No Sign Of Lh Surge

Laura asks…

TTC with PCOS. Dr perscribed Clomid…question about O kit and the med, any help would be great!?

Ok so I was dx with PCOS almost a year ago. We weren’t TTC when I found out so I started BC and Metformin. We have since gotten married and have stopped the BC and started TTC. Dr. told us to try for 3-6 months if nothing was to happen she would prescribe meds.

Well we tried for 3 months and I met with her again she prescribed Clomid 50 mg along with the Metformin. I had to take the Clomid from day 3-7. She said if this round don’t work she will up the dose and try again, if still no success she will up the dose 1 more time and if still nothing she is going to send me to a specialist. She told me to get an O test kit and start on day 10. That was today, she also said to bd every other day (which we have been doing) and that any change in color on the O test is a positive sign when you are on Clomid.

Anyways I took the test this morning and the LH surge line was darker than the reference line which the test says is positive for O. It is a ClearBlue easy test and I plan on bd tonight and still testing in the morning to see if I get the same result, there’s no way day 1 of testing is the day I O! I also have had some brown discharge, which is unusual for me.

Anyways my questions:
1-Is Clomid at 50mg on days 3-7 a low dose or normal?
2-I had no side effects so does that mean it didn’t work?
3-What is the likely hood of having twins on this dose? (I’ll be 23 in April)
4-Could the discharge be positive sign of O?
5-Should I keep testing with the ClearBlue easy? and was this result positive?

I’m still pretty new at this and any other advice would be great! Thanks in advance.

Pregnancy Advisor’s answers:

50 mg is the typical dosage for anyone beginning Clomid, I believe they usually only prescribe up to 150 mg, but I could be wrong. Lack of side effects doesn’t mean it’s not working, you could just be one of the lucky ones :) The likelyhood of having twins on clomid is about 6%. I don’t know about the discharge, it’s always possible to have old blood which didn’t make it’s way out until there was something else (CM) to flush it out. Yes, this was a positive result, when the surge line becomes lighter again, or disappears, that means you have ovulated. Mine are sometimes darker for 3 days or so. ClearBlue easy is as good as any of the others.
Good luck!

Helen asks…

pregnancy/ovulation test strips???

trying to conceive….say the ovulation test strip says there is a high LH surge… you have intercourse….then the next day, it again says there is a high LH surge….so you have intercourse again….then the next day there is no LH surge…..Does that mean you are done ovulating and do not need to have intercourse again???….according to test strips…..please answer.

Pregnancy Advisor’s answers:

If you are timing your baby making sex based on the OPK results, you’re missing the best window, sorry.

By the time the LH surge is detected by the OPK, you have already passed your most fertile time.

Learn how to detect your cervical mucus. This is truly the best sign of when you are most fertile, not an OPK.

Start with clean hands, and insert your finger into yourself, and swipe your finger gently across your cervical opening. When you do this, and you get a clear, slippery, slick mucus like raw eggwhite, that stretches between two fingers, you need to go for it right then! That is your best ovulation sign.

I strongly recommend Toni Weschler’s book Taking Charge of Your Fertility, for anyone TTC.

Good luck!

Lizzie asks…

Could it be signs of implantation?

My cycles are regular, and are always 28 days long. This month my cycle started March 6th. I detected my LH surge with OPK March 17th. I’ve been having dramatically increased cervical fluid ever since March 23rd. Yesterday, March 28th, I felt like I was going to start my period (thank God I didn’t) instead, I had cervical fluid that had the slightest tint of pink.. this was only when I would wipe after using the restroom. Yesterday night when I wiped, there was a really small dot of red blood, but that was the only time. And now this morning I am having pink tinted CF but also a teeny bit of a light light brownish color.

Could it be implantation? I am not sure if it is normal for implatation spotting to go on for several days, or if what I described is what it should even look like?

Or.. perhaps it may be the onset of my period??? I’m not sure, I’ve never started my period this way. Help please!

Pregnancy Advisor’s answers:

I am in the Medical Field and work for an OB/GYN

Implantation is pink and brown NOT RED

Implantation lasts ONLY 3 days and NO longer
Implantation is also very rear.

It takes 3 to 5 days to fertilize the egg and another 10 to 12 to implant.

You need to allow your HCG levels build up so you can test about a week after your expected period

Sandy asks…

All the signs of ovulation, is it still possible to not ovulate?

This is our 6th month ttc and our 1st month using opks. I’m using the opks from, and beginning yesterday afternoon my results line was the same color as the test line, I just tested 30 min. ago and my result line is darker than my test line, which means I’m having a lh surge.

I also had lots of discharge yesterday, and about the same today. I checked my cervix this morning and it was definitely open, and right now I’m having a dull cramp on the left lower side. So I’m wondering if it’s possible to have all of this and still not ovulate?

