clomid pregnancy calculator
Cervical mucus is vital to fertility and helps the sperm survive the vaginal environment and make their way into the uterus and eventually to the egg. When to test for pregnancy calculator clomid. Pregnancy after infertility is not always easy, especially emotionally. Doctors will. This medication is administered as a pill and is available in a variety of forms in different nations. This article reviews all you need to, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. However, the authors of the Huang study concluded that on balance letrozole was better. Obie is your reproductive health coach, helping you reach your goal with expert personalized guidance. Effect of clomiphene citrate on endometrial thickness, ovulation, pregnancy and live birth in anovulatory women: Systematic review and meta-analysis. For women with PCOS under age 35, the success rate of IVF is about 70% for pregnancy with one IVF cycle and about 60% for live birth. 2009;1(1):148-162. The odds of a woman getting pregnant by having sex while on her period are low, but not zero. If you have been prescribed Clomid, it is important to follow your healthcare provider's instructionseven if they are different from what you read here. Although the Clomid ovulation day is predicted to be near to the normal ovulation date during a typical 28-day period, the duration of a Clomid period often varies from conventional menstrual periods. The trigger shot is usually given 7 to 9 days after your last Clomid pill, but it may be given later than this if ultrasound monitoring finds that your eggs need more time to mature before getting kicked out of their cozy follicle beds. Some doctors recommend taking Clomid on Days 3, 4, 5, 6, and 7 of your cycle, while others recommend taking Clomid on Days 5, 6, 7, 8, and 9.. hhs.gov/guidance/sites/default/files/hhs-guidance-documents/193421_Part%20D%20Manual%20Chapter%206.v.01192016.pd, dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=2ca373c1-4dba-4126-8616-5c533d606fe5, obgyn.onlinelibrary.wiley.com/doi/full/10.1002/uog.18933, ncsl.org/research/health/insurance-coverage-for-infertility-laws.aspx, kff.org/report-section/coverage-and-use-of-fertility-services-in-the-u-s-appendix-2-medicaid/, academic.oup.com/humrep/article/29/11/2482/2427159. Incidence of Early Loss of Pregnancy. When you take this medication, it will induce a period. (2021). If you don't get pregnant after one month, don't panic. Weigel G, et al. Begin testing your urine with the OPKs on day Ten of your menstrual cycle and repeat till the test is positive, or until day 18. Garthwaite H, et al. Factors that cause you to ovulate but not conceive when taking Clomid. Some say that taking the pill before bed can help you sleep through some of the side effects. The likelihood of use, overall effectiveness, and adverse effects should all be considered before choosing a medicine. If you dont become pregnant after three to six cycles of Clomid (or however many your doctor recommends), it may be time to see a fertility specialist and move on to more aggressive treatment. Get fertility advice personalized for you. Clomid-induced pregnancies emerge at a rate of Forty to Fifty percent throughout the first 6 cycles. That's because taking Clomid increases the odds that more than one egg will be released . If you've never tried an ovulation predictor test (OPK), they work a lot like pregnancy tests. Rachel uses her own experiences with infertility to write compassionate, practical, and supportive articles. an adequate ovarian reserve, a partner with good sperm count, a healthy body weight and open fallopian tubes will be able to have a baby with Clomid treatment. These medications are often prescribed for infertility. If you are doing an IUI cycle, your healthcare provider will tell you when to come in for the IUI based on your ultrasounds and the timing of your trigger shot. Its an oral medication that is often used to treat certain types of female infertility. By Rachel Gurevich, RN Be sure to contact your healthcare provider if your symptoms are severe or if you are concerned. Clomid's side effects aren't so bad, as far as fertility drugs are concerned. Unless your doctor tells you otherwise, start having sex on the day of your trigger shot. How Quickly Can You Expect to Get Pregnant? Clomid causes twins in about 10% of pregnancies. Clomid (clomiphene), a pill taken by mouth to induce ovulation, causes twin pregnancies between 5% and 12% of the time. Having sex frequently throughout the monthinstead of only on your ovulation dayscan help with this tension. The out-of-pocket cost of Clomid varies. American Society for Reproductive Medicine. When and How to Take Clomid Clomid comes in 50-milligram tablets. Your chance of getting pregnant over several cycles of Clomid use is approximately 30%. In addition