Stimulation of ovulation: indications
There are situations when a woman ovulatesof childbearing age occur very rarely or do not occur. Without ovulation, pregnancy is impossible. Therefore, as soon as a gynecologist diagnoses this problem in a patient, he will definitely prescribe ovulation stimulation. Thanks to this procedure, thousands of women who could not get pregnant become happy mothers. If a married couple fails to conceive a child for a year or more, provided they have regular unprotected sex, this is an indication for prescribing ovulation stimulation. If the age of the spouses exceeds 35 years, this period is reduced to six months: if a couple tries to conceive a child and after six months there is no result, this is also a reason to see a gynecologist. If the reason is not male infertility, then, as a rule, the problem lies in the absence of ovulation. It is important that both spouses undergo an examination before prescribing ovulation stimulation. This will, on the one hand, exclude male infertility as a reason for the inability to conceive a child, and on the other hand, will help the doctor to draw up a treatment program in the most competent way in the future. Stimulation is not prescribed if the reason for the lack of ovulation lies in deviations in the thyroid hormones, prolactin and male hormones. Until these indicators are normalized, no ovulation stimulation procedure will give a result. In addition, it is important to take into account the fact that if a woman has obstruction of the fallopian tubes, then after ovulation stimulation an ectopic pregnancy may occur, therefore, before starting this procedure, it is necessary to perform a laparoscopy to exclude obstruction. There are quite a few methods of ovulation stimulation, so each woman can choose the one that suits her or even intuitively likes more. But always leave the final choice of method to the doctor, since only he knows how to stimulate the maturation of eggs in your particular case in order to get a positive result from the procedure as quickly as possible.
How to stimulate ovulation: a medical method
As we have already noted, first of all, both spousesundergo a medical examination. This is necessary so that the doctor can most competently draw up a protocol for the procedure. To do this, you need to know quite a large number of parameters, including the age and individual characteristics of the spouses. To do this, you need to take tests, undergo various examinations taking into account a specific schedule, etc. That is, ovulation stimulation is a rather labor-intensive procedure in terms of preparation for it. Based on the tests, examination results, etc., the doctor will be able to make a forecast for the further development of the egg, as well as prescribe an adequate regimen for taking medications. Clomiphene is the most widely used. The classic regimen for taking this drug is as follows: it is prescribed from day 5 to day 9 of the menstrual cycle. In some cases, additional stimulation is carried out using Puregon, then Clomiphene is prescribed from day 3 to day 7 of the cycle. And throughout this period, the process of follicle maturation is regularly monitored using ultrasound. When the follicle reaches 17-18 mm, the woman is prescribed Pregnyl, and ovulation occurs in 24-36 hours. Medical practice shows that this method helps 15% of married couples conceive a child the first time. However, factors such as the woman's age, the cause and duration of infertility should also be taken into account.
Preparation for ovulation stimulation
Before you begin the stimulation event, you must undergo a medical examination. The doctor will definitely send you to take the following tests:
- syphilis;
- HIV;
- hepatitis B and C;
- smear;
- smear on oncocytology;
- crops for candida, chlamydia, ureaplasma, trichomonas, mycoplasma, gardnerella;
- patency of the fallopian tubes;
- a blood test for the presence of immunity to rubella.
In addition, you will need to passexamination by a therapist and get a conclusion from him that you are capable of carrying a pregnancy. Here we are talking about whether you have any contraindications, such as excess or lack of weight, chronic diseases, etc. As we have already found out, it is very important to assess the patency of the fallopian tubes, because this is where fertilization occurs. The following methods are usually used for such an assessment:
- laparoscopy;
- transvaginal hydrolaparoscopy;
- metrosalpingography.
The method by which the assessment will be madepatency of the fallopian tubes, is chosen by the attending physician, who will rely on the results of previous tests. The woman is also sent for an examination of the ovaries to identify possible contraindications to ovulation stimulation. Based on the results of the study, the doctor concludes on the need (or lack thereof) for estrogen therapy or immediately draws up a stimulation regimen and the dosage of the drug necessary for the effectiveness of the prescribed measure.
Stimulation of ovulation with Klostilbegit
As already said, the best waythe drug Clostilbegit has proven itself. Its intake begins on the 5th day of the menstrual cycle and continues until the 9th day inclusive. When to start stimulation and how long it will last depends on the condition of the patient's uterus and ovaries. In order to determine these parameters, an individual approach to each patient is important. A few days after the start of stimulation, the first ultrasound is performed, which will subsequently be performed every 2-3 days. Ultrasound is performed until the follicles reach a size of 20-25 mm. In order to prevent follicle regression and exclude the possibility of follicular cysts, it is very important to prescribe an injection of hCG. Done at this stage, this injection provokes the "start" of ovulation. Usually 24-36 hours after the injection, the ovulation process begins. This is confirmed by an ultrasound examination. After this, the patient is prescribed injections of Utrozhestan or Progesterone to additionally support the corpus luteum of the ovaries. According to numerous patient reviews, such therapy leads to conception on the first try. When prescribing therapy to stimulate ovulation, the doctor must also take into account the male factor. In this case, we are talking about the timing and frequency of sexual intercourse and insemination during the stimulation period. If a man has a good spermogram, then sexual intercourse after an hCG injection should become daily or every other day and continue at this pace until the end of ovulation and the formation of the corpus luteum. If the chosen therapy does not bring the desired result (ovulation does not occur or follicle growth is not observed), then after the 3rd course of Clomiphene, it is necessary to review the treatment methods and additionally examine the patient. It is important to know that Clomiphene therapy should not exceed 6 courses in a row. Abuse of this medication can lead to depletion of the ovaries, which can provoke early menopause, which puts the possibility of conceiving a child at great risk.
Stimulation of ovulation: folk remedies
If you are a supporter of traditional medicine, thenWhen prescribing an ovulation stimulation procedure, you can discuss with your doctor the possibility of using folk remedies, fortunately, there are many of them that are effective in solving this problem. But remember that the doctor must know about your plans for treatment. If you want to use folk methods, you must inform the doctor about your plans so as not to harm your own health and get the desired result. Now even many doctors are not against women using more natural and organic remedies in the treatment of various ailments of the genital area. The following medicinal plants have proven to be the most effective, and in the treatment of various gynecological diseases, are: orthilia secunda, red brush and sage. These plants are considered to be originally female, intended for the treatment of female diseases. Orthilia secunda is an excellent assistant in stimulating ovulation and helping a woman get pregnant. It is rich in progesterone, which is just what is needed for the fertilized egg to penetrate the cavity of the uterine wall and not die. It should be taken in the second half of the menstrual cycle. It is very important to correctly calculate the day when ovulation should occur, which will dramatically increase the chances of conceiving a child. Sage infusion is also effective, which promotes the maturation of eggs. It should be taken in the first half of the menstrual cycle, 1 tbsp. per 1 tbsp. of boiling water 3-4 times a day. A very tasty and healthy decoction of rose petals. According to folk medicine, if a man and a woman drink 1 tsp. of such a decoction before going to bed, they will be able to conceive a child. The fact is that rose petals contain a large amount of vitamin E, which has a beneficial effect on the ability to conceive. In this case, it is better for women to brew petals of pink and white roses, and for men - dark pink and red. The decoction is very simple to prepare: you need to take 1 tbsp. petals, pour 200 ml of boiling water over them and leave in a water bath for 15 minutes. Shilajit also gives good results in combination with different juices: carrot, sea buckthorn. You need to mix shilajit with juice in a ratio of 1:20 and take the mixture in the morning and evening on an empty stomach.
Stimulation of ovulation with the help of vitamin therapy
It is very important that there is no in the woman's bodylack of vitamins. To do this, it is very important to provide a woman with a healthy diet that would saturate the body with all the necessary microelements. However, it is often quite difficult to independently compose a diet in such a way that it would cover the daily need of the body for absolutely all microelements. Therefore, various vitamin complexes come to the aid of a modern person. A woman who wants to get pregnant should know what vitamins her body needs first of all. Folic acid ranks first on this list. It is so important that its deficiency can lead to intrauterine pathology of the fetus. Next, it is necessary to provide the body with the necessary content of potassium iodide. To do this, it is enough to regularly consume iodized salt. When choosing vitamin complexes, pay attention to those that are intended for pregnant and nursing mothers - this is just what you need. As for the diet, eat foods that stimulate ovulation: fresh vegetables, fruits, berries, greens. If you are not a vegetarian, eat more fish - boiled and stewed are best. Try not to abuse black tea and coffee. Naturally, forget about bad habits. This does not directly affect ovulation, but it reduces the body's immunity, which, in turn, can become a stumbling block on your way to your dream of having a child.
Stimulation of ovulation at home
It should be noted right away that experimentingwith stimulation is not worth it. That is, you do not need to prescribe drugs or drink herbal infusions on your own. At best, this will simply lead to nothing. At the same time, you can use the aromatherapy method at home. It can act as an auxiliary tool. So, essential oils of herbs such as anise, cypress, basil, sage are good for stimulating ovulation. You can add no more than 3-5 drops of any oil to the bath, having previously mixed them in honey or milk. It is good to use essential oils of lavender and rose geranium - they stabilize hormonal levels well and soothe. By the way, lavender is considered a female essential oil. It has a beneficial effect on the nervous system, relaxes, and pacifies. You can make up a diet that will promote stimulation: quail eggs, cereals, fruits, vegetables, dairy products, flax, pumpkin or sesame seeds. These products will only benefit your body. An important point is also your psychological attitude. Try not to be nervous, not to stress about the fact that pregnancy does not occur. It is not easy, but excessive nervousness, exposure to stress, tense anticipation - when? - will not bring any benefit. Relax, tune in to the fact that everything will be fine, trust your doctor - and the long-awaited pregnancy will not take long to come. All other methods of ovulation stimulation should be carried out only under the strict supervision of a specialist, since only he knows how to stimulate ovulation. Otherwise, you can cause irreparable damage to your body, including ovarian rupture.
