with Timed Intercourse
Once your fertility specialist has diagnosed the probable cause of infertility and thinks a simpler treatment approach is enough for you, she/he may suggest Ovulation Induction and Timed Intercourse as a treatment option.
Ovulation induction with fertility medication (tablets or injections ) may be recommended to help ovaries produce 1 or more eggs (oocytes). The eggs develop inside follicles present in the ovaries which can be seen on ultrasound.
Serial Follicular monitoring is then done to assess optimal follicle development, growth of the endometrium (uterine lining) and check for ovulation ( release of the eggs). Sometimes, an injection may be given to facilitate ovulation. The couple is then advised to have intercourse accordingly. This will increase their chances of natural conception.
When is Ovulation Induction recommended ?
Ovulation Induction may be recommended for patients with the following conditions:
- Not ovulating or have long, irregular or infrequent menstrual cycles.
- Diagnosed with hormonal problems.
- Diagnosed with PCOS (Polycystic Ovary Syndrome).
- Couples diagnosed with Unexplained infertility.
What are the side effects of Ovulation Induction ?
The possible but uncommon side effects are :
- Multiple Pregnancy (due to multiple follicles developing and maturing, causing more than one egg to be released during ovulation).
- OHSS (Ovarian Hyperstimulation Syndrome).
However, when treatment is done by an experienced fertility specialist, it is a relatively safe and simple fertility treatment.
How many days does Ovulation Induction treatment take ?
STEP 1 : Day 1 (first day of periods) – Call and book an appointment for a consultation on day-2/3 of your period.
STEP 2 : Day 2/3- An ultrasound is done to check the uterus and ovaries and determine if it is a good cycle to start treatment.
STEP 3 : Day-2-5 – Medication is prescribed for ovulation induction.
STEP 4 : Day 7-14 – Follicular monitoring is done every alternate day to check for follicle development and ovulation. Timed intercourse is advised accordingly. Some times, it may take longer for egg formation and ovulation.
STEP 5 : Post ovulation – Medication is prescribed for hormonal support for 2 weeks.
STEP 6 : Pregnancy test is done and follow up is advised.