Ovulation Induction at DVIF&G

As our patient you will receive an ultrasound on day 2-5 of your menses to assess the uterus and ovaries. You will also have your blood drawn and meet with one of our nurse practitioners. Later that day, you will receive a phone call with instructions regarding your medication.

Ovulation Induction with Oral Medication

When oral medications are used, such as Clomiphene Citrate, Tamoxifen, or Letrozole, patients will begin taking one of these on days 3-5. The course of medication is typically 5 days. They will return for ultrasound and blood work to be monitored about ten days after they begin medications. Following this visit, ultrasound may need to be repeated every 2 days until a follicle is mature in the ovary. Once it is determined that the patient has a mature follicle and is nearing ovulation, they are given instruction on performing timed intercourse or intrauterine insemination. A trigger shot of HCG may be used to induce ovulation.

Patients return to the office during the second portion of their cycle in order to have their progesterone measured and assess their response to treatment. At this time may be started on progesterone supplementation. They will have their pregnancy test in our office approximately 2 weeks after ovulation. ?

Ovulation Induction with Injectable Medication

Injectable medications can also be used to stimulate the ovaries and are used in conjunction with intercourse, intrauterine insemination (IUI) or in vitro fertilization (IVF). Please be aware that using injections requires frequent blood work and ultrasound visits. Patients typically begin injections on day 3 or 4 of menses and are seen every 2-3 days in the office. This is necessary so medications can be adjusted appropriately. Typically the medications are taken for 9-11 days. Trigger shots of HCG or other ovulation induction agents are used to time ovulation.

Patients return to the office during the second portion of their cycle in order to have their progesterone measured and assess their response to treatment. At this time may be started on progesterone supplementation. They will have their pregnancy test in our office approximately 2 weeks after ovulation. In IVF cycles, patients return after retrieval for their embryo transfer. This process is outlined in the IVF section.

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Delaware Valley Institute of Fertility & Genetics
Centers in South New Jersey

Marlton Fertility Office
6000 Sagemore Drive, Suite 6102
Marlton NJ 08053
856-988-0072
Vineland FERTILITY OFFICE
2950 College Drive, Suite 2B
Vineland NJ 08360
856-794-8080
Princeton FERTILITY OFFICE
Forrestal Professional Center
10 Forrestal Road South
Princeton NJ 08540