clomid pregnancy calculator
You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. It is usually given as a pill once a day for 5 days. WOMS does not provide any medical advice, diagnosis, or treatment. Finally, the day you waited for all monthpregnancy test day. Fertility doctors monitor Clomid cycles for two primary reasons: Monitoring the cycle usually starts a few days after your last Clomid pill is taken and may involve ultrasounds and bloodwork every few days until you ovulate. Clomid is used to cause ovulation in women with certain medical conditions (such as polycystic ovary syndrome) that prevent naturally occurring ovulation. From first day of your period to the first day of your next period. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Some doctors will want you to come back for blood work to measure hormone levels or a transvaginal ultrasound to look at your ovarian follicles. Calculate Based On: First Day of Last Menstrual Period *. If medical standards can tell you when to use Clomid (day three, four, or five of a new cycle), predicting when copulation will effectively lead to conception is far more difficult. Read our. Patient education: Ovulation induction with clomiphene. Knowing when you ovulate is key when you're trying to conceive. She is a professional member of the Association of Health Care Journalists and has been writing about womens health since 2001. If your doctor does need to increase your dosage, don't worry that this is a bad sign. During the two-week wait, you may experience mild symptoms of ovarian hyperstimulation syndrome (OHSS). Pregnancy Calendar and Due Date Calculator. (2021). You pee on a stick, and the test will indicate whether you're in your fertile window or not. Clomid is very powerful and induces ovulation in over 50% of all women who take it. It's only during these cycles, and this time will eventually pass. Avoid any disappointment by testing before you have sufficient hormone in your urine. She works in house at a reputable private clinic in New York City while also seeing her own clients through her concierge fertility consulting and nursing services business. In order to induce ovulation, treatment follows the Day 5 through 9 option. 1988;319:189-194.doi:10.1056/NEJM198807283190401, Wordsworth S, Buchanan J, Mollison J, et al. In short, the hormone FSH (follicle-stimulating hormone) signals the ovaries to grow and mature eggs (encased in follicles of fluid) to be released via ovulation. Well tell you. (1983) The effect of clomid induced superovulation on human follicular and luteal function for extracorporeal fertilization and embryo transfer. You may have heard of hCG (the pregnancy hormone) when reading about pregnancy tests. There are a variety of options if this happens to you, including switching to the drug letrozole or taking Clomid along with metformin. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. This article reviews all you need to, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. (2014). In fact, higher doses of Clomid may lead to side effects, some of which can reduce your fertility. As always, followyourhealthcare provider's instructions, and do not be shy about asking questions before, during, or after treatment. The main downside is you will have to wait another month to start treatment. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. If you have irregular periods or you do not get a period, your healthcare provider can perform a "random start." Rachel uses her own experiences with infertility to write compassionate, practical, and supportive articles. 2009;200(5):510-e1. If you're looking to get pregnant, you may wonder how many eggs you have at various points in life. Living with infertility raises a persons risk of developing breast, endometrial, and ovarian cancer. For one thing, you may need to have sex when you're not in the mood. Learn all the factors affecting your fertility and how to address them. Sign up to be the first to know about ObieforAndroid. This is sometimes called a trigger shot because it triggers ovulation to occur within 24 to 48 hours after injection. Sometimes, Clomid is used together with injectable medications. When it comes to pregnancy and ovulation success rates, however, studies have not found an advantage or disadvantage. Or, they may order blood work only at the end. Shen ZQ, Shi B, Wang TR, Jiao J, Shang XJ, Wu QJ, Zhou YM, Cao TF, Du Q, Wang XX, Li D. Characterization of the Sperm Proteome and Reproductive Outcomes with in Vitro, Fertilization after a Reduction in Male Ejaculatory Abstinence Period. Not an iOS user? However, the authors of the Huang study concluded that on balance letrozole was better. Although no teratogenic adverse reactions have been reported, this measure should be considered. Progesterone Levels During Ovulation And Pregnancy, Get fertility advice personalized for you, has no ovarian cysts (except if there is polycystic ovary syndrome), has no abnormal uterine bleeding (if there is abnormal bleeding a tumor should be ruled out). However, there is a significant variation in how long it takes to ovulate using Clomid. One thing to keep in mind: a positive OPK doesn't mean you ovulated. It is usually given as a pill once a day for 5 days. Some of the side effects of Clomid can mimic pregnancy symptoms. hhs.gov/guidance/sites/default/files/hhs-guidance-documents/193421_Part%20D%20Manual%20Chapter%206.v.01192016.pd, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=2ca373c1-4dba-4126-8616-5c533d606fe5, obgyn.onlinelibrary.wiley.com/doi/full/10.1002/uog.18933, ncsl.org/research/health/insurance-coverage-for-infertility-laws.aspx, kff.org/report-section/coverage-and-use-of-fertility-services-in-the-u-s-appendix-2-medicaid/, academic.oup.com/humrep/article/29/11/2482/2427159. Leyla Bilali, RN is a registered nurse, fertility nurse, and fertility consultant in the New York City area. Read our. What are the indicators of ovulation following Clomid treatment? Without regular ovulation, it can become difficult to get pregnant. Verywell Family's content is for informational and educational purposes only. The out-of-pocket cost of Clomid varies. Read More:How To Make Clomid Work Better For YouWhen Is Your Fertility Window?Ovulation Calendar, Dr. Amos Grunebaum, MD, FACOG is a Professor of Obstetrics and Gynecology, and among the world's leading authorities on fertility and pregnancy. Rachel uses her own experiences with infertility to write compassionate, practical, and supportive articles. This wait is probably the hardest part of the cycle to endure. If you take Clomid and your menstrual period has not come when you expected, then do a pregnancy test. Your healthcare provider may order a trigger shot to help better time for IUI or intercourse or to give your ovaries a little extra boost. This will let you know when and if you actually ovulated.. That means that a woman taking Clomid on days 5-9 will often ovulate on about day 16-20 of the cycle. The luteal phase is the time between ovulation and the first day of your next period. In terms of success rate, this first choice fertility treatment is said to regulate ovulation in more than 80% of cases. What Is the Clomid Success Rate for Ovulation and Pregnancy? If three or more follicles mature, your healthcare provider will likely cancel the cycle, meaning you will be asked not to have sex (to avoid conceiving). This leads to increased production of a hormone called GnRH, causing the pituitary to pump out more of another hormone called FSH and LH, thus inducing ovulation. Your doctor may extend this if it takes a few cycles before they find the dose that works for you. Novel clomiphene stair-step protocol reduces time to ovulation in women with polycystic ovarian syndrome. Obviously, you can only get pregnant if you first ovulate. Cycle Days 1021: Monitor Follicular Growth, Cycle Days 1017: Timed Intercourse/IUI and Ovulation, Cycle Days 19-21: Progesterone Blood Test, Next Steps After Infertility Treatment Failure, 8 Signs of Ovulation That Help Detect Your Most Fertile Time, Ovidrel Trigger Shots for Fertility Treatment, Ovulation and When to Have Sex During a Clomid Treatment Cycle, In Vitro Fertilization (IVF): What to Expect, How to Get Pregnant With Irregular Periods, IUI (intrauterine insemination) treatment, hormone FSH (follicle-stimulating hormone), feeling pregnant doesn't mean you are pregnant, Patient education: Ovulation induction with clomiphene, Medications for inducing ovulation: A guide for patients. This method calculates your due date based on the first day of your last period, assuming a typical pregnancy, on average, lasts 40 weeks (or 280 days) from the . 2005;161(7):607-615. doi:10.1093/aje/kwi084. Both gynecologists and fertility specialists typically order a progesterone blood test sometime between days 19 and 21, though it may be given later if your provider knows you have ovulated later than day 21 of your cycle. A twin pregnancy appears to be more common with Clomid than triplets or higher-order multiples. This information can help them determine when you should begin having intercourse or have intrauterine insemination (IUI). When and How to Take Clomid Clomid comes in 50-milligram tablets. If you're on the Day 5 to 9 protocol, you're most likely to ovulate (on average) between Day 16 and 19. There doesn't seem to be a difference in pregnancy success between beginning Clomid on day 3 or day 5. Clomid is a 50-milligram (ml) pill that is usually taken for five days in a row after day 1 of a females menstrual cycle. This causes a spike in the generation of GnRH, the ovulation fertility hormone in charge of regulating the FSH and LH hormones that cause ovulation. Rachel Gurevich is a fertility advocate, author, and recipient of The Hope Award for Achievement, from Resolve: The National Infertility Association. That was our first pregnancy after marriage without much trying. Its common to start at the lowest dose and increase each month as needed. 