can we go for iui before ovulation?
intrauterine insemination (iui) procedures are performed at 24 to 36 hours after hcg trigger shots are given with ovary stimulation medication. patients diagnosed with unexplained infertility may benefit from earlier iui procedures, which helps in increasing their fertility levels during ovulation with gonadotropins.
you can use provera, starting 10 days before your period is due and stopping when you want to have a period.<br><br>best wishes if you have been using contraception, that is not ideal in terms of falling pregnant. it will usually take much longer than 5 attempts to fall pregnant. it can take up to a year for a normal healthy couple to conceive.<br>to work out when you ovulate, you first have to work out the length of your cycle, counting from the first day of your period to the first day of the next. ovulation should occur 14 days before the next period.<br><br>best wishes you may have an infection, or a problem with ovulating on time. to answer this question we have to take into account several aspects. 

the first of these is the assessment of the male factor. when we speak of oligoazoospermia we refer to a low concentration of sperm in the semen. we consider an altered concentration when there are less than 15 million spermatozoa per milliliter (ml) of ejaculate. 

but although 15 million per ml is the reference parameter for talking about oligoazoospermia, when we assess the seminogram we must take into account the degree of deviation from that normality. that is, a concentration of 13 million/ml, where we would speak of a mild oligoazoospermia, is not the same as 1 million/ml, where we would speak of a severe oligoazoospermia. in addition we must also assess the other parameters of the study of the semen (total volume, motility). 

in order to group all the important parameters of the seminogram into a single value that will help us decide which assisted reproduction technique to use, the concept of msc (mobile sperm count) is established. this tells us the number of spermatozoa with good motility in each milliliter of ejaculate after the training of the semen in the laboratory. 

it is considered that in order to perform an artificial insemination (ai), the msc must be over 3 million spermatozoa. 

therefore, as far as the male factor is concerned, it will depend on the severity of the oligoazoospermia and how it influences the msc whether the technique of choice is an ai or, on the contrary, we have to opt for a more complex technique, such as in vitro fertilization (ivf). 

the second aspect to take into account is the female factor. in this case we are presented with a woman with a polycystic ovary syndrome (pcos). pcos is an endocrine pathology that is often difficult to achieve ovulation. when a woman is unable to ovulate, she will not be able to become pregnant and the clinic that most women with pcos consult for will appear, which is the absence of menstruation. 

thus, what we must do with this patient is to give her medication to help her achieve, first, follicular development and, later, ovulation. once ovulation is achieved, the semen sample should be added either by ai or by directed intercourse. one option or the other will depend on the quality of the semen. 

to achieve ovulation in a patient with pcos we perform an "ovulation induction" treatment. for this we have several therapeutic options. as first-line drugs we would have the drugs for oral administration (clomiphene citrate and letrozole) and, as second-line treatment, we would have the drugs for subcutaneous administration (gonadotropins). 

even so, before considering ovulation induction treatment in a patient with pcos, we should assess the patient's age. the main reason for this is that ovulation induction treatments end with ai or directed intercourse. it is known that women over 38 years of age do not benefit from these techniques due to poor egg quality. in such cases, the first option should be an ivf. 

therefore, and in response to the initial question, the most likely treatment of choice for this couple is ai with ovulation induction, but before indicating such a technique we must take into account other parameters such as emr and the age of the patient. i guess if you are anticipating a period, you must be on track, hence very likely that you are ovulating, unless you are using contraceptive pills see more... unlikely but not impossible. i would suggest that you start your new method of contraception as soon as possible.<br><br>best wishes bg, it is done by gynaecologist all over sa. ask your gp to refer your wife to someone in your area. the gynaecologist will be able to tell you whether ai is the correct option for her and what the costs involved are. good luck. if you had vaginal bleeding after you took the plan b (or equivalent) then treat that as you period. if you are more than 7 days late for your period, check a home pregnancy test. if you are having sex and don't want to get pregnant, you should see a doctor to get on a reliable method of birth control. i also recommend having your partner wear condoms to help prevent pregnancy and stds. see more... it is possible. the only way to know is to do a pregnancy test.<br><br>best wishes sorry about your diagnosis. i too was given the diagnosis of pof this past february, after a failed ivf cycle. i was told that my only chance to have a successful ivf cycle would be to use donor eggs. so that is what my husband and i are doing next month. i have regular monthly periods though, apparently unlike you. if you truly have a diagnosis of pof, there are not any fertility medications that will make it possible for you to create a genetic family. sorry. it's a fact. you can use the strongest fertility stim meds at the highest doses, and it won't do you any good. furthermore, having a period does not mean that you're ovulating...which is exactly the point of having pof. there is no pharmaceutical way, nor technological way available right now to provide the opportunity for a woman who has pof to have her own eggs retrieved. perhaps you were mistaken with what your diagnosis was? i would ask your re again. best of luck to you. if you have any further questions, please feel free to email me. i am here to provide support for you as well.
addtl info: i just realized that you stated that you aren't able to get into an re until june 2nd. so who gave you the diagnosis of pof? i suppose your gyn? not meaning to knock your doctor, but the reality is that a gyn is simply not educated enough nor specialized enough to make this diagnosis. coming to the conclusion of pof is made via blood work and exams. also, it usually is made only after a round of stim meds fails miserably. i suggest you get a real diagnosis when you see an re. you probably simply will find that you just need a some clomid to help "kick start" your period. but that's a far cry from actually having pof.