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Question

06 Oct 2006

Advice plse- just finished 3rd clomid
Dear Doc,

I posted last week, regarding the 6 courses of clomid that my gynae put me on.

I was put on Trisequens because I had stopped getting periods altogether. I did start again after being put on it. I tried to fall pregnant, by TTC from around day 12 to 16 from the start of a period, as advised by gynae. She asked me to go for a progesterone test on day 21 of my cycle. I did. SHe then advised that the levels were extremely low, and I wasn't ovulating. Put me on Clomid (50mg) from day 5-9 of cycle. Also asked me to continue with the Trisequens. SHe further told me that if I do fall pregnant, I should continue with the Trisequens.

Kindly advise. I am very confused, and after all I have been hearing from the ladies on the infertility forum and their experiences, I feel a little uneasy about my doc. My doc is at Parklane. I haven't been to an FS. Should I consult one? Please advise. Should I just go back to my gynae? Please recommend another gynae. What do I do from here?

Thank you.
Answer 1,432 views
Expert
Fertility expert
fertility expert

01 Jan 0001

Dear Lilo

In the first instance it is highly unusual practice to continue using Trisequense and simultaneously try to induce ovulation and promote conception.
The underlying reason for lack of simultaneous ovulation should be thoroughly investigated. If the problem is that of premature menopause or premature ovarian failure, then this should be addressed on its merits and a careful evaluation should be undertaken to determine whether high dose of ovulation induction agents may be indicated or not. Should the problem in the other hand be that of failure to ovulate based onhormonal imbalance then it is reasonable to correct the hormonal imbalance and use drugs such as clomid to enhance or promote ovulation.

However the use of Trisequence is certainly not advocated in conjunction with any form of ovulation induction as it may alter the endometrial pattern adversely.
I would suggest that you seek help from a fertility specialist in this regard.

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 examination, 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.
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