Originally Posted by
atomic sagebrush
I have secondhand experience only - friends/clients who were cycling or on fertility meds. That having been said, it is a pretty extensive secondhand experience.
I think RE's are great and genuinely want to help, but sometimes I think the old adage "Give a boy a hammer and everything he encounters begins to look like a nail" often holds true. They are often in a hurry to escalate to more advanced treatments, in no small part because they really do care and want you to get pregnant as quickly as possible.
Question - did you OVULATE on the Clomid and just not get pregnant, or did you not even ovulate?? If you didn't ovulate on Clomid or if you've been on it longer than 12 months, it has run it's course and you def. need to move to the next level of fertility drugs. If you did ovulate on Clomid and didn't take it that long, and you are under 35 and your FSH levels are ok, I'd float the idea and see what they say, but don't set your heart on the idea. If they say no way, no how, that's fine! You then have the option of doing JUST injectibles or even ask about Femara (Femara is a drug that works similarly to Clomid but may be better for people who've had bad results on Clomid - it's not FDA approved for fertility and would have to be used off-label.) Neither Follistim nor Femara sway pink, but at least they don't sway blue as much as an IUI would. The Metformin will also be working for you.
I wouldn't mention that you want Clomid to sway pink, I think that would go over like a lead balloon!! I would stick to wanting to reduce your odds of twinning and also that you want to try it while on Met to see if that helps.
FR or even skipping frequency patterns all together are best with Clomid. You want to get pg as quickly as you can.
We've had good results with people taking vitex/SP for a month prior to starting the Clomid - so you'd take it month 1 af-af, then stop it CD 1 and switch to Clomid. You can also do this with your follistem/Femara if you were prescribed those instead.
A sway plan is always an option if it makes you feel more relaxed about swaying. I've made plans for people on Clomid in the past.