If a woman has problems with the onset of ovulation or she is completely absent, then it is very difficult for such a woman to conceive and bear a child. In medical practice, ovulation stimulation with the help of hormonal agents is used to eliminate this problem.
But not every woman wants to immediately start taking medications that can cause malfunctions and complications in the body. To begin with, a woman should try to stimulate ovulation through simple and safe folk remedies. How can I restore ovulation and get pregnant?
Signs of ovulation disorders
The following symptoms often indicate the absence of ovulation in a woman:
- irregular periods with a short or long range of occurrence;
- regularly reduced body temperature;
- problems with menstruation;
- heavy menstrual bleeding.
How does stimulation help?
Is it possible to restore ovulation and get pregnant? Doctors prescribe ovulation stimulation only if there isdirect indications, since if a woman's reproductive system is in a normal state, then she independently produces eggs that are ready for fertilization.
Ovulation in a woman of childbearing age who has no he alth problems is the process of the release of a mature and ready for fertilization egg from the follicle. The release of the egg is preceded by a long preparation. Once a month, several dormant eggs are activated under the influence of hormones and begin to increase significantly. Already after 10 days, a dominant follicle with a size of 15 to 20 mm emerges from them.
After the egg is fully mature, the follicle shell will begin to break down. In this case, the egg enters the abdominal cavity, and then passes into the fallopian tube. In this place, she continues to stay for 24 hours, waiting for fertilization. If for some reason this does not happen, then the egg dies and is excreted from the body along with menstruation. This natural process is repeated every month. Most often, only one egg takes part in ovulation, but in some cases there may be more. At the same time, the woman gives birth to twins.
Some women of childbearing age who are ready to become a mother both morally and physically, conception does not occur due to the fact that their ovaries do not form a full-fledged egg. If fertilization does not occur within 6 cycles, then the doctor may prescribe the woman to conduct ovulation stimulation.
The main purpose of this procedure is to assist the body in the formation of a whole egg,ready for fertilization, and push her to exit the follicle. The principle of operation of this method is aimed at influencing the ovaries of certain drugs in order to enhance the production of hormones that are so important for the ovulation process.
Ovulation stimulation for fertilization is prescribed by the treating specialist if the woman has:
- anovulatory infertility: polycystic ovaries, hormonal problems that cannot be treated with simple methods, excess or, conversely, underweight in the patient;
- artificial insemination through IVF will soon be carried out;
- infertility of unknown origin.
Diagnostics
Before carrying out the restoration of ovulation, the doctor without fail prescribes to the patient a lot of examinations, both laboratory and instrumental.
The main purpose of their conduct is to determine the main contraindications to the procedure:
- problems with the hormonal system;
- the process of inflammation of the ovaries and pelvic organs;
- problems with patency of the fallopian tubes.
The main contraindication for restorative measures is the age of a woman over 35 years old, since in this case the risk of having a child with developmental anomalies and diseases increases significantly.
Instrumental research:
- examination by a therapist, which helps to determine the presence of diseases during which childbearing is underban;
- ECG;
- Ultrasound of the pelvis or chest;
- examination of patency of the fallopian tubes by laparoscopy or fluoroscopy with contrast agents;
- folliculometry.
Laboratory tests
The main laboratory tests include:
- HIV antibodies;
- RW (treponema pallidum antigens);
- carrying out sowing to detect candidiasis and trichomoniasis;
- PCR - taking a swab from the genital tract to determine mycoplasmosis, gardnerella and ureaplasmosis;
- examination of smears taken from the cervical canal for atypical cells;
- detection of antibodies to rubella, chlamydia, toxoplasmosis;
- determination of the amount of female hormones, thyroid hormones, testosterone and prolactin in the blood (performed many times).
After conducting a comprehensive study and obtaining a conclusion that there are no diseases that may prevent the fertilization of an egg or lead to the birth of a child with a disease, it is important to assess the ovarian reserve. Such an examination helps to determine:
- chance of getting a good effect during ovulation stimulation;
- stimulation intensity;
- what is the best stimulation method to choose;
- what drugs should be selected for stimulation, as well as what dose should be used.
