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Your Baby This Week : 16 Month Week 4 Old
Toddlers are funny even when they are doing something they shouldn’t. Its hard not to laugh, but your smile will send a message that what he is doing is acceptable. Children at this age understand far more words than they can speak, but the language that they know best of all is body language. When your child does something you don’t like, make sure that your face and voice conveys your disapproval. Don’t shout, but do frown and use a disapproving tone when you say, “No pulling out tissues. The tissues stay in the box.” Stay consistent with what youre disapproving of. If you correct one time but ignore it the next time, youre sending mixed signals about your expectations.
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Ovulation Induction (OI) Treatment for Infertility
An irregular menstrual cycle makes it difficult for a couple to conceive a baby. If you've been trying for a baby with no success, we have good news. Ovulation induction is a treatment that can improve the chances of pregnancy. You can opt for ovulation induction drugs or Ayurvedic medicines for ovulation induction.
What Is Ovulation Induction?
Nearly 40% of infertile women have problems with ovulation. But, there are remedies for this problem. Oral or injectable medications can help to stimulate the development of oocytes or eggs. The goal of ovulation induction is to increase the likelihood of conception by producing multiple eggs. Several forms of fertility treatments also use ovulation induction such as Intrauterine insemination (IUI) and In vitro fertilisation (IVF).
Normally, the process of ovulation produces just one egg. Ovulation induction stimulates multiple follicles in the ovaries and results in several eggs maturing at the same time. Ovulation induction in PCOS is a common treatment for the condition which is characterized by many ovarian cysts, irregular or missed periods and excess levels of androgens.
Women undergoing ovulation induction are frequently evaluated by the doctor using ultrasound and blood tests to monitor the development of follicles and the right time for egg retrieval or insemination.
Who Is Suitable for Ovulation Induction Therapy?
Ovulation induction is suitable for women who have an absent or irregular ovulation cycle.
It is the most common treatment for women with PCOS, a condition that interrupts ovulation.
Women undergoing IVF are also treated with ovulation induction so that multiple eggs can be released for harvest and use in lab fertilisation.
Women who experience unexplained infertility but have a regular ovulation cycle are also treated with ovulation induction to improve their odds of conceiving.
Doctors usually go through a number of factors before deciding on the use of ovulation induction. Some of these are:
Disorders such as PCOS that directly interfere with normal ovulation
Levels of hormones such as FSH, AMH and LH
Conditions that have an indirect impact on ovulation such as obesity, eating disorders and thyroid disorders
Amount of physical exercise
If women continue to experience irregular ovulation after the ovulation induction treatments, superovulation may be tried as the next step. Superovulation involves the use of human chorionic gonadotropin (hCG) hormone to release mature eggs.
What Is the Procedure of Ovulation Induction?
The ovulation induction procedure has four steps:
1. Assessment
The ovulation cycle is assessed by a fertility specialist using blood tests. Ultrasound scans are used to observe follicle development in the ovaries along with the appearance of the uterine lining and its thickness.
2. Stimulation
Medication is used to stimulate the ovaries to prompt the growth of follicles containing eggs. The specialist decides the most appropriate medication or a combination of it and discusses it with the patient undergoing the treatment.
3. Monitoring
The cycle is monitored closely for follicle development using ultrasound and blood tests. This step is important to lower the chances of multiple pregnancies.
4. Artificial Insemination or Timed Intercourse
As the ovulation day approaches, the specialist performs artificial insemination. This is a relatively simple procedure that involves introducing sperm into the uterus. Alternatively, the couple can have sexual intercourse just before ovulation to maximise the chances of pregnancy.
What Medications Are Used for Ovulation Induction?
Medications used in ovulation induction treatments regulate the reproductive hormones and improve a woman’s chances of ovulation. Some of the most commonly used ones are:
Clomiphene citrate or Clomid is used to stimulate ovulation in case the pituitary gland is functioning normal but monthly changes in the hormones do not occur. Clomid works by making the body think that the estrogen levels are inadequate, in turn prompting the pituitary gland to release Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH) to the ovary. This stimulates the development of follicles and egg maturation. After Clomid usage is stopped, the LH surge will cause ovulation after 36 hours.
Aromatase inhibitor, also known as Letrozole or Femara, is another medication used for OI. Letrozole works similar to Clomiphene citrate, hence it is often used as an alternative for the latter. Letrozole is also highly effective in women with PCOS.
Gonadotrophin ovulation induction happens through two important hormones - Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). These hormones are normally produced by the pituitary gland and regulate egg production. Since their role in egg development is so crucial and powerful, gonadotrophin administration requires frequent monitoring compared to Letrozole and Clomiphene citrate. Gonadotrophins also carry with them the risk of multiple pregnancy and OHSS.
Insulin-sensitizing agents, popularly known as metformin, are useful for PCOS patients who suffer from diabetes.
What Are the Benefits and Side Effects of Ovulation Induction?
Like all procedures, there are benefits and side effects to ovulation induction as well.
Benefits
Ovulation induction, being a non-invasive treatment, is the first option used for the treatment of infertility. It is low-cost as compared to other treatments such as IVF which can burn a hole in your pocket with medication, lab testing, simple procedures and lab work. Ovulation induction can also boost the success rates of treatments such as intrauterine insemination (IUI), IVF, etc.
