Ovulation induction Info

The ultimate goal of the female reproductive process is the periodic maturation and discharge of a fertilizable egg. Recent advances in reproductive endocrinology have led to greater understanding of the basic regulatory mechanisms governing the reproductive process. It is fitting to introduce our topic by outlining the major morphological changes of the menstrual cycle that can be visualized by ultrasound.

Preimplantation genetic diagnosis (PGD)

In patients whose infertility can be attributed to an ovulation abnormality, ovulation induction is indicated. Ovulation induction is also used in IVF embryo transfer (IVF-ET) to increase the number of oocytes aspirated, which in turn increases the number of fertilized conceptuses that may be transferred, thereby increasing the chance of pregnancy. Commonly used ovulation induction medications include clomiphene citrate, human menopausal gonadotropin, and purified FSH and recombinant gonadotropins. Although all of these medications result in the development of multiple follicles, they act via different mechanisms.

In an elegant prospective study, compared the growth rate of ovarian follicles during the natural cycle and ovarian stimulation cycle s using standardized techniques. While the growth rate in natural cycles was 1.42 mm per day the growth in stimulated cycles was significantly greater, i.e. 1.7 mm per day. Continued research on the effect of greater

  • Cystic masses :Follicular cyst; corpus/uterus cyst; hydrosalpinx dermoid cyst; endometrioma/ hemorrhagic cyst
  • Solid masses:Fibroma; dysgerminoma; teratoma Carcinoid subserosal fibroid
  • Complex masses :Dermoid cyst; cyst adenoma; granulosa

An initial baseline scan of the pelvis is mandatory to rule out ovarian or uterine pathology and assess the ovarian reserve: moreover, one needs to rule out the presence of ovarian cysts.

In Vitro Fertilization (IVF)
Preimplantation genetic diagnosis (PGD) ​
Ovulation induction
Egg Donor

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