On what day of the cycle is ovulation stimulation performed?

Find out what methods you can use to stimulate ovulation. What medications exist for this and how to carry out stimulation using folk remedies.

Almost every married couple sooner or later thinks about procreation. Everyone wants to have a child, but what to do when a woman cannot get pregnant. Recently, this problem has become even more acute. And many expectant mothers help to get pregnant by stimulating ovulation. It is thanks to this method that women give birth to children even after forty. The main condition for successful procedures is ultrasound control.

Methods for stimulating ovulation

Nature dictates that every month, eggs mature in a woman’s body, namely in the ovary (their number can vary: from one to three). After which the egg leaves the follicle into the abdominal cavity, and then moves into the fallopian tubes.

If sperm get inside during this period, then the birth of a new life (fertilization) is possible. However, it happens that the maturation of the follicle occurs with disturbances or there is no ovulation at all; in such a situation, it is stimulated.

• Before activation (ovulation), you must undergo a medical examination and undergo tests to exclude sexually transmitted diseases, AIDS and other sexually transmitted infections. Moreover, both spouses must undergo a medical examination
• A woman will need to undergo ultrasound diagnostics for an in-depth examination of the condition of the fallopian tubes and ovaries. Hysteroscopy is performed if you have had surgery, used an IUD, or had a complicated birth before.
• The man will need to undergo a post-coital test for couple compatibility and a spermogram
• If any kind of inflammation or hormonal imbalance is detected, the doctor must first treat the expectant mother. And only then start stimulation

IMPORTANT: Only after the expectant mother’s health has been fully restored can the process of stimulating ovulation begin.

Stimulation methods

There are two main groups: medicinal methods of activating ovulation and using traditional medicine. See below for details.

• Stimulation using medical and hormonal drugs
• Activation of ovulation with the help of healing infusions, decoctions, diet
• Stimulation with vitamin therapy and quality nutrition

Contraindications

As with most medical procedures and manipulations, when prescribing stimulation, contraindications should be taken into account:

• Obstruction of the fallopian tubes.
• Inflammatory diseases of the reproductive organs.
• Genetic and/or chromosomal pathologies.
• Systemic chronic diseases.
• Venereal diseases.
• Age over 36 years.

Some contraindications are relative and can be eliminated after treatment.

Ovulation stimulation scheme

• The main goal of activating ovulation is to grow follicles to a certain size (23-25 ​​mm). To do this, on the ninth or tenth day of the 28-day cycle, the doctor will send you for the first ultrasound. Then you will visit this office almost every two to three days
• In addition, upon reaching the required follicle size, you will be given an injection of human chorionic gonadotropin ( hCG ). This will protect you from the subsidence of follicle development. According to the rules, ovulation should occur in a day or a day and a half.
• Most often, injections to induce ovulation are given into the muscle or subcutaneously. of Gonal-F , Menapur , etc. are used for this.
• Next comes the second phase, during which hormonal drugs are used to maintain the ovaries ( Duphaston or Progesterone ). The medication is taken under the supervision of your medical specialist
• The expectant mother must monitor her basal temperature. Daily sexual relations with your spouse are recommended

Just talk it out or Stimulation with one pipe

Girls, hello everyone! I just want to talk.

Those who are tired of whining, like me, are better off not reading))) My husband and I moved to another city due to his work. And I just started my trip to the doctors, because a year of just trying had passed. I already made an appointment with the 4th doctor during my journey to B. Because I was tired of the uselessness of their treatment. The first one prescribed Duf without any research, although the progic was even higher than normal, I drank and quit. I tested all the hormones myself. I went to the second one - he says we won’t do anything , go for folliculogenesis, despite the fact that Endik’s growth was poor, there is hyperandrogenism on the face (she noticed this herself, she says your hair growth is generally male-type), she says you may have PCOS, so you just have to wait. And this says a doctor who has very good reviews in the city and he worked at an IVF clinic!!! Even metypred didn’t want to prescribe me to lower testosterone, like the instructions don’t say lowering androgens... (in the end I took it myself, it went down). Then she decided to check my tubes with an ultrasound; she checked and wrote that they were patent. I went to see her for folliculometry, but one day I didn’t get to see her. and made an appointment with an uzist (she is also one of the best in the city). The uzist saw an endometrial polyp in me (endometriosis is suspected). That’s the reason why it’s not B. It is necessary to do a hysterectomy, but after reading the girls’ advice, that if there is anesthesia, then a laparotomy can be done at the same time (since checking the pipes was in doubt). I did both. Result: there is no polyp (but the polyp was seen by the best uzist in the city) and the right tube is not passable (and my g assured that everything is passable), spc... They removed the tube, made incisions on Y. The surgeon gave 6 months on B, prescribed Divigel and duf. Somehow, after 2 months, my stomach started to hurt and I came to my g to take a look, she let me explain that I’m filling mine with hormones. Then I decided to slowly start collecting documents for the quota, I come to the center, explain the situation, and then on They made me wide-eyed: Your tube was removed, and you’re trying to get pregnant right away, you can’t do it for six months!!!

