Dr. Ankita Kaushal - infertility and IVF Doctor in Mumbai

Ovulation_Induction (OI):- Various oral and injectable hormonal preparations are used for ovulation induction. Which one will be used for your Fertility treatment depends on a few factors - what is your ovarian reserve ( AMH + AFC), which treatment is planned ( Timed Intercourse /IUI/ ICSI/ IVF), do you have any other factors such as PCOS, extremely low ovarian reserve, previous surgery on the ovaries ( for cyst, endometriosis). The dose also depends on your weight, BMI at the time of the treatment. Ovulation induction agents :  Oral - Tablets - Clomiphene Citrate, Letrozole   Injectable - HMG ( Urinary/ Highly purified) ; Recombinant hormones  Duration of Ovulation Induction :   It starts on day 2 or day 3 of your menses ( periods); usually, continue for the next 12 days. Usually, by day 14/15 the developing follicles reach a size enough to Harbour a mature oocyte ( egg) What can go wrong with my Ovulation Induction cycle :   ...

Antral Follicle count is the total number of follicles in both ovaries, between 2-10mm, seen on a transvaginal ultrasound during the early follicular phase, between day2-4 of your menstrual cycle. It is a very important marker for ovarian reserve. If AFC is less than 5 then it is labeled as a poor ovarian reserve. Between 5-15 is considered normal. 15-25 is high AFC and >25 is seen in PCO patients. In recent studies, AMH ( antimullerian hormone) is said to have clinical significance only if AFC is poor (<5). If so then AMH and AFC both are considered to make a diagnosis of the poor ovarian reserve. AMH does not have much role when AFC is normal or high. A baseline scan on Day 2/3 of your menses is an important scan in your initial evaluation for subfertility . Dr. Ankita Kaushal www.drankitasfertilitycenter.com