Why do women get scanned when on clomid and some dont??

[beauty]

Hey ladies,

I am at my appointment with gyno tomoz after have my internal scan which showed pcos.. My gyno mentioned last appointment that she MAY offer me clomid and metroformin to help with TTC due to my long cycles.

I was just reading tho on here alot of ladies have scans to ensure the clomid is working and making them ovulate as well as sometimes having a HGC injection to ensure ovulation takes place within so many hours when the follicales are a certain size..

Well what i am asking is do i mention this to my gyno that i would like these scans to be done if clomid is given to me?? Only I dont want to be given clomid and then not know if it actually working or not..

I am from Manchester and know that certain NHS rules are different throughout the UK, therefore does it matter if i ask or just mention these scans to her? Or is there anyone else from the Manchester area who is taking clomid and having these scans and HGC injection to ensure ovulation??

Sorry ladies just want to make sure like we all do that we get what we can and ensure the medication we are taking is doing what it should be doing.. Only i know a few ladies on here that are taking clomid but dont get scanned or any further tests when taking it..

Help and advise would be much appreciated..I suppose if i have to ask i will but i would like to know what i am asking for etc to ensure i get the best chance of getting that

xx

 

[beauty]

Anyone?? Appointment tomoz would prefer some adivce please?
x

 

[Wshng4Baby]

Well, I don't live near you.... quite far away actually (Florida ) but I am starting Clomid with my next cycle and I am getting a scan done on CD 21... not sure why though. I don't think getting a scan is necessary. I believe they can draw blood at some point and tell you if you have ovulated, so if anything, I would ask your doctor if she is planning to monitor you for ovulation in anyway because you are concerned about taking a medicine and not knowing if it works. However, given that so many women get their BFPs with the first cycle of Clomid it might be worth waiting to see what happens with your first round. You might get your BFP and not have to worry about monitoring!! If it doesn't work the first round and you don't get a period, I would definitely inquire about scans and blood work for the next round. Every doctor is different... some more aggressive with treatments than others. I am not sure how your health care system works there, but you could always go to another doctor that is more aggressive if that is an option (ask around on here, I am sure someone can make a suggestion for an aggressive doctor).

Good luck!

 

[Emmie29]

Hi

I'm in Suffolk and treated at Ipswich Hospital and I'm currently on Clomid. The tablets were given to me by the consultant with an information leaflet. The leaflet provided info on when I should take the tablets as well as a number that I must call on day 2 of my period to set a date to have a scan done. I've just had a second batch of clomid which they upped to 3 tabs a day. A scan was done 12 days later and lucky enough this time I had what looked like two suitable eggs. I had the HCG injection and are currently counting the days done till the 19th which is when I can pregnancy test.

For reference I also suffer with PCOS and currently take Metformin too.

So after yabbering on basically it seems to be taken as red at Ipswich Hospital that if you're on clomid you'll be scanned.

I hope this helps, keep me posted.

M

xxx

 

[beauty]

Well, I don't live near you.... quite far away actually (Florida ) but I am starting Clomid with my next cycle and I am getting a scan done on CD 21... not sure why though. I don't think getting a scan is necessary. I believe they can draw blood at some point and tell you if you have ovulated, so if anything, I would ask your doctor if she is planning to monitor you for ovulation in anyway because you are concerned about taking a medicine and not knowing if it works. However, given that so many women get their BFPs with the first cycle of Clomid it might be worth waiting to see what happens with your first round. You might get your BFP and not have to worry about monitoring!! If it doesn't work the first round and you don't get a period, I would definitely inquire about scans and blood work for the next round. Every doctor is different... some more aggressive with treatments than others. I am not sure how your health care system works there, but you could always go to another doctor that is more aggressive if that is an option (ask around on here, I am sure someone can make a suggestion for an aggressive doctor).

Good luck!

What amount of clomid are you taking? I heard they normally start you off with 50mg? Is that correct?
xx

 

[beauty]

Hi

I'm in Suffolk and treated at Ipswich Hospital and I'm currently on Clomid. The tablets were given to me by the consultant with an information leaflet. The leaflet provided info on when I should take the tablets as well as a number that I must call on day 2 of my period to set a date to have a scan done. I've just had a second batch of clomid which they upped to 3 tabs a day. A scan was done 12 days later and lucky enough this time I had what looked like two suitable eggs. I had the HCG injection and are currently counting the days done till the 19th which is when I can pregnancy test.

For reference I also suffer with PCOS and currently take Metformin too.

So after yabbering on basically it seems to be taken as red at Ipswich Hospital that if you're on clomid you'll be scanned.

I hope this helps, keep me posted.

