Who should be treated with controlled ovarian hyperstimulation?
This therapy is commonly used as infertility treatment for infertile couples. It is usually done in conjunction with intrauterine insemination, which increases success rates. This treatment does not really correct any specific cause of infertility. Instead it is a “shotgun” approach to get multiple eggs and sperm together at the time of ovulation. This type of treatment has been shown to increase the monthly chances for a pregnancy as compared to timed intercourse alone in patients with unexplained infertility. Ovarian stimulation with insemination should not be used with very low sperm concentration or very poor sperm motility, blocked fallopian tubes, or if the age of the female partner is over 41. This treatment is very unlikely to be effective in those situations. Controlled ovarian hyperstimulation is also used to develop multiple mature follicles for in vitro fertilization cycles.