Therapies

Simple ovarian stimulation 

When:
- Anovulation
- Hormonal imbalance
- Unexplained infertility

Why: to promote ovulation or stimulate the simultaneous development and ovulation of more than one follicle. To correct particular hormonal imbalances. Practically ovarian stimulation increases overall pregnancy rate.

How: hormonal drugs are given (tablets or-and injections) at the beginning or during the entire cycle with different dosages case by case. During stimulation follicular development and consequently ovulation are monitored by serial pelvic scans: these controls have the aim of adapting drug quantities to the individual reaction. Sometimes also hormonal control with blood test can be used for this propose (hormonal monitoring). When the controls are predicting impending ovulation intercourse is required.

Results: can vary according to the patients age, cause of infertility and other factors, the average pregnancy rate per stimulation cycle is 10-20%.

Risks: hyperstimulation syndrome and twins pregnancies.

Couple involvement: small.

Ovarian Hyperstimulation
It is a complex of symptoms that in the most severe form has become now rare (0,6%). With our method of stimulation monitoring virtually desappeared. It deals with a huge increase of ovarian dimensions and fluid formation in abdomen. Pain is the most common sympton. In rare cases respiratory function is diminished, it becomes evident two weeks after oocyte retrieval expecially in young patients that succeed to get pregnant. Rest is mandatory as well as echographic and laboratory controls.

Multiple pregnancy
Overall, the incidence of twinning at delivery after spontaneus conception is about 1:80, and after assisted procreation is 1:4,5, of triplet 1:80.000 in natural pregnancies and 1:32 with assisted reproductive technologies.
Multiple pregnancy is associated with many minor and major complications in pregnancy and delivery. By far the most serious of these are miscarriage, prematurity and the delivery of very low birth-weight infants. This hazard increases in direct relation to the degree of multiple pregnancy.
The transfer of more than one embryo increases the pregnancy rate but also that of multiple pregnancy.

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