However, after reading through your site, there seems to be some contradictory information to this.

Can you advise?

Dear Jennifer,

Clomiphene (Clomid, Serophene) is controversial for unexplained infertility but the medication can be of real benefit for women who do not ovulate at all.

Women with long cycles can sometimes not actually be ovulating. To find out for yourself, try monitoring a cycle (either through a fertility clinic or at home with urinary LH detection).

If you are ovulating, clomiphene may help a little (cycles will shorten, so you can try more often, and you will release more eggs at a time) but there really isn’t anything wrong with a long cycle per se. I also do not like to recommend any medication until some other basic tests are in place, like a sperm count.

Best,

TGH

TGH replies

Dear Julie,

Unfortunately, from what you have written, egg freezing will not work for you. I am sorry for this news.

You are right that egg freezing is more complicated than embryo freezing. In my opinion, the best programme in our country at the moment for elective (non-cancer related) embryo freezing is the McGill program. If you feel that you need a more thorough opinion than I can provide in this forum, I suggest contacting them directly.

“Premenstrual spotting”, also known as luteal phase spotting, may be as a result of lower-than-normal progesterone levels. Egg quality and progesterone can be related. For more information you could look here http://www.fertility.ca/2008/06/how-your-menstrual-cycle-reflects-your-egg-quality/

However, egg quality is not the only explanation. There are many other possible reasons for spotting in the luteal phase, including intrauterine polyps, fibroids, a thin uterine lining, progesterone receptor deficits, and bleeding from the cervix….so I would not take luteal spotting as a certain sign of egg quality compromise. But I would look into it further, to see why it might be happening to you.