Short LP on Clomid

[Threelittlemen2013]

I typically have an 11-13 LP and on my first month of clomid it was only 8!
Is this normal for clomid? I thought it was supposed to help lengthen it?

[maidentomother]

No that is not normal, it should give you a nice long LP. However, in some women clomid thins the uterine lining and that can bring on AF early. Usually it takes a couple cycles for the thinning to happen but you may just be especially sensitive to that effect. I would switch to Femara which doesn't have this side effect.

Are you totally sure it's AF? Could it be implantation bleeding?

[Threelittlemen2013]

I am honestly confused. I had Brown spotting yesterday morning and when exercising (8dpo). Later that night I had pink spotting after intercourse. This morning (9dpo) I had Brown spotting while exercising but then it turned to red (and increased amounts) during dinner. This lead me to believe AF was starting tonight. But now it has slowed down and is only.there when wiping. Cramps and.backache still strong. I am expecting it tomorrow which would be a 9 day lp. My temp dipped over the last two days which is why I think it is AF over implantation bleeding. Plus I always thought ib wasn't typically red?

[1more]

I had 3 days of spotting before my proper AF arrived, after my first cycle. I didn't count the spotting as day 1 until it was heavy.

I also wondered if it was implantation bleeding, but nope, just a strange cycle and AF did start to arrive properly 3 days later.

I went for a scan on CD2 (of full flow) fully expecting that clomid had thinned my lining and that's what the spotting was, but it was 8.8 on day 2, before I had began taking my next lot of clomid, so it didn't seem to have had a negative effect.

[Threelittlemen2013]

Well AF arrived today as I thought. So I had 2 days of spotting (which is normal for me), but only a 9 day LP. Any suggestions on how to increase this?

I am concerned about my weight and that it is causing this. I am 5'4" and bounce between 105.5 & 106.5lbs these days. I am eating between 1800-1900 cal/50-60g fat/40-60protein daily, since I am working out. No supplements, but clomid.

[maidentomother]

Ugh I'm sorry! 9 days is normal for me but I'd be upset if it was that short on Clomid. I would ask about Femara.

[Threelittlemen2013]

I wonder if it would help if they supplemented clomid with progesterone? She mentioned femara wasn't the best choice when she started clomid for me. So I am guessing I cant get that without seeing a specialist.

[1more]

Ah sorry you got your AF.

Hopefully someone with a little more experience will chime in here, but I'm sure I remember reading something about vit B6 for lengthening luteal phase.

[maidentomother]

Femara is actually better than Clomid in pretty much every way so it sounds like this dr is misinformed.

[atomic sagebrush]

A few people have reported that to me and I honestly do not know why. Progesterone will make your AF come later, that's for sure. What may be happening is not a lack of P but a lack of Estrogen. YOur body releases a burst of estrogen about 7 DPO to help maintain the lining as the corpus luteum begins to break down and maybe the Clomid did its job a bit too well.

Most of the time, 9 days is just barely enough to get pg with. But you had the brown spotting the day before which really may not be quite enough. It may be that next month the C will have worked its magic.

Your diet intake on paper should be enough to get the job done. But on paper and in the real world are often two different things. If you're taking fiber, try dropping that. If you've already dropped it, make sure you're getting 60 g fat every day and increase the % of saturated and OMega 3 fats SLIGHTLY.

[atomic sagebrush]

Femara is actually better than Clomid in pretty much every way so it sounds like this dr is misinformed.

Since it's not approved in the US as a fertility treatment some docs are leery of prescribing it, unfortunately. Too bad becuase I think it's better

[Threelittlemen2013]

A few people have reported that to me and I honestly do not know why. Progesterone will make your AF come later, that's for sure. What may be happening is not a lack of P but a lack of Estrogen. YOur body releases a burst of estrogen about 7 DPO to help maintain the lining as the corpus luteum begins to break down and maybe the Clomid did its job a bit too well.

Most of the time, 9 days is just barely enough to get pg with. But you had the brown spotting the day before which really may not be quite enough. It may be that next month the C will have worked its magic.

Your diet intake on paper should be enough to get the job done. But on paper and in the real world are often two different things. If you're taking fiber, try dropping that. If you've already dropped it, make sure you're getting 60 g fat every day and increase the % of saturated and OMega 3 fats SLIGHTLY.

I haven't dropped fiber yet, so I will do that as of tomorrow. Hopefully that and hitting 60g of fat is enough to fix it this month. It sure is frustrating and discouraging to see.

[Threelittlemen2013]

My doctor wants to put me on 200 mg of prometrium for 10 days after ovulation to help with my LP. She wants me to take it from cd 17-27, assuming i already ovulated. Is this something I would need to continue on if we conceive?

Also, I am down to just spotting so I was going to start the every 4 day bd pattern tonight. As luck may have it, i will bd on cd 4, 8, 12, 16, etc. On cd 12, i will have my follicle study and trigger IF i am ready. since I was planning on every 4 days plus 1 attempt at trigger (assuming I am ready to trigger on the same day as the ultrasound as i was last month) when would I have this extra attempt so it ups odds, but isn't too boy friendly? My doctors advice is to bd every other day starting the night of the trigger which is too boy friendly for me.

Can I use wondfo opk with the trigger and just do the 1 attempt after the positive or will the hcg give false positive or false negative? Sorry if this is so confusing!

[atomic sagebrush]

Yes, it is typically continued into the first trimester, they will give you directions when (not if, when) you get BFP. :)

If CD 12 falls on day of trigger, have your scheduled attempt taht day and then the next day. If it doesn't, then jsut have scheduled attempt and then again the night of the trigger. Even if 2 days back to back, that's fine.

