{"id":762,"date":"2019-01-30T13:53:55","date_gmt":"2019-01-30T13:53:55","guid":{"rendered":"https:\/\/blog.womenshealthpractice.com\/?p=762"},"modified":"2019-01-30T13:53:55","modified_gmt":"2019-01-30T13:53:55","slug":"whats-new-in-ovulation-treatment-of-infertility","status":"publish","type":"post","link":"https:\/\/blog.womenshealthpractice.com\/?p=762","title":{"rendered":"What’s New in Ovulation Treatment of Infertility"},"content":{"rendered":"\n
\"Woman<\/figure>\n\n\n\n

Medications for the increasing ovulation to help couples get\npregnant are fairly commonly used. What medication to use, information about\nrisks and multiple births, as well as the longer term consequences can be a\nvery complex discussion. Couples are urged to have personal consultation. <\/p>\n\n\n\n

  1. Ovulation medicines are given for women who do\nnot ovulate, or are suspected to have problems with ovulation based on\nirregular periods. <\/li>
  2. The success of ovulation medications can be\nimproved by insemination with sperm at the time the egg is anticipated to be\nreleased.<\/li>
  3. Women who take ovulation medication are at risk\nfor multiple births, primarily twins.<\/li>
  4. The success rates of these medicines are\naffected by other factors including whether the tubes are open, endometriosis,\nand even vitamin D levels. <\/li>
  5. Clomiphene Citrate (most often given as the\nmedication Clomid) and letrozole (the breast cancer treatment Femara) are both\neffective fertility treatment due to the stimulation of ovulation. <\/li>
  6. Ovulation medication can be given when the cause\nof infertility is not yet certain. These medications may be given to women who\nhave menstrual cycles and have not yet conceived, or women who have no\nmenstrual periods, even for those who have PCOS. <\/li>
  7. The pills for ovulation induction can be\ncombined with injectable fertility medicines to increase the success rate. <\/li>
  8. When looking at these two common medicines,\nclomid and letrozole, about 60 to 75% of women who are infertile due to no\nmenstrual periods will ovulate when given these relatively low cost\nmedications. They both work by signaling there is low estrogen and thus more\nhormones are released to increase the number of eggs ovulated. Clomid is a\nSERM. Selective Estrogen Receptor Modulators (SERMs) could bind to the estrogen\nreceptor to stimulate estrogen properties or to counter them. For fertility we\nmake use of the fact that Clomid medication binds to the surface of cells the\npituitary gland and thus pushes the hormonal factors to produce more growth of\nthe follicle that will eventually produce a fertile egg. Because it is so safe\nand effective many physicians will use it very early on for infertility\ntreatment, in the low dosage, for 1-6 cycles. Letrozole is an aromatase inhibitor,\nessentially blocking the production of estrogen and making estrogen levels\ntransiently very low . It may be better than Clomid based on some recent\nstudies at the University of Nottingham in Derby, England. Dr. Saad Amer who\nheaded these studies also believed there were fewer fetal anomalies with\nletrozole than with clomid, however the rates of birth defects were only\nslightly higher than the rates of birth defects in women who did not use these\nmedications. When women take these medications potential side effects, other\nthan the side effects of the medication administration, include twining,\npreterm birth, miscarriage, or tubal pregnancy. Some physicians use very close\nmonitoring of the medications, but others merely recommend timing of sex with ovulation\nafter taking an ovulation medicine. Patients should also discuss with their\ngyno the fact that Clomid is indicated for infertility treatment, and letrozole\nfor this indication is considered off label.<\/li><\/ol>\n\n\n\n

    We welcome those planning pregnancy, or suffering from\ninfertility, to come to WHP for consultation. <\/p>\n","protected":false},"excerpt":{"rendered":"

    Medications for the increasing ovulation to help couples get pregnant are fairly commonly used. What medication to use, information about<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"colormag_page_container_layout":"default_layout","colormag_page_sidebar_layout":"default_layout","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[7,6,10,14,12],"tags":[54,101],"class_list":["post-762","post","type-post","status-publish","format-standard","hentry","category-body-physiology","category-cures","category-guys-guide-to-gyno","category-our-gyno-health","category-gynos-guide-to-sex-life","tag-fertility","tag-ovulation"],"_links":{"self":[{"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/posts\/762","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=762"}],"version-history":[{"count":1,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/posts\/762\/revisions"}],"predecessor-version":[{"id":766,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/posts\/762\/revisions\/766"}],"wp:attachment":[{"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=762"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=762"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=762"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}