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What causes brown vaginal bleeding while on Clomid?

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Posted on Fri, 10 Jul 2015
Question: Hi
I have long cycles (33-40 days), in the last 5 cycle, I only got a positive OPK 2/5 months. My progesterone tested low 1.1 so my OB/GYN thought I may not be ovulating. I was started on progesterone this cycle on CD 10. Had an ultrasound on CD 13 and there were no follicles at that point. At the follow up on Day 19, gyno said I could start clomid (50mg) mid cycle. Started taking it CD 20 and had not gotten a positive OPK yet/no temperature dip. CD 22 evening had some very faint light bleeding and woke up on CD 23 with brown discharge. Is this my period? I was told to stop taking progesterone on CD 28 or when I got my period. I don't know if I should finish with clomid pills 4 & 5 and if I should continue with the progesterone. Also if this is my period, would I be okay to start the clomid again on days 5-9 next cycle?
doctor
Answered by Dr. Binu Parameswaran Pillai (12 hours later)
Brief Answer:
Continue the tablets

Detailed Answer:
Good day,
Noted your concern.
What day of your period was progesterone checked? Was it in the fasting sample in the morning??
Your doctor has given you progesterone for luteal phase support and bleeding would happen ( if you are not pregnant) few days after stopping progesterone. However, the spotting which you mentioned is common in the midcycle. Continue the tablets. And if regular periods occur in between, you may stop progesterone. Otherwise wait for few days after you have completed progesterone.If periods doesnt start for many days after stopping progesterone, get a pregnancy test done first and meet your doctor.
If you are not pregnant, you may restart clomid in the next cycle.
Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Binu Parameswaran Pillai (10 hours later)
Yes progesterone was checked on the last day of my cycle (cd37) and it was a morning fasting progesterone 1.1
doctor
Answered by Dr. Binu Parameswaran Pillai (2 hours later)
Brief Answer:
Controversies in progesterone measurement

Detailed Answer:
There are lots of controversies in Progesterone measurement.
Since you have a long cycle, the best day of measuring progesterone is 7 days before the next period. However, in many people this is difficult because, the cycle length can vary. A good progesterone level is an indication of ovulation ,. but as I mentioned before, the exact timing of progesterone test is difficult.

There are other indirect measures of ovulation. 1) Ultrasound around ovulation time to look at follicles and if they have ruptured or not.
2) Ovulation kits ( but they are less sensitive).
3) Basal body temperature
4) vaginal discharge ( there is increased thick whitish discharge at the time of ovulation).

So multiple measurements of progesterone may be required. The best indicator of ovulation is a regular menstrual period.

Regards
Binu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1435 Questions

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What causes brown vaginal bleeding while on Clomid?

Brief Answer: Continue the tablets Detailed Answer: Good day, Noted your concern. What day of your period was progesterone checked? Was it in the fasting sample in the morning?? Your doctor has given you progesterone for luteal phase support and bleeding would happen ( if you are not pregnant) few days after stopping progesterone. However, the spotting which you mentioned is common in the midcycle. Continue the tablets. And if regular periods occur in between, you may stop progesterone. Otherwise wait for few days after you have completed progesterone.If periods doesnt start for many days after stopping progesterone, get a pregnancy test done first and meet your doctor. If you are not pregnant, you may restart clomid in the next cycle. Regards Binu