There are many different methods by which a woman can become pregnant. This method can safely be attributed to ovarian stimulation. This method is quite popular among doctors and is strictly applied, provided that the woman does not have contraindications. But many women hear about this procedure for the first time. So what is stimulation? Stimulation of the ovaries for pregnancy planning is a purposeful influence on the genitals of a woman, especially ovaries, with various medications. Through this method, in the process of treatment, the doctor achieves a woman's enhanced release of hormones from the pituitary gland. With the help of medications, the doctor corrects, at her discretion and for the benefit of the patient, her condition for the onset of pregnancy.
When is the
procedure necessary? When is it necessary to stimulate the ovaries?
This procedure is mandatory for in vitro fertilization. Doctors prescribe it regardless of whether a woman has problems with a stable menstrual cycle or not.
- Another mandatory factor for stimulation is the patient's lack of normal ovulation and the presence of fertility, which lasts for six or more consecutive cycles.
- Stimulation also has a beneficial effect on the conception of twins in a couple.
- If a woman is faced with the problem of removing the ovaries, the stimulation procedure is also prescribed by the doctor, but already with the goal of freezing the cells to prevent their further fertilization.
- The most important symptom for the procedure of stimulation is the rare ovulatory, as well as anovulatory cycles in a woman.
To identify problems with ovulation, you need to undergo a test, which usually consists of the following tests:
- basal temperature control,
- ovulation test,
- study of the hormonal state of the body,
- measurement of follicles present in the ovaries in the patient throughout the menstrual periodcycle( this procedure must be carried out at least 3 cycles).
Ovarian stimulation is also considered necessary in carrying out the egg donation procedure. For this, special medicines are used, which must, without fail, be selected individually for each woman.
These strict recommendations are prescribed for a reason, since they simulate a normal menstrual cycle, which is capable of ensuring the healthy maturation of the egg.
Currently, the popularity is gaining therapy with clostilbegite, which gives very high results. This therapy is a course of tablets. After their admission, pregnancies in women are observed in 30-40% of cases.
There is a universal list of favorable indications, in which the stimulation procedure is possible:
- A woman has healthy eggs.
- Genetic and hereditary diseases are absent.
- Male infertility factor is excluded.
The negative consequences of
However, in nature it is laid out that every woman already initially has a certain number of eggs. Their number does not change with the years. In this regard, stimulation of ovulation with various medications can not lead to a positive result, but, on the contrary, aggravate the situation. In such cases, the negative consequences include:
- depletion of egg reserve after the procedure of stimulation of the ovaries,
- pain in the ovaries themselves.
Before agreeing to a procedure for stimulation, you should consult your doctor and discuss all the consequences that may occur after treatment.
Contraindications
When planning pregnancy by stimulation, there are different categories of contraindications, they are divided into absolute and relative.
The first ones are:
- hereditary diseases,
- obstruction of the fallopian tubes,
- age limitation, chromosomal abnormalities,
- chronic diseases and gene anomalies.
Relative contraindications include:
- inflammation in the female genitalia,
- , sexually transmitted diseases,
- obstruction of one of the fallopian tubes, in the absence of pathologies in the second tube,
- ovarian edema.
Doctors categorically forbid to carry out stimulation in the presence of patients with an increased negative reaction to prescribed medications. Do not stimulate the ovaries and if there are problems with male fertility in the partner. In this case, you need to find a doctor-specialist who can restore the partner's fertility.
Stimulation is categorically contraindicated in polycystic ovary, multifollicular ovaries. For example, if a woman develops several dominant follicles in the body, provided that she does not break, this will only lead to negative consequences that aggravate the situation with the onset of pregnancy. With such problems, the doctor develops an individual treatment regimen for patients. In some cases, it will not do without surgery.
Medical techniques effective for ovarian stimulation
When starting a pregnancy, any woman should undergo a medical examination. At the same time, special attention should be given to such kind of medical research as ultrasound examination in case of problems with ovulation. During this procedure, the medical specialist carefully examines the ovaries, determines their size, establishes the current state of endometrium in the patient and, of course, determines the presence of dominant follicles in the patient.
Medical consultations are an important part of this treatment, because any course is based on the use of hormonal drugs. If they are overdosed, there may be negative consequences that will further complicate the situation with the onset of pregnancy.
The doctor develops an individual treatment regimen for each patient, based on her preferences and contraindications. Oral capsules for oral use and solutions, intramuscular, intravenous or subcutaneous injections may be used in the treatment.
As a rule, the doctors prescribe the stimulation from the second to the fifth day of the menstrual cycle in the patient. Also, a woman needs to take various tests that will display her condition during the treatment. Most often, doctors prescribe various ultrasound diagnostics, which are very accurately able to determine the time of release of the egg in the female body.
Process
As a rule, stimulation of the ovaries is carried out within 3-5 days, but, in many respects, it depends on the individually developed course of treatment. Only the attending physician-gynecologist can develop an effective scheme of stimulation and select the appropriate drugs. In most cases, patients are prescribed from two or more drug courses in a row, with a gradual increase in dosage, but only in cases where the ovarian response to stimulation is poor and the egg does not ripen.
There is no universal method for this procedure, therefore, constant medical consultations are needed that will lead the patients to the onset of pregnancy.
- In the course of stimulation, a woman is injected intramuscularly or subcutaneously with gonadotropic drugs that stimulate ovulation. Also, during treatment, various pills can be used that have an anti-estrogenic effect. As a rule, many women are prescribed the drug "Klostilbegit", which is taken strictly according to the individual scheme developed by the attending physician. This drug has an effect on estrogens and reduces its level in the female body, which helps to stimulate the growth of follicles.
- After the dominant follicle ripens, a woman needs to pierce a small course of HCG preparations that helps stimulate ovulation.
- In a day, it is possible to harvest eggs if the couple has chosen IVF technology, or plan sexual intercourse if the conception is performed naturally.
- To final preparations, it is possible to refer, "Дюфастон", and also various vitamin complexes which help future mummies to become pregnant.
If treatment does not lead to a favorable outcome, the doctor prescribes repeated tests and adjusts the treatment regimen. As a rule, the drug is replaced or the dosage is increased. Without fail, the course of drugs must be used under the strict supervision of the attending physician, and ultrasound monitoring is also needed, which shows the effectiveness of the ongoing treatment.
