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These are just averages. It's possible you'll ovulate earlier or later than the average. This means you could theoretically miss your most fertile time if you start having sex too early or too late.

Using Ovulation Predictor Tests Your best bet to tell when you're ovulating is to use an ovulation predictor test.

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The subsequent feedback to the hypothalamus containing reduced estrogen levels, triggers a compensatory increase in hypothalamic gonadotropin-releasing hormone GnRH secretion, and thus an increased release of pituitary gonadotropins follicle stimulating hormone and luteinizing hormone.

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  • Methods This is a critical cohort of predominantly Hispanic PCOS ways of reproductive age who completed ovulation as OI comparing women who underwent Letrozole mood-step protocol to those who underwent OI with CC ileus-step.
  • Additionally, the mean better for ovulation was shorter in the Letrozole group 19.
  • These gonadotropins subsequently promote growth of the follicles and stimulate ovulation. The traditional protocol using Letrozole for ovulation induction is identical to the protocol used with CC.

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    Typical treatment begins with the lowest dose of the medication for 5 days starting on cycle day 3—5 after a spontaneous menses or after a progestin induced withdrawal bleed. If no ovulation is detected by ultrasonography or mid luteal progesterone level the patient undergoes a progestin withdrawal bleed to simulate normal menses and the dose is titrated systematically up with the next cycle and this continues until the maximum dose of medication is reached.

    The time to ovulation is decreased because the progestin withdrawal step is eliminated, and an effective dose of the ovulation agent is found more quickly. Stair-Step protocols with CC for ovulation induction has been thoroughly explored.

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