robbie3982
Ideal_Rock
- Joined
- Jun 28, 2006
- Messages
- 3,960
Peony- My RE told me to take the clomid cycle day 5-9, he said it didn''t matter what time but to take it around the same time every day. Then to start OPK''s on CD12. I temp the whole month, but have noticed my temps a little higher when I''m taking the clomid, they seem to go down enough before ovulation to still be able to see the ovulation shift.Date: 2/13/2009 8:23:40 PM
Author: peonygirl
Hi gals! I finally got most of my CD3 tests back today! My LH was somewhat elevated, which explains my constant dark OPKs. Fortunately my insulin, glucose, prolactin, tsh, estrogen, and fsh were all fine though! The one I''m still waiting on is my testosterone, which is sometimes elevated with PCOS. For those of you who''ve had CD3 tests that came back with possible PCOS, do you remember what your LH was? Mine was 9.7 and the LH/FSH ratio was just under 2:1, whereas it should be more like 1:1. However, my dr is out of town, so I just have the results without an official interpretation.
Also, for the Clomid gals, what advice did your dr. give about tracking ovulation and BDing? I''m really curious! I took my first Clomid today. It was scary but very exciting.
Amber: Sorry that your day was so crappy.We''re not even close to buying a house, but I can imagine that you must be feeling pretty awful right now. Is there a possibility that you could find another great one in that area, or that another will go on the market soon? Good luck sweetie!
Sunkist: GOOD LUCK!!!!!!
The name Robitussin was used in the title of this FAQ as it is a common brand of cough syrup in the United States. It is used on the fertility boards and newsgroups in the same manner as saying Band-Aid for an adhesive strip used to cover a cut. Any expectorant that contains guaifenesin as the only active ingredient is fine to use.
What kind of Robitussin is used to improve cervical mucus?
One should buy the plain kind with no letters after it. The only active ingredient is guaifenesin, and it contains 100 mg per teaspoon. It is very important to avoid the versions that contain decongestants as those may dry up cervical mucus. Also, there is some conflicting information about whether dextromethorphan, the DM in some cough medicine names, may be linked to birth defects such as neural tube defects and cleft palate.
Do I need to use the brand Robitussin?
No. Robitussin is the most common brand name, at least in the U.S., that carries a guaifenesin-only expectorant, but there are other brands and generics available. As long as the only active ingredient is guaifenesin, you can use any variety you find. For those with diabetes or otherwise concerned about sugar intake, there is the brand Diabetic Tussin available.
What is the recommended dose of guaifenesin?
The recommended dose for improving cervical mucus, based on a 1982 article in Fertility and Sterility, is two teaspoons (200 mg) taken orally three times per day. If mucus still appears thick and doesn't have good spinnbarkeit (ability to stretch), one can take as much as four teaspoons (400 mg) four times per day (the maximum dose on this over the counter medication). Each dose should be taken with a full glass of water, and attention should be given to drinking plenty of fluids throughout the day -- one needs water to produce mucus.
What cycle days should one take guaifenesin?
Just as the dose can vary a bit, so can the days. The article linked above had patients starting the guaifenesin on cycle day 5 - five days after the start of menses. This seems rather early as mucus is not an issue until about five days before ovulation - based on the fact that sperm can only live five days at best, and most pregnancies are the result of intercourse in the five days leading up to ovulation. Because of this information, it is now more common for doctors to suggest starting guaifenesin about five days before expected ovulation and continuing through ovulation day (six days total, for those with regular cycles). For those with irregular cycles, one should start taking guaifenesin about five days before the earliest day ovulation might be expected. For those taking Clomid (clomiphene citrate, Serophene) in a 5-day protocol, one can probably wait until the day after the last Clomid pill before starting the expectorant.
Is guaifenesin available in pill form?
Yes, but in most cases a prescription is needed. In the U.S., one can get a 600 mg time released caplet as the generic Guaifenesin CR, or brands Humibid LA, and Fenesin. This is often less expensive than the liquid. Another brand that is available OTC is Mucinex, though it probably is not a cost savings.
