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Question
Posted by: Lee | 2008/10/06

When do they prescribe fertomid?

Morning doc,

When does a gynae prescribe Clomid/Fertomid? Don' t know exeactly what they suppose to do but I read about them often.

I was on the Nuristerate injection for 4 years which i stopped Dec 2007. I went on the Evra patch for 3 months. Since April 2008 we' ve been trying to conceive. I' ve been to the gynae - everything is 100%. My cycles were 39, 28, 41, 30, 28 days. My gynae didn' t prescribe anything. Obvious I didn' t ovulate some months but I thinks its getting normal now? (I hope so) I' m 28.

Do you think I need some fertility tablets? I did an ovulation test this months and showed 2 lines on day 10 already.

Thanks for your wonderful advice.

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Our expert says:
Expert ImageFertility expert

Dear Lee

If you are ovulating as established by the ovulation tests, then it may not be necessary at this stage to use clomid/fertomid. These plugs are used for patients specifically who have ovulation dysfunction and are considered to be ovulation induction agents. I would recommend that you continue with the ovulation monitoring and timed intercourse and should conception occur within the next 3 months, I would recommend further investigations, in particular a semen analysis. Occasionally, the Nuristrate injections may have a prolonged effect on the endometriam (lining of the wall) which will spontaneously return too normal. Further investigations should include some form of tubule patency evaluation either by means of an X-Ray or an HSG or alternatively a laparoscopy.

Answered by:Dr Cassim

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