What is Ovarian Stimulation or ovulation induction? Ovulation induction involves taking medications to stimulate or grow more than one follicle in either of the ovary and confirm the release of the egg after administration of trigger ( hCG ) and increase the chances of conception either by timed intercourse or artificial insemination It is most suitable for women who do not ovulate or have deranged hormone profile leading to lack of ovulation or growth of egg but have normal fallopian tubes and the male partner has a normal semen analysis. Medications used in ovulation induction can include: • Clomiphene Citrate ( CC) This is a tablet to be taken orally which helps in development of follicle in women who have a problem with growth of the follicle. It helps in increasing the level of FSH ( hormone required for growth of the egg) • Follicle stimulating hormone (FSH) Injections of FSH can be used to stimulate the ovary to produce a number of follicles that develop in the ovary and therefore the number of eggs that are ovulated during a cycle. • Letrozole: Another oral medication which acts on the ovary and increases the level of FSH thereby increasing the chances of more than one egg to develop and hence increase the chances of pregnancy Assessment Assessment of the cycle is done byblood tests to measure hormone levels at specific stages of your cycle; and an ultrasound to see the development of follicles in the ovaries and thickness and appearance of the uterus lining. Monitoring Cycle monitoring is done closely by hormone evaluation and TVS (Sonography) to check for the number of developing follicles. This is a crucial step as it may predict the chances of multiple pregnancy.
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