to his current work, Dr. Amos is using his vast experience to launch Obie, a science-based app that offers personalized fertility advice. The Average Time Women Ovulate on Clomid 2023 Dotdash Media, Inc. All rights reserved, Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. UpToDate. So how do you know that Clomid has worked? Fertility doctors monitor Clomid cycles for two primary reasons: Monitoring the cycle usually starts a few days after your last Clomid pill is taken and may involve ultrasounds and bloodwork every few days until you ovulate. But for every 20 pregnancies conceived with Clomid, only one will result in twins. This, in turn, slows down the stimulation of the ovaries. Usually, the ultrasound doesn't find anything. Avoid any disappointment by testing before you have sufficient hormone in your urine. Acta Eur Fertil; 14(2):107-11. Both gynecologists and fertility specialists typically order a progesterone blood test sometime between days 19 and 21, though it may be given later if your provider knows you have ovulated later than day 21 of your cycle. Everyone is different and your healthcare provider can advise you on what is best for you. Don't feel bad for not feeling it. Most twins conceived with Clomid will be "dizygotic" twins, or non-identical. The most effective treatment group was the IUI group, who achieved a 22% live birth rate. It may be a good sign that your body reacts to Clomid so sensitively. How your healthcare provider addresses a failed Clomid cycle will depend on your situation. (2014). Most women start with 50 milligrams of Clomid per day for five days, beginning on day two, three, four or five of their cycle. In males, Clomid can help induce the production of sperm. f. CLOMID- clomiphene citrate tablet. Thinking there are no growing follicles because estrogen appears to be low, your body responds by releasing more gonadotropin-releasing hormone (GnRH). Use this calculator to help you predict when you will be ovulating. Treatment can be started as early as on Day 2 of the menstrual cycle or started on as late as Day 5. Novel clomiphene stair-step protocol reduces time to ovulation in women with polycystic ovarian syndrome. Brand names include Clomid and Serophene. Hum Reprod. However, there is a significant variation in how long it takes to ovulate using Clomid. Clomid Calendar Ovulation Calculator Day started on Clomid:* Clomiphene (best known by the brand names Clomid or Serophene) is an oral fertility medication used to induce ovulation in women who havetrouble ovulatingin order to help them get pregnant. Some women will become pregnant and others will move onto other treatments. Many research studies and meta-analyses have found that hormonal infertility treatments do not increase the risk of breast cancer. Several infertility medications can cause the ovulation kit to test falsely positive. Can I Still Be Pregnant Even If I Got My Period? Not everyone will respond to this medication. People who dont ovulate on Clomid are sometimes called Clomid resistant. Read our. Other possible side effects you should be aware of include hot flashes, headaches, bloating, the risk of a multiple pregnancy (conceiving twins), developing ovarian cysts, and visual disturbances. Learn all the factors affecting your fertility and how to address them. Rachel Gurevich is a fertility advocate, author, and recipient of The Hope Award for Achievement, from Resolve: The National Infertility Association. How long does it take to ovulate after taking Clomid? In some cases, your healthcare provider may ask you to change the start day on your next cycle, to see if it will make a difference for you. Updated September 24, 2014. Three to six-day shipping . However, most doctors either have you take Clomid on days 3, 4, 5, 6, and 7, or they have you take it on days 5, 6, 7, 8, and 9. 2) Feichtinger W, Kemeter P, Hochfellner C, Benk I. 2023 Dotdash Media, Inc. All rights reserved, Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. But what if ovulation isn't an issue? If everything looks good, your cycle can go on as planned. For one thing, you may need to have sex when you're not in the mood. Clomid is used to cause ovulation in women with certain medical conditions (such as polycystic ovary syndrome) that prevent naturally occurring ovulation. If the pregnancy test is negative you can start Provera tablets, 10mg twice daily for five days. If you havent become pregnant while taking Clomid, it doesnt mean that you will never become pregnant. They will check your bloodwork to see whether you are baseline for Clomid start or not. We will calculate for you the expected date of ovulation and when to best make love. However, this complication appears to be quite rare. How do you know that Clomid worked and you will ovulate? Of course, treatment will vary from person to person. Practice