AboutEdward Joseph Ramirez, MD, FACOG Expertise I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.
Experience I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 15 years.
Organizations American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society
Publications American Journal of Obstetrics and Gynecology
Education/Credentials Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco
Question I was started on Provera after my cycle being a month late. I started spotting 3 days after my last pill. I was then told to start Clomid on days 5-9 at the first sign of bleeding. I started to spot, and called my doctor who said to consider the spotting CD1. I started the Clomid on the 5th day of spotting. Two days after I finished my last Clomid pill, I had my full flow start that lasted 6 days, so basically my doctor had me take the Clomid when I was spotting only and to our surprise my cycle started after I finished the Clomid. What are the odds that I will ovulate with this round of Clomid since my cycle days were misscaculated?
Answer Hello Courtney from the U.S.,
I am sorry for the delay in this answer. I left to go to a meeting, and although I completed all the questions before I left, but apparently some were posted after I left. I did not have access to email at my meeting.
I know that time has passed since your question, but this cycle is probably out. The ovary sets up for ovulation within the first 5 days of the cycle. Most than likely, the spotting was not the beginning of the cycle, but the flow was. I advise my patients to start counting from the first day of flow. In order for Clomid to work to enhance your ovulation, it has to be started within that 5 day period. Otherwise, your natural system will take over and control the ovarian function.
I hope that answered your question.
Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
