If getting pregnant has been a challenge for you and your partner, you are not alone. In the United States, 10-15% of couples are infertile. Infertility is defined as not being able to get pregnant despite having frequent, unprotected sex for at least a year.
Infertility may be due to a single cause in either you or your partner, or a combination of factors that may prevent a pregnancy from occurring or continuing. Fortunately, there are many safe and effective therapy options for overcoming infertility. These treatments significantly improve your chances of becoming pregnant.
Many factors are involved in diagnosing and treating infertility. The physicians at Comprehensive OB GYN of the Palm Beaches can provide an individualized infertility examination that will often be covered by most insurance plans rather than spending thousands of dollars at an infertility clinic. Based on test results, treatment may be offered through our office or by referral to a subsequent center.
Clomid Infertility Treatment
Clomid® (clomiphene citrate) is one of the first treatments usually recommended for women suffering from infertility. Clomid is a well tested treatment that doctors have many years of experience with. It is also a relatively safe and low risk medicine. Clomid is used to treat ovary disorders and malfunctions and to prepare women for a clomiphene citrate challenge test (CCCT). It helps the ovaries to perform two functions. It helps to produce eggs. Clomid also helps to produce the hormones needed in the pregnancy process.
Clomid reduces estrogen production. Low estrogen levels cause the pituitary gland produce more hormones to raise estrogen levels. The pituitary gland produces more FSH and LH hormones which stimulate follicle and egg production in the ovaries. By strengthening the weak egg producing processes, the ovaries produce more eggs. Clomid can often help women who have eggs only two or three months per year to produce every month. This greatly increases the changes of becoming pregnant.
Clomid also corrects luteal phase deficiency (LPD). In LPD, the ovaries don’t produce enough luteal hormone (LH). Luteal hormone maintains the uterus’s blood vessels which nourishes the embryo. Lack of LH causes the uterine lining to fall out, similar to what happens in a monthly period. Even when a women becomes pregnant, if her uterine lining is not strong enough, she miscarries.
For our patients on Clomid, please see the following schedule:
1) On the first day of your menses, call our office, this is cycle day # 1
2) Schedule your day 14 ultrasound with our office
3) Start your clomid on day 3, and take until day 7
4) Estrogen, 3 pills twice daily on days 8 through the morning of day 12
5) Intercourse every other day, cycle days 10 – 20
6) Day 14 ultrasound in the office
7) Progesterone cream twice daily starting on day 17
8) Day 25 progesterone level
9) Call with positive pregnancy test or menses
It is very important that you always know where you are in your cycle, please call or contact our office with any questions.