How is a treatment cycle with Clomiphene/Letrozole carried out?
• Beginning on cycle day 3, start clomiphene citrate 50 mg (or letrozole 2.5 mg), one by mouth each day through cycle day 7. • On day 9 or 10, lab work may be carried out (LH and FSH). If the LH level is two to three times higher than the FSH level, clomiphene citrate/letrozole is less likely to work for you. • On day 12, you will begin daily/alternate day ultrasounds – called follicular monitoring. This helps show the exact size and growth of both the follicles [eggs] as well as the thickness of the endometrium [lining of the inside of the uterus] • When the follicle is “ripe” you may be given an injection for it to rupture • Around the time of rupture you will be asked to have timed sexual intercourse OR to come in for an IUI • If you miss your period you will be asked to come in for a pregnancy test and if the pregnancy test is positive, you will be asked to carry out some blood tests (a specific kind of pregnancy test, a quantitative hCG). You will then be asked to return in two da
