korang faham tak?

Fertility drugs remain the primary treatment for women with ovulation disorders; some are taken orally and some are injected. In general, these medications work by causing the release of hormones that either trigger ovulation or regulate it.

Even if you're using assisted reproductive techniques such as in vitro fertilization, fertility drugs are still an important part of treatment. Since the number and names of all of the infertility medications may seem dizzying, here are the basic facts on the drugs most commonly prescribed.

Clomid or Serophene for Infertility

Indication:Clomid (clomiphene citrate) is often the first choice for treating infertility because it's effective and been used for more than 25 years. Clomiphene is given to women who are not ovulating normally. Clomid and Serophene, the brand names of clomiphene, are antiestrogen drugs. As a result, they cause the hypothalamus and pituitary gland located deep in the brain to release hormones that will stimulate the ovaries to produce eggs. GnRH is released from the hypothalamus and FSH and LH are released from the pituitary gland. These fertility drugs are often used in combination with assisted reproductive techniques or artificial insemination.

Use:The typical starting dosage of clomiphene is 50 milligrams per day for five days. You take the first pill on the third, fourth, or fifth day after you start your period. You can expect to start ovulating about seven days after you've taken the last dose of the drug. If you don't ovulate right away, the dose can be increased by 50 milligrams per day each month up to 150 mg. After you've begun to ovulate, most doctors suggest taking clomiphene for no longer than six months. If you haven't become pregnant after six months, your doctor will probably prescribe a different medication.

Effectiveness:Approximately 60% to 80% of women who take clomiphene will ovulate, and about half will be able to get pregnant as a result of taking the drug. Most pregnancies occur within three cycles.

Side effects:The side effects of clomiphene are generally mild. They include hot flashes, blurred vision, nausea, bloating, and headache. Clomid can also cause changes in the cervical mucus, which may make it harder to tell when you're fertile and may inhibit the sperm from entering the uterus. Like many fertility drugs, Clomid can increase the chances of multiple births, although it's less likely to cause the problem than some injectable hormones.

Injectable Hormones for Infertility

If Clomid on its own isn't successful, your doctor may recommend injectable hormones to stimulate ovulation. Some of the types are:

• Human Chorionic Gonadotropin (hCG), such as Pregnyl, Novarel, Ovidrel, and Profasi. This drug is usually used along with other fertility drugs to trigger the ovaries to release the mature egg or eggs.
• Follicle Stimulating Hormone (FSH), such as Follistim, Fertinex, Bravelle, and Gonal-F
• Human Menopausal Gonadotropin (hMG), such as Pergonal, Repronex, and Metrodin. This drug combines both FSH and LH.
• Gonadotropin Releasing Hormone (Gn-RH), such as Factrel and Lutrepulse. This hormone stimulates the release of FSH and LH from the pituitary gland. These hormones are rarely prescribed in the U.S.
• Gonadotropin Releasing Hormone Agonist (GnRH agonist), such as Lupron, Zoladex, and Synarel
• Gonadotropin Releasing Hormone Antagonist (GnRH antagonist), such as Antagon and Cetrotide

Acik fening baca benda alah ni... part nama ubat jangan kata la nak ingat... nak menyebut satu pun tak tentu lagi bole ok...aku dok bayangkan apa la artikel ni cerita. Tapi tak leh nak bayangkan how does its works. Some artikel ada sebut, kalau peyed cycle normal, tak perlukan ubat kesuburan, bla bla bla...

So ku google bahasa melayu kot aku tak gheti bahasa english...tapi sayangnya tak faham jugak. Bengap otak ko cida!

Kegagalan penetasan telur mungkin disebabkan gangguan hormon yang mungkin disebabkan kandungan hormon susu ataupun prolactin yang tinggi. Keadaan ini digelarkan dengan 'hyperprolactinemia'. Ini biasanya disertai dengan tanda-tanda seperti haidnya tidak teratur, atau tidak datang langsung, ataupun kalau datang dua tiga bulan sekali. Kadangkala juga ia disertai dengan keluaran susu atau cecair daripada puting buah dada. Wanita-wanita ini didapati sukar untuk hamil. Keadaan seperti ini boleh disebabkan oleh satu tumbuhan pada kilang pituitari yang terletak pada bahagian otak.

(tetiba kat otak plak...jauh sungguh aku nak bayangkan dr perut ke otak ni...)

Kadangkala juga kandungan prolaktin ini boleh meningkat dalam penyakit endometriasis yang sering melanda wanita dan tandanya ialah senggugut yang sangat teruk. (I guess this is my case la kot... tapi apa kebenda prolaktin???? Google google)

Kegagalan seseorang wanita untuk mengeluarkan telur atau ovulation boleh dikesan dengan beberapa cara. Di antaranya ialah jika haidnya tidak teratur ataupun lambat datang, misalnya pusingan haidnya berlaku dalam 2 atau 3 bulan sekali, kadangkala tidak datang sehingga 6 bulan. Ini adalah satu tanda yang mungkin wanita itu tidak mengeluarkan telur.

Payah sungguh... ok kita call terus je la mamat yang dok SERDANG tu...

Doktor Jay! need ur help on this yo!