Fertility medications are used to prepare your body for fertility treatment, such as in vitro fertilization, and to increase the release of more healthy eggs by the ovaries. Dr. Abaé evaluates your situation to determine the appropriate medications for your situation. You may start out with one type, switch to another, or take a couple of different medications.
Most fertility medications come with side effects, but many women find the benefit of potential pregnancy outweighs the discomfort. However, if the side effects become intolerable or begin to mimic the serious side effects Dr. Abaé warned you not to ignore, be sure to contact Dr. Abaé. There are many drugs at many different doses that may be just as effective as the ones causing your difficulty.
Clomid is probably the most widely recognized fertility drug on the market. In generic form, it’s clomiphene citrate. It works by increasing the amount of FSH (follicle stimulating hormone) your pituitary gland secretes. Clomid and drugs like it are used to stimulate ovulation in women who have absent periods, infrequent periods, or long cycles.
Synthetic human chorionic gonadotropin (hCG) is given via intramuscular injections and used to trigger ovulation. Common hCG medications include Pregnyl®, Profasi® Novarel®, and Ovidrel®. There are no known side effects if you’re only taking hCG.
Follicle stimulating hormone (FSH) may be given by injection. When used in this way, FSH bypasses the hypothalamus and pituitary glands to stimulate follicle growth in the ovaries directly.
Medrol is a steroid that may help with embryo implantation. Dr. Abaé may also prescribe doxycycline, an oral antibiotic, to decrease the risk of infection after aspiration of the follicles at the time of egg retrieval.
Progesterone is responsible for thickening your uterine lining so that a fertilized egg can implant. It also helps maintain your pregnancy. It’s typically taken daily, beginning two days after retrieval and finishing when the placenta is creating appropriate amounts of progesterone on its own. Progesterone may be administered through a vaginal gel, suppository, or in a pill.
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