Hi ladies. I'd love some advice as I'm feeling quite anxious. Sorry in advance this is quite wordy.
Back story
My husband and I have been TTC for our #1 for 39 cycles (it'll be three years in June). Over a year after starting, on the 16th cycle at 8DPO I got my first BFP but it ended up a loss at 6+5, the day before my 40th birthday!
I've had full investigations including scans, bloods and a hycosy. All fine for my age. I'm now 41, 5 months. Hubby, a year younger, has perfect swimmers. Above average sperm count 750million! Nothing wrong there.
FSH high 12.9
AMH low 1.3
I ovulate single every cycle.
Typically shorter cycles 20-24 days. LP of 10/11 days.
Borderline underactive thyroid - take 25mg levothyrozine daily.
In September 2023, after waiting 10 months for the appointment, we saw an NHS hospital fertility consultant who said nothing wrong and told us to just keep trying for another year!
So I paid private to see a fertility gyne who prescribed utrogestan in oral form. Taken for six months but it did nothing. After begging my normal GP, they switched it to vaginal tablets, which has shown a difference, increasing cycle to 27/28 days and increased LP to 14/15 days. (I've also started taking Ovum, so maybe it is that working?)
Because the extra year of trying is now up, we went back to the NHS fertility unit in Nov 2024. Where they tested AMH (1.3) and told us after all that waiting, that we aren't actually eligible for funding because AMH wasn't high enough. (Why don't they do AMH in the GP surgery at point of referral?? We waited nearly two years to be told NHS won't fund us).
Alas, he has prescribed clomid 150mg per day.
Which I've been told to start on day 2 of cycle. Which could be today or tomorrow. Yesterday, I started spotting and I'm still heavy spotty brown. Red flow hasn't yet started and my BBT is still high from the utrogestan (I think it's that). Chart below.
My questions:
Is this dose very high?
Has anyone else taken Clomid when they do actually ovulate?
I am worried about this. Also worried about taking it when the utrogestan is now lengthening the cycle. I'm not sure I understand clomid's use. All research seems to tell me that it's to get women ovulating, who don't ovulate. But I do ovulate.
I know because I text for LH surge and always catch it and always do my BBT.
Does anyone my age have success stories with Clomid?
Other than trying clomid, the next step for us is privately funded IVF which terrifies me. I don't generally like taking lots of drugs and medication as the long term side effects worry me.
Would you start clomid today even though yesterday was just spotting? I'm unsure.
Thanks for reading.