[Threelittlemen2013]

Do you think it is more pink friendly to BD every 3 days (CD 7, 10, 13, 16..,with potential trigger on day 12) or do the 4 day pattern with 2 days in a row at trigger?

[atomic sagebrush]

I don't know and do not have the data to say for sure.

I DO think the odds of conception are better with every 4 day plus one additional attempt at trigger, so that is and will continue to be my recommendation for anyone having serious trouble conceiving or who is on Clomid/Femara

[Threelittlemen2013]

Thanks for the advice!!

[Threelittlemen2013]

Yes, it is typically continued into the first trimester, they will give you directions when (not if, when) you get BFP. :)

If CD 12 falls on day of trigger, have your scheduled attempt taht day and then the next day. If it doesn't, then jsut have scheduled attempt and then again the night of the trigger. Even if 2 days back to back, that's fine.

Atomic, on my personal plan (written before being put on Clomid), you wanted me to avoid conceive easy lube. Then you recommended it when I started Clomid because I only have three months on it. With switching to bd every 4 days, plus one attempt at trigger, should I still use this lube with my two attempts? My cm is so different on clomid this month than it was on my first month. Less of it, less creamy and more watery.

[atomic sagebrush]

I honestly do not have the answer to this, it's one of those pesky crystal ball questions that I just don't have the answer to. I really don't know.

[Threelittlemen2013]

I wish I knew if sticking to one attempt at trigger would do the job. It is our 4th month, which isn't horrible but with only 2 months of clomid left and my bmi dipping under 18, I really need to get pregnant. Ugh, decisions!

[atomic sagebrush]

I would have you add an attempt at this point. :) For the reasons you already mentnioned.

[Threelittlemen2013]

I would have you add an attempt at this point. :) For the reasons you already mentnioned.

We ended up not being able to bd last night for our 4 day pattern so we dtd this am. With potential trigger on wednesday, should i still plan on trigger night and then thursday too or would that make for 3 attempts in our window vs 2 as we would do the deed sunday, wed and thurs vs sat, wed and thurs?

[atomic sagebrush]

Yes still have those attempts. This latest one is really too far out to benefit odds of conception.

REmember, your odds of pink are already higher by virtue of having been on the medication as long as you have. Time to get pg!!

[Threelittlemen2013]

I hope so...that 10% drop with 2 attempts makes me nervous!

[atomic sagebrush]

Right but you're on fertility meds so that needs to be taken into consideration!

[Threelittlemen2013]

No trigger as I have 4 mature follicles ready making the risk of multiples too high. So now should I will attempt today and then probably add in a second attempt at opk positive if that comes before our next attempt on sunday. I am worried that could give us 3 attempt in the fertile window though. Does every 4 days plus 1 attempt at opk pos ensure just 2 attempts?

[The Anchor]

Are you sure that you O'd? I am asking because I did 2 rounds of Clomid, and I got a "tie" on my OPK (test line was same as control, but not darker). They always say this is a +, but it wasn't for me, and I did not ovulate (confirmed by u/s) and got AF 8 days later.

[Threelittlemen2013]

Are you sure that you O'd? I am asking because I did 2 rounds of Clomid, and I got a "tie" on my OPK (test line was same as control, but not darker). They always say this is a +, but it wasn't for me, and I did not ovulate (confirmed by u/s) and got AF 8 days later.

I had a temperature spike so I guess I just assumed I did.

[atomic sagebrush]

No trigger as I have 4 mature follicles ready making the risk of multiples too high. So now should I will attempt today and then probably add in a second attempt at opk positive if that comes before our next attempt on sunday. I am worried that could give us 3 attempt in the fertile window though. Does every 4 days plus 1 attempt at opk pos ensure just 2 attempts?

I suppose that there could be some scenario where you just happen to manage an attempt o-3, then have another attempt at pos OPK, then again on the day of O itself when the every 4 days rolls around.

The thing is that since both O-3 and O day are slim pickings in the conception department, do they possibly end up to = one attempt really?? Or even less than that (esp. the O-3 one)

At some point, I really think that you guys are overthinking things. the biggest point of the every 4 days is TO REDUCE STRESS and eliminate the figuring and conjuring that people do. It is very likely that sways too so I really think it is best to just do every 4 days and damn the torpedoes, if the Gods have decreed that it ends up being O-3, pos opk, and O day, so be it, YK?

Just a reminder - fertility medicine > one attempt anyway!

[Threelittlemen2013]

[QUOTE=atomic sagebrush;703101]I suppose that there could be some scenario where you just happen to manage an attempt o-3, then have another attempt at pos OPK, then again on the day of O itself when the every 4 days rolls around.

The thing is that since both O-3 and O day are slim pickings in the conception department, do they possibly end up to = one attempt really?? Or even less than that (esp. the O-3 one)

At some point, I really think that you guys are overthinking things. the biggest point of the every 4 days is TO REDUCE STRESS and eliminate the figuring and conjuring that people do. It is very likely that sways too so I really think it is best to just do every 4 days and damn the torpedoes, if the Gods have decreed that it ends up being O-3, pos opk, and O day, so be it, YK?

Just a reminder - fertility medicine > one attempt anyway![/QUOT

You are right. I had my positive last night, so timing as of now is o-3 and o-1. Konda torn on whether to dtd tomoght or wait and go first thing tomorrow (which is technically my scheduled round on the every 4 day schedule). Based off of your response, I should probably wait for tomorrow morning.

I think if I need another round I will just bd every 3 days to take away the confusion of the added attempt.

[atomic sagebrush]

I would have had you DTD TONIGHT because you have to be in with attempt BEFORE O. Waiting doesn't get you anything because you need to be sure that attempt is before the egg could pop.

I think you're getting pg this month. Just have a feeling!

[Threelittlemen2013]

Good. We ended up doing just that for those exact reasons! Hope your feeling is right!