1st round of clomid! Cd15 follicle 19mm can anyone help me with ovulation testing

[atomic sagebrush]

Tell me everything you guys did including little things that don't seem important and I'll tell you what to change.

[Three boys down]

First cycle

DH- cranberry, licorice root, mag, cal
Me- I have pcos, metformin,clomid, mag, cal
Me- gave up meat in July, no breakfast, coffee over tea, pineapple at 1dpo for a few days, kept feet warm after ovulation and tummy warm( suffer with freezing feet and cold midriff)
Every 4 days, 1 attempt at pod opk, and one extra by accident then 4 days after.

Second month

DH- mag,cal, wellman ( he has 80% bad motility out of 40 mil sperm) acupuncture 4 days before ovulation.
Me- metformin,clomid, no meat, lost 4lbs, no breakfast, kept tummy warm and feet after ovulation, acupuncture 4 days before ovulation
We had one attempt day before pos opk then at pos opk then two days after so we did more than even every 3 days. We didn't have any more attempts then this cycle as I had to have a sigmoidoscopy as was having bowel issues.

Thanks Atomic I really appreciate your help.

My clinic is likely to suggest ivf after this as they aren't sure iui would be any more beneficial as my body has responded well to clomid

[atomic sagebrush]

You need to keep going with the every 4 days even after ovulation. I want you to continue those e4d attempts both before and after ovulation. You aren't being covered in case of early or late ovulation which is the whole point of the e4d.

yes still have e4d plus one more attempt at positive OPK.

I would add in female orgasm for you and then either Preseed (small amounts) or guaifenesin for you.

[Three boys down]

Forgot to message everyone mention no orgasm, alcohol as well. With all my three boys I conceived with orgasm. Maybe that helps with pushing things upwards as that's one of the big things we've changed!

So going forward e4d, preseed, and orgasm. Would you recommend every other day? That's why Iv been advised by my clinic?

[atomic sagebrush]

It does seem to boost odds of conception somewhat.

I do not recommend every other day for conception OR swaying. It's a blue friendly pattern and worse, it actually doesn't boost chances of conceiving that much because it's super easy to end up with attempts on O-4 (too early), O-2, and O Day (which is often too late) well, that's only one attempt! And even with O-5 (way too early), O-3 (iffy), and O-1 that is still only two, possibly even one attempt. That is not going to boost chances of conception much.

I much prefer you guys doing e4d and then adding in another attempt at positive OPK. This can only ever really be 2 attempts in the fertile window (because even if the attempts land on O-3 and O Day (plus the pos OPK attempt) if anything is left from O-3 and pos OPK attempt, it will already have fertilized the egg before the O Day attempt would have been deposited and capacitated.

[Three boys down]

Ok thank you. So how exactly does every4 days work? Starting from when? And adding the extra attempt at pos opk.

I don't get it because last month we bd cd17, pos opk cd18 bd again then bd again cd20 how did I miss it?

My first cycle we every 4 days then at pos opk and 4 days after.

My mind is boggled!

Another problem is on cd 16 i normally have a 19mm follicle so by cd18/9 when I normally ovulate it would be ready to be released if I was ovulating any later than that it would probably be over mature don't you think maybe poor egg quality is what the issue is?

I'm going to ask my clinic to use a hcg shot on my this cycle i know they don't like using it with clomid but I believe I need the egg to be released when it's ready and don't want the chance of it being poor quality. Do you know where to get hcg shot from if they say no?


Many thanks again and sorry about the essay x

[atomic sagebrush]

Some months just aren't the month. That's all. It doesn't mean you did anything wrong, it just means conception didn't happen for whatever reason.

To do e4d I want you to start the day after AF ends or your last day of Clomid and then just BD every 4th day (so a Monday/Thursday pattern, not those particular days, that's just an example) but keep going after you think you've ovulated. I am not saying you missed it necessarily but it is entirely possible to O before CD 17 or after CD 20 so we need to cover in case that happens. It may not have happened previous months but it could in upcoming months and you need to be covered if you O early or later. Then in addition to that pattern, do the OPK and have one more attempt whenever that falls (while continuing the e4d pattern just as it is.)

"Overmature" eggs has not really proven to be the thing it was once thought to be. I would try not to worry about that. I'd ask about the HCG shot if it matters to you (and in that case you'd BD your extra time the night of the shot and not worry about OPK!)

A different doc like an OB might be willing to do the HCG shot.

[Three boys down]

Thank you Atomic your advice is greatly appreciated! Fingers crossed this month is THE month!!

[Three boys down]

Hi Atomic

Can you just tell me how to take guaifenesin?

Just looking into getting some

[atomic sagebrush]

You can start it after your last dose of Clomid, just the dose on the bottle every day.

you can continue till ovulation or 3-5 days after. It's not harmful so you can take it for a while without causing any ill effects.