My doctor prescribed Nolvadex. Does it sway for girl?

[tuba]

Hello Atomic!

Last month, I went to the doctor and she told me I have PCOS and gave me Metformin. She said that my ovulation is weak. She took blood tests and did an ultrasound at cd 10. She said that I wait 3 months and if I don't get pregnant, I come back and get medication. I only waited one month and today cd 2, I went so I can get femara but she prescribed "Nolvadex" instead.

Does Nolavadex sway? which is better, Femara or Nolvadex? I can go back and ask for Femara if it's better in terms of swaying.

I am not sure about the ovulation part because when I went there it was cd 10 and my cycle is about 32-34 days. I guess that cd 10 is too early to see any egg, am I right? Can she see anything at cd 10 via ultrasound?

[tuba]

Sorry! I posted another one before this but I couldn’t delete it. It says “page not found”

[atomic sagebrush]

Yes it was due to all the punctuation marks in it, I was just gonna message you to ask you to post it again!

I prefer Femara and Clomid but it's only because I have more experience with them The Nolvadex is likely very similar but I've only had one person take it so far and I just don't have the confidence in it that I do the other ones (not only for swaying, but also safety/efficacy). I'm fine with you taking it but it's just that I know more about the others (by far)

Yes you're right that she did the scan too early.

[tuba]

Yes it was due to all the punctuation marks in it, I was just gonna message you to ask you to post it again!

I prefer Femara and Clomid but it's only because I have more experience with them The Nolvadex is likely very similar but I've only had one person take it so far and I just don't have the confidence in it that I do the other ones (not only for swaying, but also safety/efficacy). I'm fine with you taking it but it's just that I know more about the others (by far)

Yes you're right that she did the scan too early.

Great! I went back and asked for Femara instead of Nolvadex.
When is the best day to see the doctor after I finish Femara? to check my ovulation! As I mentioned, my cycle is 32-34 days.

[atomic sagebrush]

Your cycle may very well change on the Femara. I would go back in the 4th day after your last dose. You will not ovulate before the 5th day after taking the medication, so by going in the 4th day after, you will be able to see what's going on in time for there to still be an attempt if you do O that soon.

Now, you may have them tell you "you're not ovulating" but you still WILL. (for reasons I will never understand some doctors seem to not understand how these medications even work). People will O an average of 5-10 days after the last dose of Femara, but a large minority will O later than that even. So just don't get too upset if they say something like "hmm looks like you're not ovulating this month" they're full of baloney, most people will ovulate, just later than that.

[tuba]

Your cycle may very well change on the Femara. I would go back in the 4th day after your last dose. You will not ovulate before the 5th day after taking the medication, so by going in the 4th day after, you will be able to see what's going on in time for there to still be an attempt if you do O that soon.

Now, you may have them tell you "you're not ovulating" but you still WILL. (for reasons I will never understand some doctors seem to not understand how these medications even work). People will O an average of 5-10 days after the last dose of Femara, but a large minority will O later than that even. So just don't get too upset if they say something like "hmm looks like you're not ovulating this month" they're full of baloney, most people will ovulate, just later than that.

So last Sunday was my last dose of Femara. Should I go on next Thursday which is the fourth day after Femara or Saturday? because the doctor doesn't work on Friday. Which day is better, Atomic?
Also, when to begin BD the e4d method? my period lasts 9-10 days.

[atomic sagebrush]

The doctor should be able to see something by the 4th day, so I'd go Thursday. If you decide not to go till Saturday I'd def. attempt on Thursday to cover in case you O Friday.

As soon as possible on the e4d

[tuba]

The doctor should be able to see something by the 4th day, so I'd go Thursday. If you decide not to go till Saturday I'd def. attempt on Thursday to cover in case you O Friday.

As soon as possible on the e4d

Dear Atomic,
I went to the doctor this morning and she was very mad at me. She refused to do a scan because I didn’t come on cd 9 and because I didn’t take femara twice a day as she suggested:(
Today is cd 13
She was too mad that I couldn’t tell her that I got positive OPK Yesterday:(
I took femara once a day from cd3 for five days.
She prescribed Duphaston twice a day for ten days starting from cd15. She asked to see her next cycle

I need Your comment, Atomic!

