Often hormonal disorders are the cause of infertility. As a hormone treatment takes place and what risks may occur while you deprived read here.
At about 30 to 40% of women affected the unfulfilled desire for children to hormonal disorders goes back. Hormonal treatment enables normal ovulation in this case, so that women can get pregnant naturally or through artificial insemination. In parallel, a cycle monitoring should take place to determine the best time for intercourse or artificial insemination and to exclude the production of several eggs and thus a multiple pregnancy.
Objectives of hormone treatment
Hormone replacement therapy is used in three phases of the menstrual cycle to ensure a successful ovulation:
- Stabilizing the menstrual cycle: A hormone treatment can be used to stabilize the imbalanced a menstrual cycle. This is the case for example in the polycystic ovary syndrome, a corpus luteum weakness and many other hormonal fertility problems.
- Stimulation of oocyte maturation: Fixed part of almost all fertility treatments is now the ovarian stimulation, ie stimulation of oocyte maturation. The best known hormone preparation that is used in this context is clomiphene. But the follicle stimulating hormone (FSH) and Human menopausal (HMG) are used in this phase. The doctor then examined at close intervals the development of the egg cells in the context of a cycle monitoring.
- Triggering ovulation: Ovulation is triggered specifically at a particular time by administration of other hormones. Here Hormones are used to induce ovulation, such as the Human chorionic gonadotropin (HCG). But hormones or delay ovulation are used to prevent premature ovulation and thus to gain more planning security. this is often not left to nature just in the methods of artificial insemination because it increases the chances of success of the treatment if the gynecologist knows the best time for insemination or collection of ova for in vitro fertilization accurate.
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The end of the hormonal treatment
Before hormone therapy begins, a doctor examined the woman thoroughly. The hormone treatment then usually begins on the third day after the start of menstruation. The administration of hormones may take the form of tablets or injections. The maturation of the egg cell is monitored by the gynecologist regularly using the cycle monitoring and ultrasound to determine the time of ovulation accurately. Either ovulation is just waiting, then the woman can test alone or with their attending physician using natural methods or an ovulation test the time of ovulation. Or gynecologist dissolves as soon as the egg reaches the right size, with the administration of another hormone preparation of ovulation. In both cases, a pair receives a recommendation for the best moment of fertilization.
Hormone treatment as part of artificial insemination
Also as part of in vitro fertilization in most cases, hormonal treatment is performed. The goal is a significant increase in the chances of success by generating more befruchtbare oocytes by hormonal stimulation and by controlling the ovulation date wins better planning. This increases both insemination and in an in vitro fertilization success rate. Because with insemination then several eggs are available that can be fertilized by the injected sperm. In the In Vitro Fertilization more eggs can it be removed when puncturing the woman, so they can be fertilized outside the body. However, according to the German law, only a maximum of three fertilized eggs may be reinserted into the woman's body. However, the chance to win three healthy and promising oocytes increases of course still with the hormone treatment.
Chances of success of hormone treatment
In the course of hormone therapy without subsequent artificial insemination in every three women is approximately pregnant. The individual probability of success, however, is highly dependent on the present hormonal disorder.
Risks of hormone therapy
- One of the most dreaded side effects of hormone treatment is the so-called hyperstimulation syndrome. The ovaries are overstimulated and there are very large and many follicles. There may be cysts.
- The probability of multiple pregnancy increases by the strong stimulation.
- In addition to the hyperstimulation syndrome, typical symptoms of menopause such as hot flashes, headaches or depressive moods occur particularly when taking supplements such as clomiphene.
- In addition, other organs such as the uterus can be negatively affected by the hormonal effect, leaving about changes in the cervical mucus occur. The sperm can not penetrate or there is no embryo implantation possible.
Much more information to get pregnant around the natural and "artificial" way, you can find in our areas and "Getting Pregnant" "Artificial insemination". Causes infertility and how to handle it you can find in our area "infertility".