Our expert says:
As you have PCOC and don’t ovulate, the first thing you need to establish is whether ovulation is taking place and whether follicles are developing with the use of Clomid. One would normally start using 1 Clomid a day and see if any results occur. If no follicles develop and no ovulation takes places then you can go on to use 2 Clomid a day under medical supervision. If despite there are still no oocytes being produced or ovulation is still not taking place then you would require injection to produce follicles. The injections are hormonal injections, which stimulate the ovary to produce follicle. Once the ovaries have produced the follicles and they have grown a certain size then another injection will be required to help you ovulate. There is no specific quantity as to how much eggs are produced in one ovary while utilizing any of these medications as different medications as well as different injections would result in different degrees of stimulation in different women, which means that the use of 1 Clomid can produce no eggs in some women but may produce multiple eggs in other women. Your options of treatment would be intrauterine insemination with the use of Clomid the cost of which would be probably be in the region of R1000 or intrauterine insemination using injections in which would cost would range between R1000 to R5000. if intrauterine insemination fails or if follicles are not produced then your best option would be in-vitro fertilization the cost of which ranges between R20000 to R35000.
Answered by: Dr Y.M. Dasoo
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