committee of the American society for reproductive medicine. What Is the Clomid Success Rate for Ovulation and Pregnancy? Rachel Gurevich is a fertility advocate, author, and recipient of The Hope Award for Achievement, from Resolve: The National Infertility Association. Improve your fertility and get pregnant faster A few women utilize ovulation predictor tools or keep track of their body temp. Healthline Media does not provide medical advice, diagnosis, or treatment. This wait is probably the hardest part of the cycle to endure. Medications for inducing ovulation: A guide for patients. (2016). Or, your doctor may suggest gonadotropins (injectable fertility drugs). Rachel Gurevich is a fertility advocate, author, and recipient of The Hope Award for Achievement, from Resolve: The National Infertility Association. Abdominal Circumference Calculator Calculate and graph the abdominal circumference of the fetus and watch it change over time. The glycemic index (GI) is a value used to measure how much a specific food increases your blood sugar levels. Find out when the time is right. By Rachel Gurevich, RN A repeatedly negative pregnancy test after a missed period and Clomid usually means that you did not ovulate, Clomid did not work, and you are not pregnant. The rate of pregnancies occurring during the first six cycles with Clomid is between 40 and 50%. However, Clomid may not work for everyone. If you took Clomid on days 5 through 9, ovulation is most likely to occur between days 12 and 17 of your cycle. Health and quality of life outcomes. Possible side effects of Clomid include: 4. Obviously, you can only get pregnant if you first ovulate. There is more information on this fertility therapy method and the significant pregnancy dates below the form. The first pill of Clomid is usually started 2 to 5 days after the first day of your menstrual bleeding (cycle day 2-5) and ovulation usually happens 5-9 days after the last dose of Clomid. Some of the side effects of Clomid can mimic pregnancy symptoms. 1 Also, there are ways you can time sex to increase your chances of getting pregnant during treatment. You may also need to have certain tests done on specific days. Zero chances of getting pregnant, even with Clomid. Shen ZQ, Shi B, Wang TR, Jiao J, Shang XJ, Wu QJ, Zhou YM, Cao TF, Du Q, Wang XX, Li D. Characterization of the Sperm Proteome and Reproductive Outcomes with in Vitro, Fertilization after a Reduction in Male Ejaculatory Abstinence Period. 1 That's fewer than one in 10 pregnancies. Between 70% and 80% of women will resume ovulation from treatment with Clomid.. While the question about when to start Clomid is answered by medical guidelines (day 3, 4 or 5 in a new cycle), the moment for sexual intercourse to successfully culminate in a pregnancy is a lot trickier to predict. Hurst BS, Hickman JM, Matthews ML, Usadi RS, Marshburn PB. Planning a pregnancy when on therapy with Clomiphene citrate means that couple should start having intercourse every other day (after the fifth day of treatment) and continue the pattern for another 10 days, to increase the chances of conception during that menstrual cycle. Clomiphene citrate is not deliberately a fertility drug but is the most common medical method used to induce ovulation by changing the biochemical balance in the body and making it believe there is less estrogen available. If you didnt ovulate, another cycle of Clomid at a higher dose may be the next step. Write this date down. For example, if you start your period on April 3, write a "1" on April 3, a "2" on April 4, a "3" on April 5, and so on. In-vitro fertilization (IVF) will help you get pregnant. Every case will be different, but here are some possibilities of how it might be addressed. If you are given a trigger shot, be aware that a pregnancy test taken within a week afterward may register as positive, even if you are not pregnant. Find out when to take a pregnancy test by completing your information below: When can i take the test? Some women will ovulate much later as late as two or three weeks after the last clomiphene tablet. In addition, the research on whether taking Clomid and similar medications increase cancer risk is inconclusive. If you have a private health insurance plan, your plan is likely to cover the medication. Between 70% and 80% of women will resume ovulation from treatment with Clomid. Sanofi-Aventis. Select your Clomid treatment's exact time frame. Living with infertility raises a persons risk of developing breast, endometrial, and ovarian cancer. Detecting Ovulation With a Basal Body Temperature Chart, Patient education: Ovulation induction with clomiphene (Beyond the Basics), Novel clomiphene stair-step protocol reduces time to ovulation in women with polycystic ovarian syndrome, Use of ovulation predictor kits as adjuncts when using fertility