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Treatment For Women
Factors Affecting Ovulation Induction
There are certain factors that will affect the success of ovulation. Before choosing ovulation induction, your reproductive endocrinologist will evaluate:
Your egg quality
Your egg quantity
If the quality and quantity of your ovarian reserve is poor, ovulation induction may not be the right route for you.
Stimulating Ovulation With Fertility Drugs
Fertility drugs are the main treatment for women who are infertile due to ovulation disorders. These medications regulate or induce ovulation.
Commonly used fertility drugs include:
Clomiphene citrate (Clomid, Serophene): This drug is taken orally and stimulates ovulation in women who have PCOS or other ovulatory disorders. It causes the pituitary gland to release more FSH and LH, which stimulate the growth of an ovarian follicle containing an egg.
Human menopausal gonadotropin, or hMG (Menopur): This injected medication is for women who don't ovulate on their own due to the failure of the pituitary gland to stimulate ovulation. Unlike clomiphene, which stimulates the pituitary gland, hMG and other gonadotropins directly stimulate the ovaries. This drug contains both FSH and LH.
Follicle-stimulating hormone, or FSH (Gonal-F, Follistim, Bravelle): FSH works by stimulating the ovaries to mature egg follicles.
Human chorionic gonadotropin, or HCG (Ovidrel, Pregnyl and Noveral): Used in combination with clomiphene, hMG and FSH, this drug stimulates the follicle to release its egg (ovulate).
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Fertility Drugs and the Risk of Multiple Pregnancies
Injectable fertility drugs increase the chance of multiple births. Oral fertility drugs (Clomid) increase the chance of multiple births but at a much lower rate. The use of these drugs requires careful monitoring using blood tests, hormone tests and ultrasound measurement of ovarian follicle size.
Surgery
Depending on the cause, surgery may be a treatment option for infertility. Blockages or other problems in the fallopian tubes can often be surgically repaired. Laparoscopic techniques allow delicate operations on the fallopian tubes.
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Assisted Reproductive Technology (ART)
ART has revolutionized the treatment of infertility. Each year thousands of babies are born in the United States as a result of ART. Medical advances have enabled many couples to have their own biological child. An ART health team includes physicians, embryologists, laboratory technicians, nurses and allied health professionals who work together to help infertile couples achieve pregnancy.
You and your partner will be attending an ART class for injection teaching and review of all procedures. You will be given a color coded calendar that explains the medication dosing schedule, the schedule of appointments planned, and the projected dates of the egg retrieval and embryo transfer. Personalized care will be provided each step of the way by your IVF Nurse Coordinators, Medical Support Team and Scientific Support Team.
The most common forms of ART include:
In vitro fertilization (IVF): This is the most effective ART technique. IVF involves retrieving mature eggs from a woman, fertilizing them with a man's sperm in a dish in a laboratory and implanting the embryos in the uterus three to five days after fertilization. IVF often is recommended when both fallopian tubes are blocked. It's also widely used for a number of other conditions, such as endometriosis, unexplained infertility, cervical factor infertility, male factor infertility and ovulation disorders. IVF increases your chances of having more than one baby at a time because often multiple fertilized eggs are often implanted back into your uterus so that there is a greater chance one will develop into a baby. IVF also requires frequent blood tests and daily hormone injections.
ICSI: This technique consists of a microscopic technique (micromanipulation) in which a single sperm is injected directly into an egg to achieve fertilization in conjunction with the standard IVF procedure.
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Egg Donation
We offer egg donation to our patients who have not been able to achieve their goal of conceiving using their own eggs. Information is provided for those who are interested in learning more about the recipient process and those that are interested in donating their eggs.
Tubal Reversal
In many cases, tubal reversal, or tubal reanastamosis, can successfully rejoin a woman's fallopian tubes after sterilization. A consult with one of our physicians will help determine your best treatment options to achieve pregnancy.
Tubal Reversal Information Packet
After completing the forms and mailing in the deposit (which will be applied to your initial consultation), our office will contact you for an appointment.
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Ovulation Induction
If you and your partner are considering fertility treatment, you may need to decide whether or not you would like to pursue ovulation induction. Fertility treatments are often used in combination with various drugs that are designed to help trigger ovulation. Before undergoing any type of fertility treatment, be sure to speak with your reproductive endocrinologist about ovulation induction.
What is Ovulation Induction?
Ovulation induction is a type of medical therapy often performed alongside certain fertility treatments. Typically, medications that are used to help trigger the development of egg follicles are known as ovulation inducers. Ovulation induction often triggers the development of more than one egg during ovulation.
Why Induce Ovulation?
Ovulation is often induced in order to help women who cannot ovulate regularly produce an egg during their montly cycle. Ovulation induction is also used in order to trigger the ovaries to release more than one egg during ovulation. Sometimes, inducing ovulation can allow two or three eggs to be released at once, therefore increasing your chances of pregnancy.
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Who Can Benefit from Ovulation Induction?
A large percentage of women seeking fertility treatment can benefit from ovulation induction. In particular, women suffering from the following conditions may find ovulation induction particularly helpful in increasing their chances of pregnancy:
anovulation
PCOS (Polycystic Ovarian Syndrome)
pituitary disorders
irregular menstruation (oligomenorrhea)
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