Girls, I’m so tired of this, everyone contradicts each other, I don’t know who to listen to and everyone is so knowledgeable!!! It’s annoying!!! Well, I want to follow up. come to the doctor and say, prescribe me stimulation (because after the treatment I lost my o, and if there is, then the follicles are overripe), but the question is, do they do it with one tube???? I wanted to ask you first, maybe you don’t even need to waste time and money, but just save up for eco? Sorry for the confusion... it’s painful...

Drugs to stimulate ovulation

For the birth of a new life in the womb of the expectant mother, three processes must occur successfully:

• ovulation
• embryo formation
• the embryo is firmly established in the uterine cavity

For these three stages you will need medications, namely:

• drugs ( FSH , LH ) - for follicle growth
• HCG - to maintain the follicle
• progestin pills

Preparations for follicle growth

These medications should be prescribed by your doctor. The following medications will help you get pregnant:

• Menogon - it should be drunk on the second day from the beginning of the menstrual cycle, drunk for ten days
• Clostilbegid - these tablets are taken from the fifth day from the start of menstruation to the ninth, they have a strong effect, they are allowed to be used no more than five times in a lifetime
• Puregon - the drug is effective for natural and artificial insemination

After taking the last tablet of FGS or LH, the next day an injection of hCG . The following hormones are used: Profazi , Pregnil , Gonakor , Menapur , etc. To consolidate the results, you need to take tablets with progesterone ( Duphaston , Progesterone ).

How to stimulate ovulation after tubal pregnancy?

After a woman undergoes a comprehensive examination to identify pathological causes and determine the ovarian reserve, a scheme is established to provoke the maturation and release of the egg cell. If necessary, drug stimulation of the ovulatory process is prescribed.

1. Medicines containing menopausal gonadotropin hormones. Effective remedies include “Menogon”, “Menopur”, “Pergonal”.
2. Medicines made on the basis of follicle-stimulating hormone. They are the most gentle because they are as close as possible to natural hormones - “Puregon”, “Gonal-f”.
3. Drugs that lower estrogen levels. These include Clostilbegit, Serofen, Clomid.
4. Drugs that promote rupture of the follicle and the release of the egg cell - “Profazi”, “Pregnil”, “Ovitrel”.

After the first stimulation, the ovulatory process occurs in 75% of cases.

HCG injection to stimulate ovulation

To continue the life of the corpus luteum, the formation of the placenta, and the activation of ovulation, an injection of hCG is given. As mentioned above, the injection is given intramuscularly or subcutaneously, after which ovulation is activated within twenty-four hours. This process is confirmed by ultrasound diagnostics. In order for conception to be effective, sexual relations will be needed a day before stimulation and a day after it. The frequency of such relationships is determined by the doctor.

Contraindications for human chorionic gonadotropin injections

• Lactation, hyperprolactinemia, hypothyroidism
• Absence of glands (genitals)
• Allergenic reactions
• Menopause, pituitary tumors
• Thrombophlebitis, tubal obstruction (fallopian)
• Hypocortisolism, ovarian cancer

IMPORTANT: Two weeks after the gonadotropin injection, you can do pregnancy tests. Previous tests may be false positive.

Hormonal stimulation of ovulation

For hormonal activation of ovulation, it is important that the attending physician select the right medications. It is the doctor who must draw up schedules for taking medications, monitoring their effects using ultrasound, laboratory tests, and the duration of drug use.

The doctor must take an individual approach to patients, taking into account their age, the period of non-pregnancy, and the indicators of diagnostic studies.

Stimulation of ovulation with duphaston

In the first phase of ovulation activation, you should not drink Duphaston. It is this drug that will interfere with the possibility of conception. Duphaston itself is a synthetic drug. And they drink it already in the third stage after the hCG injection, until the fact of conception is established.

Safe use of Duphaston or what not to do

• When taking the drug from the sixteenth day of the menstrual cycle, you can thereby disrupt the ovulation process if it is delayed
• Stopping taking Duphaston tablets on the twenty-fifth day of the cycle risks miscarriage

Cycle after ovulation stimulation

Ovarian stimulation day is an important and responsible procedure for the patient, as it can help her get pregnant and finally experience the joy of motherhood. However, what will happen to the female cycle after ovulation stimulation?

Spontaneous pregnancy often occurs after stimulation is stopped. If it doesn't come, what will happen to the cycle? Menstruation may be delayed, and this should not be regarded as a serious pathology or problem in the functioning of the reproductive system. The fact is that a significant intervention was made to the body. Hormones are a very serious drug, and most often their use in the body does not go unnoticed.