M

xxx

Thanks for all the advice huni, can i ask what amount of clomid your taking? I have pcos and she mentioned that they might run metroformin with the clomid? However I think my period is actually going to come in next few days so if she gives me clomid tomoz and my AF shows and they offer me the scans etc am i assuming that i may be scanned next week??
xx

 

[Emmie29]

Hi

I started on 100mg of Clomid but that seemed to have no effect. They then upped it to 150mg. I did experience side effects by day 4 of the tablets (blurred vision etc) and couldn't take the last days tablets. However it seemed to work hence the injection earlier this month.

As for Metformin I was put on that a few months ago. I'm not sure if you've taken it before but the side effects (mainly nausea) can be a pain until you're body adjusts to it.

My consultant kept on about how likely PCOS suffers are to miscarry, he upped my dose to 1700mg per day!!! Needless to say I haven't managed to take that dose as I just throw up!! I'm now on 850mg per day.

I hope all goes well

xxx

 

[renee_xx]

Hi there - I'm kinda the same boat as you. We're planning on doing 2-3 rounds of IUI's + Clomid (She won't give me trigger shots or injectables) I have 2 ovarian cysts (4cm in each ovary) and because of this RE refuses to give me ultrasounds to determine follicle size because she says it will be too confusing to tell the follicles apart from the cysts. I'm beyond frustrated because how do we know if I'm even producing good follicles or whats going on.. So really I'm just depending on OPK's and O Pains that clomid loves to give me.. I wonder if I would even feel O pains or ovulate if the follicles were still too small but I have to just trust it's working..I'm on 50mg btw. I would definately insist to have ultrasounds throughout the month if your on clomid just to see if your eggs are developing well - they have no reason not to unless you have cysts.

 

[beauty]

MMMMMMMMMMM thats a tough one cause i have pcos which are cysts arent they? Well its going to be defo confirmed for tomoz anyway by gyno but as far as my internal went i have pcos!!
However your follicles grow for when they are relasing an egg and the lady who did my scan said that my cysts were small so even if i had cysts surley you could tell the ones that are going to relaise the egg cause it will be the largers ones wouldnt it? Or am i just being stupid?

Only if she offers me clomid tomoz, (thats an if) then i wanna be clued up and makin sure that the medication is working how it should.. dont wanna be taking it for like 3 months before they say... oooooooooo its not working etc!!

I am unsure why they wouldnt give u the hgc injection?? It helps trigger ovulation doesnt it like 24 hrs to 48hrs after the egg is nearly to be relased?
xx

 

[HS Bean]

I live in Canada. I never had a scan when I was on clomid. It was determind that I did ovulated on my own, but was told that they thought clomid still could help me out. I took clomid for 3 cycles, it was pointless, than I took clomid for 2 cycles with IUI (got pregnant with dd), I took clomid for three cycles a break and 1 cycle (got pregnant with ds), I took clomid for one cycle (got pregnant with my angel baby), took clomid for one cycle (got pregnant with this bean).

I think it depends on previous tests as to if they monitor you or not. But ask your doctor, because it is always better to be informed. I get a lot of cysts on clomid, and when I would go in for scans when I was pregnant, there was always a lot of cysts. This scared me, even though my doctor said not to worry. I asked after my miscarriage if we could lower the dose of clomid, so that when I got pregnant I wouldn't be so scared. She said that was fine, and everythings still worked out well.

Oh and I know to go into the clinic to get the IUI when I get a positive OPK

 

[Emmie29]

Just quick bit of info re cysts etc as I got damn confused myself!! I got the consultant to draw me diagrams!!!

Although PCOS seems to infer PCOS suffers have cysts growing on their ovaries - they don't!! Basically every woman has folicals in their ovaries that have the ability to become an egg. In PCOS suffers there are so many folicals crowded in the ovary not many have the room to develop into an egg - hence lack of periods in pcos suffers and infrequent cycles. Cysts in their true form are very different to what PCOS sufferers have.


xx

 

[beauty]

Arhh right the lady who did my scan said i have quite a few follicles on both ovaries and was 13mm which the scan was taken on the 3rd june!
She said i had a few follicles but that one looked like it could be for my next cycle or something!!Assuming she meant it was the one that may release the egg cause it was the biggest!!

She said the gyno will explain more to me and my blood work will confirm if i have pcos!! So i came away thinkin i had pcos cysts but what you are saying is that i follicles and some develop to release the egg and some dont that why we have irregular cycles!! I think it makes more sense now, i think i have a few follicles not cysts!

