6 months of clomid no BFP = no hope without IVF??

posted 3 years ago in TTC
Post # 4
246 posts
Helper bee
  • Wedding: September 2011

@ames12708:  I’m currently on my fourth cycle of Clomid. My OB said we’ll do one more round and then re-evaluate our options. I was instructed to use OPKs to determine when my LH surge was, and then I go in for a CD21 progesterone bloodwork. I’ve gotten positive OPKs, so I know I had my surge, and my progesterone numbers have been high so it shows I did ovulate. Surely her doctor is doing something. Some people get ultrasounds I think to verify the ovulation.




I know Intrauterine Insemination (IUI) is where they take your partner’s sperm, throw them in the washing machine, and take all the studly sperm out and give them a horse drawn carriage ride to the opening of the fallopian tubes. I think that’s a step below IVF.




Clomid is not guaranteed to make you ovulate. Usually they start you out on 50mg, and if that doesn’t work then they up it to 100mg and then 150mg. But you have to know if it’s working or not to know what dosage is appropriate.

Is your friend concerned about her doc? I do think it sucks for her. 🙁


Post # 5
2598 posts
Sugar bee
  • Wedding: March 2012

I went through 4 cycles of clomid, Starting at 50mg, ending at 100mg with an added HCG shot, to stimulate ovulation.

Its hard to answer your questions with out knowing if she is seeing her OB (which ill only prescribe clomid and not monitor) or if she is seeing an RE.

She can try clomid with injections and IUI

ferema with injections and IUI

if those fail then yes… IVF will be her answer. Some women skip the injections with clomid because it is expensive (not as expensive as IVF).

Tell her not to give up, not to take no for an answer. always do your own research,  and if all else fails SEE A NEW DOCTOR. an awesome RE will change things.

I am praying for her. I went through alot during our infertiliy journet, but now, I am 9 months pregnant and every single shot, tear, ultrasound, let down, disappointment was so so worth it.

Post # 6
3153 posts
Sugar bee
  • Wedding: September 2011

@MrsStrawberry24:  +1; I don’t mean to thread jack here, but WOOHOOOO – 9 months!!! So happy for you! Can’t wait to read your birth story. Prayers for a happy and healthy delivery. Congrats mama.

@ames12708:  I did four rounds of Clomid with my GYN before switching over to an RE/Fertility clinic.  With the fertility clinic, so far, I’ve done two rounds of Clomid + injectables w/trigger shot and IUI. I’ll probably do a few more rounds of IUI before we look into IVF.

I would try to talk to your friend about seeking help from an RE, if she’s not currently with one; and if she is, find another one. As far as Clomid goes, at 6 rounds, she should give her body a “rest.” Most doctors won’t recommend anymore than 6 consecutive cycles on Clomid. If this cycle doesn’t work, maybe she should try naturally for a few months while trying to get into an RE. Good luck!

Post # 7
2457 posts
Buzzing bee
  • Wedding: October 2012

are you saying they didn’t monitor her at all? not even a progesterone test each cycle? without any sort of monitoring, they have no way of knowing if she is even responding to the clomid!

there are PLENTY of options before IVF.

clomid with trigger

clomid with trigger and IUI

clomid with injectables (follistim, bravelle, etc)

clomid with injectables and IUI


femara with trigger

femara with trigger and IUI

femara with injectables

femara with injectables and IUI


injectables and IUI


Post # 9
11668 posts
Sugar Beekeeper
  • Wedding: November 1999

@ames12708:  I don’t know a whole lot about it, but from what I’ve heard doctors put a lifetime limit on clomid of somewhere between 6 and 12 cycles.  If she doesn’t feel she is getting the best care from her current doctor, she should get a second opinion from someone else.

Post # 10
2311 posts
Buzzing bee
  • Wedding: May 2010

There is a limit typically on how much you should try clomid.  But, as previous ladies have said, there are TONS of options before IVF.  A lot of times, fertility docs like to jump right to IVF b/c it’s got the highest success rate.  But, for a lot of women, there are so many other choices that will work for them.

As for how to talk to her, just let her know you’ve been thinking about her and have done some research and there seem to be so many more options than just what her doctor is saying.  Suggest that she maybe switch docs or see a specialist if she isn’t already.

The fact that they’re not even monitoring her on the Clomid is frustrating.  My GYN did bloodwork on day 21 to see if I ovulated.  It’s what Clomid is SUPPOSED to do, but not necessarily what it WILL do.  For instance, I never ovulated with it. 

Best of luck to your friend!

Post # 11
246 posts
Helper bee
  • Wedding: September 2011

I would probably bring up the Bee and talk about how you enjoy reading all of the different posts on here, including TTC and pregnancy, and how it really opened your eyes to all the options that you’ve read about different bees going through to conceive.


You could bring up some of the things that have been mentioned here and ask if her OB has mentioned them at all. Say they are steps before IVF, so it might be worth her asking her OB about them before just giving up after the Clomid. Doesn’t hurt to ask a question right?


Best of luck and baby dust to your friend, and a big fat congratulations to you! Cool

Post # 12
2457 posts
Buzzing bee
  • Wedding: October 2012

@ames12708:  maybe… you could direct her here or to some other TTC forum? let her know there are others going through what she is and it’s great to talk to people who understand. it wouldn’t take very long for people to start telling her to find a different doc.

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