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Medications are used to treat infertile women who have an ovulation problem. Clomiphene
is most often prescribed to those patients who have been found to have an abnormality
with their cycle.
Clomiphene is usually prescribed for five days each cycle, usually beginning on
day three or five. Of all women treated with clomiphene 60% to 80% will ovulate
normally. Injectable hormonal preparations are also used to induce ovulation in
women who do not respond to oral medicines. Response to these drugs is monitored
by frequent vaginal ultrasounds. At a time in the cycle when the ovarian follicles
reach a designated size, an injection of the hormone HCG is given to trigger ovulation.
Ovulation usually occurs 36-48 hours after the HCG injection. Thus, intercourse
or insemination should be timed accordingly.
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