[atomic sagebrush]

you have probably realized this but doctors don't need to know everything. If they're giving you bad information that you aren't following because it's bad information (like telling you to take too high a dose of Femara) it's ok to keep that to yourself.

Next time just tell her you came on CD 9 or whatever day she says. Unless you've specifically told her the day your period starts she won't be able to know what cycle day it is.

I would seriously consider getting a new doctor because it is completely normal for women to ovulate different days after the Femara. If you stopped the Femara CD 7 there is no way you could have been about to ovulate by CD 9, and that would have been a useless and expensive visit.

They can't tell stuff like this from ultrasounds or blood tests.

[atomic sagebrush]

You MUST NOT start Duphaston until you have ovulated. Telling you to start Duphaston a certain day without even confirming you have ovulated is questionable medical advice. While some people can ovulate despite taking Duphaston, for others it will stop ovulation in its tracks because rising progesterone stops the development of an egg. The doctors who start Duphaston just "whenever" on CD 15 rather than 1-3 days past ovulation like most docs do, are banking on that you are just about to release the egg and so the process can't be stopped, but if they're wrong they can end up stopping O in its tracks.

[tuba]

you have probably realized this but doctors don't need to know everything. If they're giving you bad information that you aren't following because it's bad information (like telling you to take too high a dose of Femara) it's ok to keep that to yourself.

Next time just tell her you came on CD 9 or whatever day she says. Unless you've specifically told her the day your period starts she won't be able to know what cycle day it is.

I would seriously consider getting a new doctor because it is completely normal for women to ovulate different days after the Femara. If you stopped the Femara CD 7 there is no way you could have been about to ovulate by CD 9, and that would have been a useless and expensive visit.

They can't tell stuff like this from ultrasounds or blood tests.

I learned a lot of things from you, Atomic and I am following your advice. I didn't like the idea of taking Femara twice a day because you have never suggested that.
yes, she knows when my period started because I went to get femara on cd 2.
She was planning to give a trigger shot. I felt that she does that with all her patients

[atomic sagebrush]

I've never heard of any doctor having people take it 2x a day.

Hopefully next month we can do things differently so she is out of the loop.

[tuba]

You MUST NOT start Duphaston until you have ovulated. Telling you to start Duphaston a certain day without even confirming you have ovulated is questionable medical advice. While some people can ovulate despite taking Duphaston, for others it will stop ovulation in its tracks because rising progesterone stops the development of an egg. The doctors who start Duphaston just "whenever" on CD 15 rather than 1-3 days past ovulation like most docs do, are banking on that you are just about to release the egg and so the process can't be stopped, but if they're wrong they can end up stopping O in its tracks.

She said if I get pregnant this cycle, Duphaston will prevent miscarriage. I will not take it and I will change this doctor. Unfortunately all doctors follow the same thing.

what should I do now?

[tuba]

I've never heard of any doctor having people take it 2x a day.

Hopefully next month we can do things differently so she is out of the loop.

she was very mad because I didn't listen to her so she refused to do the scan:(

[atomic sagebrush]

I'm totally fine with you taking the Duphaston if you want, just be sure you wait till after ovulation to start it. Even though it hasn't been shown to help anyone get or stay pregnant, a lot of doctors do still use it and I don't think it hurts anything to try it if you want to. We just have to be sure to take it in a safe way and that is by starting it after ovulation.

[tuba]

I'm totally fine with you taking the Duphaston if you want, just be sure you wait till after ovulation to start it. Even though it hasn't been shown to help anyone get or stay pregnant, a lot of doctors do still use it and I don't think it hurts anything to try it if you want to. We just have to be sure to take it in a safe way and that is by starting it after ovulation.

How do I know if I ovulated? Last Friday, I got positive OPKS. Yesterday, I had some cramps, backache, and ewcm. Do you think that was ovulation?