2001-2023 BabyMed.com - All Rights Reserved. Clomid During Pregnancy and Breastfeeding. Pregnancy Calendar and Due Date Calculator Calculate Based On: First Day of Last Menstrual Period * Average Length of Cycles From first day of your period to the first day of your next period. Your healthcare provider will probably keep trying higher dosage levels up until a certain point, after which other treatments might be considered. 2019 Mar 15;18(Supplement 1):S109-17. If you are seeing a fertility specialist, they may prescribe an injection of the hormone human chorionic gonadotropin (hCG) in addition to Clomidalso known as a "trigger shot." The Clomid ovulation calculator has 2 options: the first is deliberately developed to provide timings for a routine while on Clomid medication, and the second is a conventional one-year ovulation calendar. These statistics hold for about 3 months and after that success rates are much lower. Summary Recommendations: Clomid is prescribed to stimulate ovulation. People often use the terms sex and gender interchangeably, but they have different meanings: Clomid is often prescribed to females with polycystic ovary syndrome (PCOS), which is a syndrome that can cause irregular or absent ovulation. If your doctor wants to "enhance" ovulation, you'll likely take Clomid on Days 3 through 7. Three to six-day shipping . Sharma S, et al. Always on Time. Hum Reprod. While LH does surge before ovulation, this doesn't guarantee that you actually ovulated. You may now see the reason we used this given equation: Ovulation = Treatment start + Treatment duration + 7 days. Among state Medicaid programs, New York is the only state that currently provides coverage for fertility medications, including Clomid. Cramping, mild abdominal pain or uneasiness, mild excess weight, mild nausea, and diarrhea are all mild common side effects. If you do ovulate, and you just dont get pregnant, then your doctor will keep you at the dose youre on. Females with these conditions may need more intensive infertility treatment or need to use donated eggs. Default = 28 Optional: Leave 28 if unsure. Obie is your reproductive health coach, helping you reach your goal with expert personalized guidance. Keep in mind that those with no fertility problems have about a 25% chance of getting pregnant in any given month. The majority of cycles last around 28 days. To use it, consider the following Clomid calendar, which begins on the first day of your menstruation period: Day 1 Your menstruation period begins on this dayDay 4 Clomid (50 milligrams) is given for the first timeDay 8 Clomid last dosage (total of Five doses used)Day 15 The day that you should expect to ovulate; andDay 24 The day that the implant is supposed to be put in place. Clomiphene citrate is not deliberately a fertility drug but is the most common medical method used to induce ovulation by changing the biochemical balance in the body and making it believe there is less estrogen available. (2021). Secondly, it can feel weird to have sex knowing that your doctor knows you're having sex on particular days. absolutely , i started my period on nov 1st had my HSG done on 11/3 and started clomid 11/4-11/8. In the body, hCG acts a lot like LH, which is the hormone that peaks just before ovulation and signals the follicles to rupture and release an egg. Several infertility medications can cause the ovulation kit to test falsely positive. If you do ovulate on Clomid, then there is no need to increase it in the next cycle. The following are answers to additional questions about Clomid and infertility. This means you could theoretically miss your most fertile time if you start having sex too early or too late. There are other effects of concern, however, usually of mild severity, that include stomach pain with or without bloating and abdominal discomfort, fatigue, hot flashes, breast tenderness, nausea and vomiting, weight gain (in less than 1%) or mood swings. That is because Clomid leads to multiple ovulations, and non-identical twins are twins resulting from separate eggs and fertilization with different sperm, while identical (or monozygotic twins) result from the splitting of a single fertilized identical egg and sperm. Abdominal tenderness, due to enlarged and tender ovaries (7.4%) But for every 20 pregnancies conceived with Clomid, only one will result in twins. Hum Reprod. However, this complication appears to be quite rare. It's possible you'll ovulate earlier or later than the average. There are other advantages to having frequent sexit's better for his sperm, and it's healthy foryour relationship. Clomid Calendar Ovulation Calculator Day started on Clomid:* You might never get a full flow. So, you might want to have