Ovulation induction
Ovulation induction uses hormonal therapy to stimulate egg development and release, or ovulation. Historically, these drugs were designed to induce ovulation in women who did not ovulate on their own — typically women with irregular menstrual cycles. The goal was to produce a single, healthy egg.
Fertility Treatment
Many women need special medical treatment to help them get pregnant. This kind of treatment is called fertility treatment.
Ovulation induction is the process of using medications to stimulate ovulation in women who have irregular or absent ovulation (anovulation). According to the National Institutes of Health, 25 to 30 percent of women with infertility have problems with ovulation.
Normal ovulation occurs when the ovary releases a mature egg in preparation for that egg to be fertilized. Normal ovulation occurs roughly once every 28 days during a woman’s menstrual cycle. Intervals of 21 to 35 days are considered acceptable and reflective of normal ovulation. If fertilization does not occur, the mature egg and any supplementary tissues are broken down and cleared from the uterus naturally.
When ovulation happens less than once every 35 days or is unpredictable, it is considered to be irregular. When ovulation is completely unpredictable – in interval or duration – it is considered oligoovulation. If it doesn’t occur at all, it is called anovulation. Ovulatory problems impact fertility by taking away the predictability of ovulation and potentially the availability of an egg to be fertilized.
Therapy
Assessment – prior to the treatment, the ovulation cycle is assessed to check the various levels of hormones present such as thyroid, prolactin, FSH, LH, testosterone and other male androgens through a blood test. The womb, ovaries and development of follicles and thickness of the uterus lining is also assessed with the help of ultrasound
Stimulation – depending on the condition assessed previously, medications are then prescribed to help the growth of follicles containing eggs for them to mature and be released
Monitoring – during this course of treatment, regular check up to monitor the growth of number and size of follicles developing
Timed intercourse or artificial insemination – at the time of ovulation, patients are then advised to have intercourse for successful pregnancy or an intrauterine insemination is performed where the semen is inserted into the uterus for the eggs to be fertilized
Medications used in ovulation induction can include:
Clomiphene Citrate – is administered orally for 5 days. It acts by making the body believe that the levels of estrogens are low. This triggers hormones such as FSH & LH that aid in ovulation
Letrozole – is also used for ovulation induction and is often used as an alternative to Clomiphene Citrate
FSH – or Follicle Stimulating Hormone is used to stimulate the number of follicles that develop in the ovary
Gonadotrophins – are given in the form of daily injections that also help in inducing ovulation for a period of 5 to 12 days. These injections allow eggs within follicles to mature. They are also often used in IVF.
Gonadotrophin releasing hormones (GnRH) Analogs – are synthetic hormones or artificial GnRH to aid in surge of FSH and LH and later suppression of the same. These analogs are usually used simultaneously along with gonadotrophins for better control of the hormones.
Benefits are:
Effective method of treatment:Is one of the effective methods for treatment for conditionssuch as unexplained infertility, PCOS, endometriosis and ovarian dysfunction
High Success Rate:Typically has to 20% success rate per cycle depending on a woman’s age,diagnosis and duration of infertility.
Least invasive:Is recommended as one of the simplest, most natural and least invasive treatments.
State-of-the-Art facility:vivan bone and Women Care offers the best, state-of-the-art facility for ovulation induction under the supervision of experts who care for every client to provide the best results.