[atomic sagebrush]

That would be my assumption, but the surefire way is to take a blood test - is that possible?

[tuba]

That would be my assumption, but the surefire way is to take a blood test - is that possible?

What is the name of this blood test? so I ask directly for it

[atomic sagebrush]

Serum progesterone level. You should see a higher number if you have ovulated.

and don't worry about not starting the Duphaston soon enough. Healthy pregnancies should make enough progesterone on their own without the Duphaston.

[tuba]

[QUOTE=atomic sagebrush;1054904]Serum progesterone level. You should see a higher number if you have ovulated.

and don't worry about not starting the Duphaston soon enough. Healthy pregnancies should make enough progesterone on their own without the Duphaston.[
Great
I am not going to take Duphaston until I get the test or a scan may be next cycle
Thank you so much

[tuba]

Atomic, what do you think of trigger shot?
My doctor is planning to give it to me next cycle after taking femara again.

[atomic sagebrush]

It's fine, doesn't seem to sway, and can also help you know when to have your one attempt (day of trigger shot)

[tuba]

It's fine, doesn't seem to sway, and can also help you know when to have your one attempt (day of trigger shot)

Is it ok to take it after femara? I am not sure what medication my doctor is going to give me this time. I am planning to take femara even if she prescribes something else and I will not tell her. Is that OK? or the medication should be something different since she is going to give me a trigger shot! Today is CD1 and she asked me to see her cd 2 and cd 10. Can I wait until cd 3 and tell her it's 2? because she also wants to see me on cd 10 which is 3days after femara and she may not see any ovulation. I am really frustrated and I don't know what to do! Help me please

[atomic sagebrush]

Yes! Fine to use trigger after having done Femara. She won't be able to tell.

Yes, it's fine to go in CD 3 and say it is CD 2. She can't know that.

If you go in CD 10 and nothing is happening yet, that is not unusual. She will just have you come back in another couple days. That's ok, while frustrating that you may have to have another visit, it won't be an issue. And you may have follicles developing at that point and they will say "ok come back in 2 days for the trigger" or whatever. Even with the Femara that is totally possible.

[tuba]

Great! Thank you so much, Atomic.

[tuba]

It's fine, doesn't seem to sway, and can also help you know when to have your one attempt (day of trigger shot)

Does the trigger shot increase getting pregnant with twins?

[atomic sagebrush]

We honestly don't know because most of the people who do trigger shots are on fertility medication. We believe that all the trigger shot does is release the eggs that are ready. no eggs that weren't going to be ovulated anyway would be released. But I don't have a study I can point to that proves that since the vast majority of people who do trigger shots are on some sort of medication that DOES up the chance of twins.

[tuba]

We honestly don't know because most of the people who do trigger shots are on fertility medication. We believe that all the trigger shot does is release the eggs that are ready. no eggs that weren't going to be ovulated anyway would be released. But I don't have a study I can point to that proves that since the vast majority of people who do trigger shots are on some sort of medication that DOES up the chance of twins.

I see.
Thank you my dear

[tuba]

I see.
Thank you my dear

Atomic, I went to the doctor this morning and she prescribed Nolvadex again and told me not to take Femara. Today is cd3 and she wants to see me next Tuesday which is cd9.
She asked me to take it three times a day for 5 days starting from cd3.
I decided to take femara and I will not tell her.
what is she looking at on cd9?

She also prescribed Motova plus which is (L-Carnitine Carnipure as Levocarnitine tartrate 1000mg and N-Aceytl-L- Carnitine Biosint 500mg) twice a day for two weeks for me my husband. Is it OK? my husband refused to take it:)

[atomic sagebrush]

Sorry, I know I'm late to reply to this, I was not able to get online much the past few days.

On CD 9 she will just be looking to see if any follicles are developing. She can't tell what you took by what she sees.

Please do not take the Motova. That has delayed and even stopped ovulation for women and sways blue for both men and women (though it is fine and safe for men to take)

[tuba]

Sorry, I know I'm late to reply to this, I was not able to get online much the past few days.

