Does artificial insemination require ovulation induction?

Artificial insemination requires ovulation, mainly because this method is a common in vitro fertilization method. It is a process in which sperm and eggs are fertilized externally and then transplanted into the mother's body for development. This process requires the extraction of eggs from the female body, so it is necessary to use ovulation-inducing methods to allow female friends to release more eggs, and then select the best quality eggs to combine with sperm. Only when they successfully combine into a fertilized egg can it be considered artificial insemination.

Does artificial insemination require ovulation injections?

If the egg does not grow as expected, the doctor can perform ovulation induction treatment based on the specific situation in order to control the time of ovulation, but some people cannot ovulate at the regular time after taking the medicine. It could be earlier or later.

The ovulation-stimulating injection contains two gonadotropins, FSH and LH, which can promote the development and maturation of follicles and the secretion of estrogen. If the pituitary gland and ovary have certain functions, the positive feedback effect of estrogen produced can indirectly cause the pituitary gland to secrete sufficient amounts of LH and induce ovulation. If the pituitary function is low, chorionic gonadotropin is needed to induce ovulation and maintain corpus luteum function. In short, ovulation-stimulating injections can stimulate ovulation in the human body, which to a certain extent is helpful for older women to become pregnant, or help women conceive twins.

After a woman takes an ovulation-stimulating injection, the probability of ovulating more than one egg during the ovulation period greatly increases. The combination of multiple eggs and multiple sperm will produce multiple fertilized eggs, leading to multiple pregnancies. According to the laws of nature, the probability of a human being becoming pregnant with twins is only one in 100,000 to 200,000, but if ovulation-inducing drugs are used, this probability will reach 20% to 30%. Therefore, many people start using ovulation-stimulating drugs to increase their chances of having twins.

Ovulation-stimulating injections are not a panacea for having a child; they also have many contraindications and risks. The effect of ovulation-stimulating injections on older women is not high. This is because women’s ovarian function begins to decline after the age of 35, and the quality of ovulation induction is not high, so the failure rate is also very high. In addition, people with ovarian diseases, asthma, heart disease and other diseases are not suitable for ovulation-stimulating injections.

Ovulation-stimulating injection treatment varies from person to person, and the injection dosage is also different. Common clinical adverse reactions include ovarian hyperstimulation syndrome. In mild cases, there is a feeling of fullness or pain in the stomach and pelvis, and symptoms such as abdominal pain, bloating, nausea, vomiting, and diarrhea may occur. Moderate and severe adverse reactions may cause ascites and pleural effusion, ovarian enlargement, and irreversible electrolyte imbalance, or even death.

Precautions for taking ovulation-stimulating injections

Since ovulation-stimulating injections may cause adverse reactions, in addition to controlling the dosage during the injection, women must also adjust their physical condition to increase the chance of pregnancy.

1. Perform a comprehensive pelvic examination to understand the size of the ovaries, especially after the estrogen concentration begins to rise, and check every day until at least 2 weeks after adding chorionic gonadotropin;

2. Measuring basal body temperature every day helps to understand ovarian ovulation.

3. Examination of cervical mucus helps to understand the maturity of follicles or whether ovulation has occurred.

4. Estrogen excretion measurement: After using this product for one week, collect urine or draw blood to measure estrogen every day. Only start using chorionic gonadotropin 24 hours after the estrogen peak. If the estrogen value is too high, it is not advisable to give a large amount of HCG to avoid excessive stimulation of the ovaries.

5. b-HCG immunoassay to detect early pregnancy.

6. For patients with high LH values, such as polycystic ovary syndrome, gonadotropin containing only 75 units of FSH should be used.