Ovulation Induction is a form of treatment which involves stimulation of the ovaries to bring about development of a ripened egg which can then be fertilized by a normal act of intercourse. Ovulation induction is used to treat women who do not ovulate or who ovulate irregularly. Ovulation induction can be used for women who have been diagnosed with Hypothetic Pituitary failure or women with Polycystic Ovarian Syndrome and consequently may not be ovulating.
The second use of ovulation induction was to increase the number of eggs reaching maturity in a single cycle to increase chances for conception. The initial agents for this treatment (used first for IVF and only later for simpler treatments) were injectable medications. These agents carry an increased risk of multiple gestation, ovarian hyper stimulation, and increased cost and time commitment.
Ultrasound picture of a polycystic ovary from a woman with PCOS – polycystic ovarian disease. These women do not develop mature follicles or ovulate without medication treatment. About 12 immature follicles (black circles) are seen here. Ovulation induction, in ovulatory women, is always combined with intrauterine insemination. Ovulation induction should only progress after a complete and thorough evaluation. All underlying hormonal disorders (such as thyroid dysfunction) should be treated prior to resorting to ovulation induction with fertility drugs
A careful selection of treatment regimens combined with diligent monitoring can bring excellent results. For women with ovarian failure or extremely very poor quality eggs there are not currently any drug available to allow a reasonable chance of conception with any type of ovarian stimulation. Egg donation is the only realistic option for getting pregnant with premature ovarian failure.
Pregnancy Success Rates for Induction of Ovulation:
Success rates for induction of ovulation vary considerably and depend on the age of the woman, the type of medication used, whether there are other infertility factors present in the couple, etc..
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