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Ovulation induction

Ovulation induction

The meaning of this term is to induce unifollicular or multifollicular ovulation in a single menstrual cycle with the help of medications which can either be administered orally or via injections, subcutaneously or intramuscularly

Indications

  • Anovulatory cycle ( like PCOS)
  • Unexplained infertility
  • In accompaniment with timed intercourse cycles, intra uterine insemination cycles or for IVF-ICSI cycles.
Indications
Ovulation Induction 1
Ovulation Induction 2
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This pyramid shows how a number of eggs is lost at each stage of the IVF-ICSI process and hence COH becomes an inseperable part of a conventional stimulation cycle.

Ovulation induction is done with the help of following agents:

  • Oral medications
  • Gonadotropins
  • Monitoring is done with the help of trans vaginal sonography to monitor the follicular (fluid filled sacs which contain eggs) number and size and serum estradiol level in certain cases when deemed necessary.
  • Trigger injection is administered once follicles mature sized about 18 – 20 mm with good vascularity.