Stimulation of ovulation is a method of influencing a woman’s reproductive system, which increases the chances of follicle rupture, maturation of a high-quality egg and, as a result, pregnancy. The use of drugs is accompanied by the risk of developing side effects and complications. Herbs with their inherent soft action help to minimize these risks, but their effectiveness is comparatively lower.

Ovulation stimulation

According to statistics, every tenth couple cannot get pregnant during the first year of trying. Many of them are never able to conceive without medical care. There are many reasons for infertility: poor sperm motility and morphology, obstruction fallopian tubes, hormonal disorders and much more.

Lack of menstruation or irregular cycle can also cause infertility. To increase the efficiency of the ovaries and the likelihood of ovulation, they take medications and herbs. In many cases, this problem can be dealt with by stimulating ovulation using folk remedies.

Main causes of infertility

One of the main reasons why ovulation does not occur is polycystic ovary syndrome (PCOS). With this disease, the ovaries stop functioning properly, and formations appear in them that can interfere with the growth of follicles and proper ovulation.

There are other reasons why ovulation does not occur:

• heredity;
• taking non-steroidal anti-inflammatory drugs;
• stress;
• exhausting physical activity;
• diseases thyroid gland;
• sudden weight gain or loss;
• hormonal imbalance;
• inflammatory processes in the pelvic organs.

Hormonal drugs are mainly prescribed to stimulate ovulation. They do not always help to conceive, but they have many side effects. Among them - dangerous syndrome ovarian hyperstimulation, which not only can threaten the further development of pregnancy, but also the life of the woman. Hormonal drugs also have a number of other side effects: hot flashes, fever, ovarian depletion, hormonal imbalance, allergies, nausea, and frequent urination.

Before starting self-stimulation at home with medications and herbs, you need to consult with specialists and conduct an examination of the body. This is done to minimize complications, correctly select drugs and calculate their doses.

Such examinations include:

• Assessing the partner's spermogram. Poor sperm quality may require assistive technologies, such as intrauterine insemination.
• Checking the patency of pipes. If they are impassable, there is no point in carrying out the procedure. Determined using HSG (hysterosalpingography) or laparoscopy.
• Ultrasound. Allows you to assess the condition reproductive organs, especially the ovaries and their ovarian reserve.
• Determination of sex hormones. On the third day of the cycle, FSH, LH, prolactin, estradiol and testosterone are taken.

Indications and contraindications

The main indication for ovulation stimulation is ovarian dysfunction. You must have clear indications for this procedure. It is important to know that treatment in this way can only be done if you have a stable menstrual cycle.

Infertility is divided into three types:

• primary ovarian failure;
• hypothalamic-pituitary insufficiency (primary or secondary amenorrhea);
• hypothalamic-pituitary insufficiency with polycystic disease.

It is recommended to stimulate the ovaries with the help of folk remedies in the third type of infertility; in the first type it is better to use IVF (in vitro fertilization). If pregnancy does not occur, then a break is taken and another examination is carried out. The process of stimulating ovulation can be carried out in no more than six cycles.

Contraindications:

• imbalance of hormones;
• diseases of the uterus;
• obstruction of the fallopian tubes;
• hibernation;
• inflammation of the uterus, ovaries and tubes;
• infertility unknown origin;
• presence of neoplasms.

Drug stimulation

Treatment with folk remedies is strictly prohibited in conjunction with the use of medicines. Otherwise, you can provoke a hormonal imbalance, and this will only worsen the situation.

There are two fundamentally different treatment regimens with drugs for stimulation:

• based on clostilbegit - administered orally (tablets);
• based on gonadotropins - administered by injection.

Clostilbegit (clomiphene citrate) belongs to the class of antiestrogens. It is strictly not recommended to do more than five or six times of stimulation in a lifetime, because by-product there will be early exhaustion of the ovaries. Clostilbegit is prescribed from the fifth to the ninth day of the cycle, the dosage depends on physiological characteristics patients, the structure and functionality of a woman’s ovaries.

The second scheme uses human gonadotropins - menopausal or recombinant. The first drug is obtained from the urine of women who are in menopause. It contains both LH and FSH. The product is used in those schemes where a gentle effect on the ovaries is needed. The big advantage of this option is that it is cheap compared to recombinant agents.

Recombinant gonadotropins are synthesized in laboratories, they do not contain impurities and are close in effect to natural hormones. A regimen based on gonadotropins is used from the second or third day of the cycle until ripening dominant follicles up to 18 mm. After which an injection of hCG (human chorionic gonadotropin) is given, which leads to rupture of the follicle and ovulation.

To support the second phase of the cycle, progesterone-based drugs are used; they promote the attachment of the egg and the progression of pregnancy. These include Duphaston and Utrozhestan.

Folk remedies

Various medicinal herbs have gained great popularity among women who are unsuccessfully trying to conceive a child. Folk remedies for the treatment of infertility can show excellent results.

But they must be used after consulting a specialist, because some medicinal plants can easily cause allergies or other complications. You need to use all the products at home yourself, strictly according to the instructions prescribed by your doctor.

