Early in the stimulation cycle we measure estradiol levels and perform vaginal ultrasounds every couple days to assess growth. Towards the end of the cycle we perform these assessments more frequently to control the timing factors that will maximize the chances of becoming pregnant and minimize side effects. Approximately 34 hours after ovulation, intrauterine inseminations are performed. Intrauterine inseminations use specially prepared and concentrated sperm, which helps to maximize the number of sperm available for fertilization. There are side effects and risks associated with gonadotropin use.
Patients can also experience discomfort in the area of injection.
Massaging the area or applying heat is often helpful. Perhaps the most significant risks of using injectable gonadotropins are multiple gestation and ovarian hyperstimulation. The majority of these pregnancies are twins, however, more than two fetuses can sometimes develop. Vaginal ultrasounds help us to determine how many follicles you have developing, but this is only a guide and not a specific count. If you should develop too many follicles, you may be counseled to stop treatment to avoid the risk of multiple pregnancies.