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Simple stimulation

Simple stimulation

In a normal menstrual cycle, one of the 2 ovaries produces a follicle, which shall free one oocyte when the ovulation shall occur. The ovarian stimulation or ovulation induction entails giving an oral or injectable hormonal treatment to reproduce this phenomenon.

The aim of this treatment is to normalise ovulation for women who do not ovulate or do not do it well. It can also be advised if the infertility is unexplained in order to optimise the ovulating quality and synchronise at best the intercourse in comparison with the ovulation. The aim is to get the development of one or 2 follicles but not more in order to prevent multiple pregnancies.

According to the woman’s ovulating profile, several types of medicines shall be used for a simple stimulation:

  • Clomiphene Citrate taken orally (Clomid or Pergotime) is the first-line treatment for women who do not ovulate
  • Subcutaneous injectable Gonadotropin, with daily injections, is used either as a second step after the oral treatment failed, or straight away if the ovulation is slightly disordered or if it is normal
  • The GnRH pump (Lutrelef), a subcutaneous treatment, is intended for women with a definite ovulating problem (hypothalamic anovulation)

All these treatments shall require a monitoring during the cycle relying on an ultrasound and a blood test (Estradiol, LH, Progesterone). This monitoring shall allow to adjust the treatment if necessary and above all, to programme the optimal moment to have an intercourse. The day of this monitoring shall be set at the beginning of your cycle by your gynaecologist.

It is important to contact your gynaecologist at the PCA at the start of your ovulation induction treatment.