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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Retrovated Uterus, Follicular Problem. Prescibed Clomid Tablet 150mg. USG Found Egg, Given Trigger Shot. Hcg Negative. Get Pregnant?

Hi doctor i am really confused i guess i need an answer. I have beens diagnosed that i produce couple of follicules every month but they dont get bigger and they die before they reach an appropriate size,, i live in egypt , the doctor prescribed for me clomid tablets 150 mg from the third day of my cycle for duration of five days and i went in day 14 to make an ultrasound and we found one egg that measured 19 mm in diameter then she gave me a 0000 trigger shot and told me that intercourse should be in the same day. In day 23 my belly was really swalloen that my husband told that i am pregnant and there was cramps and pain in my breasts too so i suspected that may be finally i will get a positive so in day 25 in my cycle i had a quantitiave hcg and it came back zero . My cycle is 29 days plus one thing that i forgot to mention that i have retrovated uterus so my question do i still have hope this cycle and i tested early..?...
Mon, 13 May 2013
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OBGYN,  's  Response
Though in the past it was considered significant, retroverted position of uterus is not much of a problem. Do not worry about that.
I presume you have Polycystic ovarian disease, which is a derangement of hormonal/ovarian function and in most situations readily correctable. 'Clomid' is one first line drug for the condition used to 'kick start' the ovaries. It is not clear from your query whether you started with 150mg or gradually increased to that level. Usual initial dose is 50mg and only if your ovary fail to respond to that dose, higher doses are used. With higher doses, though there is a higher chance of ovarian stimulation, the fertility rates actually fall.
Another thing to remember here is that, though everything is right, the chance to get fertilized is around 35-40% only. So dont get disheartened. Your chances of pregnancy sure increases with further cycles. Good Luck.
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Retrovated Uterus, Follicular Problem. Prescibed Clomid Tablet 150mg. USG Found Egg, Given Trigger Shot. Hcg Negative. Get Pregnant?

Though in the past it was considered significant, retroverted position of uterus is not much of a problem. Do not worry about that. I presume you have Polycystic ovarian disease, which is a derangement of hormonal/ovarian function and in most situations readily correctable. Clomid is one first line drug for the condition used to kick start the ovaries. It is not clear from your query whether you started with 150mg or gradually increased to that level. Usual initial dose is 50mg and only if your ovary fail to respond to that dose, higher doses are used. With higher doses, though there is a higher chance of ovarian stimulation, the fertility rates actually fall. Another thing to remember here is that, though everything is right, the chance to get fertilized is around 35-40% only. So dont get disheartened. Your chances of pregnancy sure increases with further cycles. Good Luck.