How many cycles have you done with Clomid? My RE said if 3 doesn’t work, it’s rare that more would. Also, during your clomid cycles, is your GYN monitoring your follicle size? I responded poorly to clomid. I would take the 5 days of clomid, return for monitoring, and find that my follicles still weren’t large enough for ovulation. I’d then have to take a lot more clomid before finally having a good follicle size for ovulation. You may have the same problem, since we seem to respond similarly to Provera. The fun side effect of Clomid in larger doses is that it would thin my uterine lining and thicken my cervical mucus making fertilization and implantation difficult.
As for injectibles, it depends on the medication your RE prescribes. There are different brands of FSH. I now take Follistim. It comes in a multidose vial that I plug into an injector so I don’t have to draw up doses. When I took Bravelle, that came in a vial. Don’t worry about medication administration though. Most fertility clinics have a class on administering injectable medications. They’ll show you have to draw it up, inject it, and store it. As for how often you take it, I do one injection on days 3, 4, and 5 of my cycle. Return on day 6 for bloodwork and ultrasound. Based on those results, they determine how many more injections before another follow up ultrasound and bloodwork. We repeat this dance until I have at least one mature follicle. Then I administer a dose of Ovidrel, which causes me to ovulate. 36 hours after the Ovidrel, I return for an IUI. The day after the IUI, I start Prometrium twice a day (Us PCOSers tend to have low progesterone levels, which can cause a miscarriage if we do become pregnant. My RE chooses to prophylactically start progesterone. There’s no harm in it, but it’s a tiny pain in the butt. I have to insert them vaginally twice a day and you expel discharge throughout the day. It’s kinda messy.) 2 weeks after the IUI, the RE does a blood HCG level. If pregnant, I continue the prometrium for the first trimester, then stop. If not pregnant, I stop the prometrium, wait for AF, then start all over for another cycle. I know this may seem overwhelming, but your RE and RN coordinator will guide you. Plus, I’m here for any questions that I may be able to help you out with.