On CD 9 she will just be looking to see if any follicles are developing. She can't tell what you took by what she sees.

Please do not take the Motova. That has delayed and even stopped ovulation for women and sways blue for both men and women (though it is fine and safe for men to take)

Oh my god! I took Motova may be for 3 days:( What can I do to recover and get rid of its effect in my body?

[atomic sagebrush]

Nothing, 3 days is not long enough to harm anything.

[tuba]

Nothing, 3 days is not long enough to harm anything.

Great!
Thank you dear

[tuba]

Nothing, 3 days is not long enough to harm anything.

Hello Atomic
I had an ultrasound today cd 9 and the doctor said there is an egg which is 15mm and she said I have to bd today.
Is this size good? Today is day 2 after the last dose of Femara!
When should I dtd? She also asked me to see her on Thursday.
She prescribed Climen (the white tablets only, twice a day for 5days) they contain Estradiol valerate 2 mg. She said that I my uterus lining is a little thin.
Does it sway? I am waiting for your opinion to take it or not.

[atomic sagebrush]

yes please take the Estradiol!

You are not going to ovulate till the egg is more like 18-20 mm and it is all but impossible that you won't ovulate till the 5th day after the dose of Femara. She didn't give you a trigger shot, did she??

[tuba]

No she didn’t give the trigger shot. She wants to see me on Thursday and she may give it to me.

I missed the first day of the Estradiol because I was waiting for your opinion. I am starting today. Should I take it for 4 days only since I missed one day or it’s fine to take it 5 days?

[atomic sagebrush]

Yes. She does not think you are "about to ovulate". If she did, she would have given you the trigger.

Just take it for 4 days.

[atomic sagebrush]

And please do not wait for my opinion - I can't always guarantee I will get on here and through all my questions every day. Though I try it's just not a promise I can keep! If something is important go ahead and start taking it or doing it and then when I get to your question I"ll have you stop or not.

[tuba]

OK! I will:)

[tuba]

The doctor gave me the trigger shot this morning. The egg is 19mm. She said that we DTD today, tomorrow and Saturday. I will only do one attempt.
When should we BD?After how many hours? Then after that, should we follow the e4d pattern?
Does the trigger shot make the OPKs positive? I tested this afternoon and it was positive.

It’s day 4 after femara and CD 11.
She also suggested that I take Duphaston starting from tomorrow. I am afraid that it stops the ovulation!

[atomic sagebrush]

Gah I somehow did not see this yesterday!

Have an attempt right away if you didn't already. The trigger shot will ~probably~ prevent you from needing the e4d (although you can if you want to and it's not going to hurt anything - in the very slim chance O was delayed, which it usually isn't with the trigger, you'll be covered)

I would wait till after you know you've ovulated to take the Duphaston. CD 15 should be ok.

[tuba]

I did BD the same day of the trigger shot. The trigger shot was yesterday at 10:30 am and we DTD at 10:30 p.m. Was that OK? Is it enough? Or we should BD one more? The doctor said that I may ovulate after 36 hrs to 40hrs. Does that apply with Femara,the fourth day after the last dose?

Now, it’s 40 hrs after the shot but I don’t feel any ovulation symptoms. Only very little ew. Even yesterday which is the day of the trigger shot, no symptoms.

[atomic sagebrush]

No that was great timing for one attempt with the trigger.

It is up to you whether to add another attempt or not. Best odds of pink are stick with the attempt you've had, better odds of conception would be to have another attempt.

The trigger shot will force you to O so it's possible to ovulate earlier than the Femara would have allowed otherwise.

[tuba]

What about ovulation symptoms?
I don't feel anything. Last time, with femara there were sharp cramps and pain, but this time nothing at all.

How far may ovulation happen after a trigger shot?

