Fertility medications are the initial treatment of infertility. These medications regulate ovulation by triggering the release of hormones. Fertility medications can be taken orally and some are injected. Your reproductive endocrinologist will discuss what medications are best for you and instruct you on how they should be administered.
Medications That Stimulate Ovulation
- Clomiphene (Clomid)
- Letrozole (Fermara)
- Gonal F
Medications That Trigger Ovulation of Mature Eggs
Human Chorionic Gonadotropin (hCG)
- Low-dose Lupron
Medications That Suppress Ovulation
Progesterone is taken in order to prepare the uterus for supporting the embryo and its burrowing into the uterine lining.
- Oil (injection)
- Vaginal inserts- Crinone, Endometrin
- Suppository (compound)
Intrauterine Insemination (IUI) also called artificial insemination treats mild male factor infertility, the need for donor sperm and cervical mucus dysfunctions. You will take fertility medication to stimulate ovulation. Later the reproductive endocrinologist injects your partner’s or donor’s washed sperm into your uterus.
In Vitro Fertilization (IVF) is a treatment in which your eggs are retrieved and fertilized outside of your body. Once the fertilized egg is considered an embryo, it is then transferred back into the uterus for implantation. Click here to learn more about IVF.
Intracytoplasmic sperm injection (ICSI) treats male infertility by injecting a single sperm into your egg during in vitro fertilization. Sperm is usually obtained by masturbation, however, in selected cases it can be retrieved by two different methods: mid-epididymal sperm aspiration (MESA) and percutaneous epididymal sperm aspiration (PESA). These procedures are performed if the vas deferens are damaged or missing. During both procedures, a clinician retrieves sperm directly from your epididymis. The epididymis is a tightly coiled sperm duct, which carries the sperm to the vas deferens. It is located behind each testicle. The embryologist evaluates the quantity and movement of the sample immediately. The sample is then taken to the laboratory in order to be prepared for ICSI.