To determine the state of the ovarian reserve, a woman needs to take a blood test after taking hormonal drugs. After receiving the resultsresearch, the doctor determines exactly whether artificial stimulation should be carried out.
Hyperovulation Method
Which stimulation method to choose? Stimulation of ovulation can be carried out by various methods, in which the scheme, dose and duration of therapy are indicated in detail. The doctor chooses the method of examination, taking into account the following factors:
- result of ovarian reserve assessment;
- women's weight;
- effect of previous stimulations (if any).
All drugs used at the time of stimulation are classified as hormonal, but they differ from each other in the type of hormone on the basis of which they were produced. Luteinizing or follicle-stimulating are used to preserve the functions of the egg and its accelerated development. Missed ovulation - how to restore it?
Specialists distinguish the following main methods of ovulation stimulation:
- Means based on HMG, which include FSH and LH hormones in the same amount. These include "Pergonal", "Menopur", "Menogan".
- Drugs with FSH in the composition: the principle of operation of such hormones is very close to the natural process.
- Medications based on the action of which is to reduce the amount of estrogen and increase FSH to the desired amount.
- Hormonal drugs that help to quickly break the follicle membrane and ensure a quick release of the egg.
Most often, when compiling treatment, doctors prescribe a combinedstimulation.
Time
Stimulation of ovulation is recommended to be carried out no more than 6 times, as it can provoke ovarian exhaustion. If, as a result of the procedures, the desired fertilization does not occur, then the attending physician chooses another method of therapy.
Treatment stimulation during basic IVF can last in different ways:
- ultra-short stimulation - lasts 8 to 10 days;
- short - only 10 to 12 days;
- long - lasts from 21 to 28 days;
- super long procedure - stimulants are used for several months, most often prescribed for advanced endometriosis.
Principle of the procedure
Ovulation stimulation is carried out under the strict supervision of the attending physician, since regular monitoring of the condition of the ovaries and control of possible adverse reactions is very important with it.
Ovulation stimulation during a long procedure includes the following steps:
- Pituitary blockade with agonists or antagonists. The procedure is scheduled for 20-25 days of the cycle and lasts about 17 days.
- Ovarian stimulation with gonadotropin products lasts for 12-17 days.
- The stimulation injection is given 24-36 hours after the end of the use of medicines.
- Maintenance of the corpus luteum of the ovaries with injections or progesterones.
Short stimulation coincides with the time of a woman's monthly cycle. It starts on day 2-5after the onset of menstruation and lasts about 17 days. The stimulation process is carried out in conjunction with the suppression of the pituitary gland. There are several methods of stimulation with gonadotropins: with agonists and antagonists. Stimulation through antagonists is more effective and safer, since the risk of sudden ovulation in this case is very small.
When conducting stimulation throughout its duration, it is very important to perform ultrasound monitoring.
Since the drugs used during ovulation stimulation are usually hormonal, some women may experience the following problems during therapy:
- excessive sweating;
- sleep problems;
- severe pain in the lower abdomen, lower back and ovaries;
- hot flash;
- pain in the head;
- severe bloating;
- severe anxiety, overexertion, fatigue.
However, many women say that during the stimulation process they do not experience unpleasant symptoms.
Effect of therapy
The effectiveness of the procedure will directly depend on several features. These include:
- reasons for not ovulating;
- woman's age;
- type of drug used;
- presence of problems that can lead to infertility.
In general, with the correct stimulation of ovulation, in 75% of cases, the maturation and release of the egg ready for fertilization occurs. But in 15% of women, the desired conception occurs already withfirst time. For the rest, doctors prescribe two or three cycles. How to restore ovulation? Reviews of stimulation-related procedures are mostly positive.
