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Ovulation induction is the stimulation of ovulation by medication. It is usually used in the sense of stimulation of the development of ovarian follicles [ 1 ] [ 2 ] [ 3 ] to reverse anovulation or oligoovulation .
Ovulation is an important part of the menstrual cycle in female vertebrates where the egg cells are released from the ovaries as part of the ovarian cycle. In female humans ovulation typically occurs near the midpoint in the menstrual cycle and after the follicular phase. Ovulation is stimulated by an increase in luteinizing hormone (LH).
When used in conjunction with in vitro fertilization (IVF), controlled ovarian hyperstimulation confers a need to avoid spontaneous ovulation, since oocyte retrieval of the mature egg from the fallopian tube or uterus is much harder than from the ovarian follicle. The main regimens to achieve ovulation suppression are:
The main techniques involving fertility medication in females are: Ovulation induction, with the aim of producing one or two ovulatory follicles for fertilization by sexual intercourse or artificial insemination
Chance of fertilization by menstrual cycle day relative to ovulation [14] Pregnancy rates for sexual intercourse are highest during the menstrual cycle time from some 5 days before until 1 to 2 days after ovulation. [15] For optimal pregnancy chance, there are recommendations of sexual intercourse every 1 or 2 days, [16] or every 2 or 3 days. [17]
Without ovulation, she may enter interestrus, which is the combined stages of diestrus and anestrus, before reentering estrus. With the induction of ovulation, the female becomes pregnant or undergoes a non-pregnant luteal phase, also known as pseudopregnancy. Cats are polyestrous but experience a seasonal anestrus in autumn and late winter. [19]
The induction of mono-ovulatory cycles can restore fertility. [6] The oral drug clomiphene citrate (CC) is the first-line treatment for PCOS-related infertility, yet one-fifth of women are resistant to the drug and fail to ovulate. [7] Patients are considered resistant if the treatment fails for six months at the appropriate dosage. [1]
Ovulation induction, reversing anovulation or oligoovulation; Final maturation induction of oocytes; Controlled ovarian hyperstimulation, stimulating the development of multiple follicles of the ovaries in one single cycle; Physiologic hormonal stimulation of folliculogenesis
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