 11-28-2006, 07:39 PM
 
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I don't have any experience with provera, but I'm currently taking clomid. I start testing around cd10 or so. I usually o late or not at all, so the first cycle (on 50mg) I started testing around cd10, but wasn't consistent until i also had fertile cm. I ended up o'd on cd26 or 27, which would have a meant alot of tests! This cycle I'm on 100mg, and I almost didn't test in time. I o'd cd15, which caught me completely by surprise (don't think we bd'd enough, especially since I was sick!).

I take extra B6/B complex and extra folic acid. I also drink decaf green tea to help increase the fertile cm. I've also started doing "light therapy" to help regulate cycles, though I don't know if it's working or not. Apparently we have too much extra light at night, which can really through our rhythms off. The idea is to sleep in cave-like darkness all month, then on cd13-17 sleep with either a hall/bathroom light shining in the room or dim lamp...to simulate moonlight. Dh isn't too crazy about it, and getting rid of the glow from electronic devices (alarm clocks, light on the smoke alarm, etc.) has proved kind of tricky!

Good luck! I hope everything works out for you!
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#3 of 18 Old 11-30-2006, 12:23 AM - Thread Starter
 
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Do most people try more than one cycle at 50mg Clomid before moving up to 100mg? The reason I ask is that my gyn didn't tell me how long to try... she just gave me a prescription for 50mg with 5 refills. Seems to me that I should go back and ask her for 100mg if it doesn't work after 2 tries.
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#4 of 18 Old 11-30-2006, 01:26 AM
 
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Originally Posted by ElektrykEye View Post
Do most people try more than one cycle at 50mg Clomid before moving up to 100mg? The reason I ask is that my gyn didn't tell me how long to try... she just gave me a prescription for 50mg with 5 refills. Seems to me that I should go back and ask her for 100mg if it doesn't work after 2 tries.
Hmmm. My dr would only give me one month at a time, and I am to check back in on cd1 to see whether to stay at that dose or go up. I would monitor your ovulation with opks, and see when you ovulate. If you o close to cd14, then 50mg is probably good for you (at least as far as I know). If you don't o until much later, or at all, then I would ask for a stronger dose for the very next cycle.
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#5 of 18 Old 11-30-2006, 03:20 AM - Thread Starter
 
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Yeah, she told me to use my ovulation monitor to make sure I ovulate this month. Now I just need to decide whether I should start the Provera or wait and see if I get AF on my own. I hate to add Provera to the mix unless it's necessary. I wonder if the Provera would improve my lining and thus, increase the probability of me becoming pregnant this cycle.
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#6 of 18 Old 11-30-2006, 03:37 AM
 
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Oh honey, I am RIGHT with you!!!! I did not ovulate for over a year!!!! I took Provera on several occassions at the same dose you will be taking. 5 days is plenty long!!! You can expect AF anywhere from the day after the last pill to 3 weeks later....I ALWAYS got it the next day, but docs say it's normal for up to 3 weeks. I also just finished my first round of Clomid. (still waiting to see if it worked or not ) I did CD 4-8, but same difference....I began testing on CD10 using OPKs because they are not expensive at all ($15 for 7) and I didn;t want to chance missing it! I ended up Oing on CD12 so it's a good thing I started testing early!! I personally would start the Provera NOW, don't wait. I waited and waited and waited and ended up with a 100 day cycle by the time I took Provera the first time!!! Crazy I know! Gl to you, and keep us posted!!

ETA: My GYN also gave me refills....3 refills, but each fill is 3 months worth, so 9 months worth of CLomid.
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#7 of 18 Old 11-30-2006, 02:04 PM - Thread Starter
 
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Well, I started the provera today... hoping and praying AF will arrive the day after I stop taking it so I can be on the road to trying again!!! I really hope clomid works for me. I can't afford $10,000+ per cycle for IVF and if this doesn't work, I'll have to give up for now :
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#8 of 18 Old 11-30-2006, 08:01 PM
 
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Hi ElektrykEye, I'm just starting the provera and clomid business and wanted to let you know that it took me eleven days to get my period. They were eleven very depressing days because I thought it should've worked sooner. Fingers crossed that you don't have to wait too long.
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#9 of 18 Old 12-01-2006, 01:51 AM - Thread Starter
 
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Ugh I hope it doesn't take 11 days!!! I think I would have started within a week or so on my own, but I didn't want to take the chance as occasionally I miss altogether. I hope the provera doesn't screw me up!
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#10 of 18 Old 12-01-2006, 10:00 PM
 
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Ummmm I think I would be a bit nervous taking month after month of clomid without my MD overseeing it. After 4 or 5 cycles you may start thinning your lineing (sp?). I know that I only get it 1 cycle at a time, and have to call each month to get another one, so they are supervising how things are going. this also helps with what Kristen is saying, if you don't O soon enough they need to up your dose. Some people here are working with and RE, and won't work with a regular gyn. I have a fertility nurse specialist that I work with, who goes through the gyn, but has specialized training in fertility.

