Clomid Patient Monitoring

The only way to know if Clomid is working or not is through aggressive monitoring. This may include:

  • A cycle day 3 scan (looking for cysts)
  • A cycle day 11 scan determining development of follicles and uterine lining
  • progesterone check 7 days following ovulation to determine whether the levels are sufficient to support pregnancy
  • A post coital test (PCT) in the event other tests indicate an LH surge, or to see if the Clomid is creating hostile cervical mucus (unless you’re undergoing intrauterine insemination (IUI).
clomid molecule
Clomifene molecule

Routine ultrasounds are not common for women on Clomid, but you should expect a progesterone check (blood draw) around cycle day 21. The idea is that Clomid should have induced the production of progesterone, improving the lining of the uterus and/or stretching out the luteal phase of the cycle.

Most ovulation predictor kits can determine any surge in LH, but since not every kit is the same you might have to check with the kit’s individual instructions to see when the best day would be to take this test.

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