Treatments with medicine
There are currently some medicines that stimulate the fertility of the ovules. In past years, these treatments used to produce multiple pregnancies, a situation that has been corrected thanks to the fact that nowadays we know more over the dosage, in addition to the fact that the treatment is controlled and supervised.
The use of Clomifene
Depending on what your doctor determines, Clomifene is used as a medicine for fertility. It is taken during five days at the beginning of each menstrual cycle. This medicine incentivates the Folicule Stimulation Hormone (HEF) through the folicular gland. Its acts over the ovaries and usually stimulates the maturity of the folicule after ovulation (between five to ten days after the last pill). Its advantage relies on the fact that it has low leves of secondary affectation and a reduced percentage of multiple pregnancies. Among the secondary effects a possible link has been found among ovaric cancer after twelve cycles, for which it is suggested to be abandoned on the sixth cycle to give the opportunity of a TRA (treatments for infertility).
Policyst Ovary Syndrome (SOP)
If you suffer from SOP and after six months of treatment with Clomifene you have not been able to ovulate or conceive, your doctor may suggest a surgery called Perforation of the ovary, which consists in practicing holes in the surface of the ovary with diatermia and laser to stimulate ovulation. Moreover, it is possible to administer an injection of HEF. The treatment has a high degree of success, after three cycles.
The weight loss is a solution to the SOP, although ovulation still needs to be stimulated. Upon reducing body weight, may women recover their capacity to ovulate. It must be clarified that a woman with overweight cannot be submitted to treatment, as it increases the level of problems during pregnancy.
Medicines: Clomifene to induce ovulation, or HEF injection in women with resistence to Clomifene.
The deficiency of GnRH
The “hypothalamus” infertility with amenorrea is caused due to the absense of the GnRH hormone (releasing factor of the gonadotropina), produced in the hypothalamus, with role is to force the pituitary gland to release HEF and HL, same that stimulate ovulation. Substitute hormones tend to be used in case of absence of the GnRH, that are usually administered through intravein transfers that imitate hormonal secretion.
Is a microsurgical technique applied to an obstructed Fallopian tube. When it is released, an ovule may enter in the tube and find a sperm after advancing a third of the way, in order to achieve insemination.
If you have high levels of prolactine in the blood, this may impair hormonal discharges of GnRH, preventing ovulation and, therefore, conception. Bromocriptina may be used to solve this problem, a treatment that impairs the production of prolactine so the ovaries can work better. Its administration is distributed three times a day, due to its easy elimination. Some new medicines are taken once a day, inclusively, once a week.
There are no cases of abortion, premature labor, anomalies or multiple pregnancies with this treatment.