Multifollicular Stimulation
(1) Bordeaux, France For in vitro fertilization (IVF), the process of ovarian stimulation includes some unique yet essential contrasts to the methods for classic mono- or pauci-follicular stimulations. First…
Review of Physiology
(1) Bordeaux, France The principal objective of mono- or paucifollicular ovarian stimulation is to improve or restore ovulation for a patient in which the process is occurring improperly or…
Triggering Ovulation
(1) Bordeaux, France Ovulation is simply the focal destruction of the follicular wall that enables extrusion of the oocyte and follicular contents through the breach. A space of some…
Classic Ovulation Stimulation: Mono-, Bi-, and Paucifollicular
(1) Bordeaux, France Classic ovulation stimulation involves three successive steps: 1. Stimulating follicular growth with a goal of producing one to three fully-developed follicles 2. Triggering ovulation to…
Stimulation in the Anovulatory Patient
(1) Bordeaux, France In contrast to the patient who already ovulates spontaneously, the anovulatory patient lacks the benefit of having a cyclic pattern of endogenous gonadotropin secretion. This situation…
Which Gonadotropin Preparations to Use
(1) Bordeaux, France The stimulation of ovulation is fundamentally driven by pituitary FSH, the basic hormone for follicular development, with possible assistance from pituitary LH. In clinical practice, ovulation…
Monotoring Ovarian Stimulation
(1) Bordeaux, France A proper evaluation of the stimulation process includes both functional (i.e., hormonal measures) and morphological (i.e., ultrasound visualization) indices. The combined evaluation should identify a comfort…
Avoiding Complications
(1) Bordeaux, France Stimulating ovulation is a formidable procedure, and as such includes risk for complications commensurate with its intensity. One must always keep in mind the balance between…
Stimulation in the Ovulating Patient
(1) Bordeaux, France In a spontaneously ovulating patient, the classic stimulation protocol can be used for several purposes: A monofollicular stimulation that is intended to mimic closely the normal…
Historical Perspective: An Evolution of Ideas
(1) Bordeaux, France Contemplating the evolution of the varied clinical uses of pituitary gonadotropic hormones reveals a number of interesting assumptions, and absence of assumptions, that have led us…
