I am so frustrated. For one I have very unpredictible. For instance, my menstral came on on april 23rd, May 17th, June 12th and July 25th. So its like my menstral comes on every 24-25 days except the last one was about 43 days. I am currently taking clomid 50mg and started in May. The meds worked in May with getting me to ovulate along with the ovidrel but didn't result in a pregnancy. The meds didn't work in June because when I went in for my 13 day ultrasound. I didn't have any folicles. So for this month they increased my to 100mg & I went in on 08/06 for my 13 day ultrasound and I had a very small immature follicle so they told me to come back on 08/9 to see if it had matured. I went in and they said it was actually smaller than it was on Monday. The dr so the look on my face and he hurried and asked if I had intercourse anytime between monday 08/06 and thursday 08/9 and I told him yes. He said well maybe it took that is why its smaller. Yea right......... So the next course of action if I don't get a BFP around the 34th day then they will increase the meds again and also start me on metformin. I feel like time is running out for me I am 39 and my husband is 41. So time is of the essence for me. Sorry so long. I am just frustrated and husband keeps saying so how long are we going to go thru this? I tell him I don't know but I don't know if he is in it for the long haul and all of the ups and downs that comes with it.

I am so sorry you are going through all of that. I will keep you in my thoughts and my fingers crossed. I hope that everything works out well for you. I have to go through all of the clomid steps and then on from there, I don't know how my husband will be down the line, but so far he's not complaining. Have you thought about asking your Dr to move on to one of the other types of fertility treatments?

Thanks for your good thoughts. I haven't asked the Dr to move on to the next steps but I am pretty sure we are getting to that point next.

I would ask to move on immediately if the next cycle is a bust. If you aren't developing follicles at all, I'm not sure upping the dose will do what you need. I've known women to have success with the metformin added in, so hopefully that will work.

Beyond 150 mg Clomid can hinder, not help, fertility. Once you need a dose that high, your doctor should have you move on to injectibles to see if that bumps up your follicle production.

At this point, I'd try one more round of Clomid at the high dose , then ask to be put on a split cycle of Clomid plus one or two "booster" doses of injectibles to see if that helps. By the end of that cycle, you'll know if the injectibles boost your production or not. If they don't give you any better results, don't let your doc talk you into several expensive cycles done that way. Injectibles can cost a lot if your insurance doesn't cover them.

Best of luck. Infertility is a horrible experience for a couple.

You might find something to help you on FertileThoughts.com - their forums can be interesting.

~Cheri

Thank you for your insight cheri and thanks for the website.