awareness methods (FAMs): a pilot study, Luteinizing hormone and its dilemma in ovulation induction, Fertility awareness-based methods: another option for family planning. Sign up to be the first to know about ObieforAndroid. Clomid is a 50-milligram (ml) pill that is usually taken for five days in a row after day 1 of a female's menstrual cycle. UpToDate. Medicare prescription drug benefit manual. Your chances of getting pregnant with Clomid are very good as long as you take it for the right reasons and have some tests done beforehand to exclude certain problems. This is sometimes called a trigger shot because it triggers ovulation to occur within 24 to 48 hours after injection. However, doctors may prescribe it off-label to treat male infertility and secondary hypogonadism. Just because the cycle didnt lead to pregnancy doesnt necessarily mean anything about your treatment should be adjusted right away. This ovulation calculator provides an estimate of your fertile window and is not a guarantee of pregnancy or of birth control. If you have an idea of when you will ovulate, you can time sex for your most fertile time. GnRH then signals your pituitary gland to produce more FSH and LH (luteinizing hormone). It is relatively cost-effective and has a low risk of adverse effects. That means that a woman taking Clomid on days 5-9 will often ovulate on about day 16-20 of the cycle. To optimize your odds of conception, keep having sex every day for the next three days. The first day of your last menstrual period: The effect of clomid induced superovulation on human follicular and luteal function for extracorporeal fertilization and embryo transfer, Monitoring of Clomid-hMG-hCG controlled ovulation by ultrasound and a rapid (15 minutes) total urinary estrogen assay, Comparison of the effectiveness of clomiphene citrate, tamoxifen and letrozole in ovulation induction in infertility due to isolated unovulation. It's possible you'll ovulate earlier or later than the average. Less than 1% of Clomid pregnancies lead to triplets or higher-order pregnancies.Most twins conceived with Clomid will be "dizygotic" twins, or non-identical. The Clomid ovulation calculator is an online calculator for women on Clomiphene citrate (Clomid). She is a professional member of the Association of Health Care Journalists and has been writing about womens health since 2001. doi:10.1074/mcp.RA117.000541, Marci R, Graziano A, Piva I, Monte GL, Soave I, Giugliano E, Mazzoni S, Capucci R, Carbonara M, Caracciolo S, Patella A. Procreative sex in infertile couples: the decay of pleasure?. You may get confirmation from a body basal temperature (BBT) chart or a progesterone blood test (given on day 21 of the cycle). This is more likely to be done by a fertility specialist. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Ovulation is the process of releasing an unfertilized egg from the ovary each month, usually around the 14th day of a females menstrual cycle. If you or your partner are struggling with having sex "on the clock," you're not alone. Remember that even people with good fertility rarely conceive the first cycle they try. Journal of Chemical and Pharmaceutical Research. There are a few reasons for this. This drug is usually prescribed for ovulatory dysfunctions such as Polycystic Ovarian Syndrome. There havent been any teratogenic side effects accounted for but this precaution should be taken. If you want to be surer that you ovulated, consider charting your basal body temperature. Ranges from: 22 to 44. Researchers say Clomid has a multiple pregnancy rate of approximately 8-10%, though a 2021 study found it to be less than 3-4%. Improve your fertility and get pregnant fasterObie is your reproductive health coach, helping you reach your goal with expert personalized guidance.Download appNot an iOS user? (2017). The most common injectable medication is thehormonehuman chorionic gonadotropin (hCG). A mini-review. Whats the Connection Between Your Biological Clock and Fertility? Patient education: Ovulation induction with clomiphene (Beyond the Basics). Day 3, 4, or 5 is typical for a Clomid start date. Clomid's (clomiphene citrate) primary purpose is to induce ovulation in women who are either not ovulating or ovulating irregularly. It does this by blocking estrogen from binding to its receptor. Another reason for testing progesterone levels is to ensure levels are not too low. As always, followyourhealthcare provider's instructions, and do not be shy about asking questions before, during, or after treatment. If you get your period while waiting to test again, the cycle probably didn't work. As always, ask your healthcare provider if you are concerned. Get support from expert teachers. 