Clomid and Early Pregnancy: What to Expect After Treatment

Question
hi Brenda,
i would like to thank you for your answer;i have a follow up question though, so you mean i dont have to be alarmed about the clomid also? i am so worried ....thanks in advance for your answer.
heres your answer:
Dear Layf,

If the ultrasound on 3/3 determined you were at 5 weeks gestation, that would calculate back to approximately a 2/11 conception date. (All pregnancy dating is based on LMP, which is assumed to be two weeks before the conception date) So, the Provera and the Clomid would be the only medications which were taken after 2/11.

The Provera would not be anything to be alarmed about. Many doctors are prescribing Provera (synthetic progesterone) for pregnant women whose progesterone levels are lower than we would like anyway in an attempt to maintain the pregnancy.

Because it would be essentially unnecessary to give Clomid to pregnant women, the use of Clomid in pregnant women has never been studied in a clinical trial. However, based on animal studies, we know about the problems that Clomid may potentially cause. Therefore, Clomid is not recommended to be given during pregnancy because of its risk of birth defects.

However, there is a fairly common theory amongst health care providers called the "all-or-nothing phenomenon". Essentially this refers to a window of time in the first 2-3 weeks after conception when there is none of the crucial fetal development going on. During this window, if the new fetus is exposed to anything which will prove to be "defective", the strong likelihood is that it will spontaneously abort. However, in most cases, this window allows for great latitude. My personal suspicion is it was a nature-made, divine protection since most women will not know they are pregnant for at least 2-3 weeks after conception has occurred.

I hope this has helped you and answered your question. I wish you well.

Brenda  

Answer
Dear Layf,

Essentially the theory means that... if you take or are exposed to something that will cause a serious defect or harm to the baby within those first 2-3 weeks, most all will miscarry naturally. However, that 2-3 weeks period does seem to provide some type of natural protection against danger. So... if the Clomid were going to cause harm, more than likely you will miscarry. However, if your pregnancy proceeds appropriately and everything goes as expected, you should probably rest easy.

Hope that helps. Be well!

Brenda