Hello,
Thank you for choosing Doctor Spring.Sore breasts and cramps are common with use of clomid, but if you are experiencing severe cramps that would require a more detailed examination by your OB/GYN. For better assessment I would like to know additional information on the following:

1. Was a follicular study done to confirm ovulation and has ovulation happened?
2. What investigations have you undergone?
3. What is the indication for cd44?

You can reply as a follow up.
Thank you.

Hello,
Thanks for writing back to us. No you should not take norethisterone for inducing periods before getting evaluated by your doctor. Clomid cycles can be repeated and the dose can be increased depending upon the requirement, so titration is required in your case for optimal result.

You need to get in touch with your OBGYN for ultrasound to rule out ectopic pregnancy. As, ectopic pregnancy can present with negative pregnancy test and severe cramps and pain in the abdomen.

There is a possibility of you ovulating but not enough of progesterone is produced(luteal phase deficiency) to support the pregnancy. So it is important to get a follicular study after you start a new cycle of clomid(with dose adjustments) and check if you require progesterone supplementation.

I would recommend that you get in touch with your OBGYN for the following:
1. Ultrasound to rule out ectopic pregnancy.
2. Blood test for pregnancy for accurate results.
3. Dose adjustments for clomid.
4. Follicular study after staring a new cycle of clomid.
5. Progesterone estimation and supplementation if required.

Hope this helps.
Do write to us for follow ups.
Thank you.