Services & Treatment : Controlled Ovarian Stimulation

Controlled Ovarian Stimulation

Usually the first medication prescribed is clomiphene citrate to stimulate the pituitary gland to release the hormones which control the ovary. These pituitary hormones are FSH (Follicle Stimulating Hormone), which is necessary for the growth of the follicles containing the eggs, and LH (Luteining Hormone) responsible for ovulation. Side effects are generally mild. This medication is taken orally.

During the course of treatment the patient usually undergoes a transvaginal ultrasound to insure proper development of the uterine lining and the ovarian follicle(s) that will ultimately release its mature egg. Intrauterine Insemination (see IUI below) may also be done in conjunction with clomiphene therapy.

If the clomiphene medication is not successful after 3 to 6 cycles, then FSH itself may be administered by daily injections to stimulate multiple follicle development. During treatment a series of blood tests and ovarian measurements are performed by ultrasound to adjust the dosage of the medication are performed on a regular basis. Treatment with LH follows to induce ovulation. IUI if indicated will normally follow within 24 – 48 hours.