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Medication to trigger ovulation can be given alone, or in combination with other treatments such as artificial insemination (AI) or in-vitro fertilisation (IVF). These treatments require proper supervision in order to assess the treatment's effectiveness, to determine the dates of ovulation, to adapt treatment, and to screen for side-effects. Ultrasound scans must be carried out regularly in order to supervise the response of your ovaries.
Clomifene citrate (Clomid) : pills that are taken for 5 days to stimulate or regulate the ovaries directly. Metformin : taken 2 - 3 times daily and used in women who are obese or have polycystic ovaries to stimulate ovulation. Pulsed gonadotrophin-releasing hormone : rarely used but aims to trigger egg production though pulses of hormone injected directly into the bloodstream via a small pump usually under the arm. Both men and women need the right balance of hormones for effective reproductive functions. Clomifene when taken daily as a tablet, prompts the pituitary glands to secrete the hormones required by the testicles to produce testosterone.

In men, a course of clomifene consists of a pill a day for a period of 3-6 months and a course of HCG consists of 2 to 3 injections per week for a period of 6 months.
If you have been taking fertility drugs for more than 3 months and if it is not producing the desired effect or if your partner does not get pregnant, then your doctor might increase the dosage. The success rate is 14% to 50%, and taking fertility drugs for longer periods does not improve the success rate,but it definitely helps to jump start sperm production. In rare cases, excess of clomifene is found to cause liver damage in some patients.If you want to improve fertility with no side effects, you can try some herb supplements. However, from the studies that have been conducted regarding the effect of fertility drugs on men, it is found that these drugs can help men with only certain types of hormonal imbalance. You can copy, modify copies of this page, under the conditions stipulated by the licence, as this note appears clearly. Women require the right amount of estrogen to ovulate regularly whereas men require the right amount of testosterone to produce healthy sperms.
This condition is caused by a testosterone deficiency in which the pituitary gland or hypothalamus prevents the testicles from receiving the signals to produce sperms.

It is also possible that your doctor might recommend another medication or treatment or a testicle biopsy.
Surprisingly, it is found that the same drug can be used for both males and females to control the reproductive functions. But as long as your hormone levels remain normal, it is safe to take clomifene in small doses for 6 months to a year. It has been found that 80 percent of the men with Hypogonadotrophic Hypogonadism achieved a normal sperm count after taking fertility drugs. In other words, the same fertility drug that can induce ovulation can also stimulate sperm production.

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