The happiness of every woman is known in motherhood, but it is not always so easy. Many women are not able to get pregnant for many reasons, so they are forced to seek help from specialists. Today there is great amount clinics where doctors are ready to help women find out what real motherhood is.

One of the modern effective ways accelerate fertilization is ovarian stimulation for pregnancy planning. It is performed by taking hormonal drugs, strictly selected for each specific case. Very often, this method of increasing the chances of conception is used for artificial insemination or in vitro fertilization, but with similar success it can be used in the absence of ovulation due to age or hormonal failure in a woman. In any case, the procedure has a positive effect.

Possible problems

The natural process of egg formation is its full formation, after which the follicle enters the fallopian tube and bursts, releasing the egg. Violation of this process leads to the formation of problems with conception.

The reasons may be:

• serious gynecological diseases;
• hormonal disruptions;
• excess weight;
• infectious diseases and much more.

Most often, ovulation is absent due to hormonal disruptions in the body of a woman.

Operating principle

Stimulation of the ovaries for planning conception is carried out by taking hormonal drugs to normalize the natural menstrual cycle, during which it will be possible to fertilize a mature egg. It can be done naturally or artificially.

Almost half of the cases of using this method of stimulation has a successful ending, but it is suitable this method exclusively for women whose reproductive organs are absolutely healthy, and problems appear due to disruptions in the hormonal system of the body. But even in this case, many do not dare to use this method, since taking hormonal drugs has a number of side effects that may occur. Among the negative consequences of ovarian stimulation for pregnancy planning (reviews from real patients confirm this), pain in the ovaries can be called. The procedure can also lead to the depletion of the egg reserve, which has certain consequences that affect the general condition of the woman's body.

Dosing regimen

Only a qualified doctor is able to prescribe the medicines necessary for each specific case, since even for this he needs to familiarize himself with a number of results of examinations and analyzes of a woman. The dosage of drugs is also selected individually, all treatment processes are combined only in that they begin their effect on the body only after the third or fifth day from the start of the menstrual cycle.

Most often, ovarian stimulation for pregnancy planning is carried out by intramuscular injection of the drug. This choice is explained by the rapid effect of gonadotropic drugs on the body, but other methods can be used to speed up conception:

• tablets;
• antiestrogen substances;
• recombinant drugs.

To evaluate the effectiveness of the chosen method, the entire process of egg maturation is strictly controlled by specialists with the help of regular ultrasound examinations. As soon as the egg fully matures and the follicle bursts, the woman is given an injection of human chorionic gonadotropin, which contributes to the further favorable course of pregnancy. In the case of natural fertilization, conception occurs immediately after this. If it is planned to carry out in vitro fertilization, then the next day it is necessary to take the egg.

Other options

Stimulation of the ovaries for planning conception by the described method is the most commonly used by doctors, but there are also cases when it does not have the desired effect on the body. In such cases, women increase the dose of prescribed drugs or recommend other medications. In any case, the scheme will be identical:

• stachala taken gonadotropins;
• after them - follicle-stimulating hormone in recombinant form;
• the third step is antiestrogen drugs;
• the final one is chorionic gonadotropin.

Each of the stages has multiple options for possible prescribed drugs. In the absence of results after applying each, it will be necessary to retake tests and undergo examinations for a more accurate selection of the next set of measures. At the same time, you should know that conception very rarely occurs immediately in the first month of taking medications, usually you have to carry out 2-3 courses of treatment until a positive result is obtained.

Most popular option

Most often, ovarian stimulation is carried out for pregnancy planning with Clostilbegyt. Active substance the drug acts directly on the ovaries, provoking the accelerated development and maturation of follicles in them. Stimulation is carried out by the action of the drug on the hypothalamus and pituitary gland to produce the hormones needed by the body. Means "Klostilbegit" is produced in the form of tablets, has analogues. The course of taking the drug is prescribed by a doctor and lasts no more than five days. Usually the start of the reception coincides with the second day of the cycle, but exact date depends on the level of hormones in the patient's body and the characteristics of her natural cycle. That is why you should not use such drugs on your own, because improper use of hormones can lead to negative consequences for the whole body. For the same reasons (due to the individuality of each organism), ovarian stimulation for pregnancy planning folk remedies not carried out.

