Ovulation

Some women will ovulate occasionally rather than regularly or not at all.
Very often these women will have irregular and sporadic menstrual cycles.
This can often be treated simply with a tablet called Clomid/Serophene.

Some people will not respond to this and will require daily injections of gonadotrophic hormones.
These are known by the trade name of Puregon or Gonal F. This is a highly effective treatment.

There is an increased risk of multiple pregnancy with this treatment and it is usual to monitor this with ultrasound assessment and / or blood tests to avoid this.

One can generally achieve pregnancy rates of approximately 70% over a few cycles of treatment.
Some of these patients may have other problems with their fertility which necessitates more complex approaches.