PCOS Ovulation Issues: Follicle Not Rupturing - What To Do?

Question
Hi, i am from Saudi Arabia.I am having PCOS. i have got 3 cycles of clomid 50mg along with hcg shot 5000cc..but recently i got to know that even after having good size follicle and hcg shot, my follicle is not getting ruptured to release ova. Instead its getting shrink to nothing upto next cycle. What should i do...please help

Answer
Hello Isha from Saudi Arabia,

The only way to know if ovulation occurs is to do daily ultrasound examinations to see if the follicle disappears at the time of ovulation.  There is no other way.  Is that what you have been doing and how you know your follicle did not "rupture"?

In addition, if you really have PCOD, 50 mg of Clomid is not sufficient to induce ovuation.  Most PCOD patients will need 150-250 mg per day.  So if you ovulated on 50 mg, maybe you don't have PCOD?

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate