Early fertility treatment is suitable for women who are facing fertility issues due to low levels of hormones for ovulation, or who fail to ovulate at all. These women are recommended certain medications (as tablets or through injections) to stimulate their hormonal level.
How does Ovulation Induction work?
Deriving blood samples for measuring the hormone levels at particular stages of the cycle,
- Taking out a transvaginal ultrasound to observe the development of ovarian follicles and determine the thickness and appearance of the lining of the womb.
The Ovulation Induction cycle
- Day 1: on the first day of your menstrual cycle you need to Call the clinic to fix an appointment for a blood test.
- Day 2-4: initiate the treatment by starting the medication.
- Day 10 or 11: Again visit the clinic for a blood test to ascertain your hormone level or get an ultrasound.
- Day 14: on the 14th day of your menstrual cycle you need to visit the clinic for an ultrasound test. that will help you determine when you are going to ovulate.
For women who face the problem of an irregular menstrual cycle, the ovulation time may vary. In fact, it is quite common for ovulation to occur later in their cycle (after Day 14). You must, however, continue to attend the clinic until you ovulate.
There are several treatment options to treat ovulation disorders.
The medications required for ovulation induction causes multiple follicle developments, which makes it susceptible to the risk of multiple pregnancies. This is why you need to undergo ultrasounds at a regular time to closely monitor the number and rate of growth of these follicles. If there is the development of more than one follicle, your fertility specialist will consider the risks of multifollicular ovulation and discuss it with you.
The Trigger: After the development of follicle, we may use another injection of synthetic human chorionic gonadotropin (hCG) hormone to trigger the release of the egg from the follicle. The fertilization window is for 36 hours from the time of trigger.
IUI (Intrauterine Insemination)
- Intra Uterine Insemination, also commonly known as artificial insemination is the process of transferring the prepared sperm of husband/donor into the uterine cavity for the purpose of conception in a planned cycle at the time of planned ovulation. .
- This process is done in cases where the tubes are fully functional. This can be done in a natural cycle or with the help of artificial hormone stimulation..
- If the couple is diagnosed with infertility that is unexplained or due to cervical mucus problems, minor sperm abnormalities or the presence of other male disorders. This method is a very economic solution for azoospermic males who cannot afford methods like ICSI with TESA. such couples can go for artificial insemination with donor semen.