The majority of the time when a woman is placed on Fertility medications she has some underlying problem which is preventing her from getting pregnant the traditional way.  Some problems such as Ovarian Cyst, Ovarian Failure, Septate Uterus, Pelvic Adhesions or many other problems that could be causing issues within her reproductive system.  And not to put it all on the female, men have issues as well, such as Low Sperm Count, Male Azoospermia, Male Oligospermia and so on and so forth.

In our case, none of those problems were an issue for us.  We simply wanted to increase the chances of pregnancy since our Sperm samples were so expensive.  Many Fertility medications increase how many eggs a woman produces every month from the traditional 1 egg she produces per cycle.  For the purposes of this article we will talk about the two medications we used, which were Clomid 50 mg (clomiphene citrate) and Femera 5 mg.  When taking any Fertility medication you run the risk of having multiples.  You will increase your chances of having twins by 10%.  As explained earlier, one of the benefits of taking a Fertility drug like Clomid is that it increases egg production per cycle.

How to take Clomid

My partner was directed to take Clomid 50mg on day 3-7 of her cycle.  It comes in pill form and you usually take one 50mg pill everyday, day 3-7 of her menstrual cycle.

What’s happens after taking Clomid?

We were told to come back into the doctor’s office on day 12 of her cycle.  On day 12, the doctor performed an ultrasound to see how her follicles had grown.

What is a follicle?  According to Wikipedia, Ovarian follicles are the basic units of female reproductive biology, each of which is composed of roughly spherical aggregations of cells found in the ovary. They contain a single oocyte (aka ovum or egg). These structures are periodically initiated to grow and develop, culminating in ovulation of usually a single competent oocyte in humans. These eggs/ova are only developed once every menstrual cycle (e.g. once a month in humans).

During the Ultrasound examination, the doctor found 8 follicles of various sizes had been produced.  The sizes ranged from 12mm to 4mm.  Optimally, they want to see the follicles grow to as much as 18-20mm, by day 16, after your menstrual cycle begins.  Usually follicles grow at 2mm per day.

So we were told to come back on day 16.  If you do the math, her 12mm follicle should have grown to 20mm by day 16.  Unfortunately, for us when we returned on that day, the follicle had “poofed” and just disappeared.

Now Clomid doesn’t work for everyone.  Some complaints have been that it thins out the lining of the uterus, which needs to thicken in order to support the fertilized egg.  Other complaints have been that the follicles do not grow, which happens to be what happened in our case.  But most doctors would like you to at least try 6 cycles on Clomid to see if it would work.  But for us, we could see that this was not the solution because we tried Clomid for 2 more cycles and the same scenario happened each time.

We even tried injectable medication to go along with the Clomid to see if it would speed up the growth of the eggs, but that didn’t help either.  The injectable we tried was Menopur.  Unfortunately, it didn’t work for us.  But it could work for you.

What are injectables?

Injectables are just what they sound like, you must inject yourself with whatever particular medication your doctor prescribes in order to stimulate the follicles to grow within the ovaries.

Injectable medications are very expensive, so if you’re not in a hurry to have a baby, I just suggest going with medications such as Clomid.  If you don’t have fertility problems and are just trying to increase your egg production then stay away from the injectables.  But that would be totally up to you.   We showed a little patience and moved on to the next medication.

We did a little research and decided to move on to another Fertility Drug which I will discuss in the next article.


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