The following herbs are considered the most effective:

• Borovaya uterus. It is the number one remedy for stimulating ovulation. This plant will help improve the ovulation process and accelerate the maturation of the egg; for this, the boron uterus is brewed in a thermos with the following calculation: 2.5 tbsp. l. herbs for half a liter of water. Take half a glass of infusion after meals.
• Rose. For normal operation The ovaries also need vitamin E, a lot of which is contained in rose leaves. But they will definitely only need fresh leaves, which are immediately poured with boiling water, they are boiled for about 10 minutes over low heat or a water bath to prevent overheating. After the product has been infused for one hour, it is ready for use. You should take one teaspoon before bedtime.
• Sage. The phytoestrogens contained in sage leaves are almost identical in composition to ordinary estrogen. Drinking decoctions and infusions of these herbs helps induce ovulation. Preparing the decoction is quite simple. To do this, take 25 g of dry plant and pour boiling water over it. You need to leave it for about 30 minutes. After this, the decoction can be drunk 2-3 times a day, 50 mg. They start taking it from the fifth day of the cycle until ovulation. To strengthen this effect, sage is often mixed with linden flowers. They take a little more than sage and pour boiling water over them. You need to drink this decoction no more than three times a day, taking it begins on the seventh day of the cycle.
• Plantain. Plantain, in particular its seeds, is considered very valuable in stimulation. 1 tbsp. l. seeds are poured with one glass of boiling water. In order to increase efficiency, it is recommended to place a glass or clay container on water bath for three minutes, but no more, because this threatens the loss of all useful substances. The decoction should be allowed to brew for about one hour, then you can drink it, it should be taken three times a day. It can be used on any day of the cycle.
• You can also use herbs such as linden, aloe, knotweed, kelp - these are plants that cause the ovulation process.

Quite often, infertility is treated with methods such as mud therapy or treatment using essential oils. You can restore ovulation with the help of mud therapy and get pregnant by following the course for at least ten days. For treatment, the mud is heated and applied to the stomach, lower back and thighs for ten minutes. After the procedure is completed, it is washed off warm water. Mud tampons that need to be inserted into a woman’s vagina can give good results. Only in this case, all useful substances enter the ovaries and uterus. The tampon must be kept in place for 24 hours.

Treatment with essential oils can also give the desired effect and restore the functionality of the ovaries. Most often, aromatic baths are taken for these purposes:

• The following oils are suitable for treating infertility with the help of aromavan: cypress, sage, anise, basil.
• For a stimulating abdominal massage: jasmine, geranium, rose, sandalwood, sage.

The main contraindications are allergies or individual intolerances.

Proper nutrition

You can stimulate ovulation on your own by properly preparing your diet and adding foods that contain the necessary hormones.

List of products that help with ovulatory disorders:

• egg yolks;
• whole milk;
• apples;
• legumes;
• sprouted wheat;
• sesame;
• dates;
• pineapples;
• beet;
• tomatoes;
• cucumbers;
• pomegranate.

It is useful to add seeds to dishes already halfway through cooking. Sesame, pumpkin, and flax seeds are great for stimulation. It is necessary to include iodized salt and vitamin E in your diet. Salt allows you to replenish potassium iodide reserves and maintain them at the required level.

When using various methods stimulation, it is necessary to take into account that with uncontrolled stimulation a whole series of side effects- these include offensive ectopic pregnancy and ovarian depletion.

Are you anovulatory and do you think the verdict has been reached? Very in vain. Thanks to constantly developing science, representatives of the fair sex, who no longer hoped to conceive, got the chance to give birth to a toddler. We are talking about artificially inducing ovulation. You can even not use chemicals, but stimulate ovulation using folk remedies. Often, two healthy babies were born in this way at once.

Only the attending physician should prescribe the procedure. And only in situations where it is really needed. After all, if a woman has a stable menstrual cycle and can get pregnant on her own, then the need for an appointment disappears on its own.

Ovulation in a girl whose body is completely ready for pregnancy and childbirth is the period when an egg is released for fertilization by a sperm. She enters the fallopian tube, where she waits for 24 hours (her lifespan). sex cell partner. As a rule, one female cell takes part in ovulation. Although sometimes in practice there are cases of the participation of two or even three eggs. If fertilization is successful, twins are born.

If you do not ovulate for 6 menstrual cycles or more, and you want to give birth, then stimulation is necessary.

Restoration of ovulation is prescribed for:

• Infertility of unknown origin (unexplained even after full examination both partners);
• Preparation for in vitro fertilization;
• Anovulatory infertility;

Folk remedies for stimulation

If you are an ardent opponent of chemical drugs, then turn to traditional medicine for help. But first of all, consult your gynecologist. He will conduct an examination, advise what examinations you need to undergo, decipher them, and then draw a conclusion: to use folk remedies to enhance ovulation or not.

If all tests are normal and there are no contraindications, use this method. There are many herbs that can not only achieve the desired effect, but will have a beneficial effect on the entire body.

Each plant is responsible for a separate process, so they must be taken in a certain order. When stimulating ovulation, it is necessary to use mixtures and decoctions that contain vitamins, microelements, and phytohormones. They will help you achieve your desired result, and you will have the most favorable period for conception. Here are some of them:

• Aloe.
• Rose petals.
• Quince.
• Ramisha is one-sided
• etc.

Vitamin therapy

This is one of the most current methods stimulating ovulation at home. For an egg to mature in a girl’s body, she will need a full set of vitamins, minerals, amino acids, as well as macro- and microelements. Therefore, make your menu more saturated, treat its preparation with responsibility. Fill in folic acid deficiency. If it is less than needed, the likelihood of problems with intrauterine development of the fetus increases.