So basically clomid will increase follicles even if there isnt enough room for the follicle to grow to produce an egg??
Sorry for sound silly
xx

 

[Wshng4Baby]

She is starting me on 100mg. I am not sure why, because you are right in thinking that they normally start people off on 50mg. She suspects I have PCOS although I had a normal ultrasound in May (4 months after stopping the pill). I have yet to get blood work done, but am doing that on Day 3 of my next cycle (right before starting the Clomid on Day 4).

PCOS is really just a hormone imbalance that seems to be affected by a metabolic disorder such as insulin resistance. We form "cysts" (just so everyone knows, they refer to mature follicles as cysts... which can be confusing) but we don't have the appropriate LH surge to release anything, so it just stays in there (at least this is the way I understand it) and because we don't release an egg, we don't have regular periods (and when we do finally bleed, it doesn't imply ovulation ever occurred... it just implies that your uterine lining got too thick and estrogen forced it to come off... this is termed "abnormal uterine bleeding" and it usually heavier and more painful than a normal menstrual period). Hope this makes sense... this is how it was explained to me.

 

[Wshng4Baby]

Oh, and to answer your question Beauty... Clomid helps create mature follicles that are eventually released. Some women take it to create better quality eggs, thus the reason the girl who posted earlier (who didn't have a problem ovulating) was probably prescribed it after miscarriages. They think recurrent miscarriages can be related to low quality eggs.

 

[nineena]

I don't live far from MAchester and had my gynae appt last week, they told me when i start on clomid they do regular scans and tests to ensure you're ovulating

 

[beauty]

Thanks ladies for all your advice and help, its really helped me understand things better x

 

[puppymom32]

My doc took me off the Clomid because all it was doing was creating lots of follicles. Instead he now has me on just metaformin just so the follicles that I do have just get bigger and healthier. Last scan showed it seemed to be working. I only had scans like every 3 mo mainly because I had to pay privatly for them and they were 175.00 US each time. But it did show I needed the Met and not the clomid. Good luck hun just ask lots of questions.

 

[Jessica0901]

Hi Beauty, I live in Lancashire and have been taking 50mg Clomid for the past few months. The first 2 cycles I just had progesterone blood tests taken on CD21 to see if I'd have ovulated and I also experienced ovulation pain so I knew it had worked, but then I got a new consultant and he decided to put me forward for 3 cycles of scans with the HCG injection.
I had 2 cycles with the scans taken on day 11, but I had to go back 2 days later as my follicles weren't quite big enough for me to have the injection. Unfortunately I had a bad reaction on the 2nd cycle with injection which resulted in hyperstimulation, and I ended up in casualty, so I've had a month off this month. I think I would ask about the scan, but just see if the clomid works and makes you ovulate on your own without the injection, as I don't think you need the injection if you find you are ovulating with the clomid. Go for a blood test on CD21 and this should tell you as they will check your progesterone level. Hope that helps! Good Luck!

x

 

[HS Bean]

Oh, and to answer your question Beauty... Clomid helps create mature follicles that are eventually released. Some women take it to create better quality eggs, thus the reason the girl who posted earlier (who didn't have a problem ovulating) was probably prescribed it after miscarriages. They think recurrent miscarriages can be related to low quality eggs.

We were prescribed it I believe for better timing, as my cycles were ranging between 26-31 days, and we just weren't getting pregnant. Though I heard it does make for better egg quality, though sadly it didn't help me during my miscarriage a few months ago (that was my first, and I pray my last miscarriage ever).

 

[renee_xx]

MMMMMMMMMMM thats a tough one cause i have pcos which are cysts arent they? Well its going to be defo confirmed for tomoz anyway by gyno but as far as my internal went i have pcos!!
However your follicles grow for when they are relasing an egg and the lady who did my scan said that my cysts were small so even if i had cysts surley you could tell the ones that are going to relaise the egg cause it will be the largers ones wouldnt it? Or am i just being stupid?

Only if she offers me clomid tomoz, (thats an if) then i wanna be clued up and makin sure that the medication is working how it should.. dont wanna be taking it for like 3 months before they say... oooooooooo its not working etc!!

I am unsure why they wouldnt give u the hgc injection?? It helps trigger ovulation doesnt it like 24 hrs to 48hrs after the egg is nearly to be relased?
xx

Ahh Sorry I forgot in your first sentence u said PCOS - I don't have PCOS but I have 2 functional cysts (4cm in each ovary), they're bigger than typical PCOS cysts so they would be confusing when comparing to growing follicles.. PCOS cysts should be fine to distinguish the difference like you said cause they're smaller. I know I really wanted the trigger! I'm asumming they woulden't do it because triggering requires ultrasounds to time when to do the shot - and since they're not scanning me, it would be hard to do. I think you'll know or better yet, feel if the clomid is working. I know everyones diff but with me the ovulation pains are unmistakeable and very noticable.. and positive opks ofcourse would help.