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Ovulation Disorders

Women with ovulation disorders are typically given fertility drugs as the first line of treatment. While there are a variety of fertility drugs designed to stimulate follicle growth and egg development, all have the same goal: to induce ovulation. Your doctor will determine which drug, or combination of drugs, best addresses your specific infertility issue. Typically, these are short-term treatments—anywhere from a few days to a few weeks. If you have good quality eggs and there are no other fertility problems, medication can pave the way towards pregnancy.

Oral Fertility Drugs

One of the most common fertility drugs, clomiphene citrate (sold as Clomid or Serophene), triggers the pituitary gland to release hormones that help ripen a follicle and produce an egg. Clomid is taken as a tablet for five days during your menstrual cycle, requires little or no monitoring with ultrasound or blood tests, and is usually well tolerated; side effects, including hot flashes, headaches, and bloating, occur in less than 10 percent of patients. There is a chance of ovarian hyperstimulation syndrome, in which the ovaries become enlarged, and incidence of twins increases slightly because more than one egg may be released.

Studies show that more than 50 percent of women treated with Clomid ovulate. For those who don’t respond on the first try, the dose is increased during the next cycle, and possibly once more after that.

Injectable Fertility Drugs

If the drug is still ineffective, or the patient can’t tolerate it, a doctor may move onto injectable fertility drugs, called gonadotropins, to spur follicle growth. This therapy, which costs more than Clomid and carries the added cost of ultrasound and blood monitoring, is often tried for 6 to 12 months. It also brings the risk of ovarian hyperstimulation syndrome and an increased chance of multiple births.

Success rates with injectable medications vary, and are influenced by many factors including egg quality.

When the Thyroid's to Blame

If an underactive thyroid is at the root of an ovulation disorder, a doctor may prescribe a thyroid hormone. For women with polycystic ovarian syndrome (PCOS), who have abnormal insulin production, a diabetes drug called metformin may be used. In some cases, a simple change of lifestyle is recommended. Even a small amount of weight reduction and exercise can go a long way towards inducing ovulation naturally.


Comments (3)

Hey ladies, I am not sure when these posts were placed in here but I just wanted to say that I know what you are going through. I am very scared because I have been off birth control for YEARS and have not gotten preggers. I finally saw my GYN and he suggested we try for a year "naturally". I don't think he got the fact that I have been off birth control for over 10 we tried "naturally" for about 9 months using the ovulation predictors and changing diet etc. NOTHING. We contacted GYN again and and he referred me to a specialist. I have been seeing her for 4 months. I just had my 4th. IUI on Monday, May 16th. I am in the tww and am anxious. I don't want to think about it but have a hard time. I am anxious all the time. I am worried that this one will not work. Funny, when my 3rd. IUI failed, I started to get really depressed and I opened up the Bible one morning and my eyes landed on the verse "The Lord will perfect that which concerns you". It gave me great sense of relief. I continued to read on and I found a bunch of verses that said, "Fear Not" It made me feel so much better and just give it back to God. Thank goodness for that. He really helps me in times of need. I am hoping God sees fit for this month to be the right one. I am so ready, and I am older so time is ticking. It is funny, I once heard someone say that God cares about everything you are concerned about no matter how small or large it is. Alright, off to bed. LOVE & HUGS & BABY DUST

This is my first time doing this and i'm not sure what to write. I'm 33 years old and have no children. My brother has child and my sister has 1child and another one on the way. I seriously need help getting pregnant and im not sure where to start. I don't have a gyno and not really comfortable going to just any doctor or a new doctor. I get depressed just thinking about not ever having children. I pray and i know that if GOD wants me to have a child i will get pregnant. can anyone recommend a good doctor in the odessa,tx

I find your post ironic because i was just crying about the same thing tonight. I know that it hurt to think about a life without your own children, but I am glad that I was not alone. veryconfusedwitlife

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