Ovulation induction and (COH)


Ovulation induction and controlled ovarian hyper stimulation (COH)

Ovulation induction is the action of bringing about ovulation through oral (Letrozole, Clomiphene Citrate, Tamoxifen) or injectable (gonadotropins) hormonal medication.

This process is used in female patients who have irregular (oligo-ovulation) or absent (anovulation) menstrual cycles. Causes vary and include dysfunction of the hypothalamic-pituitary-ovarian axis, anomalies in thyroid hormone or prolactin secretion, and hyperandrogenism, most commonly as a result of the polycystic ovarian syndrome.

Ovulation induction is usually achieved by the administration of oral or injectable medications and can be monitored at home through basal body temperature curves and cervical mucous observation, or in the clinic by the use of hormonal blood tests and pelvic ultrasounds.

Ovulation induction can be coupled with intra-uterine insemination (IUI) in case of presence of male factor infertility.

Controlled ovarian hyperstimulation (COH)

Controlled ovarian hyperstimulation (COH) involves the use of oral or injectable medication to achieve ovulation of 1 or more than 1 egg in a single menstrual cycle with the purpose of increasing the chances of achieving a pregnancy.

COH is usually used in couples with unexplained infertility, or in mild male factors in combination with IUI.

The risks of ovulation induction and COH include multiple pregnancy and the possible side effects of the medication used.


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Standard Fertility Assessment Standard Fertility Assessment Gaining awareness of your fertility health gives you and your physician an indication if future testing is needed. Your physician will start by taking a thorough medical history. Learn More Cycle Monitoring Cycle Monitoring Cycle Monitoring involves blood work and ultrasounds during the first half of your menstrual cycle to follow hormone levels and the growth of follicle(s). Learn More Ovulation induction and  (COH) Ovulation induction and (COH) Ovulation induction is the action of bringing about ovulation through oral (Letrozole, Clomiphene Citrate, Tamoxifen) or injectable hormonal medication. Learn More In Vitro Fertilitization (IVF) In Vitro Fertilitization (IVF) In vitro fertilization (IVF) is a method of assisted reproduction that involves the removal of eggs from the body, and the combining of eggs and sperm in the embryology laboratory to form embryos. Learn More Natural IVF Natural cycles, Natural IVF, and Minimal stimulation IVF
This form of treatment is an alternative that can be less time-consuming, and a less expensive assisted reporduction solution. Learn More
Intrauterine Insemination (IUI) Intrauterine Insemination (IUI) Intrauterine Insemination (IUI) is the process of inserting a sample of washed/concentrated sperm (partner or donor) directly into the uterus. Learn More Hormonal Blood Work Hormonal blood work Blood work can tell us a lot about what is going inside your body, and can give us clues as to what may be causing infertility. These results can help us create the best treatment plan for you. Learn More Semen Analysis Semen Analysis Semen analysis is often recommended when couples are having problems getting pregnant. The sperm test will help a physician determine if there are any issues with male's infertility. Learn More Ultrasound and Sonohysterogram Ultrasound and Sonohysterogram A pelvic ultrasound is usually performed at the beginning of the menstrual cycle to appreciate the ovarian antral follicle count, the uterus anatomy and any other pelvic organ findings. Learn More Immuno-Fertility Immune Testing
& Treatment (Immuno-Fertility)
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