I personally don't and wouldn't do clomid unmonitored because I am not happy with the risk of multiples. I also get some serious side effects - it makes my depression infinitely worse O.o and I need the medical contact to remain OK. I get ultrasounds CD10 of every clomid cycle with a hcg trigger, and we've recently added IUI. This was probably TMI but doesn't hurt to let others in on how we manage clomid .