QuestionMy doctor just prescribed Clomid, however, I haven't ovulated in many months. Is it necessary to ovulate and start the Clomid only after getting a period (My doctor said on Days 5-9)? Will the Clomid still work if I take it without a period?
AnswerDear Heather,
Clomid essentially works to:
- induce ovulation
- correct irregular ovulation
- help increase egg production
- correct luteal phase deficiencies
Typically it is taken on days 5 to 9 of your cycle (or sometimes, on days 4-8 or 3-7). Numerous studies show that pregnancy usually occurs during the first three months of infertility therapy. Research suggests that if the medication doesn't work after 4 to 6 cycles, it probably won't be successful. However, those cycles can be repeated later adding injections of hCG (or an insulin sensitizer for women with PCOS) and still possibly be successful.
For Clomid to be effective, its use must be monitored closely and it must be taken on specific days of the cycle. It really is unlikely to do any good if it is taken at just any random time. Typically what often happens is that women will let the doctor know on the first day of her period. Patients will then have blood drawn for an E2 (Estradiol) level and FSH (Follicle Stimulating Hormone) level on Day 2, 3 or 4 of the period. Patients begin Clomid -100 mg per day on Day 5 of menses. This will be two tablets, 50mg each, which are taken together at the same time each day. Tablets are taken on cycle Days 5-9. The FSH level will then be repeated on Day 10 or 11. This lets them know if the Clomid is doing its job. Once successful ovulation is achieved, fertility is often restored. I suggest that sex should take place every other day from cycle days 11-21 to allow for any variation in the ovulation day and to allow your partner to build back up his sperm stores.
I hope that this has helped you and answered your question. I wish you well.
Brenda
