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Sterility
Posted: 05-21-08 04:35am

- Why I don't have my menstruation yet while I am not pregnant? Usually after taking clomid, it takes 32 days until next menstruation. I think since I ovulated may 1st, I should have my menstruation 2 weeks after.

- I am taking clomid for 5 cycles already, and the 4 cycle was interrupted by my miscarriages. Is it save for me to continue taking clomid? My doctor said, since I have miscarriage before (December 2007), it is like I just started my cycle taking clomid for the first time again (started april 2008, two cycles after miscarriage).

- What should we do to improve my husband sperm?

- Why I cant ovulated normally?


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DoctorAnswer
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Pregnancy Answer A4169
Posted: 05-23-08 11:31am


My follicle is not grown, and if I am not taking any clomid I would have 44days mens cycle. At first time, my doctor said I am PCOs, but after taking some test, FSH, LH, DIABETES) I am not one of it. And my fallopian tubes are patent too. Doctor said, it is difficult for me to ovulated it self. So I am taking clomid to ovulated.




According to your story it appears that both you and your husband have a sterility problem.


You don’t have spontaneous ovulations and thus your periods are irregular. Lack of ovulation can be due to PCOS, thyroid disorders, increased prolactin, etc. Clomid is used for stimulating ovulation. You need to have sex or to perform IUI during the ovulation. Ovulation can be predicted by measuring the body temperature, using ovulation test strips or by ultrasound monitoring. Clomid can be used for 6 cycles in a row. Missing a period in your case is not due to pregnancy. It could be due to an ovarian cyst formation that can happen when using Clomid as a side effect.


But there is another problem in your case – your husband’s sperm is not good enough which means his ejaculate does not contain enough alive, mobile and normal morphology spermatozoids. You didn’t tell me precisely which sperm disorder he has but in more than 50% of cases the cause for sperm low quality is unknown. Easier cases are treated with intra uterine insemination (IUI) and severe cases with Intra-cytoplasmatic-sperm-injection (ICSI).


In sterility cases like yours, where combination of ovulation stimulation and artificial insemination was not successful, I think that you should try treating sterility with “in vitro”-fertilization. You can consult your gynecologist about this.





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