Be sure to consume iodized salt - it increases the body's capacity for potassium iodide. Have you decided to take supplements for pregnant women? Choose a drug from a manufacturer that has a certificate of conformity, is recommended by the Ministry of Health for pregnant and lactating women, and is also known for positive feedback buyers. If possible, give preference to a company that has been on the market for a long time and is a professional. Don't skimp on quality, because positive result above all.

In the diet of a lady who wants to get pregnant:

• Vitamin B. Better known as folic acid;
• Vitamin E. It, for example, is contained in the drug Tocopherol;
• Vitamin C. Also called ascorbic acid;

There is a special vitamin stimulation scheme. It looks like this:

• B1 and B6 are administered by injection, alternating every other day, from the 5th day of the cycle.
• Start taking C on the 15th day of the cycle;
• veroshpiron should be consumed from 25 to 30 days;

Herbs

Also very effective method is the use of decoctions from medicinal herbs to stimulate ovulation. If you decide to follow this method, consume the plants in the following order:

1. Sage. The components that make up it are very similar to female hormones. Pour boiling water over the sage herb and leave it in a thermos for half an hour. Take from 1.5 to 2 weeks from the 5th day of the cycle. Take the course again 4-5 times. If desired, enhance the effect by adding a large spoon to the infusion linden color. By using sage you can form.
2. Elderberry blossoms help strengthen follicles.
3. A decoction of plantain seeds will help enhance ovulation. To prepare it, the necessary ingredients are water and plantain seeds. Place the mixture over low heat, bring to a boil, and simmer for approximately 40 minutes. Strain and then take 30 g before meals. The course is carried out for 3 weeks, from 1 day menstrual cycle.

But remember that stimulating ovulation with folk remedies cannot be treated with disdain. Do not increase the proportions to achieve results faster. IN best case scenario the attempt will not be successful. At worst, you risk ending up in the hospital with poisoning.

Also, do not experiment and create recipes yourself. If you know that three different plants can cause ovulation, do not rush to combine them. Not all herbs are compatible, and some can be combined, but in certain proportions. Scientists sometimes need years to study plants and how they affect the human body!

Diet therapy

It is also possible to restore ovulation with the help of special diets. In order for the hormone estrogen to be intensively produced, and for the ovaries to function more actively than usual, look at what you eat. Improve your diet, add to it natural products. But don't be too strict about the task at hand. Proper nutrition, with the right approach, can be not only healthy, but also tasty.

The menu should include:

• Flax, sesame and pumpkin seeds;
• Homemade cow's milk and chicken eggs;
• Dates and pomegranates;
• Carrots and apples;
• Quail eggs;

• Pears;
• Cabbage;

Introduce fish, as well as vegetables, fruits and berries into your diet. Do not overuse coffee and tea. If you can’t resist, then use it, but very rarely. Taboos include drinking alcohol, drugs, and smoking cigarettes. Quick snacks with semi-finished products, fatty foods, soda, and other foods that cause obesity are also not welcome.

Healing mud compresses

There is another common one effective way how to induce ovulation. This is a treatment using healing mud, which tends to enhance the activity of female sex hormones. Inflammations are cured, and the likelihood of conceiving a child increases. Such compresses are often prescribed if a woman has polycystic ovary syndrome. It is advisable to buy healing mud at a pharmacy; only high-quality products are sold there. But even this, in appearance harmless procedure, requires consultation with your doctor, since this method is not suitable for all women.

Warm up the mud and then apply it to your stomach and ovarian area. To enhance the effect, chopped kelp seaweed is added to the mud. Cover the top of the mask with cling film. After 20 minutes, wash off. Repeat every other day, with last day menses.

Treatment with essential oils

You can also induce a favorable day for egg fertilization using essential oils. They are inhaled or rubbed in, but the procedure must be regular, otherwise there will be no effect.
In this case we're talking about about oils:

• sage;
• anise;
• basilica;

Also take sitz baths with certain amounts of oils added. You can get pregnant faster if you constantly add 13 drops of rose oil to the basin.

When not to stimulate ovulation

Do not think that ovulation stimulation is a simple and, most importantly, safe way for everyone.

Some ladies are prohibited from this procedure. Namely with:

• inflammatory processes of the pelvic organs, as well as the ovaries;
• hormonal imbalance;

Conclusion

If you are having problems with ovulation, do not give up. You can still become a mother. Science provides a huge number of possibilities, starting with inducing pregnancy using medications, and ending with stimulating ovulation with folk remedies. Thanks to his rapid development modern medicine gives girls who are desperate the opportunity to give birth to a healthy baby.

A woman's inability to become pregnant becomes a great tragedy for everyone. married couple. A woman is literally haunted by the dream of having a baby and is consumed by the thought of her physical inferiority. Unfortunately, today infertility is becoming one of the common problems of married couples.

Who is indicated for stimulation of egg maturation?

If a woman does not ovulate or occurs extremely rarely, ovulation stimulation is undertaken. Thanks to ovulation stimulation, thousands of women become mothers every year.

Medical indications for stimulating ovulation arise in cases where, for a period exceeding one year, with regular unprotected sex the couple is unable to conceive a fetus naturally. For couples over 35 years of age, this period is reduced to 6 months.

