Will My Doc Prescribe Me Clomid?

Starting metformin and clomid again after miscarriage!! help!?

• i am 28 and my DH is 31.we have been actively ttc for 2 years. In July 2011,my OB put me on metformin due to low preogesterone levels on cd 21....i gradually increased it to 1500mg/day over a period of 3 weeks.....but it did not help. after 4 unsuccessful cycles, my OB added Clomid 50mg. In Nov 2011,my cd 21 progesterone level was 6. the nurse told me that i still had not ovulated and i have to try clomid again....but I did get a BFP that cycle!!! DH and I were so happy that we were FINALLY able to get pregnant!! the doc asked me to stop metformin immediately and prescribed prog suppositories,but i got it only a week later since it had to be compounded at a speciality pharmacy.....my pregnancy however ended in a miscarriage at 7 weeks on DEC 8th!! i started spotting and then miscarried naturally....what was heart-breaking was that the heart-beat was 130bpm(which my OB said was healthy) the day before i miscarried.....the OB said i did not have to go thru any procedure as i had miscarried completely.... i have had 1 cycle since my m/c and today i started my 2nd cycle. I have changed doctors as i was not satisfied with the previous one...the OB said i can wait for a cycle before i can go back on metformin and clomid again..i had a pap smear done and all is well. today is cd1 and i am supposed to take metformin and clomid 50 mg(cd 5- 9). I was wondering if i should take 50mg or request my doc to up my dosage??also, can i immediately satart taking metformin 1500mg/day. the new OB says i do not have to check progesterone level on cd 21....but she will test my blood as soon as i get my bfp and prescribe prog supp if necessary.....i thought my progesterone level had to be monitored to confirm ovulation?? any suggestions???

• Answer:

  I'm really sorry to hear about your loss. Clomid comes with some risks so if you can conceive on a lower dose (which it sounds like you can) it is much better for you and potentially for your baby too. The progesterone may not have been the reason for your miscarriage as clomid itself can cause that to happen unfortunately so try not to think 'what if'. Sometimes they want to monitor you and other times not. It isn't a huge deal. If after another cycle or two you have not conceived I think they would be likely to increase your clomid dosage and if they don't offer it then at that point you'd be entitled to request that they did. Good luck.