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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Am I Not Getting Pregnant?

Hi.. I'm trying to get pregnant. Took clomid from 5th to 9th day. Started with duphaston on 16th day. But I have not ovulated yet.. It's been 2 days since I started duphaston.. So wil this be a problem for ovulating? If so, can I stop the medicine now.. I'm afraid it'll cause withdrawal bleeding now.. Pls clarify
Mon, 30 Jan 2017
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OBGYN 's  Response
Hallow Dear,

Clomid is Clomiphene citrate which helps release of the eggs in patients who fail to ovulate. My advice to you would be:

1. Start Clomid pills from day 2 onwards for 5 days. Do not carry on with these pills for more than 6 cycles. If you fail to conceive even after 6 cycles of Clomiphene trial, switch over to some other medicines like HMC/hCG combination for induction of ovulation.

2. From day 9 onwards, submit yourself for ovulation monitoring. The follicles between 18 mm and 21 mm in size release healthiest eggs. So when the follicle is of 18 mm size, Inj. hCG may be given for inducing the ovulation. After that, you should have at least alternate day intercourse for next 3 days.

3. The Endometrium (uterine lining) should be between 9 mm and 14 mm in thickness at the time of ovulation.

4. Duphaston may be taken after the ovulation has effected and confirmed; taken before ovulation may interfere the egg release.

5. Please get your tubal patency and uterine cavity evaluated by Hysterosalpingography and Laparoscopy.

6. Husband's sperms should be evaluated for quantity and quality by semen examination after 4 days of sexual abstinence.

I hope this provides you preliminary guidelines. For more detailed consultation, you may ask me Direct question on this forum.

Dr. Nishikant Shrotri
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Why Am I Not Getting Pregnant?

Hallow Dear, Clomid is Clomiphene citrate which helps release of the eggs in patients who fail to ovulate. My advice to you would be: 1. Start Clomid pills from day 2 onwards for 5 days. Do not carry on with these pills for more than 6 cycles. If you fail to conceive even after 6 cycles of Clomiphene trial, switch over to some other medicines like HMC/hCG combination for induction of ovulation. 2. From day 9 onwards, submit yourself for ovulation monitoring. The follicles between 18 mm and 21 mm in size release healthiest eggs. So when the follicle is of 18 mm size, Inj. hCG may be given for inducing the ovulation. After that, you should have at least alternate day intercourse for next 3 days. 3. The Endometrium (uterine lining) should be between 9 mm and 14 mm in thickness at the time of ovulation. 4. Duphaston may be taken after the ovulation has effected and confirmed; taken before ovulation may interfere the egg release. 5. Please get your tubal patency and uterine cavity evaluated by Hysterosalpingography and Laparoscopy. 6. Husband s sperms should be evaluated for quantity and quality by semen examination after 4 days of sexual abstinence. I hope this provides you preliminary guidelines. For more detailed consultation, you may ask me Direct question on this forum. Dr. Nishikant Shrotri