UBAT BATUK FOR TTC? PART 2

Continuation about Ubat batuk for ttc i post earlier (click sini)

Firstly if you wondering what on earth a cough syrup has to do with fertility, but the logic is easily found in the fact that it is an expectorant and is being used to loosen and thin mucus - just in a different place than the lungs!

I found some cough syrup that can be found in Brunei. yesterday i went to Guardian and found few brand that contains guaifenesin as its main ingredient. most brand have other substance that is not good for TTC. 

1. Breacol - Price: BND$3.50 (small bottle)

2. Cap Kaki Tiga - BND$2.60 (small bottle)

TTC friend suggested me this brand and you can find it at JPMC Pharmacy, will update the pricing on this once i grab one.

3. Robitussin

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What is the recommended dose of guaifenesin?

The recommended dose for improving cervical mucus, based on a 1982(article) in Fertility and Sterility, is two teaspoons (200 mg) taken orally three times per day. If mucus still appears thick and doesn't have good spinnbarkeit (ability to stretch), one can take as much as four teaspoons (400 mg) four times per day (the maximum dose on this over the counter medication). Each dose should be taken with a full glass of water, and attention should be given to drinking plenty of fluids throughout the day -- one needs water to produce mucus.

*Recommended Dose = 1 sudu @ 3x sehari

*kalau masih Mucus masih tebal semasa ovulation boleh increase kepada 2 sudu @ 4x sehari

What cycle days should one take guaifenesin?

Just as the dose can vary a bit, so can the days. The article linked above had patients starting the guaifenesin on cycle day 5 - five days after the start of menses. This seems rather early as mucus is not an issue until about five days before ovulation - based on the fact that sperm can only live five days at best, and most pregnancies are the result of intercourse in the five days leading up to ovulation. Because of this information, it is now more common for doctors to suggest starting guaifenesin about five days before expected ovulation and continuing through ovulation day (six days total, for those with regular cycles). For those with irregular cycles, one should start taking guaifenesin about five days before the earliest day ovulation might be expected. For those taking Clomid (clomiphene citrate, Serophene) in a 5-day protocol, one can probably wait until the day after the last Clomid pill before starting the expectorant.

* Recommended = start CD5 till 5 days before ovulation date

* bagi yang peroid regular  (tahu bila ovulate) boleh ambil mulai5 hari sebelum Ovulation hingga hari ovulation selama 5 hari 

*jika mengambil clomid / gonalf sila tunggu habis dose ubat baru start guna Guaifenesin

How does one diagnose cervical factor/hostile mucus?

Many women try taking guaifenesin after noting little or no egg white (stretchy) cervical mucus while charting their fertility signals, but clinically it is diagnosed when a doctor checks mucus one or two days before ovulation in what is usually referred to as a post-coital test. The doctor does a vaginal exam and takes a sample of mucus to immediately analyze under a microscope to check for live sperm and for a ferning pattern. It is also checked for signs of infection. Quality mucus will be stretchy, fern, lack cellularity, and have live sperm swimming in it.

Why do so many women take guaifenesin while on Clomid?

Clomid (clomiphene citrate, Serophene) can cause hostile mucus in 30 percent or more of women using it. Higher doses tend to be more associated with less cervical fluid and a thinner uterine lining, than the 50 mg dose. 

Will guaifenesin help if there is little or no mucus present?

Guaifenesin doesn't actually create mucus, it only thins what is already there. One would need to look into why there is no mucus (infection, not really ovulating), or bypass the mucus issue by doing intrauterine insemination.

Does one need to take guaifenesin when doing intrauterine insemination (IUI)?

It would only make sense to take guaifenesin if one is planning to have intercourse in addition to doing IUI. to increase the chances of pregnancy.

Will taking guaifenesin cause any problems if it isn't needed?

Probably not. Since fertile mucus can be watery, there is probably no harm in taking guaifenesin and thinning it out.

What are some other possible ways to improve cervical mucus?

Drinking plenty of water should always be considered in addition to any other therapies one might try. Estrogen is sometimes given to help mucus production, though doctors have mixed opinions of its benefit, especially when used with Clomid (and some suggest using Tamoxifeninstead of Clomid). Injectable gonadotropins used for controlled ovarian hyperstimulation often have a positive effect on cervical mucus as well. Some home/natural remedies include eating salty foods such as popcorn (mucus is very salty), taking evening primrose oil, avoiding dairy products (they can thicken mucus), eating lots of baby carrots, and also avoiding antihistamines, including high doses of vitamin C. Another suggestion that is increasing in popularity is to drink grapefruit juice in order to improve or increase the amount of cervical mucus. If one is on prescription medications, it is a good idea to look for warning about grapefruit juice consumption (it isn't recommended with several medications for hypertension, for example).

Info taken from.. http://www.fertilityplus.com/faq/cm.html