sex every day or every other day starting on Day 11 and ending on Day 18. Clomid is a synthetic chemical that induces ovulation by fooling your body into believing that there is less estrogen. Gender refers to a persons identity and how they feel inside. These include: A similarly tiny risk was found regarding neonatal or fetal death (stillbirth). Thank you, {{form.email}}, for signing up. When you take this medication, it will induce a period. Clomid's (clomiphene citrate) primary purpose is to induce ovulation in women who are either not ovulating or ovulating irregularly. The first day of your last menstrual period: The effect of clomid induced superovulation on human follicular and luteal function for extracorporeal fertilization and embryo transfer, Monitoring of Clomid-hMG-hCG controlled ovulation by ultrasound and a rapid (15 minutes) total urinary estrogen assay, Comparison of the effectiveness of clomiphene citrate, tamoxifen and letrozole in ovulation induction in infertility due to isolated unovulation. It is also possible they will simply ask you to take an at-home pregnancy test sometime between days 28 and 35 of your cycle and instruct you to call if you get a positive result. Clomid can cause an ovulation prediction kit to test positive even when the woman is not ovulating. That means your most fertile day will be the day of the trigger shot injection. You ovulate and did get pregnant. Start after you finish taking your Clomid pills. The same could be said about Clomid or any fertility treatment. 2023 Dotdash Media, Inc. All rights reserved, Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Most women start with 50 milligrams of Clomid per day for five days, beginning on day two, three, four or five of their cycle. Can I Still Be Pregnant Even If I Got My Period? Diagnosis and management of infertility. Clomid pregnancy calculator is a very elementary calculator that just requires two basic guidelines to use: Your predicted ovulation date, along with your expected fertility period (time you should have copulation to become pregnant), will be displayed in the calculator. Or, your doctor may suggest gonadotropins (injectable fertility drugs). Last medically reviewed on October 12, 2022. In fact, the chance of twins is 5 to 8 percent a good bit higher than the natural twin rate of 1 percent. If you dont bleed, and after pregnancy has been excluded, bleeding can be started by taking progesterone. The trigger shot is usually given 7 to 9 days after your last Clomid pill, but it may be given later than this if ultrasound monitoring finds that your eggs need more time to mature before getting kicked out of their cozy follicle beds. Medicare does not cover medications that promote fertility. If you have a private health insurance plan, your plan is likely to cover the medication. The two-week wait begins after you ovulate and ends either with a positive pregnancy test or your period. Multiple pregnancy rate in patients undergoing treatment with clomifene citrate for WHO group II ovulatory disorders: A systematic review. Clomid's (clomiphene citrate) primary purpose is to induce ovulation in women who are either not ovulating or ovulating irregularly. Merekar Abhijit N, Pattan SR, Dighe NS. Clomid Drug Information Sheet. Before taking this medication, women should also know that one of the Clomid side effects is an increased chance of becoming pregnant with twins. Journal of human reproductive sciences. What Is the Clomid Success Rate for Ovulation and Pregnancy? There is more information on this fertility therapy method and the significant pregnancy dates below the form. After the miscarriage I have been trying and it's been 5 months since the follicles growth was slower after MC doctor prescribe me clomid 100mg. You may bleed or spot irregularly but it's not a menstrual period. How to use the Clomid ovulation calculator to figure out when youll ovulate. If you are feeling more nervous than excited, be reassured that it is normal. If the ultrasound shows that you have a cyst, your healthcare provider will likely cancel this cycle. (Just so you know your doctor isn't even thinking about you having sex. it is also difficult to separate any effects of Clomid use from possible effects related to infertility. Clomid is only approved by the Food and Drug Administration (FDA) for treating females. No matter how well Clomid works to help you ovulate, you will have difficulty getting pregnant unless there are good quality eggs, healthy sperm, open fallopian tubes, and optimal weight. Although the Clomid ovulation day is predicted to be near to the normal ovulation date during a typical 28-day period, the duration of a Clomid period often varies from conventional menstrual periods. One, if Clomid hasnt helped you conceive after six months, the odds of it working on month seven or eight are very low. She is a professional member of the Association