DocUS
How many days of injections are needed for ovulation induction?
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Dr. Margaret Bates, MD
1245 Wilshire BlvdLos Angeles, CA 90017 ob-gyn
Expert Medical Information
For standard ovulation induction therapy, FSH/HMG injections typically begin on days 3-5 of the menstrual cycle. The initial dosage is 75 IU per day administered intramuscularly. When the cervical mucus score exceeds 8 points and a single follicle reaches a diameter greater than 18 mm, HMG is discontinued, and an intramuscular injection of HCG 5000-10000 units is administered. Ovulation usually occurs 36-48 hours after the HCG injection, and patients are advised to have intercourse on the second and third days following the HCG injection. If ultrasound shows no response in follicle size after 7 days of FSH/HMG treatment, the dosage is increased to 150 IU per day. If there is still no change after one week, the dosage is further increased to 225 IU per day until follicle maturation is achieved. The required dosage, frequency, and duration of ovulation induction injections vary depending on the individual's follicular development.
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Diagnosis typically involves a physical examination, medical history review, and possibly laboratory tests or imaging studies depending on the suspected cause.
Treatment options vary based on the specific condition, severity, and individual health factors. They may include medication, lifestyle changes, physical therapy, or in some cases, surgical intervention.
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