New cycle, new regime: clomid (clomid?)

August 26, 2009

I started bleeding yesterday. Goodbye and good riddance to the 45-Day Cycle of Doom.  But it is technically “breakthrough bleeding” and not a period, as I never ovulated.

I have some new information and a new regime for this cycle. My doctor did finally call me last week, and again today — praise be!

Before I tell you what he actually said I want you to picture the ridiculous scene in which his call took place last week: He called in the evening, while my office was in the throes of a large beer-tasting party. Because, errr,  that is just the kind of place I work. There were people all around me, loudly drinking beer and playing music from their computers. I grabbed my cell phone and ran into the next room, which was empty and silent.  But at once point in the conversation, I had to run back to my desk to get the fax number for the lab for bloodwork … causing a surge in background noise. My doctor asked, “Umm, where do you work?”

Ah, journalism.

Anyway, back to my cycle. Last month I had blood drawn on day 25 (the day I imagined would be p7, if I had actually ovulated … which I did not do) and day 41, the day after talking to my doctor. He also ordered bloodwork to check my thyroid levels (what does that mean, anyway?) and said they were normal. Estrogen was also normal. But in both cases my progesterone — you remember that progesterone which last March was astronomically high?  — was almost nonexistent. It was 0.6, four days before my period started. Thus, I did not ever ovulate.

So, it appears the estradiol supplementation did not work. A direct quote from my doctor: “Your body still is screwing up on it.” So he said it is time to try “the old-fashioned way.” Clomid.

It is funny that this is what we’ve come to: clomid. I have mixed feelings about it. I was very anti-clomid a year ago, mostly because it seemed like the thoughtless response of many ob-gyns who don’t want to take the time to figure out what is really going on. When I saw my previous gyn last year, she told me to keep trying for a few more months, then come back for clomid and a reference to an infertility specialist. I cried, as I am wont to do. And I never went back. At the time I thought, “I don’t want to go to some doctor who will prescribe clomid and IVF without even trying to figure out what is happening. I don’t need clomid; I am ovulating.” (well, I *was* ovulating, or at least seemed to be)

With the assistance of some of you wonderful bloggers, I found my nice Fairfax-based NFP-loving Catholic doctor. He wanted to figure out what was (or was not) going on in my body. But after eight months of various tests and lots of waiting, now we are going to try … clomid! Ha!

I guess this is all part of the learning process.

I am glad to try something new, but I am rather nervous about clomid — haven’t others experienced unpleasant hormonal side-effects? I am unstable enough as it is.  I am supposed to start clomid tomorrow and take it through Monday. We leave on Sunday for a weeklong vacation in Spain. I would prefer not to be insane while I am there. Any advice?

UPDATE: The call with my doctor happened at 11 a.m. He indicated the pharmacy would be getting the prescription immediately. As of 4 p.m., there is no prescription at the pharmacy. I called the doctor’s office, they told me to leave a message in a voicemail that says they’ll get back to you within 48 hours. Did I mention I am supposed to start this tomorrow? Oh, sigh!



  1. Yes, a lot of people have bad effects on clomid so I think it is best to take it at night before you go to bed. You may have none – I have never had any problems on it at all. I’m still anti-clomid w/ general ob/gyns if they aren’t monitoring you and I agree, they seem to go to it without trying to figure out what is wrong with you. It sounds like you have a great Dr. (I wish there was one like that around me).

    So, no real suggestions but to take cl.omid during pm. Sounds like a GREAT vacation you’ve got planned! Have fun!

  2. No clomid suggestions. The only side effect I had in three rounds of clomid was ovary tenderness, and there’s nothing to be done about that except grin and bear it. I’m glad to hear that your uncycle ended and I hope your vacation is fun.

  3. Spain huh? Wonderful…I hope you have a relaxing and safe trip! Clo.mid was not good to me. It made my uterin.e linin.g thin. The nurse pract didn’t think I should take it again. I did take it at night for it made me tired and I got hot flashes and night sweats. I’m still having those symptoms. I hope that all ends when a new cycle begins. However…others haven’t had any issues…so you’ll never know unless you try it. It works for a lot of people….so go for it and hope for the best. Good luck and again…enjoy your trip!! 🙂

  4. Glad to hear that you have a new cycle and a new plan – even though it’s clomid! This journey of IF is so crazy. I hope this is what will work for you! I’m looking forward to meeting you on Saturday… I can’t believe you’re leaving on Sunday for Spain – wow!

  5. found you through “ALl you Who Hope”….
    isn’t the “cycle” of infertility so weird?! I totally second your opinion when you said ““I don’t want to go to some doctor who will prescribe clomid and IVF without even trying to figure out what is happening. ”
    glad you found a good doc!

    I had a similar experience–recommended to see a NFP doc when I was charting before marriage b/c I was “wacky” with my cycles. Never did. 6 years later, 1 pregnancy, and secondary infertility, and have moved across the country and back, and just last week–finally saw that NFP doc! 🙂

    I’m adding you to my Google reader. 🙂

  6. You’re being a lot more patient about all this than I would. I am occasionally snotty to the doctor’s office on the phone when they are ignoring me…that’s probably why they gave me the “abdominal pain” pills instead of the “fertility increasing” pills last time.

    I’m not sure clomid is so terrible – my understanding is that it’s worse than tamoxifen in the sense of a higher risk of twins (I don’t understand why this is considered to be a problem), and a higher rate of ruining your CM. But you see as my case demonstrates…tamoxifen was plenty bad enough. If your fsh levels are normal, clomid should help!

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