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 There Lived in Baghdad

I AM ON CLOMID BUT WHY HAVE I NOT CONCEIVED?

HI,

Im onto my 2nd cycle of Clomid tablets. As I was not ovulating I took a 100mg Clomid tablet daily for 5 days starting on the 2nd day of my menstrual period. This month I was due my period 13 days ago and it has still not arrived. I have done 4 pregnancy testsand they are all negative. What do you advise?

KimH, Age: 26,

Virginia

REPLY

Kim,

Did you track your ovulation with a ovulation tracker? On which date did you ovulate?

What was the date of your last menstrual period?

FOLLOW-UP

Dr. Mazumdar,

My last period started on 31/12/08. I started the Clomid for 5 days on 02/01/08. According to my ovulation tracker, the 13/14th was when I was ovulating.

Hope this helps you.

Kim

REPLY

Kim,

The life of an ovum after ovulation is only 14 to 16 days. So, if you had ovulated on the 14th, then either you should have got your periods or tested positive for pregnancy by now. Since neither has happened, I suspect that you had not ovulated last month.

Since you had not ovulated on 50 mg Clomid, chances are, 100mg Clomid has not worked for you either.

Ovulation trackers test for the rising levels of a hormone called LH (leutinising hormone). This hormone can be high in a condition called PCOD and rise even higher during the time of ovulation to show a positive ovulation test on the ovulation monitor, even when there is no ovulation.

You can read about the causes of Female Infertility here:

Causes of Female Infertility

I believe that you should get a blood pregnancy test to be really sure that you are not pregnant.

If the blood test is negative, then you need to be tested for the presence of PCOD. Blood tests for the level of insulin and androgens and an ultrasound of the ovaries will help to identify PCOD.

I hope this helps.

Please feel free to ask a follow-up question if you wish to know more.

Kim paid $20 on December 2 2008 at 11:13 PM


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Consultations on this website are by E-mail only. Our gynecologist, Dr. M.D.Mazumdar answers each and every medical health question personally. Under no circumstances are E-mail addresses provided to anyone else. Each medical health question, pregnancy question, or question on gynecology has a fee of USD 20.00. Payment is through the third party Paypal credit card processing system. This ensures absolute security and reliability.

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