To obtain results during stimulation, it is very important to carry out ultrasound monitoring of follicle development, otherwise such a procedure is useless. It makes no sense to stimulate ovulation when male infertility.

Carrying out the procedure in the presence of obstruction of the fallopian tubes can lead to an ectopic pregnancy. Therefore, ovulation stimulation should be prescribed only after laparoscopy.

Every woman wonders how to properly stimulate ovulation and what methods exist for this.

Drug stimulation

Before stimulation is prescribed, both spouses are sent for a medical examination. Successful stimulation of ovulation with clostilbegit is possible if the doctor draws up the most competent protocol for the procedure.

That is, taking medications, undergoing tests, conducting examinations according to a specific schedule, taking into account age and individual characteristics married couple. The doctor also takes into account how the egg will subsequently be used: for IVF, ICSI or natural fertilization.

In the classical regimen, clostilbegit is taken from days 5 to 9 of the menstrual cycle. With additional stimulation of ovulation using puregon, clostilbegit is prescribed from days 3 to 7.

The period of admission is accompanied by ultrasound monitoring of the process of follicle maturation. When it reaches 17-18 mm, the woman takes Pregnil and ovulation occurs after 24-36 hours. According to statistics, about 15% of couples manage to get pregnant after stimulating ovulation on the first try. The duration and cause of infertility and the woman’s age also play a role.

Stimulation using traditional methods

Many women consider the “natural” option of stimulation more preferable - taking medicinal herbs. Accept upland uterus, red brush leaves and sage to stimulate ovulation, freely sold in every pharmacy. For egg maturation, take 1 table 3-4 times a day. spoon for one glass of boiling water of sage infusion in the first half of the new cycle.

Drinking an infusion of boron uterus, rich in progesterone, begins in the second half of the cycle. A lack of progesterone prevents the fertilized egg from implanting into the cavity of the uterine wall and it dies. In order for ovulation stimulation to be most effective, you need to be able to calculate it correctly and the likelihood of conception will be much higher.

Taking a decoction of rose petals is not only pleasant and tasty, but also healthy. Following traditional methods, a man and a woman who consume 1 teaspoon of such a romantic decoction before bed will definitely be able to conceive a child.

This phenomenon is explained by the content of vitamin E in rose petals, which has a beneficial influence on the ability to conceive. Moreover, women prepare a decoction from the petals of white and pink roses, and men – red and dark pink. To prepare the decoction, 1 table is enough. spoons of petals per 200 ml of boiling water, followed by soaking for 15 minutes in a water bath.

Taking mumiyo in combination with juices: sea buckthorn, quince, carrot is positive. Take on an empty stomach in the morning and evening. Mixing ratio 1:20.

Vitamin therapy and stimulation of ovulation

The expectant mother must provide the correct and rational nutrition. First of all, a woman must provide her body with folic acid, since its deficiency in the body can cause intrauterine developmental pathologies. To replenish the body with another essential element - potassium iodide, you should use iodized salt in your food.

How to conduct stimulation correctly to avoid “ unpleasant consequences»? Hormonal drugs contribute to the maturation of a full-fledged egg in a woman’s ovaries. The dosage and selection of drugs to stimulate ovulation are calculated individually and are aimed at the formation of eggs capable of fertilization.

The choice of method for restoring ovulation is determined based on the reason for its absence. And it should be recognized that if at the beginning of treatment the reason for the lack of ovulation was not precisely established, then stimulation is unlikely to give a positive result.

When diagnosing the absence of ovulation, you cannot use a chart as a basis. basal temperature single cycle. It is necessary to be guided by several cycles of observation. Otherwise, the prescribed treatment may cause enormous harm in the future. healthy body. It is better if hormone tests are carried out several times to make sure that there is a problem or its absence in this area of ​​the body.

If thyroid hormones are abnormal, male hormones and prolactin, it is not worth starting to stimulate ovulation. You should first bring them back to normal so that they do not interfere with ovulation. It is possible that when hormone levels are restored, ovulation will also be restored.

Ultrasound monitoring

Based on repeated ultrasound observations. If there is an “ideal” 28-day cycle, the first ultrasound is performed 8–10 days after the end of the last menstruation. Next, an ultrasound is performed at least every two to three days. This periodicity is determined by the condition of the uterus and ovaries. Ultrasound is stopped when it is established that ovulation has occurred or with the onset of menstruation.

Before stimulation begins, no matter what drugs, you must have the results of your husband’s spermogram on hand, indicating his suitability for natural conception. Stimulation in mandatory should be strictly supervised by a doctor. Constant ultrasound monitoring will allow you to analyze the body’s response to the stimulation process and the development of follicles! This is the only way to judge with confidence whether the follicles are growing and whether the process of ovulation is occurring.

How ovulation is stimulated, the main stages

If clostilbegit is chosen for stimulation, then its administration begins on the 5th day and ends on the 9th. When choosing menogone or puregon for stimulation, the intake begins already on the 2nd day of the cycle and ends somewhere after 10, exact date determined by the doctor based on observations of the stimulation process.

The start date and duration of the stimulation procedure depends on the condition of the patient’s ovaries and uterus and is determined directly by the attending physician in each case individually. The first ultrasound, performed a few days after the start of the stimulation procedure, is followed by a subsequent ultrasound two to three days later.

