What to do differently

[Threelittlemen2013]

First month on 50mg of clomid I took it cd 5-9. O'd on cd 16, had spotting then on cd 24 and 25 and ended up with a 25 day cycle.

Second month I switched to cd3-7 and dr. Added 200 mg progesterone cd17-26. I o'd on cd15, spotted on cd 23 and 24 and ended with a 24 day cycle.

This month i switched back to cd 5-9 with progesterone for ten days. I had the trigger shot on cd 17 and o'd on cd18. I am now 12dpo, still big fat negatives on cheapies, but no spotting which is great. I had my progesterone tested 5dpo since I was spotting so early. It came back at 8.12. This was after taking the progesterone supplement for 2 nights.

Dr. Is calling me tonight to discuss the results and next months plan. Anyone experience anything similar that can offer suggestions on what should I ask to do differently? I also have a low amh (.16) and my bmi is now 17.8. I have lost 2 more pounds even with increasing to 2,000 calories :(

[luvmyfam]

Sorry, don't really know about clomid. I does sound like you have lost too much weight. Hopefully atomic will pop in. Good luck!

[LacePrincess]

Whoa.....that is a REALLY low bmi. Have you had your thyroid tested? If you're not trying to lose weight and you keep dropping despite trying to gain, you really should check if you might have a thyroid issue causing that.

Your AMH indicates DOR issues too. Are you planning on moving onto IVF? Is that an option for you at all? You might try posting on the HT boards, the gals there know a lot more about ART/HT stuff.

[Threelittlemen2013]

My thyroid was tested prior to starting clomid. I am not dropping rapidly. I was holding steady at 106 for a couple months, but dropped down to 104 and now am bouncing between 104-106 depending on the month.

No plans for ivf. I already have 3 beautiful boys and am 38, so I am OK with being done if that is what ends up being in the cards. I just want to know I gave it my all to at least add one more. So I have no regrets. But we are about to start our 6th month of trying and I am starting to want to give up. I spoke too soon and started spotting this morning. But that should still give me a minimum of a 12 day lp, which is good considering the other months.

[LacePrincess]

12 day LP is MORE than fine. I'd kill for an even 10 day LP right now. I've never in my life had a 12 day LP and still managed to conceive three times with no intervention.

6 months is honestly not that long, especially at 38.

[Threelittlemen2013]

I know it isnt. It took us 4 months with our last at 36 so I am trying to be patient :). Just hopeful we conceive sometime this summer!

[LacePrincess]

Patience is hard! LOL Especially when you want it so bad. My personal expectations keep lowering though....lol....right now I'd be delighted if I ovulated before freaking CD22 and had an LP that was longer than 5 days. I just want a shot, ANY shot. Sigh.

[atomic sagebrush]

Increase cals again. 2200. ARe you getting enough fat???

[atomic sagebrush]

With the lower AMH it can just be a waiting game. We have to wait for Goldie to show up.

I would add Ubiquinol 400-600 mg a day if yu haven't already.

[Threelittlemen2013]

With the lower AMH it can just be a waiting game. We have to wait for Goldie to show up.

I would add Ubiquinol 400-600 mg a day if yu haven't already.

Is that something I take all cycle and stop when I get a BFP?

[XXforhubby]

Yep. You take it all cycle long and gradually wean off once you get your BFP.


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[Threelittlemen2013]

Increase cals again. 2200. ARe you getting enough fat???

I am getting between 40-60 daily.

[The Anchor]

I would add in some full fat dairy.

[djmommy]

I just turned 39 and have low AMH, lower than yours and have been TTC for over a year. I eat 60 g fat daily with exercise and I hold steady. I don't do any low fat stuff at all. I also tried femera this cycle. Maybe that can be an option for you. Honestly your progesterone seems kinda low for a medicated cycle. Maybe clomid isn't the right med for you. Are you have timed BD?

[Threelittlemen2013]

I just turned 39 and have low AMH, lower than yours and have been TTC for over a year. I eat 60 g fat daily with exercise and I hold steady. I don't do any low fat stuff at all. I also tried femera this cycle. Maybe that can be an option for you. Honestly your progesterone seems kinda low for a medicated cycle. Maybe clomid isn't the right med for you. Are you have timed BD?

I Know femera is an option, but I had to try 3 months of clomid first per the doctors orders. I think I will pushfor it after I talk to her though.

I really thought this was our month. The night of 10dpo I had bad pressure on my right ovary that circled around my hip to my lower back. It was still there all night and until mid morning 11dpo. Stopped all day and came back for 2-3 hours last night. I also had the twinges in my breast last night. Everything is gone today. Spotting is pink, scarce and only there if I check my cervix, but the stark white bfns kinda squash my hopes.

[djmommy]

I'm sorry. Believe me, I know how hard this is and I have wanted to give up a lot, but I just can't yet. I think Atomic is right when she says we just have to wait for the perfect Golden egg! You just have to be ready and willing to do what you can to catch it and try not to miss a month.

[LacePrincess]

I totally agree with AS and djmommy.

I'm not sure it's a comfort to you, and maybe I'm weird, but I do find it comforting that we're 'normal' in our mid to late thirties if 2/3 of the eggs are abnormal. Sounds weird, but it gives me hope that I'm not necessarily broken for taking longer, kwim?

Even IVF the odds aren't anywhere close to a sure thing. You can be doing EVERYTHING right but if the egg that drops is no good, well, it won't stick. And better it not stick at all IMO than chemical or m/c's, yk?

[maidentomother]

Femara! That's what I suggest. I see so many women older tyan 35 respond poorly to Clomid but Femara often works beautifully.

That said, I'd kill for a 12 day LP and Oing on time. Hopefully Clomid does the trick for me...

[Threelittlemen2013]

I totally agree with AS and djmommy.

I'm not sure it's a comfort to you, and maybe I'm weird, but I do find it comforting that we're 'normal' in our mid to late thirties if 2/3 of the eggs are abnormal. Sounds weird, but it gives me hope that I'm not necessarily broken for taking longer, kwim?

Even IVF the odds aren't anywhere close to a sure thing. You can be doing EVERYTHING right but if the egg that drops is no good, well, it won't stick. And better it not stick at all IMO than chemical or m/c's, yk?

I couldn't agree more. I would MUCH rather have a BFN than a chemical or m/c. I keep saying I am quitting but yet each month I keep finding myself right back here. Lol

[Threelittlemen2013]

Femara! That's what I suggest. I see so many women older tyan 35 respond poorly to Clomid but Femara often works beautifully.

That said, I'd kill for a 12 day LP and Oing on time. Hopefully Clomid does the trick for me...

I am definitely not complaining about the 12 days lp! After 2 months of a 9 day, I consider this month a win in that department!

[Threelittlemen2013]

I am switching to femera along with the trigger shot/progesterone again. Dr. Said my progesterone was fine given we tested early, but I just felt more comfortable switching and giving femera a try. Hopefully this works better for me!