For some women, the barrier to conception relates to irregular or absent ovulation. Without regular ovulation, an egg is not available for fertilization, making natural conception difficult. Most women with irregular periods (spaced more than 35 days apart), have irregular or absent ovulation. This is very common in women with polycystic ovarian syndrome (PCOS). The good news is that ovulation induction is often a simple and relatively non-invasive way of achieving a pregnancy. It may be as simple as taking tablets (letrozole or clomiphene) in the first five days of your menstrual cycle to achieve ovulation.
For some women, hormone tables are not sufficient to induce ovulation. If this is the case, low dose hormone injections can often overcome this issue. IVF is also an option that is available should it be required.
Ovulation induction cycles are always monitored using blood tests and ultrasound so the day of ovulation can be identified and we can advise the optimal time for intercourse to facilitate pregnancy. Multiple pregnancy is a risk associated with ovulation induction, however by monitoring the cycle, we can ensure that only one ovarian follicle is developing. If more than one follicle develops, you will be at risk of a multiple gestation, and we can advise you to avoid intercourse to prevent this from occurring.
If you are trying to conceive and you have an irregular menstrual cycle, make an appointment to see me so I can discuss ovulation induction with you.