Active Ingredients: Clomiphene
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In order for ovulation induction to be successful, 2-3 follicles should be visible at this point with just one follicle, we would not be significantly enhancing a woman's chances to become pregnant.
When an ovarian follicle matures, it produces the hormone estrogen, which causes the lining to thicken in preparation for an implanting embryo. Ultrasound monitoring at this stage also serves to measure the endometrial uterine lining and to make sure the clomiphene itself is not having any adverse effects on the endometrium see Clomiphene side effects, At this stage, patients are also asked to use an ovulation predictor kit to test for a surge in LH hormone, indicating imminent ovulation.
In most cases, patients are given an injection of hCG human chorionic gonadotropin also known as Ovidrel.
This hormone initiates the release of the egg ovulation and the development of the corpus luteum, which will help the body to produce progesterone. Ovulation usually occurs approximately 38-44 hours after the hCG injection.
After ovulation, a form of the hormone progesterone is given via vaginal tablets or gel in order to support the endometrial uterine lining and prepare it for the fertilized egg.
If patients start ovulation predictor kit testing on cycle day 9 or earlier, there is a high probability of obtaining a false positive result.
For that reason, we recommend caution in testing too soon. If a patient is not pregnant and menses occurs, the same dose of clomiphene is given after a normal pelvic sonogram.
We usually recommend up to 6 cycles for ovulation induction patients and up to 3 or 4 for ovulation augmentation patients.
If the lining is too thin, the embryo cannot implant successfully. Fiber can also trap excess hormones and prevent them from being reabsorbed into your blood through your colon walls.
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