2019. Your odds of conceiving triplets (or more) on Clomid is even lower: less than 1% (less than one in . US Food & Drug Administration. This Clomid ovulation calculator determines the possible ovulation date and fertility windows in the menstrual cycle of a woman using clomiphene citrate. Females with primary ovarian insufficiency or early menopause and females with absent ovulation due to low body weight or hypothalamic amenorrhea are most likely to not ovulate when taking Clomid. If you dont bleed, and after pregnancy has been excluded, bleeding can be started by taking progesterone. . The drug should be taken as prescribed to promote pregnancy, but should never be taken after pregnancy. Fertility awareness-based methods: another option for family planning. How long should we continue clomiphene citrate in anovulatory women? The optimum time to have sex is between 24 and 48 hours preceding the ovulation day. Although no teratogenic adverse reactions have been reported, this measure should be considered. If Clomid doesn't help you get pregnant after six months, your doctor should suggest you try something else. USES: This medication is used to treat infertility in women. Patient education: Ovulation induction with clomiphene. As most recommendations suggest that the fertility treatment with Clomiphene citrate to begin during the 3rd to 5th of a new menstrual cycle and last for a period of 5 days, the date for induced ovulation is set to be approximately 7 days after the last dose of Clomid. For instance, if the medication is taken for 10 days, it is okay to start using the ovulation prediction kit on the 14th day. 2001-2023 BabyMed.com - All Rights Reserved. To conceive, you want to have sex before you ovulate. If something isn't working, it's best to move on. Depending on the Clomid protocol you're on, that means you should be having sex every day or every other day starting on Day 11 through Day 21 of your cycle. That said, there are average ovulation days. Choosing the Best Days to Boost Conception on Clomid. Another byproduct of the increase in maturing eggs: more progesterone production, which builds a strong uterine lining for that fertilized egg to burrow into. While most medications will have no effect on the test results, there is a certain sector of medications that can have a very real effect. When it comes to pregnancy and ovulation success rates, however, studies have not found an advantage or disadvantage. Sharma S, et al. But it also depends on a woman's age and other factors. If you do ovulate, and you just dont get pregnant, then your doctor will keep you at the dose youre on. If you're on the Day 3 to 7 protocol, this would mean you're most likely to ovulate (on average) sometime between Day 14 and Day 17 of your cycle. If the test is positive, congratulations! And these depend on whether you ovulated on Clomid and at which dose. Once you have been cleared by your provider, you will take your first dose of Clomid on the day they have instructed. And if an IUI or trigger shot was planned, neither will be given to avoid a higher multiple pregnancy, which carries serious risks to you and your future babies. Clomid is only approved by the Food and Drug Administration (FDA) for treating females. You might never get a full flow. Remember that you can try againand that sometimes treatment needs adjustments before you reach success. Practical Guide in Infertility. Newer studies have not shown an association between Clomid and birth defects. This should ensure a constant supply of sperm in the feminine system and increase the likelihood of conception. Clomid works by tricking your body into thinking your estrogen levels are lower than they are, causing your pituitary gland to secrete more follicle-stimulating hormone (FSH) and luteinizing hormone (LH). Higher dosages can also increase your risk of developing ovarian hyperstimulation syndrome. Always on Time. When Clomid Works Best and When It Doesn't. It works by stimulating an increase in the amount of hormones that support the growth and release of a mature egg (ovulation). This causes a spike in the generation of GnRH, the ovulation fertility hormone in charge of regulating the FSH and LH hormones that cause ovulation. That is because Clomid leads to multiple ovulations, and non-identical twins are twins resulting from separate eggs and fertilization with different sperm, while identical (or monozygotic twins) result from the splitting of a single fertilized identical egg and sperm. 