Pregnancy Advisor’s answers:

You have all the signs you are ovulating. Make sure to have sex at every other day to increase your chances. As my ob/gyn told me you don’t ovulate every month some months your body goes through the same process but you don’t always get an egg to drop. I wish you luck!

Ruth asks…

Advice for couple trying to conceive? And baby websites?

Any and all advice for us trying to conceive a child are appreciated.

And does anyone know any baby websites I can sign up for free and no address needed.

Pregnancy Advisor’s answers:

How to get Pregnant Faster – Top Ten Tips

1. Have sex three times a week.

Having regular sex is the best way to get pregnant. Couples often try to time everything perfectly for ovulation but do not have sex when they think they are not ovulating. It is true that sex that is not within the time of ovulation will not result in pregnancy. However, because women do not always ovulate when they think they will, having sex three times a week will help to a woman cover her bases, so to speak, and not miss an opportunity to get pregnant.
2. Use an ovulation prediction kit or fertility monitor.

Using an ovulation kit to predict when you are ovulating will improve your chances of getting pregnant. For many women charting or other methods of ovulation prediction are too confusing. Ovulation prediction kits work by reading LH surges prior to ovulation. They are relatively easy to use and are generally accurate for predicting ovulation. Fertility monitors, such as the Clear Blue Easy monitor, are also a worthwhile investment if you would like to get pregnant faster. Fertility monitors are similar to ovulation prediction kits in that they read changes in LH but they also read changes in other hormones and don’t require any guesswork for couples. They are easy to use and will tell you when the best time to get pregnant is.

3. Have sex before ovulation (not after).

Sometimes couples get confused about the best time to have sex in relationship to ovulation. You have a small window of time each month to get pregnant. After a woman ovulates the egg will survive approximately 24 hours. Sperm, on the other hand, will live for up to three to five days. This is why having sex two to three days before ovulation will increase your chances of getting pregnant. Don’t wait until the day you ovulate to have sex. Your partner’s sperm will last longer than your egg and you don’t want to miss an opportunity by waiting.

4. Don’t rely on the Calendar method for predicting ovulation.

A lot of couples have heard to have sex around day fourteen of your cycle. This is based on the calendar method and assumes that you have a regular 28-day cycle and ovulate mid-cycle. Although this is better than just picking an arbitrary day to have sex, it is not a very accurate way to predict when you ovulate. Many women do not ovulate on day fourteen and knowing precisely when you ovulate will help you time intercourse better. Ovulation prediction kits, looking at previous months bbt charts, or watching for body cues will help you to determine when you ovulate.

5. Charting may not be the best way to predict ovulation.

Charting is great for tracking your cycle but it does have disadvantages. By the time you can see ovulation on a bbt chart, you have already ovulated. It is good to chart so you can track your cycles, see if you ovulate the same time each month, and also so you can look back on your cycle and see if you timed things right. But if this is your first cycle trying to get pregnant or if you are not ovulating at the same time each month, an ovulation prediction kit would be more helpful.

6. See a doctor before you start trying to get pregnant.
Make sure you are in good health and have had a regular check up from your OBGYN or medical provider. Untreated infections, sexually transmitted diseases, or poor health can affect your chances of getting pregnant. Its good to see a doctor as well as start taking prenatal vitamins prior to trying to conceive.

7. Don’t smoke, drink alcohol, or abuse drugs when trying to get pregnant.
This may seem like common sense but many women do try to get pregnant while smoking, drinking or using drugs. Smoking, drugs, and alcohol can affect your fertility. It will also affect your unborn child. It is important to stop smoking or using drugs and alcohol before getting pregnant and not wait until you find out you are pregnant.

8. Have enjoyable sex.

Sometimes when couples are trying to conceive, sex becomes a job or function of reproduction and is not as enjoyable. Plan a romantic evening or try something different to spice things up. How you are feeling sexually may factor into your chances of getting pregnant. Some researchers believe that having an orgasm during sex increases your chances of getting pregnant. For women, the spasmic movements of orgasm will help pull the sperm into the uterus and for men a better orgasm may increase the man’s sperm count.

9. Have sex in positions that keep sperm inside the vagina longer.

The missionary position is a good position to use when trying to get pregnant. Avoid positions where the woman is on top. Gravity will allow sperm to leak out with these positions. Also try placing a pillow under your hips to help tilt your pelvis and keep the sperm in longer. Don’t get up right after sex. Try to relax and allow the sperm to stay in the vagina as long as possible.

10. There is no such thing as trying too hard to get pregnant.
Most couples get pregnant within a year of trying. If you have not gotten pregnant within a year consult your doctor for advice.

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