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Monday, 17 March 2014

Ovulation Induction: when?

When ovulation occurs regularly, the menstrual cycles are regular. As a corollary, if the periods are irregular or absent, it can be inferred that ovulation is irregular. There can be three situations where this can happen:
  1. Where the ovary is normal but the stimulating hormones from the brain are absent. This is usually an inborn problem with hypothalamus, a part of the brain that makes pituitary release FSH and LH hormones to stimulate ovary. (Please refer to my earlier post Role of ovary in conception). This condition is often but not always associated with decreased sense of smell.
  2. Where ovulation does not occur despite a normal egg reserve and a normal function of pituitary (Polycystic ovary disease)
  3. Where the egg reserve is so low that ovulation has become irregular. This usually precedes menopause.

Whereas the ideal treatment for situation 3 is to use donated eggs, for the situations 1 and 2 the appropriate treatment would be ovulation induction. Ovulation induction is the process of stimulating the ovary to release one or more eggs. 

PCOD and ovulation induction in my next post....

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