[atomic sagebrush]

People notice all different things when on the medication. Some people who never have symptoms have them, other people who always have them don't, there's no rhyme or reason to it.

you will ovulate an average of 36 hours. Much more likely to be 24-36 hours than longer, and 48 hours is usually the longest time between the two

[tuba]

thank you. I hope it works this time

[tuba]

Atomic
After a trigger shot, when to do a home pregnancy test?

[atomic sagebrush]

it depends on how high the dose of trigger shot you got was.

14 days for 10,000 iu, 10 days after 5000 iu, and it ~says~ 7 days after 2500 - but most people are not going to get a positive test at that stage even if you did conceive so I would not ever have anyone take a pregnancy test that early.

(for anyone wondering, this is because a trigger shot can cause false positives on pregnancy tests and NOT when it is a good time to test for pregnancy if you have not had a trigger shot.)

[tuba]

That makes sense! I think I should wait 14 days or until AF arrives because I don't know what dose was it.
Thank you Atomic

[tuba]

Gah I somehow did not see this yesterday!

Have an attempt right away if you didn't already. The trigger shot will ~probably~ prevent you from needing the e4d (although you can if you want to and it's not going to hurt anything - in the very slim chance O was delayed, which it usually isn't with the trigger, you'll be covered)

I would wait till after you know you've ovulated to take the Duphaston. CD 15 should be ok.

Atomic, I’ve been taking Duphaston since cd 15 as you suggested. For how long should I take it?

[atomic sagebrush]

Until you've had two negative pregnancy tests 2 days apart (so test on CD 14 and then CD 16 and if both are negative you are likely not pregnant) Your doc may want you to have a blood test done first though, you should call and ask to be sure.

[tuba]

Until you've had two negative pregnancy tests 2 days apart (so test on CD 14 and then CD 16 and if both are negative you are likely not pregnant) Your doc may want you to have a blood test done first though, you should call and ask to be sure.

It’s cd 19 today. I’ve started Duphadton on cd 15 , four days post trigger shot.

[atomic sagebrush]

Sounds great! Good luck!

[tuba]

When should I stop taking it?

[atomic sagebrush]

This is the directions for stopping duphaston


Until you've had two negative pregnancy tests 2 days apart (so test on CD 14 and then CD 16 and if both are negative you are likely not pregnant) Your doc may want you to have a blood test done first though, you should call and ask to be sure.

[tuba]

Today AF came at 8 p.m which means that Femara and trigger shot weren't successful last cycle:(
What should I do this cycle?
I took femara for 2 months plus 1 trigger shot last month. Should I go to my doctor again?

[atomic sagebrush]

I would have two attempts this month at the trigger.

[tuba]

The doctor said today that she wants me to have a break from the medication this month and she wants to check my ovulation after 10 days.

Should I take femara?or Just take a break as she suggested!

[atomic sagebrush]

How many months on the Femara? 2 or 3?

[tuba]

one on clomid then one cycle nothing then 2 cycles on femara

[tuba]

I decided to take the clomid just for swaying before I see any doctor. then, I learned from you that it's not good for age of 39. Then, I went to the doctor and she prescribed Nolvadex but I took Femara for two moths in a row.

[atomic sagebrush]

ok let's go ahead and take a month off.

[tuba]

Ok
Thank you, dear.

[tuba]

I would have two attempts this month at the trigger.

Today is cd 15 . No medication but when I went to the doctor the doctor this morning she gave me a trigger shot because there is an egg (size 18.5mm).
My question is: when to BD? We bded on Thursday night. Now, it’s 7 p.m Saturday.
Last time, you suggested one more bd when I get a trigger shot and one more.
Should I do it today? Or tomorrow!

Ok we bded this afternoon which is about 28 hrs after trigger shot. When didn’t do anything in the shot day.

So we had 2 BDing: one is 36 hrs before trigger shot and the other one is 28hrs after the trigger shot. That makes 2 days in between if we think of e4d pattern.
What do you think, Atomic!

[atomic sagebrush]

BD right away. I want you to BD IMMEDIATELY and then again as soon as possible.

the attempt 36 hours before trigger won't count for anything.

