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Ovulation Induction
Ovulation Induction is a form of Assisted Reproductive Technology (ART) and involves taking medication to improve ovulation and is usually the first-line fertility treatment.
Ovulation induction uses hormonal therapy to stimulate egg development and release, or ovulation. Historically, these medications 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.
Some of these medications are available in pill form and block estrogen receptors, making the body think estrogen levels are low. This stimulates the release of a hormone called Follicle Stimulating Hormone (FSH) from the brain, leading to ovulation (the release of one egg) or sometimes superovulation, meaning that more than one egg is released. The more eggs produced in a cycle, the greater the chance of conception. Careful monitoring with ultrasounds during the process increases the chance of success while also minimizing the risk of twins and more than twins. For some women who are resistant to ovulation induction with pills, more aggressive medications, such as Follicle Stimulating Hormone in the form of once-daily injections, can be used with careful monitoring.
Dr Samina Ahmed offers ovulation induction treatments to help stimulate egg development and release for women with irregular menstrual cycles or those who do not ovulate on their own. We use hormonal therapy, such as medications that block estrogen receptors to stimulate the release of Follicle Stimulating Hormone (FSH), which promotes ovulation and increases the chances of conception.
Clomiphene tablets are usually started early in your cycle (between day three and five) and are taken for five days. This medication stimulates the release of a naturally occurring hormone called FSH, which will cause ovarian follicles to grow.
Letrozole tablets are also started early in the cycle (between day three and five) and are taken for five days. Letrozole increases the production of FSH by suppressing the production of oestrogen. The
production of FSH will cause ovarian follicles to grow.
Vaginal ultrasounds measure the thickness of the lining of the uterus (the endometrium) as well as the size and number of follicles on both ovaries. Trigger injections are not always necessary, if you surge naturally, they are not required.
If you do not have a period within 19 days of ovulation, you need to have a pregnancy blood test.
Services
- Fertility Assistance & Treatment
- Ovulation Induction
- Recurrent Miscarriage
- Menstrual Issues
- Pelvic Pain
- Endometriosis
- Hysterectomy
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- Reproductive Health
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- Management of Cervical abnormalities
- Endometrial Ablation (Treatment of HMB)