Clomid makes your body produce more & larger follicles which produce "eggs" to stimulate ovulation is a different step most often using an HCG "trigger shot" with clomid. If your doctor is only using clomid and not ultrasounding/measuring follicles then triggering ovulation and they are aware that it's your ovulation timing you are concerned about then it's time to DEFINETLY see someone else. Most good doctors will give progesterone in some form to patients just in case while struggling with infertility. A reproductive endocrinologist is your best bet. Hope this helps!
Hi!
I'm sorry that you have lost two pregnancies! But you are looking at the situation correctly--you CAN get pregnant! Irregular ovulation does not cause miscarriages, but it can make it more difficult to get pregnant in the first place.
If you take Clomid on cycle day 3-7 your ovulation should occur on cycle day 14. If you are already at day 21, then the dose of Clomid that you took didn't work for you. It may be that you need a higher dose, or a different medication. I like Femara better, personally.
It may be that you should "start from scratch". If you were my patient, I would stop medications and do some hormone testing. In particular, I would check an FSH level on cycle day 3. (Your first cycle day is equal to the first day of your period.) I would also do an ultrasound to check for antral follicles. These tests are to check your ovarian reserve--or how many eggs you have left in your ovaries.
I would also check a TSH level, a prolactin level, and a progesterone level (day 21). I would ask you to use ovulation predictors through one natural cycle. If the evidence indicated that you weren't ovulating, I would recommend Femara plus or minus Metformin. If those medications didn't work within about 3 cycles, I would send you to a reproductive endocrinologist at that point. In your case, I would probably skip the HSG and semen analysis, as we know that he has sperm, and your tubes are open already since you conceived twice. If you did conceive again and miscarry again, I would start a workup for recurrent miscarriages.
I hope this helps!
Dr B
I am sorry to hear that but nfortunately Clomid does not work for every one. My Dr gave it to me in a attempted to get me to ovulate and it did not work. Sorry