After taking the drug and the start of the cycle, you should wait for the expected date of ovulation and a day before it, inject hCG to stimulate the mature follicle to burst and release the egg.

The final stage is the intake of medications that contribute to the retention of the fetus in the body in the event of pregnancy. Among these, such funds as "Dufaston", "Kraynon" and "Utrozhestan" are distinguished. They are recommended to be used from about the sixteenth day after the start of the cycle. Other estrogenic drugs may also be included in the scheme, on the recommendation of a doctor. In the absence of a positive result of using this method, a woman should re-take tests and switch to taking gonadotropins that mimic the natural processes of the female body.

Implementation of treatment

Any schematic stimulation of the ovaries should be carried out only after a thorough examination of the female body and identifying the cause of problems with conception. The fact is that some diseases can adversely affect the intake of hormonal medications and not only not give the desired result, but also worsen the general state of health.

Therefore, before starting stimulation, the following tests should be passed:

• for the presence of HIV and other sexually transmitted diseases;
• for TORCH infection;
• all tests to draw up a picture of the hormonal state of a woman's body;
• cytology test;
• analysis of the microflora of the vagina.

In addition, it is necessary to undergo a number of examinations, including an electrocardiogram, an ultrasound examination of the mammary glands and a test for the patency of the fallopian tubes. All this applies to mandatory procedures, but in some situations, ovarian stimulation for pregnancy planning may require additional research (hysteroscopy or laparoscopy).

In addition to all the above tests for a woman, the partner also needs to undergo an examination. This is necessary to confirm the activity of spermatozoa and exclude male infertility. Only after a thorough study of all the results obtained, the specialist prescribes an individual program to stimulate the work of the female reproductive system.

Prohibitions for use

Stimulation of the ovaries for pregnancy planning is not allowed for everyone, which is why such a thorough examination is necessary before its implementation.

It is strictly forbidden to use this method to conceive a child for women with:

• somatic deviations;
• obstruction of the fallopian tubes;
• hereditary diseases;
• genetic disorders;
• diseases of the kidneys and liver;
• diseases of the cardiovascular system.

In addition, the prohibitions apply to other, less significant violations in the body. If they are present, conception, the process of stimulation itself and further pregnancy can fail. Such disorders include any inflammatory diseases of the reproductive system, including sexually transmitted infections. With obstruction of only one tube, any cystic formations, including polycystosis, ovarian stimulation (reviews of experts confirm) is contraindicated. To obtain a positive result, you must first solve the problem with these diseases, and then proceed to stimulation.

Side effects

In addition to a number of contraindications, there are a number of negative consequences of ovarian stimulation for pregnancy planning. Since taking hormonal drugs affects the entire body as a whole, this often provokes hyperstimulation of the reproductive function. The reason for this effect may be an incorrectly selected dose of the drug or too violent reaction of the body to a certain substance. In any case, this once again confirms the need to take medications only on the recommendation and under the supervision of a doctor.

Besides:

• ovaries after stimulation very often hurt;
• a woman has problems with defecation;
• general health worsens;
• fluid accumulates in the body, which leads to swelling;
• many neoplasms in the form of cysts are possible.

The last consequences of ovarian stimulation relate to the procedure during the presence of polycystic disease in the body. In such cases, it may be necessary to further surgical intervention. However, in some cases, cysts can resolve on their own. In some cases, the consequences of hormonal stimulation can be an ectopic pregnancy.

Twins - happiness or a side effect?

Very often, in one cycle, several eggs mature in a woman at once, but with natural fertilization, only one of them remains. In case of induction of pregnancy hormonal drugs both eggs do not have an advantage over each other and provoke multiple pregnancy.

