Our expert says:
The problem with using Fertomid and not combining this with either follicle tracking by ultrasound scans or by a more reliable and sensitive ovulation monitoring systems such as the urine LH testing kits (Clearplan etc.) would results in unnecessary speculation as to when ovulation is taking place. It is extremely important to realize that ovulation (the actual release of the egg) is a very short interval event and requires careful monitoring. The egg is “fertilizable” for a duration of 24 hours after which it undergoes degeneration and will not be of any use. Therefore the use of Fertomid or any ovulation induction agent for that matter requires full ovulation monitoring to improve the timing of intercourse or any other intervention such as intrauterine insemination. The fact that you have 44 days cycles implies a fairy resistant type of ovary and it would be sometimes necessary to increase the dose of Fertomid or add to the Fertomid ovulation induction injections and very careful monitoring may be necessary. However in the interim I would advise that a pregnancy test be taken anyway and should this be negative a visit to your fertility specialist or gynaecologist would be recommended.
Answered by: Dr M.I. Cassim
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