Observation is carried out until the follicles reach a size of 20-25 mm. To prevent regression of the follicles and eliminate the possibility of the formation of follicular cysts, an hCG injection is prescribed at this stage. The dose selected by the doctor helps to “start” the ovulation process.

If the process is favorable, ovulation begins 24–36 hours after the prescribed hCG injection. After confirming this with an ultrasound examination, injections of progesterone or utrogestan are prescribed for additional “support” of the corpus luteum of the ovaries. According to patient reviews, stimulation of ovulation with clostilbegit most often leads to conception.

Considering male factor, the doctor prescribes specific timing and frequency of sexual intercourse and insemination during stimulation. If the spermogram is good, then after the hCG injection, sexual intercourse should be daily or every other day until the end of ovulation and the formation of the corpus luteum.

If the use of clostilbegit does not cause ovulation or follicular growth, then after the third unsuccessful course it is recommended to reconsider the treatment methods and conduct additional examination.

Important: It is not recommended to use clostilbegit more than 6 times. Abuse of the drug can cause depletion of the ovaries and cause “early menopause.” And this will jeopardize further attempts to treat infertility using one’s own eggs.

With this outcome, you will have to be content with IVF with a donor egg. Being a drug with a pronounced anti-estrogenic effect, it is better not to take clostilbegit if there is a problem with endometrial growth.

Before carrying out treatment procedures and diagnostics, you should make sure that there are no acute inflammatory processes, which are a contraindication, since they carry a risk of worsening general condition patient.

In the middle of the menstrual cycle in the ovary healthy woman there is an exit to abdominal cavity from the follicle of the egg. If this natural process is disrupted, ovulation is stimulated using special medications - ovulation inducers. One of the most commonly used drugs to stimulate ovulation is Clostilbegit.

Stimulation of ovulation by gonal and menopur replenishes the endocrine gland of the pituitary gland with hormones and controls the process of follicle maturation and the onset of ovulation in a woman’s body. Available in the form of injections, injections are prescribed to stimulate ovulation intramuscularly or administered subcutaneously. The ovulation stimulation scheme is drawn up based on the established type of ovulation disorder and the period during which the disorder is observed.

Ultrasound monitoring during this period allows you to avoid the growth of several follicles at the same time. Each examination is accompanied by counting the number of growing follicles, measuring their diameter and determining the thickness of the uterine mucosa.

When the diameter of the leading follicle reaches at least 17 millimeters, Pregnil comes into effect, causing the egg to release from the follicle. Depending on the specific type of marital infertility, intrauterine insemination with the donor's or husband's sperm is performed, or sexual intercourse is performed.

Stimulating ovulation with gonal has a positive effect, confirmed by reviews of women who have successfully become pregnant and will soon celebrate the main event in their lives.

The following medical examinations should precede ovulation stimulation:

• Syphilis;
• Hepatitis B and C;
• Ultrasound of the mammary glands;
• Smear (woman);
• Oncocytology smear (woman); Cultures to detect chlamydia, candida, trichomonas, ureaplasma, gardnerella, mycoplasma;
• Patency of the fallopian tubes;

Mandatory condition - conclusion general practitioner about a woman’s ability to bear a pregnancy.

The blood is tested for the presence of antibodies, and therefore immunity to rubella. Tubal patency is one of the important conditions For pregnancy to occur, fertilization occurs here.

Several methods are used to assess patency:

• Laparoscopy;
• Metrosalpingography;
• Transvaginal hydrolaparoscopy.

The assessment method is selected by the attending physician based on the available indications. If inflammation or trauma to the uterine mucosa or intrauterine device is detected, hysteroscopy of the uterine cavity is performed.

Lack of ovulation can cause:

1. Hormonal imbalance, which may be caused by stopping taking contraception. The body will need some time to full recovery their functions. This may take several months.
2. Intense sports, illness, stress and others, physical and serious psychological stress.
3. Excessive thinness and lack of fat tissue.
4. Clinical causes such as polycystic ovary syndrome and pituitary dysfunction.

Stimulation of ovulation is one of the most common methods in the treatment of infertility. Before the procedure begins, a preliminary examination of the ovaries is carried out to identify possible contraindications to stimulation.

As a result of the study, preliminary estrogen therapy may be prescribed or the necessary ovulation stimulation scheme and dosage necessary to create optimal conditions and achieve a successful attempt can be built.

With multifollicular ovaries, stimulation of ovulation can lead to multiple pregnancies. This is explained by the fact that several enlarged follicles are formed in the ovaries at the same time. Ovaries with many follicles can be observed on ultrasound at other periods of the cycle.

Follicle development may be delayed when taking hormonal contraceptives, when breastfeeding, in adolescence, with sudden weight loss, obesity, thyroid dysfunction and others endocrine diseases. Pregnancy with such ovaries is quite compatible and will proceed normally in the absence of other disorders.

Some patients identify multifollicular ovaries with the concept of polycystic ovary syndrome. However, the main difference between multifollicular ovaries and polycystic ovaries is the normal volume of the ovary.

The number of follicles does not exceed 7-8, the diameter is 4-10 mm, and the content of LH and FSH, insulin, and testosterone in the blood is within normal limits. Thus, the diagnosis of multifollicular ovaries cannot be considered a disease. Rather, it is a specific condition that is not the cause of infertility, irregular menstrual cycle, etc.

