Update

Thanks to those who sent me emails and left comments asking how I am doing.

I have now finished the 6 months fertility treatment and will have my last hopsital appointment next week. We only get 6 months fertility treatments on the NHS and if you want more you have to go private after that.

I am not pregnant, so the treatment did not work for me, but I am still glad that I went through it. The most positive thing that came out of it is that I discovered that Letrozole works for endometriosis pain. When I was treated for endometriosis in the past, no doctor suggested trying Letrozole, so this was an opportunity to try it for myself. There are still doctors who do no like prescribing it for fertility or for endometriosis as it was initially created as a breast cancer follow up treatment.

As, I was taking Letrozole for fertility, I started taking it for 5 days of the month (from cycle day 2 to day 6). After doing more research, I read about doctors prescribing it for 10 days for those who do not respond to just 5 days, so on the 6th month I took it for 10 days (from cycle day 2 to day 9).

For those who do not want to get pregnant and who just want to use it as an endo treatement, studies recommend taking it for the whole month. They also recommend taking elemental calcium 1000 mg and vitamin D 880 IU daily.

I did not get any side effect from it but some people do so it is worth being monitored by your doctor while taking it.

So what now? I still don’t have enough money to pay for the IVF ICSI with donated eggs. My parents have offered to help but I am afraid that it may not work and I am afraid of waisting their money for nothing. I have found 2 egg donors (family members) but they are over 35 and fertility clinics usually don’t accept donors over 35 years old, so I am still looking for a donor. I still have not found a clinic abroad (please let me know if you have been to any and had a successful result).

I have decided to take it easy (or at least to try) as I do not want to end up depressed by all of this. It is hard sometimes. I want to start accepting that maybe it will never happen. I do not want to give up but I want to let go of the pressure and the struggle. I want to trust that whatever happens, I will be fine.

For now, I will continue taking Letrozole as it is helping with the endo pain (5 days or 10 days and not the whole month).

Next time, I will talk more in details about the effects of Letrozole on my endo during those last 6 months.

Clomid, progesterone and endometriosis

As you know, I am trying to get pregnant. So back in february and march, my gp ordered some blood tests and these are the results:

  • UE – U&E (electrolytes): fine
  • TFT1 – Thyroid function – thyroid disease?: fine
  • FBC – Full blood count: fine
  • LH: fine
  • FSH: fine
  • Progesterone: to low
    • My progesterone level in february was 17 (during that month, my monthly cycle was only 25 days)
    • My progesterone level in march was 21 (I have taken some tribulus terrestris tablets for the 1st time that month, so this may have helped to increase the progesterone a bit), (during that month, my monthly cycle was only 24 days)

This means that I may have not ovulated as progesterone level should be at least 30, and below that is a sign of anovulation. I use a Clearblue advanced fertility monitor, and I always get some highs and peaks (when there is a surge of LH – luteinizing hormone – and a rise in the estrogen homone)  every month so I assumed that I was ovulating every month.

I recently learned that women with endometriosis have low progesterone and would benefit from supplementing with natural progesterone whether they want to get pregnant or not.

I then asked my gp to prescribe me some natural progesterone but she said that as a primary care doctor she cannot prescribe that, I will have to wait to see the consultant gyneacologist at the hospital. I was so frustrated as it may take months to get the consultant appointment and I wanted help asap to ovulate. I then decided to try clomid and progesterone and asked one of my uncles (a gyneacologist  who lives in France) to prescribe me some.

clomid progesteroneMy dad bought them in a pharmacy in France and posted them to me (I am in UK).

My prescription was:

  • 1st month: 50mg clomid cycle day 3 to 7, progesterone 200mg after ovulation for 10 days
  • 2nd month: 100mg clomid cycle day 3 to 7, progesterone 200mg after ovulation for 10 days
  • 3rd month: 150mg clomid cycle day 3 to 7, progesterone 200mg after ovulation for 10 days
  • 4th month: have a one month pause and then re-assess the situation

I only took clomid and progesterone for 1 month.

Clomid is the 1st medicine doctors prescribe for those who need help ovulating. My research says that clomid can aggravate endometriosis (it also says so in the leaflet) so it is not the best for those who have endometriosis, that Femara is better. I really wanted to know if I can ovulate on clomid so I took it for one month (from cycle day 3 to 7), progesterone was taken the same month (for 10 days starting after ovulation – which I estimated at day 4 after the last peak sign on my fertility monitor, I wanted to be careful with the dates as progesterone taken before ovulation will cause you not to ovulate).

Well, I did not get pregnant that month. I was not monitored and it is really best to be monitored so that you can check how clomid affects you.

But I learned a few things:

While on 50mg clomid, I continued taking my enzymes (serrapeptase, nattokinase, wobenzym N) from cycle day 1 till it was time to take the progesterone. I had more endometriosis pain than usual, much stronger pain but not agonising so I took some 2 paracetamols and 1 co-codamol (30mg tablets) whenever necessary. It was clear that in my case, clomid aggravated my endometriosis pain .

While on progesterone, I decided not to take any enzymes (serrapeptase, nattokinase, wobenzym N) as I really wanted to know how good progesterone can be for those having endometriosis, as some specialists say (Dr John Lee, and Dr Sandra Cabot). Well, I had no endometriosis pain at all and I actually felt really good physically and emotionally.

Clomid stays in your body, so it can still have some effects on your body for a while, even after you have finished taking it. The next month/cycle after taking it, I had dark brown blood for several days from cycle day 17, and it was accompanied by agonising pain so I had to take a dose of 100mg diclofenac suppository. I was back on my enzymes since cycle day 1, so I did not anticipate having any pain so I guess the pain was caused by the clomid residue in my body. I wasn’t sure if this was classified as a period so I asked my uncle and he said it is called mid cycle spotting, I have never had that before so was worried.

Have you tried clomid (or femara or another type of ovulation inducing medicine), and if yes how did it affect your endometriosis? Have you tried any progesterone therapy for your endometriosis or for fertility? By the way, the progesterone I took was a natural micronised one, 200mg, one tablet a day, to be taken orally or vaginally (the most recommended way).