Age changes

Since every woman has a certain reproductive age, at the end of which it becomes impossible to conceive a child, after forty years the issue of pregnancy becomes very acute. For women at this age, the likelihood of getting side effects becomes higher, as well as the likelihood of multiple pregnancies. At the same time, stimulation is effective method for conception at this age, and this chance should not be neglected.

Especially often this procedure recommended for older women who decide on artificial insemination. An extracorporeal procedure is necessary for ladies after forty years, since she does not have her own viable eggs and she needs to turn to donors, especially if her partner has a sufficiently high-quality seminal fluid. Side effect while in the form of pain soon disappears.

Stimulation of the ovaries (patient reviews indicate this) after the age of forty gives positive results with timely access to a qualified specialist in this matter. The main thing is not to delay the implementation of the decision, because with each cycle there are fewer and fewer eggs.

Conclusion

In any case, before carrying out the procedure, in addition to passing the listed tests, you should make sure that there is no allergic reaction to any of the substances used in the method. Such a step will eliminate many negative consequences. It is also necessary to pass the required examination in advance.

Every year, this procedure helps many women to have a full-fledged family, give birth to long-awaited children and realize themselves as real mothers. Today, difficulty conceiving is no longer a major problem for most women at any age.

But be that as it may, this process must be taken very seriously. After all, not only successful fertilization, but also the health of the future mother depends on the right clinic and doctor.

Not all women can easily get pregnant. Of course, there are thousands of reasons for this, ranging from hereditary factors to the childlessness of a partner. The ways to solve these problems are completely different. Many women, hearing about pregnancy induction, immediately want to use this option to solve their problems. But we will immediately draw your attention to the fact that stimulation can be carried out different ways and only if there is evidence to support it.

Basically, pregnancy is stimulated by hormonal drugs. This is done if full-fledged eggs do not mature in the ovaries of a woman. In fact, this procedure is The selection of all the drugs necessary for the procedure and their dosage is done by doctors individually. But not everything is so smooth, far from always this procedure gives the desired results. It happens that the reason for the lack of ovulation cannot be established, then the positive effect of stimulating pregnancy will not have to be expected.

Please note that the appropriate diagnosis - the absence of ovulation - should be made by the doctor not only according to the basal temperature, but also based on the results of a comprehensive analysis of hormones and constant monitoring using ultrasound.

For example, hormones are recommended to be checked several times, since erroneous results are possible, which simply cannot be allowed. After all, it is strictly forbidden to start stimulating pregnancy if thyroid hormones, prolactin and male hormones are not normal.

Even if the decision to conduct stimulation has already been made, before starting the procedure, an experienced doctor must also take a spermogram of your partner.

Medical stimulation of pregnancy consists of several stages:

1. The stimulation starts on the 5th day and ends on the 9th day of the menstrual cycle. If the procedure is carried out with gonadotropins, then it is started on the 2nd day of the cycle and completed on average after 10 days. The duration of any stimulation is strictly controlled by the doctor.
2. A few days after stimulation, the first ultrasound is performed. Subsequent follow-up with ultrasound is carried out every 2-3 days. Until the follicles grow to 20-25 mm.
3. Next, the woman is injected with an injection of hCG, and thus the process of ovulation starts. It should occur in a day - one and a half after the injection.
4. Next, the doctor prescribes the timing and frequency of sexual intercourse. During this period, the possibility of getting pregnant increases.

But not everything is so simple, if three times in a row after stimulation with clostilbegit nothing happened, then be sure to check again and select other methods of treatment. In addition, pay attention to the fact that clostilbegit is not recommended to be taken more than 5-6 times in a lifetime, because as a result a woman can get an early menopause.