Are they having you take the clomid challenge test? If not I'd ask my dr. why not. It tests to see if clomid can really stimulate your follicles. What's the point of taking this hormone if it's not doing anything? Just a thought.

Good luck with this drug, it's a roller coaster!
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#11 of 18 Old 12-01-2006, 10:35 PM - Thread Starter
 
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I definitely think it would be best to see an RE. However, my insurance doesn't cover treatment for infertility, so I feel lucky that my gyn is willing to treat me for this (while billing insurance for a hormone imbalance and PMS). I plan to go back to her after two months at 50mg if it doesn't make me ovulate. If that happens, I'll request a month or two at 100mg before giving up for a while. I recently had an ultrasound and lab work to make sure that I don't have any physical problems, so I don't feel that it's dangerous to try this for a few months. If I have any serious symptoms, I'll go back and see her before that time is up... she's really good about seeing me on short notice.

I guess the bottom line for me is that I would rather try this for a few months than just accept not having a baby at all right now.
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#12 of 18 Old 12-01-2006, 10:36 PM - Thread Starter
 
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Oh, and I meant to ask... does everyone have major hormonal mood issues on this drug??? I'm hoping to not have any side effects!
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#13 of 18 Old 12-02-2006, 02:35 AM
 
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Oh, and I meant to ask... does everyone have major hormonal mood issues on this drug??? I'm hoping to not have any side effects!
Provera=nothing!
Clomid=hot flashes, mood swings like crazy!!!!, and less fertile fluid...I recommend taking flax seed oil or something natural like that to increase CM..
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#14 of 18 Old 12-02-2006, 01:48 PM - Thread Starter
 
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I already warned my family about possible mood swings on the Clomid... they said "well then don't call me!" I don't blame them... I wouldn't wanna deal with me either. I'm just hoping the moods won't be too bad! Afterall, this is a major holiday month.

I am taking flax seed oil twice a day... maybe I should bump it up to three times a day between AF and ovulation. I'll be taking robitussin as well. I also bought some pre-seed as extra insurance!
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#15 of 18 Old 12-03-2006, 09:21 PM
 
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Another thing to be aware of with Clomid is the possibility that you'll do too well on it. I ended up with 5 quite large follicles, and from what I've seen, they'd prefer 4 or fewer, and smaller than the largest I had (33mm). I was getting an IUI, so I had a mid-cycle scan (ultrasound) to see how I was responding. Also, I didn't ovulate on my own, and ended up having to get a trigger shot. It was pretty clear to me that something was going on because my ovaries were becoming quite tender, especially when I had a full bladder. If that happens, or if you don't ovulate when you expect to, get in to see your gyn so she can get an ultrasound to make sure you are not getting ovarian hyperstimulation syndrome.

Good luck!
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#16 of 18 Old 12-04-2006, 01:07 AM - Thread Starter
 
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Thanks for the warning... I will definitely stay alert to any new symptoms. I wonder if a regular gyn can/will give a trigger shot if needed or if that's something only RE's do. I also wonder how much the shot itself would cost... hmmm... anyone know? If a person responds too well to the medication, does that mean they end up with a multiple birth or does it backfire and not result in any viable eggs being released?
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#17 of 18 Old 12-04-2006, 05:19 PM
 
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The shot cost me $75 from the R/E, and I've no insurance so that's retail. The concern with larger/many eggs is twofold, I believe. One, that the follicles will not subside on their own, or that too many will rupture (most non-medicated cycles, only one erupts), and the release of whatever is in them into your abdominal cavity in large quantities can be problematic. Two is that you have a higher incidence of high-order multiuples--more than twins--with that many follicles. Some women apparently are told they cannot do IUI once they get their scan because they have too many follicles. Those who are open to it can switch to IVF those cycles, cause for that, many follicles is good. Fortunately for my anxiety levels, I didn't know that until after I got the go-ahead for my triggered IUI, since I am not planning to do IVF.
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#18 of 18 Old 12-07-2006, 04:21 PM - Thread Starter
 
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Good news.. AF arrived today (3 days after my last pill)!!! I'll admit that I have never been so excited to see AF! Now on to Clomid (in a couple of days)!
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