Folk remedies
Chronic problems with ovulation require urgent treatment, otherwise they can cause infertility. It is possible to stimulate the maturation of eggs using conservative methods. How to restore ovulation with folk remedies? This method is considered quite safe, so today many women use this method to improve the he alth of the reproductive system:
- Sage is a good helper for a woman's hormonal system. A decoction is prepared by the following method: 250 milliliters of hot water and a spoonful of sage are taken. The mixture is infused for 20 minutes. The drug is used in 60 ml 3 times a day, starting from the 7th day of the menstrual cycle. Reception of the decoction lasts 10 days for 2 months. Then they take a break for three months and repeat the course again, but from the 4th day of the cycle.
- How to restore ovulation with folk remedies? To restore ovulation, it is recommended to take a decoction of psyllium seed with lime blossom. To prepare it, the two components are mixed in equal proportions. After one spoonful of the dry mixture is poured with hot water and continue to cook on a steam bath for 15 minutes. The remedy is taken 1 tablespoon 4 times a day.
- A good effect in restoring ovulation can be achieved if you use Adam's root tincture. It is prepared according to the following scheme: for 1 tea cup is taken1 tablespoon of vegetable raw materials, the product is poured with hot water and infused for 2.5 hours under the lid. Take strained decoction 2 tablespoons three times a day for 3 months.
Reviews of how to restore ovulation with folk remedies during stimulation are rather ambiguous. It is important to remember that with an overdose of sage, there is a high risk of getting mastopathy (against the background of a violation of the amount of hormones in the body). You need to take any folk remedies to restore ovulation very carefully.
Treatment for polycystic disease
How to restore ovulation with polycystic ovaries? To begin with, the doctor prescribes an ultrasound and a blood test for hormones. If the diagnosis is confirmed, then the specialist makes a long and effective treatment. The course of therapy will consist in restoring the menstrual cycle, and in case of its violation, in the normalization of the amount of hormones, weight correction, and after infertility treatment.
Recovery of ovulation includes the following steps:
- using hormone replacements from weeks 5 to 9 to help stimulate follicle growth;
- observation of the formation of follicles through ultrasound;
- when the desired size of the follicle is reached, an hCG injection is given to start the ovulation process and facilitate the release of the germ cell;
- for successful fertilization, experts advise having sexual intercourse on the day of the injection and the next after;
- from the 17th day, the second phase of recovery begins - the replacement of progesterone, whichimportant for preserving the conception that has already occurred;
- additional ultrasound, which is performed on the 17-18th day to accurately determine the output of the cell.
When carrying out such procedures, the amount of hormones in the body increases significantly, which provokes the rupture of several follicles. As a result, this leads to the fertilization of several cells. At the same time, the woman gives birth to twins.
Follicular cyst removal
If a follicular cyst occurs, how to restore ovulation? Treatment of such a pathology will be carried out with the help of drugs. At the same time, the doctor prescribes non-steroidal anti-inflammatory drugs, according to indications - hormonal drugs. Most often, the follicular cyst resolves on its own after 1-3 menstrual cycles. After that, the woman should regularly visit the gynecologist for all 3 months.
If conservative treatment does not give the desired result, then a planned laparoscopy and husking of the cyst are performed. At the same time, the doctor tries to preserve as much he althy tissue as possible.
If any complications suddenly appeared during the treatment, then an urgent operation should be performed. Before starting it, the patient should adhere to bed rest, and also from time to time put cold on the stomach.
A laparoscopic approach is used, during which instruments and a video camera are inserted into the woman's abdominal cavity through a small puncture in the abdominal wall. In the presence of he althy ovarian tissue, the cyst is husked. In the presence of a large number of formations,intra-abdominal bleeding, torsion of the peduncle cyst, or during menopause may require removal of the ovary.
Treatment after surgery is aimed at rehabilitation and normalization of the ovaries. For this, vitamin supplements and oral contraceptives are used. The prognosis of the disease is positive. Most often, the disease can be effectively treated, but relapses are not excluded.
