Ovulation Induction In Pcos Ppt
The four most common ovulatory disorders include hypogonadotropic hypogonadism ha polycystic ovary syndrome pcos primary ovarian insufficiency poi and hyperprolactinemia see clinical manifestations and evaluation of hyperprolactinemia.
Ovulation induction in pcos ppt. To compare the effectiveness and safety of gonadotrophins hormones that regulate the reproductive system as a second line treatment to stimulate ovulation in women with pcos who do not ovulate or conceive on clomiphene citrate. Azziz r carmina e dewailly d et al. Infertility due to ovulation disorders is the most common reason for women to seek counselling or treatment. Bart c j m fauser et al.
Cc metformin improves ovulation and pregnancy rates compared with cc alone in women with cc resistant pcos. Induction of ovulation by mohamed elmahdy 2. Unfortunately many pcos women both lean and obese behave erratically during ovulation induction sometimes leading to ovarian hyperstimulation syndrome which can become a serious iatrogenic complication. Induction of ovulation super ovulation 3.
Doppler when pi was 3 0. Letrozole is a reasonable first line agent for ovulation induction. Revised 2003 consensus on diagnostic criteria and longterm health risks related to polycystic ovary syndrome pcos the rotterdam eshre asrm sponsored pcos. Ovulation induction is a form of treatment which involves stimulation of the ovaries to bring about development of a ripened egg which can then be fertilized by a normal act of intercourse.
Use of an aromatase inhibitor for induction of ovulation in patients with an inadequate response to clomiphene citrate. However more studies are. View and download powerpoint presentations on ovulation induction ppt. The uterine doppler flow indices have a high negative predictive value and sensitivity in the ranges of 88 to 100 and 96 to 100 respectively donald school journal of ultrasound in obstetrics and gynecology april june 2010.
Low dose of oral contraceptives are effective in. Pretreatment with metformin for at least 3 months followed by the addition of another ovulation inducing drug increases the live birth rate. Clomifene citrate competitive inhibitor of estrogen receptor is the standard method of medical ovulation induction in anovulatory women.