Ovulation induction is a promising option for patients with polycystic ovarian syndrome, oligomenorrhea, endometriosis or male factor infertility. These medications also can be used to control when a woman ovulates, so that sexual intercourse, intrauterine insemination, and in vitro fertilization IVF procedures can be scheduled at an optimal time. Injectable medications are typically administered at home by the patient and her partner, between the hours of 6 and 11 p. Before being prescribed these medications, you and your partner will be taught all necessary administration techniques by our physicians and staff. Your progress will be monitored closely, via regular blood tests and ultrasounds, and your medication dosage will be adjusted accordingly.
The higher price takes into account blood work and ultrasound monitoring. Pregnyl is a brand name of urinary extracted hCG u-hCG. Was the fibroids Follistim and intercourse endo what was causing you not to get pregnant? Ovidrel is given as a subcutaneous injection. Email address: This field is required. Replace cartridge and needle - dial up remaining dose and follow procedure to administration. At least this way, I have time to save up all of my extra medicine so if I need IUI intrauterine insemination Ajd will have plenty of extra Follistim and intercourse for a few months.
Geoffrey mings registered sex offender. Success Rates, What to Expect, Costs, and Risks of Injectable Fertility Drugs
Induction of ovulation. Choose the injection site: back of upper arms, abdomen or outer top of thigh. Explore Apps. PCOS patients are at increased risk of developing Type II diabetes, hypertension, dyslipidemia and coronary heart disease. Day 6 of stimulation FSH shot. You should have intercourse every one to three days, unless instructed otherwise by your physician. Do not heat the medicine. This is particularly true if they have polycystic ovaries and irregular menstrual cycles. If the number is not "0" this means there was Follistim and intercourse enough medication in the cartridge to give entire dose. Keep your chin up. If an increase Follistim and intercourse dose is indicated Follistim and intercourse the ovarian response, the increase should be intercourwe by 25 or 50 international units of Follistim AQ Cartridge at weekly intervals until follicular growth monitored by transvaginal ultrasound indicates an adequate ovarian response. There are several different ways to intercoirse ovulation. There are two trade names for clomiphene: Clomid manufactured Mr chews asian ryaan Merrell-Dow and Serophene manufactured by Serono. Subscribe to our newsletters.
In addition an hCG product such as Ovidrel or Novarel will be used to complete the maturation of the eggs and allow them to be released from the ovaries for fertilization.
- These infertility treatment cycles are often referred to as controlled ovarian stimulation or, hyperstimulation cycles.
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- Ovulation induction is a promising option for patients with polycystic ovarian syndrome, oligomenorrhea, endometriosis or male factor infertility.
When Dr. Generally, a semen sample is collected for one of two reason: to test the semen quality or to be prepared and used in an insemination when undergoing either IUI, IVF, FET or donor egg treatment. When the male partner is asked to produce a sample for a semen analysis, Dr. Esposito recommends that the man abstain from any form of ejaculation for the two to three days prior to ensure a complete and reliable sample. The truth is that too much time between ejaculations is actually counterproductive.
With the exception of cycles calling for timed intercourse or donor sperm, all treatment plans, including IUI, IVF, or donor egg treatment, will require the collection of a semen sample to be used for insemination. It is suggested to abstain from ejaculation the day prior to the insemination. During this treatment the female patient takes an oral medication called Clomid aimed to induce ovulation. The cycle is monitored to ensure that a follicle develops and is released from the ovaries through ovulation.
Once ovulation occurs the couple is instructed to have intercourse at home. If a couple is undergoing IUI treatment , there are generally few restrictions when it comes to intercourse. We generally encourage couples to have intercourse the night of the trigger shot. This ensures a supply of sperm in the fallopian tubes to meet the egg upon ovulation. Abstinence from intercourse or ejaculation is suggested on the day between the trigger shot and the IUI or the day of the trigger shot if the IUI is planned for the next day.
This break allows the sperm count to reaccumulate in order to produce a good sample for the IUI, which is usually scheduled approximately 36 hours after the trigger shot is given. Intercourse is however suggested the evening following the IUI. During some medicated IUI cycles, the female partner will produce too many follicles creating a concern that she potentially may ovulate too many eggs.
This would place the couple at too great of a risk for a multiple pregnancy or higher order multiple pregnancy triplets or higher which is an unacceptable risk due to the complications to both mother and babies.
When this occurs the stimulation medication is stopped and patients are asked to abstain from intercourse. Sex during the stimulation phase of an IVF cycle is acceptable as long as the couple is using a form of barrier contraceptive, such as a condom.
In the event ovulation was to occur unexpectedly, especially from multiple follicles, we want to avoid the possibility of multiple pregnancy. This rest gives the embryo optimal time to implant into the uterine wall. We often associate intimacy with sex, and while sex can be a way to achieve intimacy, it is not the only way. Rather, intimacy creates a sense of closeness, togetherness, and an emotional connection.
Men and women often express and receive intimacy in different ways. For couples, intimacy can encompass many different actions and moments, built over time through work and open discussion. Whether through words or actions, intimacy involves a level of love, appreciation, and communication between partners. Sex, love, and intimacy are three different terms, and each can be expressed in different ways. This goes beyond gender and becomes about personality. Many marriages and relationships can suffer—maintaining intimacy and communication is key.
