Problems with ovulation is one of the most common causes for fertility issues in women. If an egg is not released from the ovary, then it can’t get fertilised in order to make a baby. Reasons for not ovulating naturally could be due to stress, PCOS (polycystic ovarian syndrome), thyroid hormone disruptions or problems with hormone regulation in the pituitary gland.
In some cases, medication can be administered to help stimulate ovulation. The two main drug regimens include:
- An oral medication, such as clomid, tamoxifen or letrozole. These act by increasing the production of FSH (follicle stimulating hormone) which will in turn stimulate follicle growth and ovulation.
- Daily injections of gonadotropins. Drugs like Menopur or Gonal F contain FSH which would help stimulate follicle growth.
Both of these regimens would require ultrasound scans to monitor the response in the ovaries. When follicles in the ovaries have reached the appropriate size intercourse is advised or a trigger injection could be administered to facilitate the timing of intercourse. Ovulation induction can continue for six cycles if you respond well to the medication.