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Induction of ovulation is another option for couples who want to get pregnant

Induction of ovulation is another option for couples who want to get pregnant

There are a number of treatments for infertility today. Some surgical ones, such as hysteroscopy and videolaparoscopy, others more specialized, such as in vitro fertilization, intrauterine or artificial insemination and scheduled sexual intercourse. Both in programmed intercourse and in uterine insemination, there is a fundamental step, called ovulation induction.

The indication of ovulation induction is very specific: couples in which the woman has difficulty ovulating but has normal uterine tubes and semen . They are women with irregular cycles who stay more than 40 days without menstruation. Some even stay up to a year without menstruation. One of the main causes is polycystic ovarian syndrome.

See that there is no benefit in simply inducing ovulation in women who already ovulate to "stimulate a little more." It is common to see patients who take the so-called "ovulation inducers" on their own without medical follow-up and, consequently, often with no results. This attitude is hasty, does not increase the chances of pregnancy and ends up generating greater anxiety in the couple. The full assessment of the woman and the man is fundamental, since there are often problems with the tubas or semen, which makes this treatment inefficient.

How the treatment works

The success rate per attempt is, on average , from 10 to 15%

The ovulation induction can be divided into two stages: ovarian stimulation and ovulation triggering. The first stage is made with medicines such as clomiphene citrate (oral) and gonadotrophins (subcutaneous). The goal is to promote the growth of follicles in the ovaries to increase the chances of the release of one, two or three eggs to be fertilized by sperm. Women initiate medications at the beginning of the menstrual cycle when the follicles are still small.

The couple's chance of getting twins spins around 10% when the woman becomes pregnant

We next monitor follicle growth with ultrasonography, and when they reach a certain size, we administer the last drug to mature the ovules and schedule the ovulation itself. We directed the couple to have sex about 36 hours later, close to ovulation. The pregnancy test is performed after two weeks. The treatment usually lasts for 15 days.

This does not mean, of course, that the woman will have a guaranteed pregnancy. The success rate per attempt is, on average, 10 to 15%. This chance may be higher or lower according to the woman's age and infertility time. In addition, certain habits may favor pregnancy:

  • Healthy weight

  • - Balanced diet

  • - Regular exercise

  • - Low coffee and alcohol consumption

  • - Drop the cigarette

  • - Reduce stress.

It is worth mentioning that the couple's chance of getting pregnant turns around 10% when the woman becomes pregnant. However, there is no medical evidence showing a higher incidence of malformations in the children generated by programmed coitus. Thus, the incidence is similar to that of the general population and ranges from 2 to 4% of infants. Gestational complications are also infrequent, as the method closely resembles the natural conception.

The main side effects are heat waves and transient visual changes, abdominal discomfort and nausea. These symptoms stop when you stop using the medications.

Knowing that pregnancy rates range from 10 to 15% per try, many couples end up trying two or three times until they succeed. If, even then, the woman does not become pregnant, we go for more complex treatments, such as fertilization in vitro .

Ligation Reversal: Recovery of Fertility in Women

Ligation Reversal: Recovery of Fertility in Women

Other Names Tubal reanastomosis, tubal recanalization How and When Tube Reversal The main condition for reversal is that the end of the tubes has been preserved when the tubal ligation was performed. It is also necessary that the uterine tube is not diseased or dilated. In these cases, it is possible to reattach the tubes.


Encourage your child to feel like going back to school

Encourage your child to feel like going back to school

Back to school for many children has a bitter taste. They suffer to resume the routine and parents end up twice as tired, because of the wear and tear of the first few days. To avoid this suffocation, the ideal is to make a moderate transition from the rhythm. "There are parents who come back on a Sunday night trip and they think it's bad because the son gives work to get up early the next day," says psychiatrist Quézia Bombonatto.