When Do You Take Clomid In Your Cycle

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Most of us spend a significant amount of time trying to avoid getting . So when it comes time to actually try and conceive, a lot of women are surprised to learn that getting pregnant can be much harder than high school health class made it out to be. Many women get discouraged if they don't get pregnant right away, but doctors say it's normal for it to take up to a year for women under 35 and up to six months for women over 35. If you've been trying for longer than that, that's when doctors will often suggest looking into (aka IVF). But if you're having trouble, there are other ways doctors can help you get pregnant without IVF—whether you're in or outside that timeframe. (Not that there’s anything wrong with IVF, of course—it can just be costly, doesn’t have a guaranteed success rate, and can be ).

“IVF is not necessary in most cases,” says , M.D., an associate professor of clinical obstetrics and gynecology at Northwestern University Feinberg School of Medicine and author of Sex Rx: Hormones, Health, and Your Best Sex Ever. “There’s a protocol we go through. Nobody goes straight to IVF.”

It's not just that other stuff works—sometimes there are very good reasons IVF doesn't work. Boar-certified ob-gyn , M.D., points out that a third of fertility problems can be attributed to the male partner, and another third are due to unknown factors, so it takes some trial-and-error before you can be sure what method of pregnancy assistance will work for you. “There are many tests to diagnose the problem and each has individualized treatments,” she says.

Once you've started the conversation with your doctor, here are some of the things they might suggest you try to get pregnant without IVF:

Tracking your ovulation: “Just because you’re having regular periods doesn’t mean you’re ovulating,” Streicher says, which is why she recommends that women use an ovulation predictor kit to see if they’re ovulating. Your doctor may also monitor your cycle with blood work (to make sure your hormone levels are correct) and an ultrasound to see if there’s a follicle forming and the lining of your uterus is thick enough. Then, you may have your blood progesterone level checked to see if you actually ovulated. “From that first basic set of tests, we’re really looking at ovulation—if they’re doing it and when,” Streicher says. “You can’t assume.”

Testing sperm: Women often assume that difficulty getting pregnant is due to something on their end, but the male partner can have fertility problems. “I don’t do anything that’s painful or invasive until we do a semen analysis,” Streicher says. “If there’s a man in the picture, too often we find the guy has no sperm or it’s moving in the wrong direction. For me, that’s part of the initial fertility evaluation.” If everything on his end looks good, doctors will then move on to the next step.

Getting a hysterosalpingography (HSG): This diagnostic test looks to see if your fallopian tubes are open. Basically, your doctor will inject a dye into your vagina and take an X-ray, tracking its progress. And, for whatever reason, women tend to get pregnant after having it done. “Nobody really knows why, but we know that fertility increases afterward,” Streicher says. “The simple explanation is that we’re cleaning out your tubes.”

Getting a saline ultrasound: Similar to an HSG, saline ultrasounds are used to see what’s happening in your reproductive tract. And, like HSGs, they’ve been linked to an increase in fertility. “If you want to move this ahead as quickly as possible and particularly if we know you are ovulating and we don’t have any explanation, it’s relatively easy to do,” Streicher says.

Taking Clomid: This drug is used to stimulate ovulation. “It will definitely enhance fertility in someone, even if they’re known to have normal ovulatory function,” Streicher says. Typically, your doctor will give you Clomid and monitor your cycle to make sure you’re not being overstimulated.

Receiving human chorionic gonadotropin (HCG) injections: Your doctor may also give you a shot of HCG to force ovulation and maximize your cycle. This can be done with artificial insemination (where your doctor puts your partner’s semen inside you), as well, depending on what you and your partner are up for.

If your ob-gyn has a strong background in fertility, he or she should be able to do all of this for you. But, if your doctor doesn’t take these steps, Streicher advises going directly to a fertility specialist. “You don’t want to waste your emotions, time, and money,” she points out. And, if you should need it, there's IVF, which has helped many women get pregnant. It's just good to know there are other options you can check out first.

This is source I found from another site, main source you can find in last paragraph

Source : https://www.glamour.com/story/6-ways-doctors-can-help-you-get-pregnant-that-dont-involve-ivf

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