What is ovulation induction treatment?
Ovulation induction treatment is a straightforward fertility treatment. It has the involvement of injectable as well as oral medication, which stimulates regular ovulation. The medicines are taken at the initial stage of the menstrual cycle. The response of the body is further monitored with serial ultrasounds. The clinician sees your ovulation time and suggests the best time for either insemination ( See IUI step by step) or intercourse.
Ovulation induction indications
Many women may need ovulation induction as some of them infrequently ovulate, while others do not ovulate at all. These indications are most needed for an ovulation induction treatment.
While on the other hand, some women who ovulate regularly can also opt for this treatment to increase the number of eggs released per cycle. This will give them a better chance of conceiving. This treatment is also used by the patients when they undergo an IVF cycle. It helps them to maximize the production of an egg.
Medications Used for Ovulation Induction
The process of ovulation induction uses many hormone-based medicines so that the woman’s reproductive hormones are regulated. It also increases the chances of the release of mature eggs known as ovulation. Some of the drugs commonly used are:
- Clomiphene citrate
It helps to stimulate the ovaries for the development of eggs and ovulation in a woman who is not having changes in the hormones monthly. This medication is prescribed by your doctor.
- Aromatase inhibitors
This medicine proves to be outstanding for patients with PCOS. It is a very effective drug for inducing ovulation induction. Popularly known as letrozole.
- Insulin-sensitizing agents
PCOS patients who have evidence of prediabetics and diabetics use this medicine. This medication is known to be Metformin.
There are two hormones FSH and LH produced by the pituitary in the brain and they lead to the development of eggs in ovaries and subsequently ovulation. There are two injectable hormones, known as Follicle-stimulating hormone (FSH) and Human menopausal gonadotrophin( composed of both FSH + LH) which are used for ovulation induction.
The ovulation induction process
Step by Step Guide – ovulation induction
The ovaries get stimulated with the help of medicines. They promote the growth of follicles (egg sacs) that contains the eggs.
Serial Ultrasounds are known as follicular monitorings and blood tests help to monitor the response of the ovaries. These are beneficial to control the quantity and size of the follicles.
- Egg release
HCG or Human Chronic Gonadotropin injections are triggered to assist the egg when it is finally matured until the egg’s loosening from the follicles wall. Usually, a trigger is planned when the follicle or egg sacs reach the size of 18 to 20 mm as it helps in the final maturation and release of eggs or oocytes.
- Timed sexual intercourse or IUI
The couple is asked to perform intercourse tentatively around 36 hours post trigger injection. Doctors perform an ultrasound during the time of ovulation to see the follicles that are developed simultaneously released or not. It also helps determine the exact days to have sexual intercourse so that the chances of fertilization chances are maximized.
IUI helps to prepare the sample of sperms into the uterus directly. A fine tubing known as IUI cannula is inserted into the cervix or the uterus’s opening where the sperm that is adequately designed can be transferred gently ( see IUI step by Step ).
Risks associated with Ovulation Induction
Ovulation induction is a very straightforward and simple process but few and uncommon risks can be associated with the process. Risks that comes with ovulation induction are multiple pregnancies and Ovarian Hyperstimulation Syndrome (OHSS).
- Ovarian Hyperstimulation Syndrome or OHSS
This is an infrequent and, uncommon problem where the woman responds more to the induction process. This leads to the development of multiple follicles or egg sacs carrying multiple eggs. When such a woman gets an HCG trigger it leads to a hormone rush in the body. Due to that, symptoms like bloating, pain, vomiting, and nausea are widespread. But generally, they are easily overcome by simple medications as prescribed by the doctors. In extreme conditions, it can leads to fluid in the abdomen and lungs ( Ascites and Pleural Effusion) though this is very rarely encountered in the case of ovulation induction by drugs.
As days pass by, these risks are minimized by monitoring the cycle with ultrasound scans and blood tests.
- Multiple Pregnancy
Chances of multiple pregnancies are increased during ovulation induction due to multi follicular development. Chances are higher with Gonadotrophins ( 20%)followed by Clomiphene ( 10 %) and least with Letrozole( 5%).
Side effects of ovulation induction
Few side effects of ovulation induction are:
- Weight gain.
- Hot flashes
- Blurry visions
All these side effects are infrequent and are solved within a short time.
Benefits of ovulation induction
Ovulation induction is considered to be the first line of treatment that is used for infertility. This treatment gives you the benefits of non-invasive and low-cost treatment. Ovulation induction is also an effective treatment when conjunction happens between IUI, IVF, and other treatments.
Ovulation induction success rates
The success rate of ovulation induction depends upon the diagnosis of the woman and also some other factors. Some of the factors like age and medical history are all directly related to ovulation induction’s success rate. The success rate is 40% to 45% per cycle of pregnancy.
Ovulation induction Cost
The cost of ovulation induction treatment in India would be around Rs.2000 to Rs.10000 when being done with drugs or along with minimal gonadotrophins, depending on the gonadotrophin dosage required. It can reach from Rs 75, 000 to 1,00,000 in case of ovulation induction in IVF cases for Controlled Ovarian Hyperstimulation.
You can contact Dr Gunjan Gupta of Gunjan IVF World for a piece of better knowledge about the procedure. If you decide to go for this treatment, then we serve the best facilities for you.
