Posted by: Carol | 2011-07-25

Anovulation - PLSE Help

Hi. I took my first course of Fertomid from 4-8July (CD4-8).I have been having slight cramping in my lower abdomen the past fewe days.My dr gave me fertomid as I am TTC and according to my blood test - I''''m stuck between the ovulation &  lutheal phase of my cycle. my last cycle was 44 days!
i haven''''t notice any egg white mucus, only a milky white discharge in high volume the past 3 days(CD17-19). Does this mean I am ovulating? When can I take a pregnancy test? I usually have irregular periods, so don''''t know when to expect my period.
My dr also gave me primarin cream (estrogen) for vaginal dryness - know idea how much to use. Will this increase my chances of conceiving?

Not what you were looking for? Try searching again, or ask your own question
Our expert says:
Expert ImageFertility expert

Dear Carol

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

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

Our users say:
Posted by: Lindie (Midwife) | 2011-07-25

Hi Carol

Some women do not experience copious amounts of egg white cervical mucus during ovulation. The best way to establish when you are ovulating, is by doing temperature charting. The problem with this though, is that it is only affective with women who have regular cycles. So in your case, I would advise that you purchase OPK s (Ovulation predictor kits). These are similar to pregnancy tests, but instead of detecting pregnancy hormones, it detects an LH Surge. Prior to ovulation, your body has a rise in the hormone called LH. The OPK test will show a positive result if you body is experiencing an LH surge. This will then indicate to you that you will be ovulating in the next 24 - 72 hours. This is about the only way you can definitely know that you are ovulating. You can buy this at any pharmacy.

The estrogen cream can definitely increase you chances of conceiving. The vagina has a very acidic environment that is not at all accommodating to sperm. This is why, during ovulation, our bodies secrete copious amounts of egg white cervical mucus to aid the sperm in getting into the uterus as well as to protect the sperm. The estrogen will perform the same function.

Reply to Lindie (Midwife)

Have your say

Thanks for commenting! Your comment will appear on the site shortly.
Thanks for commenting! Your comment will appear on the site shortly.