OI

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Ovulation induction is recommended for irregular or absent ovulation and is offered using medications to stimulate follicular development in women.

The National Institutes of Health estimate that 25 to 30 percent of infertile women experience ovulation problems

Normal ovulation is defined when the ovary releases a mature egg and is usually during the midcycle phase in 28 days cycle. Interval of 21 to 35 days in a menstrual cycle is considered acceptable and is suggestive of normal ovulation. If fertilization does not occur, the egg and endometrial tissues are broken down and cleared from the uterus naturally in the form of menstrual blood.

When ovulation happens less than once every 35 days or is unpredictable, it is considered to be abnormal. When ovulation is completely unpredictable – in interval or duration – it is considered ovulatory dysfunction. If it doesn’t occur at all, it is called anovulation.

The goal of ovulation induction is to increase a woman’s chances of becoming pregnant through sexual intercourse or through IUI by releasing the egg from the follicle. However, when the absence of ovulation is a symptom of another fertility issue, treating the underlying problem (PCOS, LUF, Endometriosis) can also restore normal ovulation and fertility.

Medications/Surgery used for OI:

  • Clomiphene citrate
  • Letrozole
  • Metformin
  • Cabergoline
  • Minimal dose Gonadotropins
  • Laparoscopic Ovarian drilling

Usually, these medicines are started during periods after doing the scan by your fertility specialist and then monitoring of follicular development is done at regular interval by transvaginal scan. Once the follicle reaches the optimum size, the trigger injection is given, and time intercourse is advised by your fertility doctor. pregnancy test is advised after 2 weeks of trigger injection.

Ovulation induction needs an individualized approach which is very well provided by the best fertility doctor, Dr. Ripal Madnani. Consult your IVF specialist not only for IVF, other fertility treatment also can be best provided by your fertility specialist in Abu Dhabi.

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