With polycystic ovary syndrome, testosterone and insulin levels are increased. The volume of the ovaries is almost twice as large, the ovarian capsule is thickened. Stimulation of ovulation in polycystic disease includes hormone therapy, which reduces the level of male hormones. Already within the first months after prescribing the drug, the result is noticeable. Ovulation stimulating drugs include clomiphene citrate and metformin.

The problem of infertility is common problem married couple. In half of the cases, the reason lies in male infertility. That is why the examination is prescribed to both spouses. For examination, men undergo a spermogram, which is carried out after 3-5 days of abstinence.

Stimulation of ovulation during IVF

IVF ( In Vitro Fertilization) was held for the first time in 1978 in England. The method is used for infertility caused by problems of the fallopian tubes, ovulation, and sperm quality. IVF is used to conceive a child in women over 45 years of age.

The method involves fertilizing an egg outside the woman’s body and then placing the embryo in the uterus. Of course, the price of the IVF method of stimulating ovulation is the highest compared to other methods.

The main indications for IVF are defects or absence of fallopian tubes. In vitro fertilization is recommended for insufficient quantities or complete absence sperm in male seminal fluid.

Between the 19th and 23rd day of the menstrual cycle, a drug is administered to prepare the woman’s body for hormonal stimulation. Next, the follicles are stimulated under constant ultrasound control. Upon reaching the follicles the right size, a puncture is performed and the egg is sent for fertilization. The embryo is transferred to the uterus after a few days, and a pregnancy test is performed two weeks later.

To minimize possible risks Before IVF treatment, a comprehensive examination is carried out.

The main risks of the IVF procedure:

• allergic reactions;
• ovarian hyperstimulation syndrome;
• ectopic pregnancy.

The drug Clostilbegit is prescribed to stimulate ovulation in women and in men for the treatment of oligospermia. Those who stimulated ovulation with clostilbegit confirm that the drug promotes increased production of hormones in the pituitary gland and hypothalamus, after which in women the functioning of the ovaries is stabilized and causes the maturation of the follicles.

Stimulation of ovulation at home

At home, you can experiment with aromatherapy using herbal oils of anise, cypress, basil, and sage to stimulate ovulation. When bathing, adding 3-5 drops of rose geranium and lavender oils to the bath will help normalize hormonal levels. Such ovulation stimulation will be less expensive than treatment with ovulation-stimulating pills.

Stimulation of ovulation must certainly be carried out under the qualified supervision of a doctor and be based solely on medical indications. The consequences of improper ovulation stimulation can be extremely complex. An incorrect dose of drugs or neglect of examination can cause irreparable harm to the female body.

Incorrect stimulation may result in ovarian rupture or lead to early exhaustion. At home, you should include foods that stimulate ovulation in your diet: grains, quail eggs, dairy products, vegetables and fruits, seeds (flax, sesame, pumpkin). Reviews of women who have undergone ovulation stimulation can be read on numerous forums.

Replies

But also very important indicator female reproductive health. Normal for every woman childbearing age Ovulation occurs once a month, while 1-2 cycles per year have every right to be anovulatory (that is, without egg maturation). But if this situation is repeated from cycle to cycle, then the woman naturally wondering how to induce ovulation.

Let us note right away that you first need to make sure that there are indications and that there are no contraindications for stimulating ovulation. Then decide how you plan to induce ovulation - with folk remedies or medications. And after carefully studying all the information, get down to business.

How to induce ovulation using folk remedies

Many women prefer to use the services traditional medicine, leaving the official one as heavy artillery. To stimulate ovulation, decoctions and infusions of herbs are used that have different actions. As a rule, they contribute to the maturation of the egg, thickening of the endometrium, increasing progesterone levels, and enriching the body with certain beneficial substances.

To do this, you can use infusions of boron uterus, sage, plantain seeds, red brush, linden, and rose petals. All of them are prepared according to the same recipe: 1 tablespoon of herb is poured into 1 glass of boiling water and infused.

Sage infusion is consumed in the first half of the menstrual cycle, half a glass 2-3 times a day. You can also take a decoction of linden or red brush. A decoction of plantain seeds is taken 1 tablespoon 4 times a day.

Infusions of boron uterus and red brush are drunk in the second half of the menstrual cycle (after the onset of probable ovulation). They help maintain pregnancy if conception has taken place.

In addition, in the second half of the cycle, it is useful for women trying to get pregnant to eat fresh pineapples, hibiscus tea, and pomegranate juice.

Remember that overweight is also a risk factor in the formation female infertility. Sometimes even minor weight loss can restart ovulation.

How to induce ovulation with drugs

However official medicine does not advise relying on folk experience. It shows a rather low success rate of such measures, moreover, each of these drugs used to stimulate ovulation has contraindications that are rarely taken into account when taking traditional medicines.

Doctors consider the drug method of stimulating ovulation to be more reliable and at the same time effective and safe. Firstly, it is carried out under the supervision of a specialist who takes into account possible contraindications to the use of drugs and individual characteristics women. Secondly, it is preceded by thorough examination both potential parents, the results of which are decisive in the way it is carried out. Thirdly, the entire process is tracked and monitored, including using ultrasound, which makes it possible to achieve high efficiency. Fourthly, the doctor warns the couple about the most auspicious days for carrying out sexual intercourse with the aim of conceiving a child in this cycle.