Risks and Side Effects
It’s also important to know that much time needs to be devoted to the treatment in the form of appointments with the doctor for ovulation induction injections, lab work and maintaining strict schedules to take the medications on time. A major risk of the treatment is Ovarian Hyperstimulation Syndrome (OHSS). OHSS can have mild to severe side effects which usually disappear in a few weeks on their own. These include:
Nausea
Bloating
Loss of breath
Headache
Weight gain
Hot flashes
Blurry vision
Tenderness in the pelvic region
What Is the Success Rate of Ovulation Induction?
The success rate of healthy and fertile couples is generally 20% - 25% every month. In sharp contrast, couples who have infertility problems have a success rate of 2% - 10% per month. Factors such as diagnosis, patient's age and duration of infertility also play a role. In some women, depending on the type of condition, the treatment can even restore fertility rates by 20% - 25%.
Ovulation Induction significantly improves the chances of pregnancy in women experiencing infertility. It also boosts the fertility rate for those couples using IVF and IUI.
Also Read:
Unexplained Infertility: Causes, Diagnosis and Treatment
Effective Ayurvedic Treatments for Infertility
Acupuncture for Infertility: Does it Really Work? Read more
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#BlendItUp Sweet and Spicy Tomato Chutney With Garlic
The Sweet and Spicy Tomato Chutney Recipe is a hot, tangy chutney flavoured with garlic. The chutney acts as a perfect accompaniment with papads and can also be served with parathas and breads. It's a no oil recipe and can be preserved in a refrigerated for at least a week.
Serves
Preparation Time
Cooking Time
2 People
10 Minutes
10 Minutes
Ingredients
6 large tomatoes, finely chopped
4 cloves garlic, finely chopped
1 tbsp (tablespoon) black peppercorns
1 inch piece of cinnamon
2 green chillies, finely chopped
1/4 cup cashewnuts, roughly chopped
1/4 cup jaggery
1 tsp (teaspoon) red chilli powder
Juice from one lemon
Salt to taste
Method
Step 1
Prepare the ingredients according to instructions.
Step 2
In a heavy bottom pan add all the ingredients except sugar, lemon and red chilli powder.
Step 3
Cook it at the medium flame by stirring it continuously until the tomatoes have softened.
Step 4
When the tomatoes soften, add sugar and red chilli powder and cook further on medium flame until the tomato chutney thickens.
Step 5
When it thickens turn off the heat, add the lemon and stir. Check the salt, sweetness and spice and adjust to suit your taste.
Step 6
The Sweet and Spicy Tomato Chutney With Garlic is ready to be served.
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Rashmi has added a new answer
Expecting Mom due this month
3 hours ago
Q. can we get all item in one parcel which I orderd
Rashmi
Mom of a 9 yr 7 m old girl
3 hours ago
A. This is a place which is associated with parenting if you have any questions associated with parenting I can help you with that but if you have any associated with your orders kindly check with the concerned department that they can give clarity about these things
Dr Laxmi Chavan-Sawant has added a new answer
Trying To Conceive
2 hours ago
Q. hi have one question
LT 10x18mm and RT 18x20mm and ET 6.5
what it mean??? and should I start intercourse
Dr Laxmi Chavan-Sawant
Ayurvedic Gynaecologist
1 hour ago
A. since you are right follicle is 18 mm yes of course you can start with your intercourse for conception as in 1 to 2 days
their maybe rupture of the follicle by which your sperm should be present there for conception
Dr Ghouse has added a new answer
Guardian of 0 children
1 hour ago
Q. #asktheexpert
why baby vomit
Dr Ghouse
Paediatrician
1 hour ago
A. for babies less than 6 months may not be a problem. small babies will be having lot of gas because of various reasons it is advisable to do burping of the baby immediately after feeding please give colimex DF drops to the baby they are safe
Rashmi has added a new answer
Expecting Mom due in 1 month
1 hour ago
Q. i am 35 weeks 3 days pregnant... my ultrasound report shows that "fl and hl are shorter compared to bpd"... is this anything to worry
Rashmi
Mom of a 9 yr 7 m old girl
56 mins ago
A. I cannot assist you on that because other things are also associated with the particular particular report so I think it’s better that once a gynaecologist is available she’s going to take up your query and she will be able to give you a better clarity as per the situation
Abhaya Rajput has added a new answer
Guardian of 0 children
1 hour ago
Q. I am 9 week pregnant and I have runny nose very badly can I use cetirizine tablet?
Abhaya Rajput
Mom of a 14 yr 4 m old boy
1 hour ago
A. Hello there ma’am please do not worry about it too much. Please do not take any medicine without consulting with your gynaecologist. It is advisable to get yourself evaluated by a doctor and follow doctors advise properly. You can also book online doctor’s appointment on FirstCry where the doctor can help you and guide you properly.
Thanks and take care
Rashmi has added a new answer
Trying To Conceive
1 hour ago
Q. hi,
my LT 10x18mm and RT 18x20mm and ET 6.5 , what if I intercourse after 2 days, can I do intercourse in ovulation day can become a pregent .
on ovulation day if we intercourse can become a pregent..pls advice..
Rashmi
Mom of a 9 yr 7 m old girl
52 mins ago
A. Actually on the ovulation time only you can conceive so yes if things are right with you you can go ahead with the conception but with what the details you have mentioned it would be better to have a discussion with your gynaecologist prior to you proceed to your ovulation and conception
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