In order to minimize the dangerous consequences for the female body after ovulation stimulation, it is necessary to remember that it must be carried out strictly under medical supervision. It shouldn't be any other way. Self-medication and attempts to stimulate the ovaries with the help of herbs, vitamins, and especially hormonal drugs at home without the consent of a doctor can seriously undermine women’s health and lead to irreversible consequences.

Consequences of ovulation stimulation

If the doctor was attentive to the patient, correctly established the doses of drugs and the frequency of their administration, then the stimulation will end with the birth of a new resident.

However, due to the illiteracy of the specialist, complications may arise during the process, namely:

• dysfunction of the thyroid gland, this occurs when taking too large doses of hormonal pills
• improper functioning of the mammary glands, adrenal glands
• multiple pregnancy
• ovarian rupture, severe pain syndrome
• accumulation of fluid in the body (pelvis, lungs)
• enlargement of the ovaries, nausea, stool disorders
• cyst formation

Stimulation of ovulation using traditional methods

To ensure the effective functioning of women’s reproductive functions, many of them use folk recipes. Ovulation is activated using:

• taking decoctions of herbs sage, red brush, boron uterus, rose petals, large plantain
• mud therapy, with the help of this procedure, hormonal activation is resumed, inflammation is eliminated
• aromatherapy, inhaling essential oils of sage, cypress, anise, you can restore reproductive functions
• procedures for taking baths with kelp
• proper nutrition, you need to introduce milk, hard cheese, yolks, tomatoes, spinach, cucumbers, dates, apples, legumes, carrots, beets, pumpkins into your diet, limit cabbage, rice, figs, pears
• taking vitamins: B, C, E, folic acid

Sage for ovulation

Take the natural medicine for ten days. The approximate dosage of tea is 0.25 cups four times a day. Start taking it on the fifth day of the monthly cycle. It is recommended to drink sage for three months.

Sage decoction

Take one large spoon of sage, pour a cup of boiling water, cover with a lid, let it sit for 20-26 minutes.

Decoction of sage with linden

To increase the effectiveness of the decoction, take a spoonful of sage or linden, pour boiling water over it, again, cover, let it sit for 20-26 minutes.

IMPORTANT: Before using medicinal plants, consult a specialist herbalist regarding their use.

Herbs, infusions and decoctions of medicinal plants to stimulate ovulation

Mother Nature made sure that a woman had the opportunity to increase her chances of conceiving. There are many plants that contain estrogens.

1. Sage to stimulate ovulation
   . Several species grow in our region. Decoctions and infusions are prepared from it: as a rule, at the rate of a tablespoon of raw material per glass of water. Leave for half an hour. If you carry out such therapy at least once a season, taking a glass of infusion four times a day, ovulation in the cycle will be restored again. Women love this plant for its high content of estrogen-like substances. But sometimes the question arises about how to take sage correctly. To prevent the decoction from harming you need to take 1 tablespoon of the dry plant and pour a glass of hot water. Leave the broth to infuse for 15-20 minutes. The resulting product should be taken for 10 days, a quarter glass 4 times a day, from about 5-7 days of the menstrual cycle. If you want the effect to be stronger, you can brew linden in exactly the same way. And take it three times a day, 1 tablespoon, for three months for 10 days.
2. Plantain is great for stimulating ovulation
   . This plant contains large quantities of phytohormones that will help stimulate ovulation. In order to get an infusion, take 1 tablespoon of plantain seeds, pour one glass of hot water over them and boil in a water bath for 5 minutes. Leave this decoction to steep for another hour. You need to drink 2 tablespoons three times a day and you can start taking it when it is convenient for you, but only for 21 days.
3. Rose petals to stimulate ovulation.
   To create favorable conditions for ovulation, you need to take vitamin E. Well, for example, along with rose petals rich in it. Very beautiful medicine! They contain a lot of vitamin E, without which normal ovarian function is impossible. To get a decoction, take 1 tablespoon of petals, pour a glass of hot water and boil for 15 minutes in a water bath. You need to take 1 teaspoon for about 1-2 months and only at night.
4. Linden to stimulate ovulation
   . Linden is considered another herb with estrogen. You can take it together with sage using the same scheme: one tablespoon of raw material per glass of boiling water. It is better to start using it a week before the expected date of ovulation. Plantain, or rather its seeds, are also suitable for this purpose. True, it needs to be steamed in a water bath and left to steep for a little longer – up to an hour. This concentrated plantain mood is used in smaller doses - 2 s each. spoons several times a day before meals. You need to take this herb for three weeks, and the same linden and sage can be taken for three months.

Method two: