Our Services & Treatments
Many women do not ovulate and therefore need medical treatment to stimulate ovulation. The main clinical symptom will be an irregular or absent periods. The most common cause of this is Polycystic Ovary Syndrome (PCOS)
Medications are given to stimulate the growth of eggs (oocytes). These include tablets containing clomiphene citrate eg. Clomid, Serophene, Fertimed, Clomihexal, aromatase inhibitors like Letrozole or fertility injections containing FSH (Follicle stimulating hormone) e.g. Gonal F, Pergonal, Menogon. The treatment is carefully monitored using both ultrasound scans and blood tests. The follicles containing eggs can be easily seen on ultrasound scan and the maturity and number of eggs is assessed during this scan.
When eggs are mature the doctor will give the days to time the intercourse.When ovulation induction is used for IUI you will receive a trigger injection and told when to come for the insemination
Ovulation is triggered by using an injection called HCG (Human Chorionic Gonadotrophin) e.g. Ovidrel, Profasi, Choragon.
In PCOS high insulin levels in the blood inhibit ovulation, and recent research has shown that insulin sensitizing medications such as Metformin can be used to improve ovulation rates. These medications are usually used in the treatment of diabetes. Part of the standard investigations for PCOS now include a fasting blood test for glucose (sugar) and insulin levels.
The most common side effects of Clomid tablets are headaches, and hot flushes. Multiple follicles may develop during clomiphene citrate treatment which can result in multiple pregnancies. One of the options that may be offered if too many follicles develop during treatment is to convert the timed intercourse cycle to IVF (in-vitro fertilitzation) to avoid multiple pregnancies.
Frequently Asked Questions
>Representation of an Artificial Insemination (Merck-Serono)
Artificial Insemination is usually combined with super-ovulation (stimulating multiple eggs to grow). This type of treatment is useful in cases where there is mild endometriosis, failure to ovulate, mild abnormalities in the semen analysis, sexual dysfunction (premature ejaculation of inability to ejaculate into the vagina), HIV discordant couples and unexplained infertility. Frozen thawed sperm can be used for artificial insemination when the male partner is away during the time of ovulation.
The treatment is started in the first 3 days of the period and medications are given to cause eggs to grow.
These medications include tablets containing clomiphene citrate e.g. Clomid, Serophene, Fertimed, Clomihexal or fertility injections containing FSH (Follicle stimulating hormone) eg Gonal F, Pergonal, Menogon. These are all used to stimulate the growth of eggs (oocytes). The follicles containing eggs can be seen on ultrasound scan. Monitoring of the treatment cycles using blood tests and ultrasound scans is usually starting on day 8 – 9 of the cycle. IUI can also be done in Natural cycles without ovulation induction.
The procedure of artificial insemination is performed in the doctors’ rooms. This procedure is similar to a routine gynaecological examination for a PAP smear. A speculum is inserted to visualize the cervix and a tiny flexible plastic tube (catheter) is inserted into the uterine cavity in order to insert the prepared semen sample.
The semen sample is prepared by performing a sperm wash procedure and then a swim up procedure in order to optimize the fertility potential of the sperm. The semen sample should be dropped off at the IVF lab approximately 2 hours prior to the time of the insemination and no later then 1 hour after the semen is produced. Alternately the semen can be produced at the laboratory.
A pregnancy test can be performed 12 days after the procedure to check whether it has been successful.