QuestionHi,
I am currently taking provera i am on day 9 and still haven't had my period, my doctor said if by day 13 still no period to start my clomid on day 13 does this sound right?
AnswerHello Caroline from the U.S.,
No. . . You must stop the provera to have a period, so take it up to day #10 then stop. Your period should then start within 7 days of the last pill. If you don't have a period after 7 days, your doctor needs to run a pregnancy test to make sure you are NOT pregnancy (which can happen and has happened many times#. If the test is negative, then you can take the birth control pill #any one will do#, 1 tablet three times per day for 7 days, which should then start a period. If you haven't done so, before starting the birth control pill, your hormones should be checked to make sure there are no other reasons why you are not having periods, such as thyroid problems, pituitary problems or hypothalamic problems.
Then once you have a period, you are ready to start the Clomid. Clomid should not be dispensed as just a prescription to be taken like tylenol or cold medicine. Clomid cycles need to be monitored. The appropriate method is to do a baseline ultrasound to make sure that you don't have a 2cm or greater ovarian cyst. These cysts can prevent onset of the period as well, and will inhibit the clomid from working properly. In fact, the Clomid will make the cyst worst. Then one week later, you should have serial ultrasounds to see if #1# you are responding to that particular dose of Clomid #clomid doses range from 50 mg to 250 mg#, #2# how many follicles are growing #each follicle usually has an egg#, and #3# when it is time to trigger ovulation with an HCG injection. That then determines when you should have intercourse #the following four consecutive days, once per day, one ejaculation per day). That is how a proper Clomid cycle is done.
If your doctor does not do it this way, then you are seeing the wrong doctor. Seek out a specialist in infertility to be treated correctly.
Have a Happy Thanksgiving,
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 facebook and twitter with me at @montereybayivf