of Health Care Journalists and has been writing about womens health since 2001. Having sex frequently throughout the monthinstead of only on your ovulation dayscan help with this tension. Ovulation usually happens between 5 and 9 days after taking the last pill of Clomid. Therefore, if you use Clomid on days 3 7 of your period, youll probably ovulate within days 10 and 16. Women who have gone through several Clomid cycles may have thinner endometrial linings, which can impede with embryo implantation. (This will correct itself after time away from Clomid and is not a long-term adverse effect.). Depending on the Clomid protocol you're on, that means you should be having sex every day or every other day starting on Day 11 through Day 21 of your cycle. Your healthcare provider may order a beta pregnancy test (a blood test that measures the quantity of hCG) in the middle of your two-week wait and at the end. Your doctor will likely start you on the lowest dose first, which is 50 mg. It's questionable how successful Clomid therapy is for couples diagnosed with unexplained infertility. Get support from expert teachers. Incidence of Early Loss of Pregnancy. Practice committee of the American society for reproductive medicine. A severe case is rare when taking Clomid, but it can occur. You should continue having sex until you have confirmed that ovulation occurred. The higher levels of FSH stimulate the ovaries, and the higher levels of LH eventually trigger ovulation. It can be prescribed by your OB-GYN or primary care provider, so you do not need to see a reproductive specialist. All you can do is be patient and see if the cycle worked. For example, if you start your period on April 3, write a "1" on April 3, a "2" on April 4, a "3" on April 5, and so on. If your healthcare provider has prescribed this popular fertility drug, you are probably curious about how to take Clomid (clomiphene) and what to expect. They include: There is a slightly higher risk of having multiple pregnancies when taking Clomid. Cervical mucus is vital to fertility and helps the sperm survive the vaginal environment and make their way into the uterus and eventually to the egg. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. The test will just be picking up on the hormones given via the injection. If you ovulated while on Clomid, that means it worked. For people who are appropriately treated with Clomid, there are many benefits: Some minor side effects may occur if you take Clomid, and some complications are rare. If you're concerned about any side effects you're experiencing, as always, contact your doctor. Typically, people taking Clomid are given a dose of one 50 milligram pill once daily for 5 days starting on day 3, 4, or 5 of their menstrual cycle. But it also depends on a woman's age and other factors. 2011;26(2):369-375. doi:10.1093/humrep/deq315, Takasaki A, Tamura H, Taketani T, Shimamura K, Morioka H, Sugino N. A pilot study to prevent a thin endometrium in patients undergoing clomiphene citrate treatment. 1) Kerin JF, Warnes GM, Quinn P, Jeffrey R, Godfrey B, Broom TJ, McEvoy M, Kirby C, Johnson M, Cox LW. Even though you take Clomid for only 5 days, the chain reaction that starts with your first pill continues throughout the month. Having an unsuccessful cycle can be upsetting, and it is common to feel defeated and lose some hope. Clomid is a 50-milligram (ml) pill that is usually taken for five days in a row after day 1 of a female's menstrual cycle. These cysts are rarely harmful and will usually disappear on their own. 2) Feichtinger W, Kemeter P, Hochfellner C, Benk I. Day 3, 4, or 5 is typical for a Clomid start date. This should ensure a constant supply of sperm in the feminine system and increase the likelihood of conception. Practical Guide in Infertility. The typical starting dosage of Clomid is 50 mg/day for 5 days, and it can be increased monthly by 50 mg a day. It works well in the right circumstancesbut it can be completely unsuccessful in the wrong ones. Unless your healthcare provider tells you otherwise, you should begin having sex every other day or every day, starting 3 days after you take your last Clomid pill. Another thing to keep in mind is sex-on-demand during a fertility treatment cycle isn't forever. Detecting Ovulation With a Basal Body Temperature Chart, Patient education: Ovulation induction with clomiphene (Beyond the Basics), Novel clomiphene stair-step protocol reduces time to ovulation in women with polycystic ovarian syndrome, Use of ovulation predictor kits as adjuncts when using fertility awareness methods (FAMs): a pilot study, Luteinizing hormone and its dilemma in ovulation induction, Fertility awareness-based methods: another option for family planning. Factors that cause you to ovulate but not conceive when taking Clomid. If bleeding occurs after 9 p.m. or overnight, then day one is considered the next day. A persons gender identity may differ from the sex they were assigned at birth. The calculator and information on this website are not medical advice. If you did not ovulate, it did not work. Remember that your fertility naturally declines with age. The medication label for Clomid also warns that prolonged use of clomiphene may increase the risk of a borderline or invasive ovarian tumor.. Input the start date of your Clomid therapy. Rachel Gurevich is a fertility advocate, author, and recipient of The Hope Award for Achievement, from Resolve: The National Infertility Association. If you want to be surer that you ovulated, consider charting your basal body temperature. 