Reproductive Fertility

Ovulation Induction Therapy


FAQ Lack of Ovulation

Ovulation induction is a process in which the ovaries are induced, through medication, to produce eggs. Ovulation induction is generally done for two reasons. In a patient who does not produce eggs, ovulation induction may be used to stimulate production of eggs. For example, patients with polycystic ovarian syndrome may have irregular menstruation, and may not ovulate regularly. Hormonal medication such as Clomiphene Citrate (Clomid) or Human Menopausal Gonadotropin (HMG) may be used to induce ovulation in these kinds of patients.

Ovulation induction can also be used to induce so-called “superovulation,” where the medication is used to produce more than one egg. Generally, a woman produces one egg per cycle. Often during infertility treatment, we would like to increase the number of eggs, thereby increasing the chance of pregnancy.

Ovulation induction Medications

Ovulation induction medications can be either oral or injectable. Oral medications such as Clomid, Letrozole, Tamoxifen will either induce egg production in patients who are not ovulating or induce multiple egg production in cases where we want to increase the number of eggs.

Injectable medications  (which usually contain Follicle Stimulating Hormone {FSH}, a hormone that stimulates follicle production in the ovaries). are used to induce ovulation in patients who are resistant or unresponsive to oral medication, or who have attempted oral medications without success. Injectable medication may also be prescribed to patients who are undergoing in vitro fertilization so that multiple eggs are produced, thereby increasing the chances of success. Injectable ovulation induction medications usually contain Follicle Stimulating Hormone (FSH), which stimulates follicle production in the ovaries.

To choose the correct type of medication for a patient,  Dr. Saadat will consider the patient’s ovulation history prior to any induction protocols that have been used. He will also consider the patient’s age, weight, hormone levels,and prior response to medication. For example, in a patient who has never tried ovulation induction and is young, Clomid or one of the other oral medications may be their best choice. In a patient with breast cancer Tamoxifen has been used to induce ovulation successfully without increasing the risk of the breast cancer recurring. On the other hand, in older patients, generally stronger medications are preferred, and injectable medications may be the preferred choice for ovulation induction. There are multiple kinds of injectable medications, including Gonal-F, Follistim, Repronex, Menopur, Bravelle, Lepori (?), Pergonal, and Luveris, among others that have been successfully used to induce ovulation.

At Reproductive Fertility Center not only do we have years of  experience using ovulation stimulation medication, but each  protocol iscustomized to the patient’s needs to optimize the chance of pregnancy.

Call now at 310.929.6707 to schedule a consultation with one of our doctors or email us at info@reproductivefertility.com

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