Various methods are used to stimulate ovulation medications, most often - Clostilbegit, Clomiphene, Clomid, Citrate. Classic scheme provides for their intake in the period from 5 to 9 days of the menstrual cycle with increasing dosage. However, other treatment regimens are also possible, especially if additional medicines(Puregon, oral contraceptives).

We would like to draw your attention to the fact that it is possible to induce ovulation with the help of medications only by prescribing an individual treatment regimen, which should only be carried out by a medical specialist. Self-administration of drugs at your own discretion is very dangerous for health, and sometimes even for life.

Count on the fact that no more than 15% of women who resort to this method succeed in getting pregnant the first time. But in general, the success rate of drug stimulation of ovulation reaches an average of 65%. Please note that WHO does not recommend using drugs to stimulate ovulation for more than 6 cycles in a row.

To be fair, it should be noted that a large percentage of women not only do not achieve the desired result, but also complain about the development of multiple side effects from taking chemical medications. Therefore, it may be quite justified to stimulate ovulation with homeopathic remedies, however, will cost a pretty penny and will only help if you turn to a real professional.

Be that as it may, there are many ways to induce ovulation. And you should definitely use them if pregnancy and the birth of a baby are one of your cherished dreams. Everything will work out! Modern medicine works wonders!

Especially for Elena Kichak

Should there be ovulation in every cycle? What is pathological anovulation and how is it diagnosed? How to stimulate ovulation with medications and what can be done using “home” methods? These and other questions were answered by Evgenia BROITMAN, obstetrician-gynecologist, head of the IVF department of the AVICENNA Medical Center of the Mother and Child Group of Companies.

What is anovulation?

Lack of ovulation (anovulation) is a violation of the growth and maturation of the follicle, as well as the absence of the release of an egg from the follicle. Such deviations can occur in women, such as regular cycle, and in case of failures.

Let's remember the sequence of the menstrual cycle. It is divided into two phases: follicular and luteal. The first prepares the body for conception, the second - for pregnancy. These phases are controlled by special hormones produced by the pituitary gland - gonadotropins: follicle-stimulating hormone (FSH) and luteinizing hormone (LH).

The “conductor” of the first phase of the menstrual cycle is FSH. At the beginning of the cycle, the concentration of this hormone is maximum. It stimulates the maturation of the follicle, inside which a young egg is preparing to meet the sperm. As the follicle matures, it increases in volume and produces an ever-increasing amount of estrogens (including the hormone estradiol). For the pituitary gland, an increase in the concentration of estradiol is like a trigger: it reacts with a strong release of luteinizing hormone. Under the influence of LH, the follicle bursts and ovulation occurs. The residual follicle turns into corpus luteum and begins to produce progesterone and wait for pregnancy.

Difficulties with ovulation begin when there is insufficient production of gonadotropins, when the follicle does not mature or there is no egg in the follicle, as well as in cases where the egg cannot leave the follicle because the membrane is too dense. Unfortunately, anovulation is one of the common causes of infertility today.

Expert commentary

According to statistics, in 30% of cases the cause of infertility is the absence or irregularity of ovulation. These are data that were recorded in Russia, but they are also confirmed by our foreign colleagues. Therefore, we can say that 30% is a global statistical indicator.

Causes of anovulation

Should ovulation occur with every menstrual cycle? It turns out not! Normally, a woman goes through several cycles a year without ovulation - reproductive system arranges a kind of “vacation” for himself. The older a woman is, the more often her ovaries strive to rest, so the chances of quick conception decrease after 35-40 years.

Among the pathological causes of ovulation, work disturbances come first. endocrine system, inflammatory diseases, structural features of organs and stress conditions.

Expert commentary

First of all, the reason for the lack of ovulation is changes in hormonal levels. It could be:

• dysfunction of the thyroid gland;
• dysfunction of the pituitary gland;
• improper production of prolactin levels, which leads to an imbalance of the hormones FSH and LH.

In addition, ovulation may be absent due to inflammatory processes in the body.

How is anovulation diagnosed?

It would be a misconception to think that you can diagnose “anovulation” yourself based on basal temperature charts or pharmacy ovulation tests. Their results should serve as a basis for contacting a doctor and undergoing medical examination. It is also impossible to make a diagnosis from one ultrasound; several such procedures will be required.

Expert commentary

Anovulation can be diagnosed in two ways. First, you can do a progesterone level test. Secondly, ultrasound monitoring can be performed. Usually ultrasound is done 4-5 times during the cycle. This is usually enough to make a diagnosis.

Medicinal methods of stimulating ovulation

THERE ARE CONTRAINDICATIONS SPECIALIST CONSULTATION REQUIRED

Today, there are four main types of drug stimulation of ovulation:

Antiestrogenic drugs(Clostilbegit, Serofen, Clomid). These drugs in tablet form are the most frequently prescribed today; they are the most affordable among ovulation-stimulating drugs. The main effect of these drugs is to increase the levels of FSH and LH. However, the prescription of anti-estrogenic drugs should be approached with great caution: the slightest violation of the dosage can lead to hyperstimulation, which threatens polycystic ovary syndrome, their depletion and early menopause. In addition, it is recommended to conduct no more than six courses of such therapy in a lifetime. This means that the use of these drugs must be carried out under the very strict supervision of a doctor.

