Stimulation of ovulation by Klostilbegitom: in what cases and how is it applied?
The decision that, how much will be justified stimulation of ovulation Klostilbegitom and whether it is necessary to resort to a preparation, is accepted by the doctor - after preliminary inspections and analyzes. So, before prescribing the drug, it is necessary to establish that a hindrance to normal conception is specifically the absence of ovulation, and not some other factor. After all, infertility can be due to a variety of other causes, for example, tube obstruction, problems with endometrium, hypothyroidism, or hyperprolactinemia. In addition, the probability of a male factor should be excluded - in the process of examinations the spouse will have to pass a spermogram to the fertility of sperm.
Stimulation of ovulation Clostilbegitom is carried out only after the package of analyzes has been handed over and the absence of ovulation is confirmed by regular ultrasound monitoring. Using the ultrasound examination, a specialist will determine whether the follicle does not really develop, and possibly develops, but, not reaching the right size, development stops, which makes ovulation impossible. And in this case, the main task of Klostilbegit is to stimulate the growth of the follicle, from which then comes the ready-to-fertilize egg.
Stimulation of ovulation Clostilbegit: treatment regimen
The doctor always determines the treatment and dosage of the drug - after the tests and examinations, taking into account individual indices. Treatment is provided for complex and necessarily - with ultrasound-control. Usually stimulation of ovulation by Klostilbegit begins in the interval between the 5th and 9th days of the menstrual cycle - it all depends on the results of the tests. The drug takes 5 days, after which ultrasound monitoring is mandatory: ultrasound will help to track the growth rate of the follicle, as well as the size and condition of the endometrium. Then, at normal rates, a shot of the preparations of the chorionic gonadotropin is shown, after which the ovulation usually occurs after 24-36 hours. The doctor will talk about the most optimal "schedule" of sexual activity for this period in order to achieve the best results.
If in the first cycle ovulation stimulation by Klostilbegit results did not result, the drug can be assigned in the subsequent cycle, while - in a higher dosage. In total, Clostilbegit is recommended to resort to stimulation no more than 6 times in the whole life - otherwise Clostilbegit can cause hyperstimulation, which in turn leads to the formation of cysts. Besides, Hyperstimulation is dangerous by ovarian malnutrition and the onset of early premature menopause.
Stimulation of ovulation Clostilbegit: contraindications and side effects
Do not prescribe Clostilbegit to women who have been identified with insufficiency or an ovarian cyst, endometriosis. The drug is also contraindicated in the case of renal or hepatic insufficiency, metrorrhagia (uterine bleeding) of unknown origin, with hypersensitivity, and, of course, during pregnancy.
The list of possible side effects associated with taking Klostilbegit is quite wide. Among them - dizziness and headache, nausea and vomiting, pain in the lower abdomen, flushes to the face, increased excitability or, conversely, drowsiness, increased frequency of urination and some others. For the time of stimulation of ovulation by Klostilbegit, experts advise to give up alcohol - first, alcohol is generally undesirable to use during the preparation for pregnancy, and secondly, alcohol increases the risk of developing or exacerbates already manifested side effects.
Stimulation of ovulation Clostilbegit: effectiveness and characteristics
Usually, if pregnancy occurs as a consequence of taking Klostilbegit, it happens in the wrong cycles for which the drug should be taken, but in between courses. The probability of successful conception with stimulation by Klostilbegit is 10-13% per course, and with each course increases. Stimulation of ovulation Klostilbegitom initially should not exceed 3 courses - if after their results the result is not achieved, it is desirable to undergo a second examination. In total, "allowed" courses, as mentioned above, during life should not be more than 6-in this case the maximum effectiveness of the drug reaches 30-60%.
It should be borne in mind that stimulation of ovulation by Klostilbegit often results in multiple pregnancies: in 5-10% of cases of treatment, pregnancy ended with the birth of twins. In addition, more dangerous variants of the development of events against the background of stimulation by Clostilbegit are possible - ectopic pregnancy and apoplexy (rupture) of the ovary. And so, too, the stimulation of ovulation by Klostilbegit is always mandatory under the supervision of a doctor and with the use of ultrasound.