Conventional medicine plays an important role in treating all kinds of
disease and most of the time is the first treatment for a couple who
for what ever reason can not conceive after 1 year of unprotected sexual
intercourse or can not carry the pregnancy to full term. With the
advance of medical technology, conventional medicine has proven record
in treating infertility but with some side effects. In this article, we
will discuss definition, types and side effects of conventional
medication in treating hormone imbalance.
I. Definition
Conventional
medication used to treat hormone imbalance containing agents which
help to stimulate the ovaries in mature egg production, thereby
increasing the chance of pregnancy for infertile couple. The medication
is only given to women who are diagnosed with ovulation dysfunction.
II. Types of medication
1. Progesterone supplement
Types
of medication specially used for women with luteal phrase deficiency
(lasts under 10 days and it is considered a luteal phase deficiency) It
helps to increase the levels of progesterone, thereby, preventing the
abnormal developing of uterine lining and interfering with fertilized
egg implantation.
2. Ovulation introduction agent
A medication
is used for women with highly irregular ovulation cycle including not
ovulation at all. It is used in the day 5 to 9 of the cycle effective
for younger women with successful rate over 90% but only about 35%
actually conceive.
3. Follicle-stimulating hormone ( FSH)
This
types of medication are prescribed for women with ovation disorder to
stimulate follicle and egg production. It is recommended that using
these drugs including Gonal-f, Follistism, Fertinex and Metrodin, should
be closely monitored by your doctor in order to prevent
hyperstimulation of ovaries. They are used widely for intrauterine
insemination.
4. Human menopause gonadotrophins (HMG)
Medication
such as Menopur, Pergonal, Humegeon. etc. help women who do not ovulate
regularly to stimulate the ovaries to produce more than one egg by
working directly on ovaries to stimulate follicle development.
5. Humam chorionic gonadotropin (HCG)
HCG
is a type of medication made directly from placeneta of pregnant women.
It is synthesis chemically similar to LH, leading to increase or surge
of LH hormone and triggering ovulation resulting in increasing the egg
production and supporting uterine lining in fertilized egg implantation.
Medication include Novarel, and Profasi.
6. Gonadotrophin-releasing hormone (GnRH)
It
helps to regulate the pituitary gland in production of , FSH and LH
hormone, thereby decreasing the risk of ovulation in the wrong time. In
other word, It stimulates the pituitary gland to produce FSH and LH for
women who do not ovulate at all. Medication include Fertrel and
Lutrepulse.
a) Agonist
The medication ( Leuprolide and Synarel
) is used to blocks the egg production by the ovaries by regulating the
hormone secretion until the egg to reach certain size, thereby
increasing the quality of egg and preventing the release of premature
egg for some women.
b) Antagonist
By regulating the production
of FSH and LH from pituitary gland, it decreases the surge of LH that
triggers ovation at the wrong time. It is used when a women undergoes
fertility procedure for artificial insemination, so her doctor can
better predict the timing of ovation for egg retrieval.
7. Prolaction medicine
For
men and women who suffer infertility because of over production of
prolactin hormone resulting in interfering the production of FSH and LH,
leading to abnormal ovulation in women and low quality sperm in men.
III. Side effects
The common side effects of above medication include
1. Dizziness
2. Hot flashes
3. irregular menstruation
4. Headache
5. Insomnia
6. Irritability
7. Vomiting
8. Etc.
IV. Risk
1. Complication
2. Ovarian hyper stimulation
3. Nervous disorder
4. Ectopic pregnancy
5. Ovarian twisting and cancer
6. Cyst development
7. Etc.
Almost
100% of women who take these types of medication will ovulate, but not
all women will get pregnant. If a couple can not conceive after the
infertile female taking the treatment in their first 6 treatment than
the chance of pregnancy is reduced by 50%.
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