Can I Start Ovulation Medication While Still Menstruating? - Obstetrics and Gynecology

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Ovulation medication issues?


Hello, doctor.
I would like to ask about the ovulation medication I started taking for infertility.
The doctor prescribed me to take two pills of the ovulation medication daily and four pills of Estring starting on the fifth day of my menstrual period for five days.
However, my menstrual period usually lasts for seven days.
I would like to know if I can take these medications while I am still on my period.

Jia Jia, 30~39 year old female. Ask Date: 2017/09/11

Dr. Huang Jianzhong reply Obstetrics and Gynecology


I recently visited a fertility specialist and was prescribed ovulation medication to try to conceive.
The doctor prescribed me to take two ovulation pills daily and four doses of Clomiphene Citrate (also known as Clomid) starting on the fifth day of my menstrual cycle for five days.
However, my menstrual period usually lasts for seven days.
I would like to ask the doctor if I can start taking these medications while my period is still ongoing.
Answer: Yes, you can.

Reply Date: 2017/09/11

More Info


When it comes to starting ovulation medication while still menstruating, it's important to understand the timing and purpose of these medications in relation to your menstrual cycle. Ovulation medications, such as Clomiphene Citrate (often referred to by its brand name Clomid), are typically prescribed to stimulate ovulation in women who may not be ovulating regularly or at all. These medications are usually taken early in the menstrual cycle, often starting on the fifth day of menstruation, as per your doctor's instructions.

In your case, since your doctor has advised you to start taking the ovulation medication on the fifth day of your menstrual cycle, it is generally acceptable to begin the medication even if you are still experiencing menstrual bleeding. The key point is that the medication is designed to stimulate the ovaries to produce eggs, and this process can begin while you are still on your period.
However, it is crucial to follow your doctor's specific instructions regarding the timing and dosage of the medication. If your period typically lasts seven days, you may still be within the acceptable window to start the medication as prescribed. The medication will work to prepare your body for ovulation, which typically occurs about 5 to 10 days after the last dose, depending on your individual cycle and the specific medication used.

It's also important to monitor how your body responds to the medication. Some women may experience side effects, and if you have any concerns or unusual symptoms, you should reach out to your healthcare provider for guidance. They may want to perform follow-up assessments, such as ultrasounds or blood tests, to monitor your response to the treatment and ensure that it is effective.

In addition, if you have any underlying health conditions or are taking other medications, it's essential to discuss these with your doctor to avoid any potential interactions or complications. Your healthcare provider is the best resource for personalized advice based on your medical history and current health status.

In summary, starting ovulation medication while still menstruating is generally acceptable, especially if your doctor has instructed you to do so. Just ensure that you adhere to the prescribed regimen and maintain open communication with your healthcare provider throughout the process. This will help optimize your chances of successfully achieving pregnancy while ensuring your health and safety.

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