Ovulation Induction Europe

Initial Consultation

Inclusive of tests, scans etc

There are two different methods of ovarian stimulation (ovulation induction). The first is used for women who are not ovulating spontaneously (irregular or infrequent menstruation). In such cases, the aim is to stimulate the release of one egg a month. This is most easily done by prescribing fertility pills. If this medication is not effective, then injections of a small dose of gonadotropins may be necessary. In the second situation, the woman is ovulating spontaneously but has unexplained infertility or her partner has mild male-factor infertility. In such a case, the aim of ovulation induction is to stimulate the production of 2 to 4 large follicles, so that several eggs will be released. This is most easily achieved by injections of gonadotropins. This treatment is combined with intra uterine insemination (IUI) to bring the sperm closer to the egg.

Medical Port has teamed up with Hospital Lusíadas Lisboa and CETI in Oporto and a team of physicians, embryologists and nurses with proven experience in the field of fertility to help couples become parents. Couples who wish to become parents can be advised by top professionals that will guide them through the best solution. Each case is carefully evaluated in the first fertility consultation and the chosen treatment is performed without waiting lists.

Medical Port has teamed up with Hospital Lusíadas Lisboa and CETI in Oporto and a team of physicians, embryologists and nurses with proven experience in the field of fertility to perform IVF treatments.According to the ART team in Hospital Lusíadas, 1 out 4 couples that uses in vitro fertilization fulfills their dream of becoming parents.

Our consultant gynaecologist provides cycle monitoring and ovulation induction.

The Oaks Clinic provides fertility consultations and treatments but does not provide IUI or IVF services. These are specialist services that require laboratory facilities.

The Oaks Clinic provides scans for tracking of a developing follicle (egg) and allows you tell the period when it is likely that you will conceive. Usually these scans are needed when you are placed on special fertility treatments.

Ovulation means the release of an egg from the ovaries in the middle of the menstrual cycle. Some women in their reproductive age might ovulate infrequently or not at all. Ovulation induction is a treatment which facilitates the release of the eggs from the ovaries, with the help of hormonal therapy. A very mild hormone medication is used to help produce 1-2 mature eggs in the ovaries.The growth of the follicles is monitored with ultrasound. Once the follicles have matured enough, the ovulation can be scheduled with a single hCG-hormone injection. The moment of ovulation injection can be timed with intercourse or insemination. This treatment requires that the ovarian tubes are open and the semen is of good quality. Donor sperm can also be used in insemination.Despite the mild hormone medication, it is possible that several follicles are produced, and the treatment must be terminated due to the risk of multiple pregnancies, or it can be converted into IVF-treatment. Hormonal therapy always involves a small risk of hyper stimulation, i.e. ovarian overstimulation, which explains the importance of ultrasound scans during the hormonal therapy.

ExaminationsFirst consultationAt your first appointment with our doctor together you will go through all factors affecting conception as well as all your prior examinations or treatments. Our doctor will explain all the possible treatment options and the likelihood of conception after various treatments. The needs of each client are individually evaluated during the consultation session. If any further investigations are needed, a tailored schedule is planned to best meet the client’s expectations. Examinations prior to treatment.Examinations prior to the treatment aim at explaining the reasons why a natural conception does not occur. It is important to find the factors behind infertility, and the results determine the course of treatment.It is advisable to bring any previous results to the consultation session since they are all taken into account and new examinations will be carried out if necessary. The investigations need not to take a long time and the treatment can begin quite soon if the client so wishes.Female testsA doctor will plan an individually tailored schedule of examination depending on received data. The development and release of a female egg from the ovaries, determining whether the fallopian tubes are open and the structure of the uterus are important factors that need to be examined. Ultrasound is used to detect any abnormalities in the uterus, and this can often be done at the first appointment.Sometimes we need to do hysteroscopy, the visualization of the uterine cavity, and only very rarely laparoscopy, the visualization of the abdominal cavity. The maturing of eggs can also be detected with ultrasound, which is timed according to the estimated day of egg release during the menstrual cycle. The so-called SSG ultrasound can help determine whether the fallopian tubes are open.A small amount of liquid is injected though the cervix and the passage of the fluid into the uterus and through the fallopian tubes is monitored. The modern examination

A woman who does not have any contraindication for pregnancy or delivery can opt for fertilization treatment with donated eggs.The results of fertilization treatment with donated eggs are extremely good. Donated eggs enable the conception and the birth of a healthy child in many families when this is no longer possible with the woman’s own eggs. We choose such donor for recipient whose physical features, such as the colour of hair and eyes, body build match those of the recipient.The egg donation program of the AVA clinics do not share the eggs, the recipient is given all the eggs that her chosen donor produces during one treatment cycle. The number of eggs varies depending on the donor’s reaction to the stimulation. The donated eggs are fertilized with the partner’s sperm, either fresh or frozen. We screen our egg donors carefully. They are healthy women aged 18-34, who voluntarily offer their help to grant the chance of motherhood to anonymous recipients.Most of our donors are mothers themselves and wish to share that experience with those who desire it. In many cases the donors have witnessed the grief caused by infertility among family and friends. In the process of choosing donors, the psychologists of our clinic meet and discuss with the possible donors. All our donors have been tested for any abnormalities in their chromosomes, HIV, contagious hepatitis as well as the most common sexually transmitted diseases and also have been examined by narcologist.The treatment with donated eggs is an option to conceive if a woman has failed to get pregnant with her own eggs. Fertilization with donated eggs is a big step for couples to take, and to come to terms with the idea often requires time and professional help. Therefore we recommend all of our recipient couples to discuss the issue with either our specialists at the clinic.Treatment using donor ovum provides opportunity to become pregnant if it has proved not possible by of own ovum of patient. Passing for tre