How does one diagnose cervical factor/hostile mucus?
Many women try taking guaifenesin after noting little or no egg white (stretchy) cervical mucus while charting their fertility signals, but clinically it is diagnosed when a doctor checks mucus one or two days before ovulation in what is usually referred to as a post-coital test. The doctor does a vaginal exam and takes a sample of mucus to immediately analyze under a microscope to check for live sperm and for a ferning pattern. It is also checked for signs of infection. Quality mucus will be stretchy, fern, lack cellularity, and have live sperm swimming in it.
Why do so many women take guaifenesin while on Clomid?
Clomid (clomiphene citrate, Serophene) can cause hostile mucus in 30 percent or more of women using it. Higher doses tend to be more associated with less cervical fluid and a thinner uterine lining, than the 50 mg dose.
Will guaifenesin help if there is little or no mucus present?
Guaifenesin doesn't actually create mucus, it only thins what is already there. One would need to look into why there is no mucus (infection, not really ovulating), or bypass the mucus issue by doing intrauterine insemination.
Does one need to take guaifenesin when doing intrauterine insemination (IUI)?
It would only make sense to take guaifenesin if one is planning to have intercourse in addition to doing IUI. Those doing donor insemination, for example, wouldn't benefit.
Will taking guaifenesin cause any problems if it isn't needed?
Probably not. Since fertile mucus can be watery, there is probably no harm in taking guaifenesin and thinning it out.
What are some other possible ways to improve cervical mucus?
Drinking plenty of water should always be considered in addition to any other therapies one might try. Estrogen is sometimes given to help mucus production, though doctors have mixed opinions of its benefit, especially when used with Clomid (and some suggest using Tamoxifen instead of Clomid). Injectable gonadotropins used for controlled ovarian hyperstimulation often have a positive effect on cervical mucus as well. Some home/natural remedies include eating salty foods such as popcorn (mucus is very salty), taking evening primrose oil, avoiding dairy products (they can thicken mucus), eating lots of baby carrots, and also avoiding antihistamines, including high doses of vitamin C. Another suggestion that is increasing in popularity is to drink grapefruit juice in order to improve or increase the amount of cervical mucus. If one is on prescription medications, it is a good idea to look for warning about grapefruit juice consumption (it isn't recommended with several medications for hypertension, for example).
Lubricants aid in intercourse, but not in sperm travel through the cervix. Most over the counter lubricants are not "sperm friendly" -- meaning that using them is likely to kill off some sperm. In most cases, one needs to weigh the benefits against the risks . . . it may well be worth losing a few sperm to make it possible to complete intercourse. That said, there are some friendlier options out there. One is FemGlide, a lubricant you can get from your doctor. You can buy the same product marketed as Slippery Stuff (apparently more available at stores that sell sexual aids than at pharmacies and such). There is also a more recently introduced product called Pre-Seed from Bio-Origyn. Another option discussed on many fertility boards is using raw egg whites at room temperature. There may be some risk of salmonella exposure with egg whites, so some suggest using pasteurized egg whites available in the grocery store. With any lubricant, it is generally best to use as little as possible.
Peony- What I''ve read says with clomid you should ovulate 5-10 days after taking the last pill. I''m really curious to see when you ovulate, I so hope it makes you ovulate earlier. I can''t imagine how frustrating 50 day cycles must be. I get frustrated now and continue to remind myself that I am lucky to have predictable 28 day cycles.Date: 2/15/2009 12:25:45 PM
Author: peonygirl
Phoenixgirl: That is so wonderful!!!!!!!!!!! Congrats and super sticky vibes to you.Did you take the pregnancy test together, and if not how did you tell DH and how did he react?Can you briefly mention your history of TTC (what methods of tracking/charting you were doing and how long you were TTC)? We always love to hear that info around here.
Tiffany: Thanks so much for your Clomid advice. I usually have 50+ day cycles, and I am going to be SO psyched if I can ovulate by day 20 with Clomid! Am I confusing you with someone else or did you have a miscarriage a while ago?
Sabine: How is your pregnancy going? I know that you had some early scares, but I''m hoping things are much better these days!
Sunkist - I am so sorry AF showed up
Festy - How are you feeling?? This is *the* week, right? Fingers crossed for you girl!!!. Are you testing before or waiting to see if you are late?
Peony - DH''s gift sounds beautiful!!!...tis *is* PS...so pictures!!!!!!
November - You are not a terrible person!. It''s normal to feel that way. I can''t speak form experience in TTC since we just started...but I remember being an LIW and while I celebrated and was happy for my friends that got engaged, I also had a bit of that negative feeling. A few weeks ago I went out with my friend that is having trouble TTC (and just had her 3rd in-vitro on Sunday.....*fingers crossed*). After a few drinks she said to me "please don''t think I''m horrible if when you guys get pregnant I don''t look happy and all I do is cry" (she didn''t mean a "happy cry"). I felt for her. At that time we had not even started to TTC...and I know it can be a while before we are actually pregnant, but just thinking how I would tell her (if she''s not pregnant before me), breaks my heart for her.
Phoenix - That is great news!!!!!!! CONGRATS!!!!
Fisher - I loved what you wrote because it is so true!. That''s one of the reasons why I don''t want to chart or do anything, at least for a while. I am loving my life with DH right now and don''t want that to change while we TTC...so your words hit right home
Everyone else I forgot - Best of luck this cycle!!!
We had an awesome weekend!!!. On Valentine''s day I woke up at 6am and head out to do a 6K race. It was an awesome day and I ran at my fastest pace yet! (7''54'''' mins/mile) and I came in 2nd in my age group!!! It was a small race and there were only like 10 women in my age group, but I''m still very proud of myself!!!
For Valentine''s dinner, I cooked the DH to a great dinner (crab legs and bruschettas to start and then grilled lobster tail and filet...YUM!!!). I didn''t buy him anything, but do plan to get him a pair of new bike shorts. He got me a massage!!! (since I had a craptastic week, he said he wanted me to relax!
Yesterday, I headed to the art festival down the street and then spent the afternoon doing some DIY decorations for the new console table.
Date: 2/16/2009 3:46:53 PM
Author: Mandarine
Thank you Festy!!!. I''ll be thinking of you and hopefully you don''t even need to see that Doctor!!!
InLuv - Hi!!! I love your avatar!...who knows, with all that fertile CM you may not be out yet!!
******
Ok ladies I have a question because I have searched the internet and didn''t find anything. Did any of you (currently TTC or already knocked up) started waking up WAY early in the morningssince TTC?. I''m not a morning person at all and I''m not charting (so it''s not like I have a reason to wake up!)...but now, all of the sudden I''m up by like 6-7am. INCLUDING WEEKENDS!. I thought it was from DH''s snoring so I made him sleep in the guestroom on Sturday night because I wanted to sleep in the next day because I was exhausted. Poor DH, gets a romantic dinner for Valentine''s and is then kicked off the roon...LOL. Turns out it wasn''t him because the next day I was up bright and early AGAIN!!
This coming from a girl that wakes up regularly at 8am (WITH an alarm clock) and can sleep in until 10-11am during the weekends...
I''m sure it''s just a funny coincidence and maybe something is just waking me up, but I thought I would ask anyway!.
M~
Date: 2/16/2009 7:19:50 AM
Author: fisherofmengirly
ETA: Sunkist, Amber, and anyone else from Cali that I''m forgetting: Do you go to BJ''s Pizza and Brewery? I know nothing of their beer, but their pizza is *so* good! I also like their hot chocolate chip cookie with icecream on it. (It has a goofy name, can''t remember it, though.) Hmm... I miss Cali for so many reasons!!