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I need hormones to get pregnant - how's it going?


I am a 24-year-old woman who is going to start in hormone treatment. But I'm a little doubted how it goes by and what happens to my body and my mood during treatment?

I have been told that I probably need two different kinds of medication. One is called clomifen and the other is hCG.

What do the two kinds of medicine do to me and what are the side effects? How long does it take from start to finish until there is a result?

Greetings the bull


You want to get pregnant and have probably tried to stay there for a few years. I assume that both you and your husband have been examined and that no explanation has been found that it has not yet been successful. Patience is used up!

The treatment with medication you mention is a kind of standard treatment offered if there is evidence or suspicion that your ovulation is not working optimally. It may turn out that your menstrual periods are irregular and / or rare.

Lack of ovulation causes more than five cases of infertility. In just as many cases you can not give a sure explanation that it will not succeed. In all these cases one will consider hormone treatment.

Clomifen is a kind of anti-estrogenic hormone that gives your "overall sex hormones", produced in the brain, a signal and an extra push. The brain "believes" that you lack estrogen and puts the production of "overall sex hormone" in the breath. It works throughout the body and it stimulates the growth of your egg follicles in the ovary. Side effects may be symptoms that women know in menopause - such as mild healing - but the mild genes - if they are there - disappear as soon as you have finished the tablets. Incidentally, there is no harmful effect, either for you or any fetus. Women's sensitivity to the effect, however, is different. Just give the amount of hormone, so only one egg follicle matures for ovulation. It is evaluated by ultrasound scanning. However, if stimulation is too strong, more follicles develop at once - and then you need to reduce the dose. Otherwise, you may risk twins - or even more if you try to get pregnant. Fortunately, only so rarely happens that your thoughts do not even have to be addressed.

The second hormone - hCG or chorionic gonadotropin - is important for ovulation. It is the same as you form in large amounts in connection with pregnancy - it is a natural hormone and there are no side effects.

The treatment is a specialist task carried out by practicing gynecologists and fertility clinics. Among other things, because ultrasound testing of ovaries and egg follicles is necessary - for example, to follow the effect of the medical treatment - but also to determine the exact time in the cycle where hCG is to be given. You can not count on it or guess. When an egg follicle has grown to a certain size, it is time for treatment with the ovulating hormone hCG. Then the ovulation and hence the pregnancy - after 1? days - will be in connection with such a planned schedule.

Although treatment is successful and you get ovulation, there is no guarantee of pregnancy in the first place. Nor is it for other women, even if they have normal ovulation. But the better, you can be guided with regard to the optimal time for intercourse, the greater the chance there is for profit. If you do not succeed in the first place, try again. If you do not get pregnant after 3-4 trials, you will probably be offered a supplementary hormone treatment and insemination with your husband's sperm. But that's another story.

As you can understand, the medication is without adverse effects and the side effects are rare - and most acceptable. Therefore, there is no reason for concern if you need hormone replacement.

But more and more than just some tablets and hormone injection. I assume you already have or will have other tips on how to increase your options for ovulation and thus pregnancy. What do you weigh? If you are overweight, I would recommend that you lose weight before treatment with medicine. It is known that overweight is a weight loss of 5-10 percent of importance to ovulation. Perhaps such weight loss will be enough to regulate your menstrual periods - give you normal ovulation - so you get pregnant - without medication. And how do you fit yourself? Are you stressed? Are you comfortable with family and friends? Are you good at your work? Can you think about your pregnancy wish aside? Do you get regular sleep and rest? Do you exercise purposefully for an hour or two a week? Do you eat regularly and get a varied diet with many vegetables? Do you hold back with alcohol and have rid of the smokers? Everything plays a role for how well your body works - and for the good interaction between the hormones that regulate your functions. It's all necessary - for the medicine alone does not. But good luck with that.

Erik Fangel Poulsen, Specialist in Gynecology and Obstetrics.

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