Yesterday was cycle day 1 of cycle number 9 since quitting The Pill last November. No messing around this time with “Does this count or doesn’t it?” – a couple days of light spotting, and then definitively CD1 yesterday. That means last cycle was 54 days, and I’m two for two on CD1 coming the third day after the last dose of Provera.
So here’s my concern-of-the-moment and the argument I’ve been having with myself. I’ll be doing round 3 of Clomid this cycle. The doctor instructed me to up the Clomid dosage to 150mg per day since I didn’t get anywhere with 100mg. Ok, fine, but this is going to be the first round of Clomid taken in combination with Metformin. (Ok, I’m just going to call them C and M now to save myself some effort and to lower the spamminess of this post.) Theoretically, if M is effective, I don’t need to increase C – at least, that’s my line of reasoning. So I should ignore the doctor and take 100mg of C like last month.
Then again, it seems to be that the benefits of M for PCOS aren’t typically seen for 60-90 days, so if I’m going to have a shot this cycle, I can’t count on that to help out so I might as well increase the C dosage after all.
But, I tend to be scientifically-minded, and if I’m treating my body as an experiment (and let’s face it, I am), then best practice is to only change one factor at a time. So I should keep the same dosage.
Then again, last cycle I explicitly declared that I didn’t give a crap about the scientific method, so why should I start now? So I might as well increase the dosage.
But, it seems logical that if C increases the chance of multiples, then more C would mean a higher chance. And I would really like to avoid multiples if possible. So I should keep the same dosage.
Then again, I asked Dr. W that question, and he said it doesn’t increase the risk. So I might as well increase the dosage.
But, Dr. W is an idiot and I really have a hard time believing anything he says. So I should trust my instincts and keep the same dosage.
Then again, he has a medical degree and years of experience, and all I have is Google and pregnancy forums, so I should just shut up and listen to him and increase the dosage.
But, the internet said (though in 10 minutes of searching, I can’t seem to find it again) that sometimes patients who haven’t had success with C alone do have success with C+M even with lower dosages of C, so I should keep the same dosage (or even go back to 50mg and start over as if it’s a brand new experiment).
How about my emotions expressed by strangers’ babies?
Any thoughts from the crowd?