1. Dr. Shiuli Mukherjee Gynecologist | Mukherjee Fertility Center | Elawoman Dr. Shiuli MukherjeeDr. Shiuli Mukherjee is the Founder Director of Mukherjee Fertility Center, the principal IVF Center of Howrah. Her enthusiasm for advancing Mild incitement IVF particularly in a low financial gathering has driven her to be associated with much research work distributed in Journal of Human Reproductive Sciences. Aside from that, she composes general articles in various day by day Bengali weeklies like Sarir O Sasthya, Susasthya and so on. Her spotlight or research lies on lite IVF (Mild Stimulation IVF), repetitive pregnancy misfortune, poor ovarian save, and surrogacy. Dr. Mukherjee sees patients at Kolkata, New Alipore, Rashbehari Avenue, Belur, Bally, Uttar para, Midnapore, Baharampur, Murshidabad. Mukherjee Fertility Center is a infertility clinic in Barendrapara, Kolkata. Mukherjee Fertility Center What Is Ovulation Induction? The focus of ovulation induction therapy is to achieve healthy ovulation and, depending on the diagnosis, the ovulation of multiple eggs instead of just one each month. Inducing the release of more than one egg within intrauterine insemination (IUI) can dramatically increase a woman’s per cycle chance of pregnancy.

2. How Ovulation Induction Therapy Works 1.The first step in superovulation therapy is to administer medications to enhance the development of a mature egg(s) by the ovaries. 2.The development of the eggs in their follicles (fluid-filled sacs) in the ovary is then monitored by transvaginal ultrasound. 3.Once the follicles have reached the appropriate size to contain a mature egg, an injection is given to trigger ovulation. 4.Patients then have scheduled sexual relations over the next two days to coincide with ovulation. If, instead, the treatment plan requires intrauterine insemination, it is performed during the same two days. 5.A simple blood test done five to seven days later confirms whether your hormone levels are appropriate. If necessary, your fertility specialist will prescribe hormonal supplementation. The goal of ovulation induction is to ensure that ovulation will occur at the same time that the sperm will reach the egg(s). This increases the likelihood that fertilization will occur and hopefully result in a pregnancy. Ovulation Induction Boosts the Body’s Reproductive Capabilities Conception occurs only after a complex series of events takes place, from hormonal triggers to follicle development and ovulation. Failure to ovulate, or anovulation, can cause significant frustration when you are trying to get pregnant. Dr. James Douglas of IVF Plano intercedes with ovulation induction, a first-line fertility treatment to greatly improve the chances for getting pregnant. Ovarian stimulation, with oral and/or injectable fertility medications, causes ovulation to occur in 75 percent of cases, and greatly increases the chances for the sperm and egg to meet in the fallopian tube.

3. Time-tested fertility medications such as Clomid or injectable fertility medications (gonadotropins) ensure timely ovulation of one or more eggs, and Dr. James Douglas often begins with this course of treatment for women that do not regularly ovulate or ovulate at all. The Life cycle of an Egg: Explaining Natural Cycle Ovulation During the follicular phase of the menstrual cycle, ovulation begins in the hypothalamus part of the brain in the pituitary gland. The pituitary gland, part of the body’s endocrine system that regulates hormones, signals the ovaries with follicle stimulating hormones (FSH). A follicle is a sac that stores an oocyte, or egg. Typically, more than one follicle grows and matures each month, but only the dominant follicle will release an egg. This release is called ovulation. Upon ovulation, the egg travels to the fallopian tube, where fertilization by a single sperm may occur. During the luteal phase, the fertilized egg moves to the uterus for implantation. If not, the body absorbs the unused eggs, sheds the endometrial lining and the cycle begins again. Natural Cycle Ovulation Induction When Dr. Douglas prescribes clomiphene citrate, fertility treatment begins on Day 3 of your menstrual cycle, with a course of five days of oral medication to induce ovulation. An ovulation predictor kit can help you time intercourse to coincide with ovulation, or you may schedule a series of sonograms to allow Dr. Douglas to monitor follicle growth leading up to and after ovulation.

4. With Clomid alone, approximately 60 percent of couples will get pregnant after six cycles. Some women do not respond to oral medications alone, and may benefit from adding gonadotropins to the fertility treatment regimen. Should you and Dr. Douglas decide to pursue this option, the Frisco IVF staff will schedule your appointments and prepare you to give and receive injections. Ovulation Induction with IUI or IVF With therapeutic insemination, sperm is washed and concentrated in the Frisco IVF andrology laboratory and then inseminated directly into the uterus. Therapeutic insemination brings the sperm and the egg closer to each other and may overcome some anatomical barriers. There are few negative side effects associated with ovulation induction, but they include: Risk for multiple births Hot flashes Hyper-stimulation Nausea Bloating Headache Uterine bleeding Candidates for Ovulation Induction Many women are candidates for ovulation induction. Women who ovulate infrequently or who do not ovulate at all are most benefitted by undergoing ovulation induction through different fertility drugs depending upon their exact etiology for having ovulation difficulty. Women with unexplained infertility who ovulate regularly can also be treated with ovulation induction to increase the number of ovulations per cycle to give them better odds in achieving a conception.

5. Ovulation Induction is also used for patients undergoing an IVF cycle to maximize the egg production. The probabilities of complications such as the Ovarian Hyperstimulation Syndrome (OHSS) (see section on OHSS) are minimized when patients are monitored carefully, but can still occur. Clomiphene Citrate Clomiphene Citrate, also known as Clomid and Serophene, is usually given orally for 5 days of a cycle starting with a 50 or 100mg/day. If ovulation fails to occur, the dose of clomiphene citrate can be increased by 50 mg more. The FDA has approved this medication for ovulation induction up to 150 mg for 5 days. Clomiphene Citrate works by “tricking” the body in thinking that the women does not have enough estrogens. The pituitary gland at the base of the brain sends signals [hormones called Follicle stimulating Hormone (FSH) and Luteinizing Hormone (LH) ] to the ovary to stimulate follicle development and egg maturation after getting impulses from higher centers in the brain. A few days after the clomiphene citrate has been stopped the patient will have an LH surge which will lead to ovulation 36 hours after the surge has started. Some patients are benefited with ultrasound and hormonal monitoring so that the ovulation is not missed and plans for intrauterine insemination (IUI) or vaginal intercourse can be made. An HCG injection can also be given in a cycle of clomiphene citrate to better time ovulation as it will predictably mimic the LH surge. Dr. Shiuli Mukherjee Gynecologist Dr. Shiuli Mukherjee Gynecologist (Mukherjee Fertility Center) in Howrah treats the different afflictions of the patients by helping them experience fantastic medications and systems. Among the various administrations offered here, the facility gives medicines to Uterine Fibroids or Myomas, Ovarian Cysts, Endometriosis, Pelvic Organ Prolapse, Urinary Problems, Vaginal Discharge, Subfertility, Menopause, Gynecological Cancers, Abnormal Pap Smears - Pre- Invasive Cervical/Vaginal Disease and Vulva Conditions. The specialist is likewise recorded under Gynecologist and Obstetrician Doctors, Infertility Centers, Fertility Doctors. Besides, the patients likewise visit the facility for Contraception Advice, HPV Tests, and Biopsy Tests and so on.

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