Clomid or Clomiphene is normally the first medication prescribed to women when they’ve been trying to conceive for over 12 months. This first medication to use for getting pregnant is often an adjustment period for women who’ve never taken it before.
Clomid dosing and Clomid instructions can leave trying to conceive women feeling confused and overwhelmed.
If you’ve been recently prescribed Clomid you’re probably left wondering how to take Clomid.
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Facts About Clomid
Before we talk about how Clomid is taken, Clomid dosing, and Clomid instructions, let’s look at some facts about what the fertility drug does!
Clomiphene first got FDA clearance in 1967 making it one of the oldest synthetic fertility drugs on the market today. While the drug itself has helped thousands of couples conceive, like every drug and supplement it is not a cure-all for infertility.
The drug itself works by stimulating the pituitary gland in the brain to increase the production of FSH and LH to trigger ovulation. In this case, more than one egg is typically released. Therefore, your chances of twins are slightly increased.
Today, it is used primarily for women with ovulation issues like PCOS, which causes irregular cycles. But the fertility drug can also be prescribed for women who have consistent monthly cycles to produce what’s called “superovulation.”
But, just how effective is Clomid? Most couples have only a 20% chance of pregnancy each month without the assistance of fertility drugs. However, there are many factors that determine the percentage of conception rates each month including age.
For women who are taking Clomid, Clomid raises your chances of conceiving each month by 10-13%. While that doesn’t seem like many couples are able to conceive the first month on Clomid. But, you cannot depend on it to work the first month for sure.
That’s why most doctors prescribe Clomid for up to 3 cycles. If the couple doesn’t conceive within three months of using Clomid, then other fertility medications are added with Clomid and a fertility specialist is contacted to help a couple conceive.
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Clomid dosing always starts at 50 mg, which is the lowest dose for the first month of Clomid therapy. After careful monitoring with ovulation test strips and your doctor, if you do not ovulate the first month on 50 mg, then the dose is increased to 100 mg for the second month.
If you do not ovulate on 100 mg, Clomid dosing is then stopped and then discontinued.
Clomid is only recommended for three consistent cycles. However, Clomid dosing can be increased to six months total. But typically it is separated into three-month blocks of time.
It’s important to remember that not every fertility drug works for every person. Even with a dose of 100 mg some women still do not conceive.
However, if you were prescribed Clomid and are entering your first month of usage then here are the instructions you need!
What’s most important to remember about taking clomiphene is that you cannot begin taking it any day during your cycle. For instance, if it’s prescribed to you on the 16th day of your cycle, you cannot start treatment.
You have to wait until you receive your period (day 1) of your next cycle. Why? Clomiphene needs to be taken on certain days of your cycle to stimulate ovulation. Now that we’ve gotten that out of the way…
Begin taking Clomid (one 50 mg tablet) on cycle day 3.
Continue to take one tablet per day for five days. This will be one pill per day for days 3, 4, 5, 6, and 7.
Many women will ovulate roughly 5 to 10 days after the last pill is taken.
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Start testing for ovulation after taking your last dose. Most women who start taking Clomid on day three of their cycle will ovulate between days 14 to 17.
But remember everyone is different. To make sure you don’t miss your fertile window, start testing early!
Have sex every day or every other day starting on day 14 of your cycle. Since you have been testing for ovulation with ovulation prediction kits early, continue to test until you receive a positive test.
After you receive a positive ovulation test, keep testing until you get a negative. This will give you peace of mind in knowing that you timed sex correctly and made sure to have sex before and after you ovulated.
Get a progesterone test. Some doctors will require you to do a progesterone test if you have a history of irregular periods or issues with ovulation. This blood test will normally occur on day 21 of your cycle.
For women with regular periods and no history of ovulation complications, progesterone blood tests may be skipped. This all depends on what your doctor prefers.
Wait! The most challenging part of trying to get pregnant with Clomid is the two-week wait. The time after ovulation occurred till you get your period.
By the end of two weeks, there are two possibilities: either your period will show up or your period will be stalled due to pregnancy.
Take a pregnancy test. But make sure you don’t take it too early. Taking a pregnancy test before your body has enough time to build up HCG to register on a pregnancy test will only lead to disappointment.
Wait to test until the day of your expected period!
Just starting your first and hopefully, only fertility medication is scary. There’s always a deep-seated fear of messing up the Clomid dosing, missing days, and timing sex wrong.
But it’s only because you’re trying to conceive and want a baby so badly. There’s nothing wrong with that!
Thankfully, Clomid therapy is easier than you think! And always remember to go over any concerns or questions with the doctor who prescribed you the medication.