In addition to medical stimulation of pregnancy, many women actively use folk remedies. Most often, infusions of three herbs are used for this, which can be bought at any pharmacy. We are talking about sage, boron uterus and red brush. In the first part of the cycle, drink sage infusion (1 tablespoon per cup of boiling water) 3-4 times a day. It will help the egg to mature, build up the endometrium. Next, we take the infusion of the boron uterus prepared according to the same principle. This herb contains progesterone - a hormone early term pregnancy. It's good if you combine the upland uterus with a red brush - this helps a lot with various gynecological diseases.

In addition, you can drink a decoction of rose petals, it contains a high concentration of vitamin E. Regarding other vitamins, it should be noted that vitamin stimulation of pregnancy is also necessary. Need, potassium iodide, vitamins.

The main thing is to choose the method of stimulation of pregnancy that is right for you. If something does not work out, change the methods of treatment and do not lose faith in the birth of a baby!

Especially for- Maryana Surma

From the guest

I didn’t ovulate for 5 years. I went to the doctors, they endlessly prescribed Chloe pills for me. There were no results on the abolition of the pills ... And then, not knowing myself how, I decided to stimulate with clostilbegit. I didn’t go to any doctors. I just started taking it myself according to the instructions from the 5th to the 9th day of the cycle. The first time was not successful. I repeated it in the second cycle ... and a miracle))) we are already 10 weeks old))) The main thing is to believe, girls and everything will work out))) good luck everyone and healthy children)

Instruction

One of the ways of successful conception is herbal treatment. Many people prefer natural remedies over medicines based on chemistry. But when using herbs, it is important to remember that they must be used carefully, strictly observing the dosage, regimen and other nuances, so as not to harm your health.

Vitamin E is an excellent stimulant of sexual function in both men and women, it is the first assistant in the work of the ovaries. The rose flower is considered one of the main natural sources vitamin E. From the petals you can make "rose water" and drink it. Another storehouse of such an important vitamin for conception is sea buckthorn. Berries can be eaten fresh or made into juice. Pumpkin pulp is also a source of vitamin E. In addition, it contains many useful substances that reduce the risk of toxicosis during pregnancy, and pumpkin increases lactation in lactating women.

Knotweed grass is considered an excellent folk remedy for infertility. Grass has a beneficial effect on the female genital organs and facilitates conception. Knotweed can be drunk as tea. To do this, one small spoonful of dried grass should be brewed with a liter of boiling water, let it brew for four hours, then strain and cool. It is recommended to drink half a cup before meals, four times a day. In addition to this herb, you can prepare the juice of wheat grains. The drink is consumed half a cup 30 minutes before meals 2-3 times a day.

Another "magic herb" - sage. It contains phytohormones, which are similar in composition to the female sex hormones - estrogen. Only you need to use sage very carefully, strictly following the dosage. Sage is brewed like this - one teaspoon per glass of water. You need to apply the decoction in a course: one tablespoon 2-3 times a day. Duration - 11 days. But only after the end of the period. Continue next month. If pregnancy does not occur, you need to drink sage for 3 months, then you should take a break for 60 days.

Another remedy that has helped many women experience the joy of motherhood is the one-sided ortilia, or, as it is popularly called, the upland uterus. This herb helps well with most ailments of the female reproductive system, it also promotes conception. A decoction of ortilia lopsided is prepared as follows: 2 tablespoons of flowers and grass leaves are poured with 30 milliliters of water and boiled over moderate heat for 5-10 minutes. The broth should be allowed to brew for half an hour, then strain it. Apply 4 times a day, one tablespoon. The course of treatment is prescribed individually, depending on the complexity of the disease.

Not all women manage to get pregnant quite easily. And the main reason for this is the infertility of young couples. but modern science managed to develop some methods that help young families to have a baby. Such methods of reproductive technology include stimulation of ovulation. A lot of women, hearing the phrase " stimulation of pregnancy, immediately want to try this option.

Watch the video: IVF - the opportunity to become parents
Obstetrician-gynecologist E.V. Fedina tells about indications and contraindications for the IVF procedure, as well as the conditions for participation in the IVF program.

