STEP TWO. CONSERVATIVE TREATMENT. CONTROLLED OVULATION INDUCTION

The purpose of controlled ovulation induction is to grow 1-2 dominant follicles in the cycle and induce ovulation, after which we let the patient go home and proceed with her sex life or perform insemination at clinic. Who can be a candidate for controlled ovulation induction? Logically, we would suggest this method to young patients with permeable fallopian tubes and good sperm, whose only problem is anovulation. Among these would be patients with polycystic ovary syndrome (PCOS), hypogonadotropic hypogonadism with/without amenorrhea (a fairly rare group of patients with very low FSH and LH who in some cases do not have a menstrual cycle), patients after laparoscopic surgery on the fallopian tubes or ovarian drilling. In the latter case, it would be reasonable to work on ovulation more intensely over a period of 6 months so that to increase chances for pregnancy.

These are in fact all the candidates for the stimulation of ovulation.

If your own cycle is ovulatory, the sperm of your partner is of proper quality and your fallopian tubes are permeable, there is no sense in offering you Clostilbegyt or low doses of gonadotropin.

We have to admit, for some couples the diagnosis we will make will not be any more specific than "Infertility of undefined origin". According to various data, a diagnosis like this is given to 10-30% of couples. It does not mean, however, that we do not know what we need to do! The algorithm is clearly defined:

This means that we will not offer you stimulation but will suggest that you proceed with your sex life without our interference for 2 years in total and then, if nothing happens, we will offer you an IVF cycle.
This decision may seem strange to you but please believe that it is based on the analysis of which patients got pregnant and how they managed to do it.