বন্ধ্যাত্ব চিকিৎসা কিভাবে দিয়ে শুরু হয়? Ovulation Induction - Important part of fertility treatment

বন্ধ্যাত্ব চিকিৎসা কিভাবে দিয়ে শুরু হয়? Ovulation Induction - Important part of fertility treatment
Ovulation induction is a medical procedure or treatment that involves the use of medications to stimulate the ovaries to release eggs (ovulation). It is commonly used in fertility treatments to assist women who have difficulty ovulating or who do not ovulate regularly.
Ovulation induction is typically recommended for women with certain conditions, such as:
1. Polycystic ovary syndrome (PCOS): Women with PCOS often have irregular or infrequent ovulation. Ovulation induction can help regulate the menstrual cycle and improve the chances of conception.
2. Anovulation: This refers to the absence of ovulation. Ovulation induction can be used to stimulate the ovaries and induce ovulation.
3. Unexplained infertility: In cases where the cause of infertility is unknown, ovulation induction can be attempted to increase the chances of pregnancy.
The process of ovulation induction involves the use of medications that stimulate the ovaries to produce mature eggs. The most commonly used medication is usually a class of drugs called selective estrogen receptor modulators (SERMs), such as clomiphene citrate. Clomiphene citrate is typically taken orally for several days at the beginning of the menstrual cycle to induce ovulation.
In some cases, injectable hormones known as gonadotropins, which contain follicle-stimulating hormone (FSH), may be used instead of or in addition to clomiphene citrate.
During ovulation induction, the woman's response to the medications is closely monitored through ultrasounds and hormone level measurements. Once the eggs reach an appropriate size, a trigger shot of human chorionic gonadotropin (hCG) may be given to stimulate the final maturation and release of the eggs.
After ovulation, timed intercourse or assisted reproductive techniques like intrauterine insemination (IUI) or in vitro fertilization (IVF) may be used to increase the chances of conception.
It's important to note that ovulation induction should be performed under the guidance of a fertility specialist or reproductive endocrinologist, as it requires careful monitoring and management.
The hypothalamic-pituitary-ovarian (HPO) axis is a critical endocrine system involved in the regulation of female reproductive function. It consists of three main components: the hypothalamus, the pituitary gland, and the ovaries.
1. Hypothalamus: The hypothalamus, located in the brain, plays a key role in regulating the HPO axis. It releases gonadotropin-releasing hormone (GnRH) in a pulsatile manner, which stimulates the pituitary gland to release two important hormones.
2. Pituitary Gland: The pituitary gland is a small gland located at the base of the brain. It is divided into two parts: the anterior pituitary and the posterior pituitary. In the context of the HPO axis, the anterior pituitary is particularly important.
o Follicle-stimulating hormone (FSH): GnRH stimulates the anterior pituitary to release FSH. FSH acts on the ovaries, specifically on the follicles, to promote their growth and maturation. It also stimulates the production of estrogen by the ovarian follicles.
o Luteinizing hormone (LH): GnRH also stimulates the release of LH from the anterior pituitary. LH plays a crucial role in the menstrual cycle. In particular, it triggers ovulation, the release of a mature egg from the ovary. It also stimulates the formation of the corpus luteum, a temporary endocrine structure that secretes progesterone.
3. Ovaries: The ovaries are the primary reproductive organs in females. They produce and release eggs (oocytes) and secrete important hormones, primarily estrogen and progesterone.
o Estrogen: Estrogen is produced primarily by the ovarian follicles. Its levels rise during the follicular phase of the menstrual cycle and stimulate the thickening of the uterine lining (endometrium) in preparation for potential pregnancy.
Video Link of “Why TVS is preferred over TAS” - • Why TVS is preferred o...
Video Link of “10 facts about hCG trigger shots” - • এইচ সি জি ট্রিগার ইঞ্জ...
Dr Sutapa Sen, Consultant Gynaecologist & Infertility Specialist
● MBBS, MD (Gynae & Obs)
● Director, Prapti Fertility Institute, Kolkata
● Consultant Gynaecologist, Laparoscopic Surgeon and IVF Specialist
● Received Advanced ART and IVF training from Dr. Purnima Nadkarni, Pardi, Gujrat, and Keil University Germany
● Received Advanced Ultrasound training from Dr. A. Badade Chikitsa Institute Chembur, Mumbai
● Received Advanced Laparoscopy training from Dr. P. Das Mahapatra, Spectrum, Kolkata
● Received Advanced training in Hysteroscopy from Dr. Osama Shawki Egypt
#ovulationinduction #ovulationsymptoms #ovulationtips