Medication: Birth control pills can stimulate and regulate the menstrual period if a woman is not trying to get pregnant. Infertility patients with PCOS may start with Clomiphene Citrate, a medication designed to stimulate the ovaries to produce multiple follicles and eggs. Other fertility drugs - Human Chorionic Gonadotropin (HCG) and Human Menopausal Gonadotropin (HMG) - also may be prescribed if Clomiphene Citrate alone is not effective. Finally, Progesterone may be necessary to help thicken the uterine lining and sustain pregnancy.
Medication also is available to suppress overproduction of Prolactin caused by Hyperprolactinemia. In cases of Hypothalamic Amenorrhea, Gonadotropins (LH and FSH) are prescribed to regulate levels of these hormones.
Ovulation Induction (OI): Used alone or with Insemination, OI relies on fertility drugs to stimulate development of the follicles and eggs. For this reason, it can be an effective treatment for various forms of ovulatory dysfunction and Luteal phase defects. As part of an OI cycle, Progesterone may be prescribed alone - or combined with other fertility medications - to stimulate development of the uterine lining to support pregnancy. Human Chorionic Gonadotropin (HCG) also may be prescribed to overcome Luteal phase defects by triggering ovulation.
In Vitro Fertilization (IVF): Recommended as it may offer the best chance for pregnancy when infertility is related to Ovulatory dysfunction. Hormones designed to regulate the reproductive cycle and stimulate the development of multiple eggs will provide more chances for fertilization. Donor In Vitro Fertilization : Required in cases of premature ovarian failure when there are no eggs available. Eggs from a young female donor, whose body has been stimulated by fertility drugs, are retrieved and fertilized in the laboratory with the male partner's sperm. The embryos are transferred into the recipient's uterus, which has been prepared to support pregnancy.