ovarian stimulation- back to basics

Ovarian Stimulation Back to Basics Dr Parul Sehgal Incharge IVF, Maharaja Agrasen Infertility and ART centre Maharja Agrasen Hospital, Punjabi Bagh, New Delhi-26

Road to Infertility can be Tough and Tiring

Treatment may involve advanced infrastructure delicate hormone balancing careful handling of gametes

But in the end once inside the mothers body nature take over

END RESULT IS TRULY A NATURES GIFT

INFERTILITY FACTS ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

To look for the cause ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anovulatory Infertility WHO CRITERIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

WHO GP II ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Basics of ovarian stimulation ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Contd…) On the D2/3 of cycle

Normally follicular size at D2=3-5mm ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ovarian stimulation ,[object Object],[object Object]

CLOMIPHENE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clomiphene as a choice ,[object Object],[object Object],[object Object],[object Object],[object Object]

Why my patient did not respond to CC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What can be done ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Extended Clomiphene therapy stair step protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Side effects of Clomiphene ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LETRAZOLE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Stimulated with CC/Letrazole IUI Anovulation/ Irregularovulation For Better Results

STIMULATED IUI ,[object Object],[object Object],(Contd…)

Not meant for: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HOW DOES IUI HELP ,[object Object],[object Object],[object Object],[object Object]

Over response with ovarian stimulation for IUI

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

IUI IN OLDER AGE GROUPS ,[object Object],[object Object]

Case 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What other test ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Failed to Conceive ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Case 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],(Contd…)

Aggressive workup needed considering (her age) ,[object Object],[object Object],[object Object],[object Object],[object Object]

3 more cycle of IUI with CC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Case -3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

As treatment revolves around these basic parameters,we have answers for all our failures and as we work on our patient, we know ,[object Object],[object Object],[object Object],[object Object]

Poetry of reproduction will go on….. Thank you

ovarian stimulation- back to basics

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