Clomid Dosage, need advice! WWYD?

[lusterleaf]

So I have always been on 50mg of Clomid CD3-7, for all of my IUI cycles and I respond well, usually making 3-4 follicles. Well I went in today to start a new cycle and the doctor that I normally see & trust, was not there today, so I had to meet with another (rather unfriendly) doctor. She noticed that on my chart, on my last IUI cycle I had 6 mature follicles, ranging from 17-20mm. I was surprised, because I was not informed of this..I am surprised they let me go through with the cycle because of the risk of multiples. The day of my IUI, the doctor doing the procedure told me 3, maybe 4 mature follies... I did not end up pregnant from that IUI. But, based on the 6 follicles from last time, this doctor now wants me to cut back on the dosage, taking 1/2 of a 50 mg pill on CD 3, 5, and 7 and 1 full 50mg pill on CD4 and 6. Here's where I need your advice... I don't know what I should do. Since this wasn't my normal doctor that I trust, do I follow the new doctor's instructions, and take the reduced dosage, or just take what I have been normally been taking, 1 50mg pill/day?

 

[lanet]

Wow that's tough. I would love to have more follies! I only produced 1 on my iui cycle. I would be hesitant esp if your regular dr said you only had 3-4. I would probably double check. 50mg is a low dose, but you don't want 6 follies! My dr would've cancelled the cycle.

 

[hopster]

I would follow the doctor's advice. Think quality, not quantity. Some doctor's do not just have a personable personality or maybe it was an off day for her/him.

I think age and plays a factor when deciding to go ahead with IUI when lots of mature follies are there. The older you are, the more likely not all the eggs will be good enough to fertilize, so lower risk of multiples.

Good luck, whatever you decide.

 

[lusterleaf]

Thanks ladies. That's what doesn't make sense- in my last IUI cycle absolutely no one made any mention that I had 6 mature follies, and went ahead and let me trigger and have the IUI. I still had a BFN but I would have thought that most dr's would say its too risky. I was extremely bloated/crampy after I triggered and now I know why. I did see since my chart was right in front of me that yes, they had wrote down I had 3 on my right, 3 on my left. 3 were around 17mm, I am not sure if that is considered immature?

I decided to make my own call, sort of. This doctor wanted me to take 25mg on 3 days and 50mg on 2 days, but I have decided to do the opposite, and take 50mg on 3 days and 25mg on 2 days, being that all the other times I was on 50mg x 5 days I made 3-4 follies, could have been a fluke or one time thing..... I guess I will see what happens next week.

 

[hopster]

I would like to think your doc would mention if the risk for multiples was high. Mine did and they even documented it. I was triggered at 18/19 and there was a 16 that "might catch up". I did not have monitoring when on clomid (only on gonal-f), so knows how many potentials there were?? Anyways, your plan sounds good, hope all goes well.

 

[Ariannda]

You have to understand how clomid works in relation to follicles and how they mature. Clomid earlier int he cycle produces more follicles, clomid later int he cycle produces less but more mature follicles. you should listen to the dr so you have a chance of having more than one mature follicle