PCOS on clomid and VERY VERY confused... Please HELP!!!

[kristie86]

Hi,

I am really needing some help as i am very confused... Last month i started my 1st round of clomid, i took 50mg for 5 days, i then had ovulation symptoms when ovulation should have occured, i then had the 21 day prog test, and then did a hpt on the day i should have, it was a BFN and then i got my period that night, so i was very excited as i thought that i must have ovulated as i never am regular with my periods and can go for months without having one, so i started taking my next round of clomid on days 3-7 but then when i went to see my fs he told me that i had not ovulated, but it is now day 16 and i still have my period and i am very confused as to what i should do, when should i bd when should i ovulate roughly, is it normal to have my period for that long while on clomid, should i go to the doctors?

If anyone could help me that would be great as i feel so alone and unsure about everything...

Thanks

[Macca79]

I have PCOS and never had regular periods. I did 3 rounds of Clomid, the first on 50 mg and was regularly blood tested so they could see what my hormones where doing. I did not ovulate the first or second time but did the 3rd time when I went up to 100 mg but did not conceive. While Clomid will make you ovulate sometimes it does not mean you conceive straight up. I had very long cycles on Clomid and was told IVF would be needed. We went away on a holiday and I conceived straight up, turns out Clomid gave my body a kick start so to speak into ovulating naturally.

While researching the drug I found out that only about 65 tp 70% of women who take it will conceive on it.

[Dr. Tal]

Hi Kristie,
I personally would suggest that you call your FS or talk to a GP about having your period for that long. I know it has quite a few possible side effects and honestly can't remember if that is one of them or not. I can tell you that it has not had any effect on my AF length, and I am not aware of anyone I know who is taking it that has had an increased AF length. I am on my 3rd cycle taking clomid. My first cycle I was on 50mg and did not ovulate. I am not on my second cycle at 100mg and my AF length is the same now as it was on 50mg and before I started taking it.

As for when are you going to ovulate, it's different for each person. I was told it would be anywhere from 5-9 days after I stopped taking the clomid, assuming I did ovulate at all. It may take a bit for them to find out what dosage you should be on. I know that they can perscribe up to 150mg. It just depends on your body.


Hope that helps some

[principessa76]

I agree that you should phone your FS and find out what's going on. If you have an AF for that long it must mean that your hormones are out of balance for whatever reason. You may need some other medication to get things back on track. If you did O while you had AF I imagine it would be difficult to have a successful pg as the lining is being shed.

My FS did things quite differently when we were TTC #1. I was monitored closely with BTs and if the BT came back that my hormones weren't responding then I had more Clomid. The first cycle I started on 25mg it then got upped to 50mg and then I had a 2nd lot of 50mg. I ended up Oing on CD29 (a record for me ) after taking 5x25mg and 6x50mg tabs. The 2nd cycle was a lot better - I started on 50mg and took the initial 5 tabs and then had a further 3. Once again I was monitored with BTs and this time also an U/S. I also had a trigger shot. That was the cycle we conceived DS. As far as AF went I only had the one AF on Clomid. It was short (3.5 days), painless and arrived on 15DPO.

The stats for conception on Clomid probably aren't that great as a lot of women needing Clomid to O in fact probably have other issues inhibiting conception too. Clomid makes you O and that's about it - can help lengthen your luteal phase though.

HTH

[becnxavi]

Hi Kristy
My cycle is very long and my FS told me clomid wouldn't work for me after my first cycle turned up nothing at day 14 (u/s). However I did ovulate at day 21, and all my cycles are between 32-37 days. If your cycles are long like mine, maybe you could ask for u/s to check progress? I have scans every few days from day 14ish untill I have a mature follie to trigger.

Good luck!
Bec

[khonnikel]

Hi!

I was previously diagnose with PCOS last January of 2009 and was asked by my OBGYNE to take metformin for quite sometimes after which i never had my period for 5 mos. Thinking it didnt work i switch OBs .... i informed her of my previous condition and was worried about me not having period for 5 mos. She then advice me to take provera so ill menstruation it took it for 10 days and luckily my period came. I go back to her since she asked me to see her on my 2nd day of menstruation. I then was asked to take clomid for 5 days and have a TVS since my husband and is trying to have a baby she even counted the days when shoud we "do" it. I had my transvaginal ultrasound yesterday and the impression goes like this......Consider subseptate uterus, secretory endometrium as described, normal ovaries (no longer PCOS ), suggest 3D scan to further evaluate the uterine corpus...... I have a subseptate uterus?... how and when did i have it?... I didnt have it when i had my first transvi....can somebody help me in understanding the impression.... thanks

[becnxavi]

I also have a possible subseptate uterus. Basically I think it means that the uterus is not the normal shape and has an area at the top which dips in towards to middle. Apparently it can make is harder to conceive, but can be managed. It can be hard to diagnose apparently.
HTH
Bec

[Dr. Tal]

Hey khonnikel.

Just so you know I am not a medical doctor. My name is a bit of a joke with my TTC thread because I help them out understanding their test results. I've studied a bit of anatomy so know quite a few of the latin terms.

So that having been said, I'll try to help you with your results:
When young female embryos are forming there are these two tube like things called mullerian ducts. Most of the time these ducts fuse (so become one structure), and the membrane between the two disappears creating one uterus. Sometimes however, the membrane doesn't completely disappear. Some of it remains. This causes a septate uterus. So a uterus with some of this membrane still intact. If it is at the bottom of the uterus it is called a subseptate uterus. The sub in this case is latin for below. Septate meaning seperated with a membrane.
From what I understand this does not always cause problems with trying to concieve. But it can. On the positive side from memory it can be fixed. So this is good. Most likely your OBGYN or fertility specialist will look more closely about how large the membrane is and go from there.

I haven't heard of secretory endometrium before. That having been said the endometrium is the lining of the uterus. This is what a fertilised egg implants into. But I have no clue about the secretory part of it.

Hopefully that helps you some.

Sounds like you've been trying to concieve for quite some time. Are you in any of the TTC threads? There are heaps of lovely ladies in them that are super supportive. Plus it's always nice to know that you're not the only one going through problems.

Have a good night

[gypsy79]

Kristie I was put on Metofrmin and Clomid to conceive my DS. I was supposed to have the Day 21 blood test, but I had been taking my temp and knew I hadn't ovulated. I think it was close to Day 28 before I ovulated. I was so glad I had been taking my temp though, as if I hadn't I would have done the Day 21,which would have shown no ovulation, and then taken the Provera to bring on AF. When I told my ob (after the BFP), he said that taking Clomid can result in late ovulation. So my advice is to take your temp. I guess you could wait for whatever you consider to be a reasonable amount of time for O to happen, and if you don't then take the Provera (if that's what your doc prescribes to bring on AF).