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Rohit Krishna Gupta
Had a great experience with Dr. Gunjan. We visited the clinic as we had some queries regarding the conception process. Dr. Gunjan listened to the queries and answered all those with patience. And we had good news at the next consultation itself. Dr. Gunjan is very experienced, is soft-spoken, and very diligent with the process. Highly recommended!
Know the Expert before you visit our clinic
A team of Specialists working together as a team with a single Goal: Patient Satisfaction
Dr. Gunjan Gupta Govil
MRCOG(UK), MD(Gynae) – Founder & Director
She is a Gynaecologist with specialization in IVF, Infertility & Laparoscopy specialist doctor and has close to 2 decades of experience in treating Infertility, performing Gynae Laparoscopy (Keyhole Surgeries) & Handing high risk Pregnancies. She is a noted speaker in National and International level conferences and has also chaired various sessions on Infertility
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Dr. Pradyot Kumar
Dr. Pradyot Kumar is the CEO of Gunjan IVF World. He is a Neurosurgeon with specialization
(20+ years of experience)
Mr. Gaurav Singhai
Co-Founder & COO
He has 15 years of Managerial Experience from various National & International Organizations like TCS, Fiserv & Sopra Steria. He has lived and worked with various MNCs in the US, UK, France & The Netherlands and gained immense experience and skills which he now contributes to Gunjan’s IVF World assiduously.
Dr Ankita Nigam, MS
MS Obs & Gynae (Gold Medallist). Dr Ankita Nigam has 3+ years of experience in IVF, Infertility and Gynaecology. She conducts and assists in OPD at our Indirapuram and Meerut centres. She actively assists IVF consultants in all procedures. She takes care of the management of various IVF, Infertility, Pregnancy care patients. She has done a special training in "Ultrasound Whole abdomen and Obstetrics & Gynaecology" from Thomas Jefferson University Philadelphia US.
Dr. Rajeshwari Suthar
Dr Rajeshwari Suthar has 5+ years of experience in IVF & Infertility treatments. She actively assists our IVF consultants in OPDs. She is an excellent counsellor and patients are very comfortable with her. She has done BHMS from Hemchandracharya University, Gujarat in 2011.
He is a highly experienced and successful Embryologist with more than 10 years of experience in IVF. He has done M.Sc. in Biotechnology from MIMS, Jaipur. He has done more than 4000 IVFs and 3000+ ICSI cases till date.)
Ms. Nivedita Rai
MBA in HR from IMT Ghaziabad B.Ed, M.SC in psychology (pursuing). Nivedita Rai is our Head counsellor. She has been with Gunjan IVF World for the last 4.5 years. Her mission as a Head Counsellor is to bring happiness to all those who are unable to conceive. She makes them understand the various infertility treatments that we offer and help them throughout their journey to parenthood. She is a project Head of children welfare related projects of NGO Develop India Foundation and She is also a Reiki practitioner.
We not just treat our patient, we also guide them throughout all medical terms and their problems
The reasons for an unsuccessful implantation are very uncommon and rare as well. Blastocyst provides a greater chance of becoming pregnant therefore the procedure is handled properly as well.
Before jumping to the immediate question first let’s have a small brief of what is blastocyst transfer. Blastocyst transfer is the transfer of embryos that have achieved a higher stage of development.
Maximum patients worry about what they can do or cannot do after an embryo transfer. They have the fear that if they do something wrong, the embryo would not attach or fall out.
Whether you want to conceive naturally or through IVF, the best period is between 20-30 years to get pregnant. During this time, women have the best fertility potential. Also, during this period the quantity and quality of the eggs or ovarian reserve is also good. As compared to men, increasing age affects women’s fertility a lot. If your age is between 25-30 years, the chances of getting pregnant with a single menstrual cycle are 25%. And as soon as your age increases, these pregnancy chances drop to just 5% when you reach 50.
IUI stands for Intrauterine insemination or also known as artificial insemination. In this method, semen is washed and placed inside the uterine cavity so once the ovulation occurs or the egg is released the sperm will fertilise the egg.
The couple has to undergo certain IVF treatment evaluations. These are the blood test before IVF. IVF tests for Females: The female has to undergo several tests such as female hormonal tests, egg count and quality assessment, blood tests such as AMH, prolactin, thyroid & basic tests such as hemoglobin, sugar, etc. ultrasound is done to check the uterus.
Although a lot has been quoted and stated about mental health and its role in Infertility issues amongst couples around, the fact still says that Psychological stress doesn’t result in Infertility. Still a number of medical studies in the same regard state that mental health plays a negative role in the overall pregnancy chances for a particular person. It doesn’t matter if you are going through physical or mental stress, it can’t be considered as “Useful” for the fertility period by any means.
Mini IVF is also called micro or minimal stimulation IVF. It follows the same pattern as in conventional IVF i.e. retrieval of the egg, fertilization of sperm and egg in simulated laboratory conditions finally followed by embryo transfer.
Planning your visit to an IVF center in order to sort out your infertility issues can sometimes become a tedious task with all the unwanted stress and nervousness. It will take long time for the patients to prepare themselves mentally before consulting an IVF specialist. It Obvious as they would be carrying thousands of questions along with all that curiosity in their mind