Clomid & Starflower oil, need advice please

[fuzzywuzzy]

My sister in law is on clomid. I recently spoke to her and she said, apparantly the reason she isn't conceiving is because her eggs are too small, they are supposed to be a certain size and her's have never reached that size. Does anyone have any advice or words of wisdom on this. She's been on clomid for about three months now, and they upped the dose once already...no idea how much she's taking. I have personally never taken clomid, so am no help to the poor woman.

I also sent her vitamin tablets when she orginally told me she was trying to conceive (she asked me to), however she told me the only thing the vitmains did was regulate her periods, which she needs for the clomid to work. She asked me to send her more of same vitamins, but as they are really expensive, I wondered if Starflower oil will work just as well at regulating her periods.
I seem to remember in some dim and distant past, that Starflower oil caps, helped regulate my peiods (a happy side effect when I initially only wanted ease for the pain I used to experience).

All advice very gratefully received.

FW,

Nice of you to be so concerned for your SIL.

I am wondering if your SIL has a diagnosis of the problem. Purely from what you write about her eggs/follicles I am wondering if she has polycystic ovaries. This is a condition where multiple follicles appear on the ovaries and they don't get to an ideal size. Some of these are dormant, some contain eggs and yet other release hormones (which disrupts things even further). Such cystic follicles do disappear - only to be replaced by further cystic follicles.

Usually clomid is given to women where there are problems with ovulation. In this regard PCO is a common culprit.

Clomid encourages the ovaries to work harder; the problem is that with polycystic ovaries some women with this can become clomid resistant. I not ethat they've upped the doseage once already.

She should be on clomid for only six months max after which other treatments should be tried. There are other options available. She should be monitored whilst on clomid with both blood tests (it can increase hormone levels) and ultrasound scans to see that an egg is leaving the ovary.

I would not attempt to self medicate whilst on clomid as this can in some cases may make things worse (especially if PCO is the diagnosis).

She should talk to her subfertility dept that she is under the care of to find out what they intend to do next in the event that clomid does not work.
The more she is aware about treatments and what they are supposed to do the better off she will be.

If her man has not been tested he should be as well to rule out any possible male factor problems.

Any other questions just ask

Thanx so much MKU.
She said that her eggs were only the correct size once (no idea how she knows this), but the rest of the time they are too small, and she failed to concevie that time.
The problem is she's not in this country. But I will pass on the information to her.

She actually did manage to conceive once, naturally, early on in her marriage, sadly the pregnancy ended in a m/c.
She's my younger bil's wife and a really nice woman. She so adores children, it breaks my heart to see her go through this.