But it should be noted that pregnancy can be stimulated in various ways and only when there are necessary indications. A woman's life is accompanied by monthly maturation of eggs in the ovaries. In the middle of the individual menstrual cycle, the process of ovulation occurs, in which the egg is released from the follicle into the fallopian tube. Along the way, she meets with a sperm cell, as a result of which conception occurs and occurs. In some cases, the process by which the follicles mature is disrupted and ovulation does not occur. It is in such cases that ovulation is stimulated in order to force the egg to mature and exit into the fallopian tube. This method is very effective in the treatment of infertility, and as a result of its use, pregnancy occurs in 70% of cases. First of all, this method helps women who produce healthy eggs, but for some reason these eggs do not mature or ovulation occurs irregularly. This problem is especially true for women who are overweight.

Infertility is not a sentence, but a disease. Doctor of the highest category, obstetrician-gynecologist M. V. Vasilyeva tells about various methods for diagnosing and treating infertility. Learn more at SEX.RF:

Before, how to induce pregnancy, the doctor must accurately establish the causes of infertility and be confident in the correctness of the diagnosis. In some cases, ovulation cannot be stimulated. These include defective changes in the egg as a result of diseases (in such a situation, a donor egg is used), inflammatory processes in the pelvic organs and ovaries, and other concomitant circumstances. Also, when stimulating ovulation, there are age restrictions. Before stimulation, the doctor is obliged to send the spouses for a global examination, which includes tests for multiple sexual infections, HIV, hepatitis C and B. In addition, a smear is taken from the cervix for oncocytology, and she must also undergo an ultrasound of the mammary glands.

Next, an examination is carried out for the patency of the fallopian tubes, because the process of fertilization occurs in them. Therefore, it is important that they are healthy and that the patency is not impaired for any reason. This examination is carried out using methods such as laparoscopy and metrosalipingography. These methods are equally effective, and which one to use is decided by the attending physician based on individual characteristics every woman. After that, an examination is carried out to detect uterine problems, since pregnancy may not occur due to any abnormalities. This is especially important if abortions were present in a woman’s life, a spiral was placed, and scrapings were made due to bleeding. Also, the hormonal status is examined several times in order to exclude random fluctuations and to confirm the problem.

Together with a woman, a man must also undergo an examination in order to exclude the factor of his infertility and ensure the normal state of spermatozoa. A man and a woman undergo a postcoital test, which determines the individual immune compatibility of sperm and cervical mucus. And the last condition is the absolute health of both spouses.

Before as stimulate pregnancy any drugs, you should make sure that the spermogram of the spouse is satisfactory. This is due to the fact that pathological changes in the male body can occur spontaneously, which affects the results. If the clinic services do not provide this examination, you should contact another medical organization.

For stimulation of pregnancy use medications based on hormones that are responsible for the activity of the genital organs, as well as clostelbegit (analogue drug). Gonadotropins have the ability to replace the influence of the pituitary gland, which is responsible for the regulation of the menstrual cycle, promotes the maturation of the follicle and starts the process of ovulation. Such drugs are prescribed in a strictly defined concentration and only on certain days of the menstrual cycle. Usually they are treated as injections subcutaneously or intramuscularly. It is necessary to stimulate pregnancy with clostilbegit, starting with the minimum dosages. In the process of taking the drug, ultrasound is regularly performed to monitor the reaction of the ovaries and the stage of egg maturation. At the same time, the basal temperature and the level of the hormone progesterone are monitored. Ultrasound helps prevent ovarian hyperstimulation and cyst formation.

After ovulation, the doctor can carry out insemination using the donor's sperm or give the necessary recommendations regarding a certain rhythm of sexual activity. If the spermogram is good, then sexual intercourse should be carried out daily or one day before the formation corpus luteum. It is possible to stimulate pregnancy with clostilbegit no more than five times in a lifetime, since this drug can lead to serious consequences, for example, ovarian exhaustion or early menopause. In addition, this drug is contraindicated if there are endometrial problems.