The long-term plan is suitable for patients younger than 40 years old, and the basic FSH ml and the number of sinus follicles are >: 8 women.
Second, a long-term plan to promote ovulation. As you can imagine from the name, this scheme will definitely take longer than the previous one. Long-term ovulation induction program needs long-acting gonadotropin-releasing hormone (GnRH) agonist 1 to several months, and ovulation induction can only begin after all the indexes reach the ovulation induction standard. Because the ovulation induction time is longer than the traditional long-term plan, it is named long-term plan. At present, such schemes are mainly suitable for patients with endometriosis. This scheme is suitable for patients with endometriosis and adenomyosis, and can also be applied to patients with polycystic ovary syndrome, patients with high LH and patients with repeated implantation failure.
On the 5th day of menstrual cramp or in the middle of luteal phase, after B-ultrasound and hormone examination, according to the condition, the drug was injected 1-6 cycles, and 14-28 days after the last medication. When B-ultrasound and hormone examination indicated that follicles began to grow again, ovulation induction therapy was started. When the follicle grows and matures, the chorionic gonadotropin trigger is given, and the eggs are taken after 36 hours.
Third, a short plan to promote ovulation. This is a relatively short-term method, which is mainly suitable for elderly patients with decreased ovarian reserve or low ovarian response, or patients who plan to obtain fewer eggs in the early long term. When using a long-term regimen, the pituitary gland will be inhibited too deeply and the ovulation induction response will be poor, so it is usually recommended to use a short-term regimen or an ultra-short regimen. It is worth noting that the ultra-short regimen is mainly aimed at patients with decreased ovarian reserve or low ovarian response. However, if hormones or B-ultrasound indicate abnormal ovarian function on the second day of menstrual cramps, it is temporarily impossible to enter the cycle, and the drugs should be adjusted according to the doctor's advice or the time to enter the cycle should be determined.
Finally, the confrontation procedure. For patients with polycystic ovary syndrome and patients with low ovarian function and poor ovulation induction response in the past, this is a more flexible scheme. Serum hormones and vaginal ultrasound were detected on the second day of menstruation to evaluate the basic state of ovary. When the conditions are suitable, ovulation drugs are used to promote ovulation. During ovulation induction, vaginal ultrasound and sex hormones were monitored. When the follicle diameter increased to more than 65438±02mm, GnRH antagonist was added and continued to be used until the night acupuncture day. When the follicle diameter is greater than 18mm, the follicle is triggered by chorionic gonadotropin, and the eggs are taken 36 hours after night acupuncture.