References: Hatfield, E. Love and intimacy. Encyclopedia of Mental Health, 2 pp. New York: Academic Press. Thank you! Hi Shannel — Typically with IUI treatment, the purpose of abstaining for the day s immediately prior to the IUI procedure, is to allow for the sperm to reaccumulate.
Sex is often encouraged the day of the IUI procedure or day following, to increase chances of conception. If you had missed out on the sex prior to the IUI procedure, it is okay. Hi George — There may be various reasons to abstain. Please consult with a physician to determine if abstaining during testosterone therapy is warranted. I see they only talk about iui with heterosexual couples. And to be honest with you I felt like I ovulated 3 days after iui. One reason a couple may be asked to abstain from sex is due to the increased chances of conception with high-order multiples at particular points in treatment.
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For those, my sister-in-law who is an RN gave me the shots in my arm. I see they only talk about iui with heterosexual couples. We often associate intimacy with sex, and while sex can be a way to achieve intimacy, it is not the only way. We generally encourage couples to have intercourse the night of the trigger shot. In rare cases, as much as mg four tablets per day may be prescribed. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Yes, it was the endo causing scar tissue that was blocking one of my tubes they caught that on an HSG.
Follistim and intercourse. GONAL-F/RFF PEN
Gonadotropins (Gonal-F, FSH, LH): Success Rates, Risks
The first fertility medication many women try is either Clomid or letrozole with or without IUI. But how do you know how many times you should try the same protocol before moving on? Obviously, moving on from oral fertility meds to injectables is a decision you should make with your doctor. Again, everyone is different, but here are two common reasons for moving on:.
For information about taking Clomid or letrozole with injectable meds in the same cycle, see my post What is a Combo Infertility Cycle? Injectable meds Gonal-F, Follistim, Menopur, etc. There is also some evidence that injectables help to improve egg quality. If you have already tried Follistim, Gonal-F, etc.
For example, some women have low-quality cervical mucus, and the sperm basically gets stuck before it can reach the egg.
The good news is that an IUI would bypass this problem. When you do a cycle with injectable gonadotropins like Gonal-F or Follistim , though, your doctor will probably encourage you to add an IUI. One reason is that the cost of the IUI itself is low compared to the cost of the injectable medications, so you might as well maximize the chance that the investment will be worth it. Wondering how much IUIs generally run? Another reason is that injections are often seen as the last stop before IVF.
In some circumstances, IVF is the only practical method for achieving pregnancy. A few examples include:. Given the statistics, some women who would be good candidates for IUI decide to skip right to IVF rather than risk wasting time, money, and emotional energy on multiple failed IUIs. This is especially true for older women who can afford IVF and want a baby as soon as possible.
This is frustrating, since there are fertility problems that only IVF has a chance of addressing. Your insurance coverage, or lack thereof, will probably play some role in your decision-making.
Some people choose IVF because they have a family history of serious genetic diseases. Genetic screening can be done before the embryo is transferred, helping to ensure that they have a healthy baby. Not everyone is up for such an exhausting and expensive learning process, but it may be worth it in the end.
A friend of mine had been given the unhelpful diagnosis of unexplained infertility. After 5 failed rounds of IVF, they did genetic testing. It turned out that her husband had a chromosomal abnormality that nobody knew about. The IVF team identified the problem and screened the embryos for it. She got pregnant with a healthy baby boy that cycle, which was lucky IVF cycle 6.
This list is simplified a bit. We switched from taking letrozole on CD to CD to see if that would make a difference. In the last two cycles we added estrogen in the first half of the cycle and progesterone in the second half.
I also did trigger shots in every cycle. I responded well to the letrozole, producing at least one follicle in the 18mm to 20mm range by the time I triggered. I never tried Clomid, because my doctor preferred letrozole in general. Also, some scans showed that my uterine lining got thinner rather than thicker in the first half of the cycle hence the estrogen support.
Moving from one treatment protocol to another is an individual decision. But hopefully this post has given you a sense of why some couples decide to try injections after several rounds of pills, or skip both in favor of IVF. Your email address will not be published. I have beautiful twin boys thanks to fertility treatment for PCOS. I started this site to share what I learned with other women on their journey to motherhood.
Thanks for stopping by! Many doctors have a definite preference for either Clomid or letrozole, based on their experience with other patients. You responded well, but you tried it for cycles and you are not pregnant. Even if you did ovulate each time, repeating the same protocol over and over may not work. The chances of oral fertility meds leading to a successful pregnancy after 6 failed cycles are very low.
A few examples include: Blocked fallopian tubes Severe endometriosis Serious male-factor fertility problems Use of donor eggs Use of your own eggs that were previously frozen for example, to preserve fertility after cancer treatment Surrogacy All things being equal, IVF has a much higher success rate than IUI does.
Conclusion Moving from one treatment protocol to another is an individual decision. Related Posts. Submit a Comment Cancel reply Your email address will not be published. Welcome to Fertility Harbor!