2019. Second clomid cycle 1DF 17 and hcg trigger shot. If you'd rather not bother with ovulation test kits, you can just have sex every one or two days, all month long. Ideally, take the Clomid at the same time every day. (2016). This is an important question if you want to boost your odds of pregnancy success during treatment. Your chances of getting pregnant with Clomid are very good as long as you take it for the right reasons and have some tests done beforehand to exclude certain problems. But what if ovulation isn't an issue? Sanofi-Aventis. Of course, treatment will vary from person to person. How long should we continue clomiphene citrate in anovulatory women? Secondly, extended treatment with Clomid may lead to fertility problems of its own. Polycystic ovary syndrome is a common cause of infertility. The optimum time to have sex is between 24 and 48 hours preceding the ovulation day. Procreative sex in infertile couples: the decay of pleasure. Because about 25% of all fertility struggles are related to ovulation issues, the drug is a good choice. This is one reason why you may continue to experience some side effects days after you take your last dose. At least 15 states have laws requiring insurance companies to cover fertility treatments, and many plans cover these medications regardless. What is the procedure for using the Clomid ovulation calculator? How your healthcare provider addresses a failed Clomid cycle will depend on your situation. How long does it take to ovulate using Clomid? Clomid is also known as clomiphene citrate. In addition to his current work, Dr. Amos is using his vast experience to launch Obie, a science-based app that offers personalized fertility advice. So, although estrogen is circulating in your bloodstream, the receptors are unable to detect it. Talk to your doctor or nurse to plan for pregnancy and find birth control that works for you. The drug should be taken as prescribed to promote pregnancy, but should never be taken after pregnancy. The birth rate is lower than the pregnancy rate due to miscarriages. The bleeding should start five to ten days after the end of taking the Provera If you do not bleed, repeat the pregnancy test. Pregnancy after infertility is not always easy, especially emotionally. Some early research on Clomid found a possible increased cancer risk in women treated for more than six cycles. To mitigate this risk, you should not take Clomid for more than six cycles. So if you took Clomid on days 3 to 7 of your cycle, you are most likely to ovulate between days 10 and 16. If you're on the Day 3 to 7 protocol, this would mean you're most likely to ovulate (on average) sometime between Day 14 and Day 17 of your cycle. Six cycles of Clomid is considered to be the top limit, though some healthcare providers suggest moving on if pregnancy doesnt occur by the third treatment cycle. How Quickly Can You Expect to Get Pregnant? If you've never tried an ovulation predictor test (OPK), they work a lot like pregnancy tests. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Get The Date! Women who are obese may have better success with Clomid if they lose weight. Use this calculator to help you predict when you will be ovulating. The initial detrimental impact, as with many other fertility therapies, could be many conceptions, with a 5-to-10% probability of twin conception. Yes, it's that simple. This treatment is counter indicated in females with liver disease or with ovarian cysts because of the risk of enlargement. A literature review published in Human Reproduction considered several studies on Clomid. Altogether, the Clomid success rates for just over 5,000 women were included. Cost-effectiveness of ovarian stimulation with gonadotrophin and clomiphene citrate in an intrauterine insemination programme for subfertile couples. The first pill of Clomid is usually started 2 to 5 days after the first day of your menstrual bleeding (cycle day 2-5) and ovulation usually happens 5-9 days after the last dose of Clomid. In most cases, you can also have sex on your fertile days at home in addition to your IUI. Some women take Clomid and use ovulation predictor kits to time intercourse with ovulation.
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