2009 Mar 1;22(2):147-57. doi:10.3122/jabfm.2009.02.080038. Select your Clomid treatments exact time frame. Clomifene citrate and intrauterine insemination as first-line treatments for unexplained infertility: are they cost-effective? You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Tell your healthcare provider if it is important to you to avoid conceiving twins, so they can better advise you on what to do. The increase in estrogen signals the brain to slow down the production of FSH. Does it matter which protocol your doctor chooses? In most cases, you can also have sex on your fertile days at home in addition to your IUI. Its an oral drug thats commonly prescribed for pregnancy loss. Carson SA, et al. 2011;4(1):2. doi:10.4103/0974-1208.82351, Pallone SR, Bergus GR. Staying up-to-date with vaccinations and regular check-ups and testing can lower the risk of complications . At the same time, in case pregnancy might be suspected, i.e lack of period during that particular menstrual cycle, Clomid treatment should be ceased. Typically, people taking Clomid are given a dose of one 50 milligram pill once daily for 5 days starting on day 3, 4, or 5 of their menstrual cycle. There doesn't seem to be a difference in pregnancy success between beginning Clomid on day 3 or day 5. The Journal of the American Board of Family Medicine. Examples include man, woman, nonbinary, agender, bigender, genderfluid, pangender, and trans. ReadDr. Amos' full bio, the book about him "Lessons in Survival: All About Amos," and afictionalized account of his father's lifein the novel, "Through Walter's Lens.". Like all fertility treatments, there are no guarantees. Your doctor will likely suggest additional testing to identify these issues to correct them before future treatment cycles. You can start taking the OPKs the day after you finish your Clomid pills. CLOMID (clomiphene citrate tablets USP). If you did not ovulate, it did not work. Another thing to keep in mind is sex-on-demand during a fertility treatment cycle isn't forever. When you're trying to conceive you want to take that pregnancy test as soon as possible. These are just averages. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Its usually evenly divided whether youll have a boy or a girl. If you'd rather not bother with ovulation test kits, you can just have sex every one or two days, all month long. The bleeding should start five to ten days after the end of taking the Provera If you do not bleed, repeat the pregnancy test. Hopefully, next time your healthcare provider can adjust your treatment so as not to stimulate as many eggs. Clomid is taken for five days. A severe case is rare when taking Clomid, but it can occur. Beyond suggesting that you use an ovulation predictor kit so you can time intercourse for your most fertile days, most gynecologists don't carefully monitor Clomid treatment cycles. Clomid Ovulation Calculator. Solve Now. Your odds of getting pregnant are similar no matter which Clomid start date protocol your doctor prefers for you. By Rachel Gurevich, RN For people who are appropriately treated with Clomid, there are many benefits: Some minor side effects may occur if you take Clomid, and some complications are rare. Sometimes Clomid is combined withIUI (intrauterine insemination) treatment. One thing to keep in mind: a positive OPK doesn't mean you ovulated. Clomid doesn't seem to increase the risk of miscarriage. Then, the calculator (or calendar or chart) will usually assume a luteal phase of 14 days. You should continue having sex until you have confirmed that ovulation occurred. Multiple pregnancy rate in patients undergoing treatment with clomifene citrate for WHO group II ovulatory disorders: A systematic review. What is the procedure for using the Clomid ovulation calculator? While letrozole was approved by the U.S. Food and Drug Administration for use as a breast cancer drug, it has been used off-label for fertility for more than two decades because it has fewer side . Learn more about Obiehere. Calculate the expected date of ovulation as well as the best days to have sex based on the first date you started taking Clomid with our clomid ovulation calculator. For women with PCOS, the cancer drug letrozole (Femara) may be more successful at triggering ovulation than Clomid. Taking Clomid along with the diabetes drug metformin has also increased success rates for some women.. This is a common struggle for couples trying to conceive. Keep taking the tests until you get a positive result. Like most fertility treatments, the first side effect might be multiple pregnancy with chances of twin pregnancy of 5 to 10%. Verywell Family's content is for informational and educational purposes only. This medication is typically used to treat ovulatory disorders including Polycystic Ovarian Syndrome. Rachel Gurevich is a fertility advocate, author, and recipient of The Hope Award for Achievement, from Resolve: The National Infertility Association. The luteal phase is the time between ovulation and the first day of your next period. Polycystic ovary syndrome is a common cause of infertility. This can include an issue with your partners sperm, uterus, or fallopian tubes. The effectiveness of Clomid varies depending on the cause of infertility.
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