Regular ultrasound monitoring is key. Your doctor will track follicle growth, measuring their size. Ideally, you want follicles to reach a specific size (typically 18-24mm) before triggering ovulation.
Blood tests measuring your estrogen and luteinizing hormone (LH) levels provide additional insights. High estrogen levels, coupled with an LH surge, signal your body is preparing for ovulation. Your doctor will use this data to time your trigger shot, if needed.
Timing is everything. Once follicles reach the optimal size and hormonal signals align, your doctor may recommend a human chorionic gonadotropin (hCG) injection (trigger shot) to induce ovulation. This ensures eggs are released at the best possible time for fertilization.
After the trigger shot, you’ll likely have intercourse or utilize assisted reproductive techniques (ART) like intrauterine insemination (IUI) within 24-36 hours, based on your doctor’s guidance. This maximizes the chances of fertilization.
Following ovulation, your doctor will likely recommend a pregnancy test approximately two weeks later. If the test is negative, discuss further options with your healthcare provider. They may suggest adjustments to your Clomid dosage or alternative fertility treatments.
Remember: Each woman responds differently to Clomid, and two follicles are a good sign but don’t guarantee pregnancy. Maintaining open communication with your doctor throughout the entire process is paramount.