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please help! on clomid & no eggs I don't understand
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Michelle

I am on day 12 of my 1st clomid (100mg) cycle. I have always ovulated normally, I assume (7pregnancies in 8 months of trying). I went in for an ultrasound this morning and was told that I have no eggs in the right size and there was no point in another u/s in 2 days because they were so small. He said I would not ovulate this month and to call when AF came for a new higher Rx. I am so confuesd; how can he tell I won't ovulate at all? Can't I just be ovulating late this month? If I did TTC this month and happened to ovulate and succeed, would I be more likely to miscarry (that is my problem)? I am so confused; anyone with any ideas, please help!!!


Lena

How big were your follicles?



Michelle

There were about 5-6 on my right ovary (from what I could see) which were all under 1 centimeter. There were none on my left. He said they should have been over 1 c. minimum. His nurse said after he left that I should try not to get pregnant this month. It seems counterintuitive; I 'm trying to get pregnant, why not try this month?


Lena

Your follicle's size is more indicitive of non-ovulatory cysts as opposed to ovum-producing follicles. Bascially it just means that your 5-6 follicles don't have eggs.


Kerri

I'm not an expert...but I'll share my story. I took 50 mg of Clomid this cycle---went it on day 12 with only one follicle about 8mm on right side...went back again on day 15 to see if it grew and it had regressed so I had NO follicles mature just a whole bunch of little ones. We had to cancel the IUI--it was depressing. However--here's the good news. I'm now on cd 35 and I'm 4 dpo. My body didn't respond to Clomid within the "normal" time period, but I DID ovulate on cd 31. Judge by your cm--if it's watery or eggwhite use OPK to see if you get a +---that's what I kept doing and finally it turned +. Also track your BBT to confirm if there is a temp shift. If you do Ovulate later this cycle---ask your doctor for a P4 test(progesterone bloodwork done 7dpo) maybe the reason you're miscarrying is because of low progesterone. Hope this helps and good luck!



Michelle

Lena & Kerri, thank you both for your input. Kerri, progesterone injections are part of the plan. I was supposed to take an HCg shot sometime soon after yesterdays u/s then start progesterone daily injections until AF or 10-12 weeks. Yesterday my endometrium looked good but he said I wouldn't o. Last month I o'd (no clomid) but my endometrium was too thin. I can't win. I was wondering how he knew I wouldn't o at all instead of oing late like you. I've having some cramping today & yesterday that I don't understand. Lena, when you say cysts are you talking about the cysts they warn you about on clomid? Will I have to wait until they go away to try again? Do you think they will go away in a month's time? Sorry for all the questions. Thank you both again!


Michelle

Kerri, I forgot to ask, were you able to reschedule your IUI after you found you were about to ovulate?


Lena

Michelle, A cyst is simply a term to describe a fluid-filled, nonvascular sac. They can be simple or complex. For example, the follicles we produce each month to emit eggs are actually cysts, so really aren't always a scary thing. Clomid doesn't produce a particular type of cyst, say a "clomid cyst". Instead clomid merely encourages a cyst (or follicle to grow. This cyst could or could not contain an egg. With hyperstimulation there can be an increase of nonfollicular cyst on the ovary because of the very nature of hyperstimulation. Imagine an assembly line where the workers are asked to increase their productivity of placing chocolates into tiny paper cups. As the conveyor belt increases, the workers are bound to miss placing some chocolates into the paper. The same thing can happen to our ovaries. Clomid can also cause existing cysts to grow even larger. You have 5-6 10mm cysts right now, but if they don't reabsorb and you took more clomid, they could grow even bigger because clomid encourages them to do so. In a nutshell, at this stage of growth your cysts are not too large to be of a concern. Just a nuisance to your conception plans. hCG + progesterone is a standard procuedure for the treatment of cyst. The hCG your dr wants to administer should cause the cysts to regress. The progesterone will then be used to regulate your cycle to assist with your conception plans.



Michelle

Lena, my RE won't use the progesterone and hcg this cycle because the follicles are too small. Her never called them cysts, not that I doubt what you said. To be honest, I'm not really sure why I'm on clomid at all. I seem to ovulate normally (with the apparent exception of this month) and my cycles are always regular so that's not it. At one point he said that clomid can help prevent miscarriage, however, I read quite the opposite on-line. The hcg is intended to cause the egg to release which he feels will not happen this month even with hcg due to follicle size. The progesterone would then be used to support the hopeful pregnancy until the placenta kicks in at about 10-12 weeks. With out the aid of progesterone and hcg, will these cysts resolve? By the way, they were all significantly under 1 cm.


Kerri

No I could not reschedule the IUI---I got my + OPk on Saturday and Sunday....which worked out good for lots of bd. If we don't get preggo this time we for sure need IUI b/c we did everything right!


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