Am I Ovulating?
“Am I ovulating?” This question comes up a lot with patients. Ovulation is the process whereby an egg is released by the ovary. Ovulation usually occurs cyclically giving rise to a regular (every 25-35 day) menstrual cycle should pregnancy not occur. Anovulation is the inability to ovulate. Anovulation is thought to be responsible for about […]
Endometriosis May Cause Infertility
Endometriosis is a chronic disease whose etiology is not completely understood. Endometriosis is prevalent affecting 25% to 50% of infertile women and approximately 30% to 50% of women who have endometriosis are infertile. Endometriosis may cause infertility by: distorting pelvic anatomy causing endocrine and ovulatory abnormalities inhibiting implantation impairing egg and embryo quality altering peritoneal […]
Which Is Best, Ovulation Induction or IVF?
Without a doubt IVF is the most effective method of achieving a healthy, successful, singleton pregnancy as long as it is performed in a ‘Center of Excellence’ where an elective single embryo transfer (eSET) is the norm. Nevertheless, ovulation induction (OI) with clomiphene, letrozole or gonadotropins followed by intrauterine insemination (IUI) remains a first line […]
Letrozole May Induce Ovulation
Ovulation is critical to achieving a natural pregnancy. Ovulation dysfunction is one of the primary causes of infertility. Clomiphene citrate (clomid) has been used for decades to induce ovulation in women unable to ovulate on their own so they may become pregnant. Clomid however has many adverse side effects. One such side effect is causing […]