What next after Clomid?

[Mum2SweetCs]

Hi all,

Just wondering what is the next step after clomid and can we go straight to IVF?

Short story about us, I have PCOS and have always had irregular period from 32 days to 125 days.

Been TTC since Jan 2010.

Went on clomid for two rounds last Oct/Nov but wanted to try natural cycle after.

Then AF came once and never came since Feb 2011.

Since then until now i had irregular spotting which ultrasound found nothing wrong.

Currently on Metformin, started about a month ago.

I did ovulate this month though so waiting for AF now.

So, how do I go about with the next step? and can I go straight to IVF?

Thanks all

[minniemouse]

hi hun,

i have just finished my last cycle of clomid, from here im planning on going onto injections (so along the lines of clomid, its "ovulation induction" but still dtd at home, will have some blood tests and ultrasound monitoring throughout the cycle to check for ovulation.

there is also iui we could do before "full" ivf but im not keen on that. one clinic said i could go straight to ivf from here but im now going through another clinic and they are happy for my to try the other options first.

so to answer your question you can really do whatever you want !

did you have help conceiving DD ?

[Mum2SweetCs]

Heya minnie

DD was an absolute miracle. I had no clues on cycles and charting and all that and she was conceived 1.5mths of us deciding, so she sure was a miracle.

Ive asked DH to do some research on IVF. We are thinking of trying naturally until end of this year before IVF.

Ive heard you ladies talk about IUI and FSH etc but will have to read up on it a bit mroe as I have no idea what they mean lol

[minniemouse]

hopefully metformin will help things, i have been on it for many years because of pcos

not sure where you live but i can give you some info if you are in sydney (or even if in nsw) pm if you like

[blessedatlast]

I'm not definite but I would have thought if you Are ovulating maybe IUI? It's just where the sperm is directly inseminated into you at ovulation. IT's cheaper than IVF but that's all I really know about it not much help sorry.

[Miss K]

Have you thought of ovarian drilling at all? That was my next step after clomid didn't work for me.. We ended up doing IVF in the end but if you have ovulated on clomid I would definately think you'd be a good candidate for it providing your FS is keen on it... After that I did FSH and DTD at home that cycle ended in OHSS and then after that my FS said are you sick of this I obvioulsy was like YES so IVF we went wish I'd done it in the first place but in saying that I was thankful for her trying all this first I forgot to mention I was diagnosed with PCOS when I was 12 and NEVER had a cycle unless medically made!

If you need to know anything feel free to pm me

[onthefly]

It's up to you really. IUI may be an option - it's less invasive and cheaper but also has a lower success rate. We had the option of trying IUI first as DH's sperm was 'borderline', but went straight to IVF as we hoped it would be quicker.

ETA - if you ovulate, the there has to be an egg. It is possible that your ovaries aren't doing quite what they should in the luteal phase, however, hormone-wise. Clomid or OI can help with this.