Q. There is no ovulation in spite of raising the dosage of Clomid. What to do?

Answered by
Dr. R Balakrishnan Menon
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 07, 2017

Hello doctor,

I have been taking Clomid since early this year. I started with 50 mg and there was no ovulation. So, then I took 100 mg and again no ovulation. Now, I am on 150 mg and according to the OPK, I ovulated on the 17th. I know this sounds crazy, but I feel different. I have a pulling pain in my groin, cramps in my back, and boobs are sore. I am not the kind of person to look for signs because I live by 'it is what it is' I have never been pregnant. I am supposed to go on this weekend to get lab work done to see if I truly ovulated but I know I did this time. I know it is too early to test. And I have read that some people just know they are pregnant. I have thought about going to get a blood test. I do not know what to do.

#

Hello,

Welcome to icliniq.com.

How are you doing?

  • As you mentioned, it is too early to diagnose pregnancy even in the blood. Had you ovulated on the 17th as you say, it would have reached the tube on that day. Let us say, the sperm too had reached at the same time and formed an embryo, it would stay in the tube for four to five days. So, on the fifth or sixth day, it would be a morula, which means on the 21st to 22nd of this month, it would have reached the uterus. Then it has to burrow into the endometrium and gain access to your blood flow and then release the hormone into your blood for detection. So, until 13 to 14 days after ovulation, it cannot be detected in the blood.
  • So maybe around the 30th to the 1st, have a serum beta hCG. This test can detect the smallest sign of pregnancy anywhere in the body.
  • If I may advise, instead of just raising the medicine dose by dose, try to find the cause you are not ovulating. You are trying to cure the symptom, not the cause. There is some hormonal imbalance blocking the normal growth of the follicle and ovulation. Is it not true this imbalance can also disturb the proper implantation of the fetus and cause an abortion?
  • The possible causes of ovulation failure are:
  1. Maternal age of more than  35 to 40 years.
  2. If the BMI is more than 24 kg/m^2.
  3. Thyroid or prolactin abnormality.
  4. Any significant physical or mental stress.

Hope I have been of help to you. Do write back if any more queries. All the best.

For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist


Was this answer helpful?

 | 


Related Questions:
Fertility (or) Ovulation Period Calculator

Trying to conceive? Discover the most fertile days of your menstrual cycle using this calculator. Sexual intercourse during the fertility window in your menstrual cycle will increase the chances of getting pregnant quickly.   Read full

Is there any rule that fruits cannot be eaten on an empty stomach?

I would suggest you reduce regular intake of fish and pickles (if you are taking) ...   Read full

My thyroids are enlarged and asymmetrical. Should I visit an endocrinologist?

.. lot for such a detailed history, it makes my job easier. I would want to know what was the result of the biopsy or FNAC (fine needle aspiration cytology). Based on that, I shall be in a better position to tell you the next step. Your thyroid is ...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

7 Days COVID Care
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


Frequently Asked Questions About COVID-19 Vaccines
COVID-19 vaccines can be a real lifesaver. Read this to know the answers to the common questions and doubts on COVID-19 ...  Read more»
Female Sexual Arousal Disorder: Break the Shackles and Seek Help!!
This article throws light on Female Sexual Interest/Arousal Disorder, a common but least discussed sexual health topic a...  Read more»
Covaxin Vs Covishield
The coronavirus vaccines, Covaxin and Covishield, have received a green signal for restricted emergency use in India. In...  Read more»

Ask your health query to a doctor online?

Ask an Obstetrician & Gynaecologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.