How can clomid affect your period
You will not have a period, and should visit our office for a pregnancy test. The dosage of clomid may fail to induce ovulation. In this case, you will not have a period, and will have a negative pregnancy test. We will most likely increase the dosage of the medication at this point.
If your period does start, then repeat the cycle with clomid again. Mark the days on your calendar with the instructions below to ensure that you are following them correctly.
If you have a period on days after taking clomid, then the medicine is working correctly. You should continue taking the medication and have intercourse at the time of ovulation. If you fail to have a period, but your pregnancy test is negative, you are not pregnant. We will induce a period with medication. This is only a temporary effect while on the medication. Clomid cycles on the average are a few days longer than the average menstrual cycle length in the same woman without Clomid.
Ovulation is usually about 14 days prior to the start of the next menstrual period. There are many variables involved in a fertility situation. Some important factors involved in guessing the chance for Clomid being effective include:. An excellent study published in reviewed results from 45 other published studies of fertility treatments for unexplained infertility. As a brief summary of this study, they found:. Some couples will choose to do injectables and insemination before IVF and others will go straight from Clomid plus insemination treatments to IVF.
IUIs vs. Ovarian hyperstimulation syndrome, or OHSS, is a condition with enlarged ovaries and fluid build up. Ovarian hyperstimulation syndrome, OHSS, is a complication that can occur with in vitro fertilization The. Patient Resource Center. Patient Portal. Request a Consult. Fertility Care. What is the protocol for taking Clomid? Clomid and artificial insemination, IUI Infertility specialist clinics will often add intrauterine insemination to clomiphene cycles in order to increase the chance for pregnancy Insemination is particularly beneficial for women that already ovulate on their own and are using Clomid to get extra egg production Success rates with inseminations -IUI.
At a higher dose, Clomid can induce the ovary to mature multiple eggs in a single menstrual cycle. During such superovulation, a woman can ovulate multiple eggs compared to only a single egg during a natural period. Higher doses of Clomiphene should only be taken when monitored by ultrasound and might cause some side effects. During superovulation, the chance of multiples typically twins but rarely triplets goes up.
Unfortunately, many general practitioners do not perform ovarian ultrasound monitoring and only prescribe Clomiphene at a very low and inefficient 50 mg dose! A quite common side effect is the thinning of the endometrial lining during therapy. This can become a problem once the embryo is ready to attach to the endometrial lining. Therefore, it is essential to monitor Clomid cycles with ultrasound and measure the endometrial thickness. If the endometrial lining is found to be thinned out, we recommend avoiding this treatment.
In some cases, additional vaginal estradiol can help restore the endometrial thickness. Switching to an alternative follicle-stimulating medication might alleviate this side effect. We frequently see women given low doses of Clomiphene citrate that do not induce the growth of multiple eggs but thin out the endometrial stripe.
In such cases, the woman is actually worse off than in a natural menstrual cycle. She did not gain any additional eggs and has only thinned out the endometrial lining. Patients not monitored with an ultrasound might be unaware of this side effect. Therefore, every serious fertility expert will always perform a transvaginal ultrasound in a Clomid cycle. We always want to document how many follicles developed and the endometrial thickness.
Common Clomid side effects include hot flashes, headache, blurry vision, mood swings, and can induce a change in cervical mucus. Clomiphene works directly on the pituitary gland and also affects many tissues with estrogen receptors. This is in contrast to injectable gonadotropins like Gonal-F that targets primarily just the ovary. Therefore many patients will notice changes in their body during the Clomid cycle.
Fortunately, none of these is a long-lasting side effect, and there are no long-term effects. While some concern was raised regarding ovarian cancer, there is no conclusive evidence that considerate use of Clomifen increases the risk.
Rarely, a patient can develop ovarian hyperstimulation syndrome OHSS. Such a condition needs immediate medical attention and is considered a severe side effect. Usually, these patients have high AMH levels.
Another side effect is ovarian cysts that can occur weeks after treatment! The cysts are often discovered once we see the patient for another treatment cycle start or in cases of pelvic pain. The reason behind this is that Clomiphene may remain active in the woman's body for several weeks.
The ovaries may continue to stimulate, increasing the occurrence of ovarian cysts. We sometimes see extreme responses , and we have had patients develop too many eggs - as high seven or eight eggs! Some patients develop the hyperstimulation syndrome and ovarian enlargement and need immediate care by a fertility specialist.
While higher-order multiples are rare, patients have conceived triplets using Clomifene alone. Fortunately, the majority of patients develop follicles with the right dose.
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