Dr.sathya balasubramanyam

MD DNB MRCOG (UK) FNB(Reprod med)

IVF/ICSI TREATMENT – CONTROLLED OVARIAN STIMULATION

The advent of assisted reproduction techniques has helped in overcoming subfertility to a great extent. They have been a lifeline for many couples who considered Parenthood out of their reach. With the development of technology, procedures such as IVF (In Vitro Fertilisation) and ICSI (Intracytoplasmic Sperm Injection) have seen some improvement in their success rates.

Controlled ovarian stimulation is a significant role to play in these assisted reproduction techniques by using drugs to induce ovulation through multiple ovarian follicles. These multiple follicles are either retrieved or left to mature resulting in superovulation.

IVF - ICSI Treatment in Chennai, Tamil Nadu

Superovulation is termed as the condition where eggs larger than the normal quantity are produced. A normal woman produces a single egg during the time of ovulation. However, in ovarian stimulation, multiple eggs are produced. Controlled ovarian stimulation increases the chances of achieving a successful pregnancy with IVF or ICSI. They increase the risk of multiple pregnancies as well.

Controlled ovarian stimulation is performed after ascertaining the ovarian reserve and response factor of the woman. The antral follicle count can be used as an indicator or measure of the response towards stimulation. This can be done with the help of a transvaginal ultrasound.

The procedure of controlled ovulation stimulation is similar to ovulation induction in women suffering from the condition of ovulation. The stimulation drug to induce ovulation is given to the patient during the early stage of menstrual cycle. Gonadotrophins or injectable FSH (Follicle Stimulating Hormone) drugs are used for the process. This is administered as intramuscular shots or subcutaneous shots.

The medications are started once an ultrasound or baseline blood assessment is done during the early menstrual cycle. Ultrasounds and blood tests, done in frequent intervals help in monitoring the patient's response towards the medications as well as the development of follicles. Ultrasound helps in evaluating the size and growth of follicles.

Once the follicles have reached the ideal stage of maturation they are retrieved by the process called oocyte retrieval. In cases they are left to ovulate, the eggs are extracted through various procedures associated with IVF or ICSI.

The success rate of these procedures is dependent on various factors such as the age, condition and factors contributing to subfertility in the patient. In poor responders, more intensive stimulation procedures are required.

 

 

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DR.SATHYA BALASUBRAMANYAM

Dr. Sathya Balasubramanyam

MD DNB MRCOG (UK)
FNB(Reprod med)
CLOUD NINE HOSPITAL

Clinical Director Fertility

SEETHAPATHY CLINIC AND HOSPITAL

Consultant Reproductive Medicine

SUNDARAM MEDICAL FOUNDATION

Consultant Reproductive Medicine

VIJAYA HOSPITAL

Consultant Reproductive Medicine


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