Ovulation - the release of the egg into the abdominal cavity from the ovary after rupture of the follicle. Without ovulation, the onset of pregnancy is impossible, so it is important to stimulate ovulation. Methods of treatment and drugs that stimulate ovulation, the doctor chooses, depending on the reasons for its absence. To establish them, they are prescribed to take tests for hormones and conduct ultrasound-observation. Ultrasound is started on the 8th day of the cycle and is done every 3 days before ovulation or the onset of menstruation.
How does ovulation stimulate?
Preparations for stimulation of ovulation contain two kinds of hormones:
- follicle-stimulating hormone (FSH);
- luteinizing hormone (LH).
It is through them that the follicle matures and ovulation occurs. To the preparations containing such hormones, concern:
- Clostilbite (most commonly used);
- Pureghon;
- Menogon;
- Gonal;
- others.
Klostilbegit helps to produce both types of hormones (FSH and LH). The drug begins to take on day 5 of the cycle and take up to 9 days inclusive of 1 tablet. If klostilbegit for some reason does not fit, you can replace it with another drug. For example, stimulation of ovulation can be done with puregon. It also contains both types of hormones, but refers to a different kind of medication. The reception of Puregon, like the menogonas, begins on the 2nd day of the cycle and ends usually after 10 days. Stimulation with these drugs is suitable for both natural and artificial insemination. Another drug is Gonal. Stimulation of ovulation by the cholera begins with 1 day of a cycle (if the menstrual cycle is not broken). The duration of treatment is determined by ultrasound or by the level of estrogen concentration in the blood.
After the course of drugs, ultrasound is prescribed, which is performed several times before confirming that the follicles have reached the desired size. The next step in stimulating ovulation is the injection of hCG. A shot is made 1 time, and in a day ovulation occurs.
Further, if the drugs produced a positive result and the pregnancy has come, then progesterone preparations are prescribed for its maintenance. Such drugs as utrozhestan and dyufaston not only do not stimulate ovulation, but on the contrary can prevent it. That is why in the first phase of the cycle they are not appointed.
Whatever methods and medicines to stimulate ovulation are not applied, they should be appointed by the doctor and after the examinations!