What is Induction of Ovulation?
Induction of Ovulation is the basic step in the management of infertility when the female
partner receives certain medications so as to stimulate her ovary to produce more mature
follicles or eggs which are then triggered to mature. Usually one egg is released in one cycle
and hence is different procedure from controlled ovarian hyper-stimulation in which several
follicles are simultaneously stimulated to produce multiple eggs in single cycle.
Who are treated with this method?
Induction of Ovulation is suitable for women complain of infertility and have irregular
menstrual cycles, increased body hair. Often have been found to have cysts in their ovaries in
ultrasound eg PCOS(Polycystic ovarian syndrome). They may be treated by this procedure as they
do not ovulate on their own or may not be regular.
What are the steps of treatment?
After initial consultation and evaluation the patient is started on treatment for the
maturation of ovaries of the female partner. Ovulation induction cycles are followed by an hCG
injection to induce ovulation and then final maturation of egg. Regular tests are done such as
pelvic ultrasound to access the uterus endometrium (lining of the womb) and ovaries so as to
determine the development of follicles. Blood tests to measure hormone levels are carried out
to determine when a woman is most likely to ovulate which is her most fertile time.
Subsequently, depending upon these tests and ovulation scans the doctor advices the couple to
have intercourse on particular days to increase chances of pregnancy.
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