Clomiphene siv ua ke nrog cov tshuaj hu ua Provera tuaj yeem ua tau zoo hauv kev pib ua poj niam cev xeeb tub thiab ovulation hauv cov poj niam uas tsis muaj kev coj khaub ncaws:
Kev kho mob pib nrog 5-7 hnub ntawm Provera, noj qhov ncauj.
Ob mus rau peb hnub tom qab Provera ua tiav, lub caij nyoog poj niam yuav tsum pib.
Hnub 3, 4 lossis 5 hnub ntawm kev coj khaub ncaws, ib chav kawm ntawm clomiphene pib.
Ib qho clomiphene citrate 50 mg ntsiav tshuaj yog noj hauv qhov ncauj rau 5 hnub.
Hnub 11 lossis 12 ntawm kev coj khaub ncaws, kev soj ntsuam ultrasound yog ua los txiav txim siab seb lub zes qe menyuam lossis cov hauv paus hniav tau tsim. Tsis tas li nyob rau lub sijhawm no, cov neeg mob raug hais kom siv cov khoom siv ntsuas ovulation los kuaj lawv cov zis rau qhov nce hauv LH (luteinizing hormone) qhia tias qe tau matured thiab ovulation yog imminent. Yog tias tsis pom LH surge, ovulation nws tus kheej yuav tshwm sim nrog kev txhaj tshuaj hCG (Ovidrel), uas yuav ua rau kev tso tawm ntawm cov qe loj hlob los ntawm cov follicle.
Kev sib deev los yog kev sib deev yog lub sijhawm rau ovulation.
Yog tias ovulation tau txais kev pab los ntawm kev txhaj tshuaj hCG, ib daim ntawv ntawm cov tshuaj hormone progesterone tau muab los ntawm qhov chaw mos los yog gel. Cov tshuaj progesterone pab txhawb lub endometrial (uterine) hauv ob sab phlu thiab npaj rau lub qe fertilized.
Ob lub lis piam tom qab ovulation, cov neeg mob raug hais kom mus kuaj cev xeeb tub hauv tsev ( tso zis). Yog tias qhov ntsuas tau zoo, yuav tsum kuaj ntshav kom paub meej tias cov txiaj ntsig.
Yog hais tias ovulation tsis tshwm sim thaum lub sij hawm pib qhov koob tshuaj clomiphene, lwm yam kev qhia ntawm provera yuav raug sau tseg thiab koob tshuaj clomiphene nce mus txog thaum ovulation tshwm sim. Tej zaum nws yuav muaj peev xwm pib dua lwm lub voj voog clomiphene tam sim ntawd lossis, yog tias cov hlwv seem nyob ntawm lub zes qe menyuam, lub voj voog 'so' yuav raug qhia ua ntej rov kho dua.
Yog tias ovulation tsis tuaj yeem raug ntxias txawm tias muaj koob ntau dua ntawm clomiphene, hom kev kho mob no yuav raug txiav, thiab ovulation induction yuav rov sim dua siv lwm hom tshuaj fertility (letrozole lossis gonadotropins).