If a woman fails for a long timeget pregnant, then often this is not the final verdict. The solution is a comprehensive examination to find out and eliminate the causes of the failure in the female body. In case of detection of problems with ovulation, doctors use various medicinal methods, namely drugs to stimulate ovulation. All stimulating tablets are designed to regulate ovulation and can have various effects: affect the formation of follicles, the maturation of the egg.

Who can and who does not need to be stimulated

Medicines for activating ovulation are prescribed:women whose ovulation is irregular, i.e. absent or quite rare; women who cannot conceive naturally within a year; women over 35 years of age who have not become pregnant for more than six months. Stimulating ovulation is not recommended if there is no possibility to regularly monitor the formation of follicles using ultrasound, infertility has been detected in the man, or obstruction of the fallopian tubes has been diagnosed in the woman.

Clomiphene for the resumption of fertility

The drug is often prescribed for stimulationovulation Clomiphene, especially in case of detection of polycystic ovary disease, complete absence or irregularity of ovulation, before IVF, as well as the impossibility of identifying the exact reasons that do not allow conceiving a child for a long time. The action of these tablets is based on an increase in the production of hormones responsible for stimulating the functioning of the ovaries and the release of the egg. Due to the effect of Clomiphene on the female body, several formed eggs are prepared at the same time, which increases the chances of a couple to have a child. Treatment with the drug Clomiphene It is necessary to start using Clomiphene on the third to fifth day after menstruation, and after the last tablet, ovulation occurs on the fifth to ninth day. The therapy is on average 5 days. To restore regular ovulation, 1 or 2 cycles are needed, but in some severe cases it is necessary to undergo treatment, which includes 3 to 6 cycles. Less often, doctors suggest extending treatment with this stimulant throughout the year with some intervals, that is, undergoing 12 cycles. Sometimes doctors recommend taking an additional drug, Metformin. These pills increase the ability of the female body to perceive Clomiphene and, accordingly, increase the chances of conception. Women who suffer from polycystic ovary syndrome need to know that treatment with Clomiphene may be useless due to the fact that some people with this diagnosis have resistance to this drug. Problems especially often occur in women with a body mass index above 25. It is recommended to first lose weight and then continue treatment with Clomiphene. According to statistics, ovulation is restored in 70% of patients who take Clomiphene pills. At the same time, a significant number of women (up to 50%) manage to get pregnant, and some (7%) even give birth to twins.

Clostilbegit for conception of a child

Clostilbegyt is another pharmaceutical drug,the purpose of which is stimulation and, accordingly, conception of a child. Despite the fact that the active substance in this drug is clomiphene, Clomiphene differs from the previous drug. The principle of action of this drug is similar to Clomiphene. But, in addition to activating the production of pituitary hormones, it affects another hormone - prolactin, which is responsible for the presence of milk in the breast. These tablets should be taken once a day from the fifth to the ninth day of the cycle. The starting point is the onset of menstruation. If the attempt to get pregnant is unsuccessful, then during the second cycle the doctor may recommend increasing the dose of the drug. It should be remembered that you cannot drink this drug often. The use of Clomiphene more than 5 times throughout life is prohibited, which is due to the negative effect of the substance on the functioning of the ovaries (the substance can cause their depletion). During the course of treatment with Clomiphene, it is necessary to monitor the endometrium, because a thin endometrium can cause pregnancy loss.

Puregon under anovulation

Another remedy that is prescribed foranovulation, is Puregon. This pharmaceutical drug in the form of injections can be recommended even to women diagnosed with polycystic ovary syndrome, if other drugs have proven ineffective. Puregon affects the functioning of the pituitary gland, the formation of follicles by the ovaries, which increases the chances of ovulation approximately in the middle of the cycle. Puregon can be used both in case of natural conception and in IVF. This drug should be administered subcutaneously or intramuscularly, and the first use of Puregon should be supervised by a doctor, preferably with experience in treating such disorders. As a rule, a large dose of the drug is administered for the first four days, and the maintenance dose is determined individually. Usually, Puregon therapy lasts until the formation of follicles, that is, 6-12 days. Less often, the course of therapy takes longer. In rare cases, the use of Puregon can provoke a rash, pain, swelling at the site of the injection, and sometimes allergic reactions.

Menogon for the growth of the endometrium

For the treatment of anovulation, it is also widely used in medicine.Menogon is used, the principle of action of which is similar to the previous drugs, but at the same time it has a positive effect on the growth of the endometrium, which is significantly different from Clostilbegit, for example. You need to start taking this drug on the second day of menstruation. The number of doses depends on the reaction of the patient's ovaries and is prescribed individually. Basically, this is 10 days. A day after using various stimulating drugs (Menogon, Puregon), you should give hCG injections (Pregnyl, Gonacor, Horagon, etc.), which increase the chances of ovulation. Such injections are given once during the menstrual cycle. Ovulation occurs within 24 hours. That is why you should have sex the day before and after the injection, so as not to miss the opportunity. In order to consolidate the long-awaited pregnancy, it is recommended to use progesterone pharmaceuticals. These include Duphaston.

Traditional medicine

In addition to the use of drugs inanovulation, women are sometimes recommended to take traditional medicine. Stimulating natural preparations include infusions of various herbs, which should be drunk depending on the day of menstruation. During the first days of the menstrual cycle, you should take sage infusion 3 times a day, which has a beneficial effect on the formation of the egg, the development of the endometrium. Add 1 tablespoon of sage to a glass of boiling water. Orthilia secunda, which is rich in progesterone, should be taken from the second half of the cycle. Progesterone is responsible for maintaining pregnancy in the early stages. This remedy can be combined with red brush, which is widely used in gynecology. Other drugs are also known that are responsible for stimulating ovulation: a decoction with a large amount of vitamin E, prepared from rose petals, aloe and quince juice. Do not forget about the vitamins necessary for the expectant mother: folic acid, potassium iodide and others. It is necessary to take into account that folk remedies can be more effective and useful, but their side effects are less studied. The choice must be made independently: either the experience of previous generations and folk doctors, or the results of modern research under the supervision of your doctor and ultrasound.

Possible undesirable effect

Medicines that stimulateovulation, can sometimes cause some side effects, including insomnia, irritability, sudden and frequent mood swings, depression, fatigue, nausea, vomiting, painful sensations when touching the mammary glands, abdominal pain, headaches, ovarian augmentation, vision impairment, weight gain. But such temporary side effects are insignificant for women when they have a more important goal - to have a child. Drugs are prescribed to women depending on the results of ultrasound, various tests, as well as the patient's age, the period of unsuccessful attempts to get pregnant, and possible causes of infertility. Take into account the fact that before using any pharmaceutical drug, the doctor should prescribe you to undergo an examination to determine the patency of the fallopian tubes. Such measures will help protect the female body from an ectopic pregnancy and, as a result, from unnecessary stress, which is so undesirable during pregnancy planning. It should be remembered that the use of drugs that stimulate ovulation helps many women, even those who are desperate, to feel the joy of motherhood. According to statistics, a small number of patients (about 10%) manage to get pregnant the first time after using stimulating drugs, but still more than half of all cases (about 70%) end with the conception of a child. Just do not forget that your stimulation should always be under the total control of a doctor, only in this case will you protect yourself from possible side effects.

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