Motherhood is a beautiful experience for many women, but becoming pregnant doesn’t always happen easily. During each menstrual cycle, a woman will typically produce one dominant follicle that will then release an egg, which is called ovulation. However, some women either do not ovulate regularly or do not produce eggs at all. When trying to conceive, this is incredibly frustrating and almost always requires assistance from a fertility specialist. If you and your partner are faced with this difficulty, it is important to know that you are not alone and that you have options to help you conceive. This complication happens to many couples, and at Reproductive Fertility Center, we are here to help. Women struggling with ovulation often turn to ovulation induction therapy, in which the ovaries are medically induced (with either oral or injectable medication) to help produce eggs and increase the chance of pregnancy.

Who Should Consider Ovulation Induction Therapy?

Women With Hormonal Imbalances

Hormonal imbalances are one potential cause of irregular or absent ovulation. These imbalances are initiated from a women’s brain, ovaries, or adrenal glands and cause a lack of egg production. Hormonal medication such as clomiphene citrate (Clomid®) or human menopausal gonadotropin (HMG) may be used to induce ovulation.

Women With Polycystic Ovarian Syndrome

Women with a lack of ovulation may be experiencing polycystic ovarian syndrome, a hormonal disorder common in women of reproductive age. This condition prevents a woman from releasing eggs regularly or can even prevent ovulation altogether.

Women Undergoing In Vitro Fertilization

Ovulation induction may be prescribed to women undergoing in vitro fertilization (IVF). A so-called “superovulation” is induced by the medication, where multiple eggs are produced to increase the chances of a women’s success in getting pregnant.

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Types of Induction Medications

Oral Medication
Oral medications can help induce egg production for women who may not be ovulating. In some cases, oral medication can also be used to increase the number of eggs produced. Common oral medications used for ovulation induction therapy are:
  • Clomid®
  • FEMARA® letrozole
  • Tamoxifen (Nolvadex®)
Injectable Medication
Most injectable medication usually contains a follicle-stimulating hormone (FSH), a hormone to help stimulate follicle production within the ovaries. FSH is used for women who are resistant or unresponsive to oral medication. Injectable options include:
  • Gonal-f®
  • Follistim® AQ
  • Repronex®
  • Lepori
  • Luveris®
Women who are considering ovulation induction therapy should schedule a consultation with Dr. Saadat to review your ovulation history in detail to determine the underlying issue and best treatment route.

Frequently Asked Questions

To choose the correct type of medication, Dr. Saadat will take the patient’s ovulation history into consideration. There are other factors he will consider, including your age, weight, hormone levels, and prior response to medications.
Injectable medication is recommended for women undergoing IVF.
For younger women who have never undergone ovulation induction, Clomid® (or other oral medications) may be their best choice. Stronger or injectable medications would generally be the preferred choice for older women.