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super ovulation induction - Information - Treatment

Super Ovulation Induction

This may be offered to couples as a first step before the invasiveness of IVF. Couples with unexplained infertility or women diagnosed with Polycystic Ovarian Syndrome (PCO) may be offered super ovulation. It may also be a consideration where the male partner’s semen analysis is suboptimal.

Clomiphene

Chomiphene or Clomid is a tablet that aids the ovaries to produce eggs. As a result it can increase the chances of a multiple birth, which are twins or triplets. Clomid can be used for women who do not ovulate on a regular basis, for example women with Polycystic Ovarian Syndrome (PCO). It may also be offered to women with unexplained fertility that are ovulating as a first intervention. In such cases it should not be used for more then six cycles.

Clomid is administered on Day 2 of the menstrual cycle for five days. The couple will then be advised to start having sexual intercourse 3 times per week. Clomid can be used in conjunction with follicular tracking to monitor the number of follicles as well as advising timed intercourse around ovulation.

FSH

FSH or Follicle Stimulating Hormone is used to help the ovaries produce eggs. There may be a risk with multiple births as more then one follicle can develop. When using FSH ultra sound scans will be performed regularly to monitor the number of follicles developing. In addition FSH also thickens the lining of the uterus to aid implantation. When the follicles are a certain size approximately 18mm or above, then another injection will be advised which is HCG.

Dominant FollicleDominant Follicle

HCG

HCG or Human Chorionic Gonadotrophin is a drug which enables the egg to further mature. It also aids the release of the egg in the follicle. Timed intercourse or the IUI procedure will be scheduled so that sperm will be present when the egg is released from the follicle, in order for fertilization to take place in the fallopian tube.

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