QuestionI was started on Provera after my cycle being a month late. I started spotting 3 days after my last pill. I was then told to start Clomid on days 5-9 at the first sign of bleeding. I started to spot, and called my doctor who said to consider the spotting CD1. I started the Clomid on the 5th day of spotting. Two days after I finished my last Clomid pill, I had my full flow start that lasted 6 days, so basically my doctor had me take the Clomid when I was spotting only and to our surprise my cycle started after I finished the Clomid. What are the odds that I will ovulate with this round of Clomid since my cycle days were misscaculated?
AnswerHello Courtney from the U.S.,
I am sorry for the delay in this answer. I left to go to a meeting, and although I completed all the questions before I left, but apparently some were posted after I left. I did not have access to email at my meeting.
I know that time has passed since your question, but this cycle is probably out. The ovary sets up for ovulation within the first 5 days of the cycle. Most than likely, the spotting was not the beginning of the cycle, but the flow was. I advise my patients to start counting from the first day of flow. In order for Clomid to work to enhance your ovulation, it has to be started within that 5 day period. Otherwise, your natural system will take over and control the ovarian function.
I hope that answered your question.
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
