What You Need to Know about Controlled Ovarian Hyperstimulation
You may have seen in the media about families having triplets, quadruplets, and even quintuplets, but this may be not be your dream, however. You are wanting to have one baby when you and your significant other are considering in vitro fertilization (IVF). So how do you keep from having as multiple baby pregnancy when having fertility treatment? You may want to consider controlled ovarian hyperstimulation as the first fertility therapy to try.
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Controlled ovarian hyperstimulationis an option for infertile couples who do not wish to use IVF to become pregnant as the first choice. If a pregnancy can start within the female’s womb, this would be the closest to a natural pregnancy as they can get. The therapy involves using the same medication for the introduction of ovulation in women that cannot ovulate. These drugs will stimulate the development of multiple follicles that have matured and eggs in order to increase the chances of a successful pregnancy.
Who is a candidate of controlled ovarian hyperstimulation?
This therapy is one that is commonly used for infertile couples. Insemination in the womb is done with this therapy so that it increases the likelihood of a pregnancy. The treatment will not correct the cause of their infertility. It does increase the monthly chances for the female to become pregnant.
Controlled ovarian hyperstimulation is not recommended with insemination of very low sperm count or poor sperm motility. Also it is not good for a woman with blocked fallopian tubes or of the age of 41 or older. It is just that the chances of this therapy would not be very successful in situations like the ones mentioned.
Does the female need to take any medication with controlled ovarian hyperstimulation?
Yes, there is an ovarian stimulating drug that is given early in the menstrual cycle. The following may be given to bring on ovulation:
- Injections of follicle stimulating hormone
- Oral medications that are taken for 5 days, usually starting on day 5
What is the success rate?
It can depend on many factors that the couple presents with. The following can influence the success rate of a pregnancy:
- age of the woman
- total motile sperm count
- quality of the sperm
- length of time the couple has been trying to become pregnant
- other infertility factors
Conclusion
Controlled ovarian hyperstimulation is most often used in couples where it is undetermined as to why they cannot become pregnant or where the man has a slight decrease in sperm count.
Ovarian stimulation with follicle stimulating hormone plus insemination within the womb gives the pregnancy rate of 5-15% in women who are 36 and younger and have unexplained fertility issues. The success rate decreases the older the woman is after the age of 36 or if the sperm count is insufficient.
This type of treatment is done for about 3 cycles before in vitro fertilization is considered. This is to ensure whether the controlled ovarian hyperstimulation is a viable means of fertilization or not.