A milder scheme of action on the ovaries is considered to be treatment with injections based on human menopausal gonadotropin(eg Menogon, Pergonal, Menopur). These drugs are synthesized from the urine of menopausal women. They contain the hormones LH and FSH, which are responsible for regulating the menstrual cycle and maturation of follicles (and therefore help trigger ovulation).

Currently considered the most effective and safe recombinant FSH(Puregon, Gonal-F). These drugs are the most expensive. They are received in laboratory conditions method genetic engineering, they are practically free of impurities and are as close as possible in their action to the natural hormone FSH.

In some cases, injections of drugs containing human chorionic gonadotropin (hCG)(for example, Ovitrel, Pregnyl, Horagon, Profase). This drug is used in situations where follicles mature and develop on their own, but then regress and do not release an egg, as well as in IVF and AI schemes. HCG stimulates the rupture of a mature follicle, which releases an egg ready for fertilization into the fallopian tube.

Important: If you decide to undergo drug stimulation of ovulation, you need to make sure that your spouse does not have problems conceiving - current spermogram results are required!

Expert commentary

Stimulation can be carried out with anti-estrogenic drugs and gonadotropins. Antiestrogenic drugs at one time deservedly received priority, because at that time there was no good offer for gonadotropins.

Usually, they begin to stimulate ovulation with anti-estrogenic drugs (if the effect is not obtained, they switch to gonadotropins). Antiestrogenic drugs are cheaper than all other stimulation drugs. But they have a number of negative properties. Firstly, they provide negative influence on the endometrium (and when pregnancy occurs, the endometrium should be very good). Antiestrogenic drugs should not be prescribed to women with initially thin endometrium. Secondly, they cannot be used in unlimited quantities - the course can be designed for a period of 3 to 6 months. Today in our medical center do not use anti-estrogenic drugs due to side effects.

We stimulate with gonadotropins, FSH, and hCG hormones. The drugs are selected individually for each woman. For example, there is an opinion that urinary gonadotropins are more suitable for those patients who are over 35 years old. In general, gonadotropins are more effective than estrogen drugs.

The hCG injection is given once during stimulation (within one cycle). HCG is included in gonadotropin (or estrogen) therapy.

Home methods to stimulate ovulation

THERE ARE CONTRAINDICATIONS SPECIALIST CONSULTATION REQUIRED

What can you do at home to help your ovaries? We have collected the most popular “home” methods of ovarian stimulation and asked a specialist to comment on them.

Herbs

It is known that many plants contain phytohormones - substances whose effects are similar to human hormones. It is these properties of plants that many use in home practice. We have collected several herbs to stimulate ovulation, which are most often heard in the recommendations of “experienced” people.

Sage (decoction). Sage contains phytoestrogen - a substance plant origin similar to human estrogen. It is believed that sage decoction promotes the formation and growth of follicles, so it is recommended to take it in the first phase of the cycle.

Attention! Sage has many contraindications: it is dangerous for polycystic ovary syndrome, fibroids, endometriosis, pregnancy, and lactation.

Linden blossom (decoction). Linden flowers also contain phytoestrogens, so if there are no contraindications, linden tea can also be drunk in the first half of the cycle. Unlike sage infusion, which is noticeably astringent, it is also delicious!

Red brush (decoction). This plant is known as “the most feminine”; it is believed that a decoction from it can help restore the balance of estrogen and progesterone - hormones that play important role in the maturation of follicles, the release of the egg and the further development of pregnancy.

Rose petals (decoction). This is perhaps the most romantic and mysterious way to bring ovulation closer! 1 tbsp. l. rose petals (it is better, of course, to take it from your own garden, rather than buy it in a store) you need to pour a glass of boiling water and leave in a water bath for 15 minutes. Ready! Take 1 teaspoon before bed in the first half of the cycle. The “magical” properties of this decoction are explained high content vitamin E.

Do not self-medicate - be sure to consult with your doctor whether you can take this or that decoction - almost all herbs have contraindications.

Spa treatments

Healing mud. Medical mud wraps are a well-known sanatorium method of healing. Therapeutic mud enhances hormonal activity, helps eliminate inflammatory processes and promotes recovery reproductive functions. Such wraps and mud applications can be done independently at home - after consultation with your doctor, of course.

Baths with kelp. Another pleasant home method, which is very often recommended, without, however, explaining the subtleties of the mechanism of its effect, is stimulating baths with kelp. You can buy dry kelp at a pharmacy, steam it thoroughly and add the resulting infusion to the bath. Among other things, kelp is also an excellent anti-cellulite remedy - so the benefits are guaranteed!

Diet

To normalize hormonal background all remedies (especially those approved by the doctor) are good! For example, a diet that includes foods that stimulate the production of estrogen. It is worth paying attention to:

• pineapples;
• soybeans and legumes;
• grenades;
• carrot;
• pumpkin and sesame seeds;
• full fat milk;
• spinach;
• sprouted wheat.

Vitamins

We wrote about the undoubted benefits of vitamins during pregnancy planning in. Taking vitamins such as folic acid, E and C actually increases the chances of successful conception. But it is unlikely that vitamins will help trigger ovulation in case of serious pathological disorders.