Ovulation Induction at Birla Fertility & IVF
Ovulation is the release of an egg from the ovaries in the middle of a woman’s menstrual cycle. It is regulated by hormones produced by the ovaries. Hormone imbalances, certain medical treatments, and menstrual disorders like PCOS can inhibit the production and release of eggs from the ovaries. It is estimated that almost 25 per cent of female infertility cases stem from problems with ovulation. Ovulation induction is a fertility treatment which uses hormone-based medications to stimulate ovulation in women with irregular or absent ovulation (anovulation). This treatment is often done in conjunction with assisted conception treatments like IUI and IVF. In some couples, ovulation inductioncan result in spontaneous conception as well.
Why Ovulation Induction?
Ovulation induction is recommended for women with hormone imbalances or ovulation disorders characterised by irregular or no periods and for couples with no male factor infertility. It is also often a part of assisted conception treatments like IUI and IVF if the female partner has low ovarian reserve or ovulation disorders.
Ovulation Induction – Treatment Procedure
Before starting ovulation induction, you will undergo a blood test and an ultrasound scan on day 2-day 3 of your period. These tests are used to determine a baseline, medication start date as well as the dosage and type of medication to be used in the treatment.
The medication used in the treatment can either be oral tablets or injections which promote the growth of fluid-filled sacs (follicles) containing eggs in the ovaries. Your response to the treatment and follicular development will be closely monitored by ultrasound scans and blood tests. Once the follicles have reached the desired maturity and size, you will be given a trigger injection to induce ovulation in preparation for intercourse, IUI or egg retrieval.
Frequently Asked Questions
Multiple pregnancy is the most significant risk of ovulation induction treatments. Ovarian hyperstimulation syndrome is an extremely rare complication that can occur due to overstimulation of the ovaries by the medications. Both these risks can be reduced with careful monitoring. Other risks of ovulation induction include developing ovarian cysts, miscarriage, ectopic pregnancy and ovarian cancer.
The medications used for ovulation induction can cause side effects like bloating, nausea, headaches, and hot flashes.
For women trying to become pregnant, the following tips can help improve the chances of conception:
> Maintaining a healthy body weight
> Quit smoking
> Limit alcohol
> Limit caffeine intake
Certain factors can increase the risk of infertility in women. These include advanced maternal age, smoking, obesity, overconsumption of alcohol and history of sexually transmitted infections.
Common signs of ovulation are cramps, bloating, white-coloured and stretchy-textured cervical mucus, changes in basal body temperature and tender breasts.
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