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Is My Clomid Working?
Once on Clomid, the only way to determine if it is "doing it's job" is proper monitoring. A cd 3 scan may reveal any cysts, another scan around cd 11 or 12 may be conducted to check follicular development and the lining, and a progesterone check six or seven days past ovulation may be performed to see if progesterone levels are high enough to support a pregnancy (p4 levels should be "15" or better). Also, a post coital test (PCT) should be done when either blood work or ovulation predictor kits detect an LH surge. If hostile mucous presents a threat to the sperm, then an IUI should be done. When follicle(s) are big enough, an HCG shot followed within 36 hours by an IUI procedure may provide optimal results.
As far as the efficacy of clomiphene in inducing ovulation, its success depends upon the underlying cause of why you do not ovulate. If you have polycystic ovarian syndrome it is more sucessful than if the cause of ovulation is hypothalamic anovulation.
The doctor who gave you these should have discussed this. The usual way is to check you hormone levels around day 21 or to have a scan several days after you finish the 5th day of treatment. You can check for ovulation by measuring your body temperature every morning or evening, and looking for the rise when you ovulate. Also, your periods should be regular.
When Should I Have Intercourse?
You should I have intercourse? at least every other day, beginning the third day after your last pill is taken and continuing for one week, or until a thermal shift indicates you've ovulated.
Is There A Risk Of Multiple Births With Clomid?
Clomid is a low-level fertility drug. The chances of a multiple birth (twins) increase only by 10% while taking Clomid.
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