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About Brenda
Expertise
I have been an R.N. since 1988 and come from a family of nurses. I have clinical experience in labor and delivery, as well as post-partum care and pre-term pregnancy complications. I have also worked in Community Health Clinics dealing with this area of expertise, including WIC (Women, Infant, & Children) clinics performing nursing evaluations and assessments in determining a need for services or intervention for pregnant women, newborns, and young children. I have worked in immunization clinics in and around my community as well. I also have several years experience in OB and Pediatric Home Care Nursing. In addition to that, I am a mother of two, ages 21 and 16, both of which I had hoped would be vaginal deliveries, but ended up being C-Sections... one of which had me in pre-term labor...another which was frank breech (bottom first)... one who rejected the breast... and so on... to list my personal experience would be a bit lengthy! I'd simply like to help anyone who might have a question or concern that I can draw on my expertise to answer!

Experience
I have been an R.N. since 1988 and come from a family of nurses. I have clinical experience in labor and delivery, as well as post-partum care and pre-term pregnancy complications. I have also worked in Community Health Clinics dealing with this area of expertise, including WIC (Women, Infant, & Children) clinics performing nursing evaluations and assessments in determining a need for services or intervention for pregnant women, newborns, and young children. I have worked in immunization clinics in and around my community as well. I also have several years experience in OB and Pediatric Home Care Nursing. My experience also includes approximately three years working in Behavioral Services.

Education/Credentials
Graduated from the Mary Lanning School of Nursing in May 1988. Have been a licensed Registered Nurse in the state of NE since 1988.


 
   

You are here:  Experts > Health/Fitness > Obstetrics/Gynecology > ObGyn/Pregnancy issues > clomid

ObGyn/Pregnancy issues - clomid


Expert: Brenda - 3/12/2007

Question
Hello I am 23 and currently trying to become pregnant though AI. I do at home insemination each cycle though a sperm bank in Washington. I heard before that each woman should still have a %20 chance each month which is the same as a normal couple. I have normal cycles and do AI at 24 and then again at 36 hours past my positive OPK.  My question though is I've had two cycles that did not work and this cycle my doctor decided to put me on 50mg of Clomid for days 3-7. I know there is no set answer but I was wondering if you opion how much does Clomid improve your chances of becoming pregnant? Would it be like %25 or %30? Does it even increase the chances much for someone like me who does ovulate and has regular cycles? What are the chances that more then one egg was released? Again I know there is no set answer and each person is different and any number of possibles can happen so I was just wondering in general more about Clomid.

Answer
Dear Angela,

Clomid works by stimulating an increase in the amount of hormones that support the growth and release of a mature egg (ovulation). This medication is not recommended for women whose ovaries no longer make eggs properly (primary pituitary or ovarian failure).

The goal of Clomid therapy is to establish normal ovulation rather than cause the development of numerous eggs. Numerous studies show that pregnancy usually occurs during the first three months of therapy and treatment beyond six months is not recommended.

Clomid increases levels of the follicle stimulating hormone produced at the beginning of a cycle. Because it CAN cause more than one egg to develop, it increases the odds of a multiple pregnancy to about 8%, usually twins. Although clomiphene causes follicles containing eggs to grow, it does not necessarily cause the eggs to actually ovulate.

Clomid results in successful ovulation induction in approximately 80% of women, and ultimately half are able to achieve pregnancy. Whereas you seem to be ovulating regularly, the results may well not be as significant simply due to this medication. Most infertility issues treated with Clomid are related to anovulation (not ovulating). However, it's quite possible that your doctor has had some success with this previously.

You're right in that I can't give you a hard and fast answer about what your odds are, but hopefully this will work for you and you'll get all the answers you need! I do hope this information has helped a bit.

Brenda

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