[tuba]

We BDed today afternoon which was 28hrs after the trigger shot. Do we need one more? If yes, when? Now it’s almost 1:00 a.m
And when is again?

[atomic sagebrush]

As soon as you can get it in.

[tuba]

Two days in a row? one was yesterday afternoon and one today? So I ignore the idea of one attempt! can I ask why do you want me to do it twice instead of one?

[atomic sagebrush]

You've been on fertility medication and you are 39. IMO it's time to add an attempt. If you don't want to, that's fine.

[tuba]

Is there a chance I get pregnant from the one attempt that happened 28hrs after the trigger?

[atomic sagebrush]

Yes, and it's most likely that another attempt would be too late anyway. I am trying to be on the safest side in case you ovulate later on. Not likely but possible.

[tuba]

Hopefully I get pregnant this month

[tuba]

Hello Atomic
AF arrived this afternoon. This month I didn't take any medication but only a trigger shot because the doctor asked me to take a break. This cycle, I am planning to take femara. The doctor said to take it on cd 4 instead of day 3. Is that OK with Femara? Does it make a difference?
What should I do in this cycle?
this is the fifth month trying to conceive. One month clomid and two months Femara and the last month was with no medication.

[atomic sagebrush]

CD 4 is another acceptable day to take the Femara. You can start it CD 3,4,5.

Refresh my memory about everything you did this last month.

[tuba]

This month I haven’t taken any medication except for the trigger shot on cd 15. We bded 36 hours before the trigger shot. Then another attempt on cd 16 (about 24 hrs or 26 hrs after trigger shot)

[tuba]

I had cramps two days ago and today AF arrived but only once when I wiped. Do I count this as cd 1? Or I wait until tomorrow when it becomes heavier? I always have it this way. The first day is nothing but little when I wipe then the next day it becomes serious.

[atomic sagebrush]

Did you do anything in terms of swaying, though?

And how often did your partner ejaculate prior to the attempt?

[atomic sagebrush]

Today is cd 15 . No medication but when I went to the doctor the doctor this morning she gave me a trigger shot because there is an egg (size 18.5mm).
My question is: when to BD? We bded on Thursday night. Now, it’s 7 p.m Saturday.
Last time, you suggested one more bd when I get a trigger shot and one more.
Should I do it today? Or tomorrow!

Ok we bded this afternoon which is about 28 hrs after trigger shot. When didn’t do anything in the shot day.

So we had 2 BDing: one is 36 hrs before trigger shot and the other one is 28hrs after the trigger shot. That makes 2 days in between if we think of e4d pattern.
What do you think, Atomic!

In this upcoming month you should have an attempt the day of trigger.

[tuba]

I did the month before which was August. One attempt the day of the trigger shot. Should I do something else?

[atomic sagebrush]

Just because it didn't work one month doesn't mean it can't work in the future. Some months just aren't THE month. But if it was up to me I'd have you have an attempt the day of trigger and again the next morning if possible, if not, that night

[tuba]

Ok I understand😘thank you so much

[tuba]

Today is cd 13 and the 6th day after Femara but no trigger shot.
I got positive OPKs this afternoon
Last night we BDed.
When it’s best to have another attempt?

[atomic sagebrush]

Sorry, I only just now saw this. I would have another attempt 72 hours after the last one, which is tomorrow.

[tuba]

Atomic
First day of my last period was October 1st.
Yesterday I did at home test and I got a faint line. Then, I did it today and I got an even fainter line. My boobs were sore but not anymore. I had blood test and the doctor at the lab said it looked a weak pregnancy and we should do it again after one week but now I see brown discharge. Is it chemical pregnancy? What should I do?��
Update now, 12 a.m. I am having light red bleeding. I did beta test the result was 14

Update: three days later I did beta again and it the number went down to 2 so not pregnant anymore:(

When is it ok to TTC again?
The doctor prescribed (qomega) omega 3 + Q10
and Shainy which has glutathione in it . Do they affect the sway?

When does ovulation happen after chemical pregnancy?

I don’t know what to do next? Do I need to add anything ?