1.What kind of people need ovulation treatment?
Women who have irregular menstruation or who have been diagnosed with ovulation abnormalities after relevant tests can be considered for ovulation treatment.
2.What kind of ovulation abnormalities are usually referred to?
Generally, it refers to one or more of the following conditions: (1) no mature follicle growth on the ovary; (2) follicles failing to grow to maturity; (3) immature follicles ovulating for several months in a row; (4) follicles growing to maturity and failing to ovulate and undergoing “aging” changes.
3.What will happen if there is no normal ovulation?
In the absence of normal ovulation, the main manifestation of most women is abnormal menstruation.
4.What does the menstrual cycle mean? How to calculate it?
The menstrual cycle refers to the number of days between menstrual periods. The day of menstruation is the first day of the menstrual cycle.
5.What are the signs of abnormal menstruation?
Menstruation is not regular at all; the menstrual cycle is shorter than 20 days or longer than 45 days; there is spotting bleeding or dark brown vaginal discharge for 3-5 days before menstruation; there is vaginal bleeding in the middle of the menstrual cycle; the menstruation lasts for a long time and is not clean.
6.Is abnormal menstruation necessarily due to abnormal ovulation?
No, it is not. The common reasons for long menstrual bleeding are: (1) endometrial lesions, such as polyps, chronic inflammation, etc.; (2) uterine fibroids, especially submucosal fibroids; (3) systemic diseases, such as abnormal blood clotting function, abnormal thyroid function, etc. We can only say that abnormal ovulation is the most common cause of abnormal menstruation, but not the only one.
7. My menstruation is basically normal, does it mean that I must not have ovulation problems?
No, it does not. Generally speaking, 80%-90% of women with normal periods have normal ovulation, while there are a few women who have normal periods but still have ovulation problems.
8.What does BMI mean? What is the significance of BMI? How is it calculated?
BMI is the abbreviation for height body mass index; BMI reflects whether a person’s weight is normal relative to his height; the formula for calculating BMI is: height (m)/weight (kg)2.
9.How much BMI is normal?
For Asian people, BMI ≤24 is normal, between 24-25 is overweight, >25 is obese. Both fat and thin affect conception, so you should control your weight before doing IVF!
10.What are the drugs used to promote ovulation?
Oral drugs include: clomiphene, letrozole, etc.; intramuscular injections include: urinary-derived gonadotropins, recombinant gonadotropins, chorionic gonadotropins.
11.I just have bad ovulation, why do I need progesterone drugs after using ovulation-promoting drugs?
The application of ovulation-promoting drugs overcomes the problem of abnormal ovulation, but it also affects the secretion of the body’s own hormones, which leads to the lack of luteal function after ovulation, so it is better to have luteal support medication.
12.Why should I use human chorionic gonadotropin after follicle growth and maturation?
After the follicles have grown and matured, some patients may not be able to expel the mature follicles normally due to emotions and mood. This is where intramuscular injection of human chorionic gonadotropin is used to simulate the hormonal peak in the body before ovulation, thus helping the follicles to expel normally.
13. Can human chorionic gonadotropin replace urinary gonadotropin to help follicle growth?
Generally speaking, it is best to use urotropic gonadotropin for ovulation treatment, but in primary care hospitals, human chorionic gonadotropin is often used to help follicle development in the absence of the former, due to the great similarity between the two in terms of biological structure, but both drugs should be used under the guidance of a doctor.
14.How big is a follicle when it is mature?
Generally speaking, a follicle is considered mature when it reaches an average diameter of 18-22mm.
15.When does intercourse have a higher chance of conception?
Intercourse on alternate days 3-4 days before ovulation is more likely to result in conception.
16.I have used human chorionic gonadotropin, but still no ovulation, what should I do?
After the follicles are mature, most patients can ovulate normally with intramuscular injection of human chorionic gonadotropin. If they fail to ovulate normally, the reason may be psychological stress, excessive tension, or the body is not sensitive enough to the drug. In the former case, we can try to adjust the psychological and emotional aspects; in the latter case, we can increase the dosage of human chorionic gonadotropin to achieve the purpose of ovulation.
17.What is the “multi-child pills” we often talk about? Can I take it by myself?
Generally speaking, the term “poly pills” refers to clomiphene-type ovulation drugs. Although these drugs are easily available in many hospitals, there are certain side effects and risks associated with these drugs, so it is recommended to use them under the guidance of a doctor.
18.My basal body temperature is “biphasic”, does it mean I must be ovulating?
In most cases, if the basal body temperature is “biphasic”, it means that ovulation has occurred normally, except in one case, that is, when the follicles have matured and “aged” and have not been ovulated, then the basal body temperature is also “biphasic”. This is when the basal body temperature is also “biphasic”.
19.I use the ovulation test every morning, but why is it always weakly positive?
Ovulation test strips monitor the changes of luteinizing hormone in the body. This hormone will have a significant increase before ovulation, and when it reaches its highest level the test strips will show a strong positive result. This change in hormone lasts for a very short time and sometimes it is easy to miss its highest level, so the test paper always shows a weak positive.
20.I had several ultrasounds in a row during the ovulation promotion process, will it affect the baby if I get pregnant in this case?
No, the frequency of ultrasound tests used to monitor ovulation is within the safe range and will not cause harm to the embryo or fetus.