Can you ovulate on menopur
There are two main risks of HMG treatment: ovarian cyst formation and multiple pregnancy. The development of small ovarian cysts during treatment is not uncommon and does not usually cause a significant medical problem. The cysts will go away on their own usually within a month.
In this condition, the ovaries enlarge and may create a significant medical illness with loss of body fluid into the abdomen or chest and are associated with an increased risk of vascular thrombosis blood clot forming in a vein or artery. This condition may require hospitalization and is potentially serious. The blood test for estrogen, a routine part of management, is intended to prevent the development of massive ovarian enlargement. The blood level of estrogen predicts the risk of ovarian enlargement during the treatment cycle.
The drug dose is adjusted accordingly. If the blood estrogen level rises above the safety zone, treatment will be terminated. Ovarian enlargement will only occur if ovulation takes place. Usually, ovulation will not take place unless a second hormone, human chorionic gonadotropin hCG , is administered.
The vast majority of these multiple pregnancies are twins. Multiple pregnancy runs a risk of premature birth and neonatal complications or neonatal death. Occasionally, the ultrasound predicts the presence of a high number of eggs during a treatment cycle. A decision may be made to cancel the cycle if the risk of multiple pregnancy is considered by your physician to be too high.
There may be a slight increase in the risk of tubal pregnancy ectopic with gonadotropin therapy. If ovarian enlargement occurs, there is a somewhat increased, but quite uncommon, risk of ovarian torsion the ovary twisting and cutting off its blood supply.
In addition, there have been a variety of serious illnesses reported in association with gonadotropin treatment.
Their frequency is rare or extremely rare and in some cases a proven link to gonadotropin treatment as the cause is not clear. If your period begins on Saturday, plan on coming to our office Monday morning between and for an appointment. If we see a mature follicle we will instruct you to take one prefilled syringe of Ovidrel hCG Trigger Shot that evening and to have intercourse. If we do not see a mature follicle, we will give you specific instructions at that time.
We will schedule a baseline ultrasound on day 1, 2, or 3 of your cycle. This will be based on your response to your medications. You may be instructed to return days for another ultrasound. We will schedule a baseline ultrasound on day of your cycle. We do not perform baseline ultrasounds on the weekend. If your period begins on Saturday, come to our office Monday morning between and for an appointment. The next monitoring visit will be day 8. Call Controlled Ovarian Stimulation.
Ovulation Induction When a woman has irregular periods or no periods at all, it indicates that she is not ovulating in a regular, reliable manner. Superovulation When a woman has regular monthly periods, this is a good indication that she has normal ovulation and is releasing a single egg each month. COH Medications Your doctor will determine your plan of care based on your infertility diagnosis, and create a treatment plan with one or a combination of the following medications.
Oral Medications The main oral medications which are used to stimulate growth of one or more mature eggs are letrozole Femara and clomiphene citrate Clomid. Example Treatment Plans 1. Join our community on social media. Follow Follow Follow Follow Follow. Schedule An Appointment. Carolina Conceptions has a new North Raleigh location!
0コメント