Fertility medications not appropriate for someone who ovulates already?

Question

So...I'm confused and definitely want your thoughts. I have a new RE who is known to be the best in the State with amazing success rates. I just had my first visit and he asked me why my doctors gave me infertility medications including Clomid and Letrozole. I didn't really have a great answer other than I am 38 years old and they were hoping to increase my chances of getting pregnant. He said that taking these medications more than likely decreased my fertility and hurt my chances of becoming pregnant. Now I have had time to take in all the information that he said, and it was a lot, and I haven't been able to get this out of my mind. I should have asked him why he said that taking these medications is bad for someone who always ovulates with a total regular cycle. I just want to know how it hurts my fertility and pregnancy chances?? I totally trust him and think he is right because I had more side effects and problems when taking these drugs. I just want specifics about why and how these drugs are not appropriate for me or women who ovulate already and have no infertility problems that they can find. Please help! Thanks :-) baby dust to everyone and happy Easter!!

Answer

Finally got the answer from my RE. It is just about how I responded to the drugs. I had every side effect you could imagine with Clomid especially, thin lining, no CM, horrible depression, and the list goes on and on. So he felt this hurt my chances for the months I took it. As for the letrozole, he said that might have been ok because I did produce more than one egg each month I was on that. But he ONLY wants to do injectables going forward and feels that will be the best treatment for us since I ovulate on my own and my age is really the only factor on my end. Counting our blessings and praying this new treatment plan is the answer to this long and oh so depressing journey. Baby dust to all!! So no one needs to worry, my RE just meant me alone. Thanks for everyone's responses and sorry if I worried anyone. Just was so confused and now feel relieved that I didn't mess up the future possibilities.

Answer

I've been told that you can over stimulate your ovaries and this causes lots of pain, can result in hospitalization and can put ttc on hold. But I worry about this too because I have a reg cycle and my hormones show that I ovulate each month, although my progesterone is low and pos not high enough to sustain a preg if we did manage to conceive. 
​Good luck xx

Answer

The first time I took clomid I was 39  and I was told it would strengthen the corpus L. I ovulated at least 2 eggs bc I fell preg with twins. I had been TTC for 1 yr

Answer

From what I understand, while clomid does help you to ovulate, it significantly decreases your CM. CM is necessary for the sperm to get to the egg. So if you were already ovulating, your chances of getting pregnant on clomid would go down because of the lack of CM.

Answer

What would someone with endometriosis do? I'm confused on if I should go on clomid hearing this now .

Answer

This is interesting and thought I would share my experience. I have always had a regular cycle and therefore assumed I was ovulating. Never even a scare. Every unmedicated cycle when I had progesterone checked , it was always a low/borderline number, maybe I ovulated, maybe I didn't (everyone has their range). I was put on clomid and on the CD 21 check, it was clear I ovulated. My GYN does an ultrasound at each yearly examine and my last one showed the corpus luteum, so I know it showed I ovulated that cycle too, but she said that clomid can make the ovulation stronger and a better egg quality.

Answer

I hope that's not true?! I start tomorrow on clomid. I ovulate regularly but been ttc for 10 mos and at 40 yrs old we need an extra boost. I think the clomid is to help the quality of my eggs... I am also going iui to increase chance. 
​I have read that taking it more than 6 mos def decreases fertility. I will only try this 3 mos.

Answer

Thanks jennifer...I did read that somewhere about the better egg quality and that makes sense. With letrozole I ovulated multiple eggs. But I have to admit that clomid make me crazy and my cycle all messed up. I had evey side effect on the package including thin uterine lining and NO CM. I also was an emotional wreck with hot flashes, nausea and vomiting and crazy long cycles. I seriously thought I was taking some poison from the devil. So I thought he just meant the clomid but when he said letrozole too...I was surprised. He said only injectable gonadotropins are appropriate for someone ovulating on their own. So he will call with my new labs next week and I will definitely ask him. I'll post his response so you guys know what he meant. I'm not sure if I'm making too much of it just to make myself feel better cuz we are still not pregnant lol. Anything to keep the hope alive, you know? :-) thanks for responding everyone!!

Answer

I'm not sure but I would love to know as well.

Fertility medications not appropriate for someone who ovulates already?

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