Ovulation Shots: Purpose, Differences, and Timing - Obstetrics and Gynecology

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Ovulation induction injection?


Hello, doctor.
I haven't had my period since my last one from August 23 to August 28, and I only had a little brown discharge on October 15.
Today, I noticed red blood when I urinated.
I went to the gynecologist for an ultrasound, and everything with my uterus is normal, but the endometrium is thinner than usual.
The doctor mentioned that this indicates no ovulation, so I received an ovulation injection today.
Could you explain the purpose of this injection? The last time I had sexual intercourse was on September 30, and the gynecologist couldn't confirm if I am pregnant, which is why I was given an injection instead of ovulation pills.
What is the difference between the medication and the injection? If that's the case, when would be the best time to try for pregnancy next? How should I interpret the differences in basal body temperature? Thank you.

Eva, 20~29 year old female. Ask Date: 2018/10/17

Dr. Huang Jianzhong reply Obstetrics and Gynecology


The last menstrual period was from August 23 to August 28, and there has been no menstruation since then until a small amount of brown discharge on October 15.
Today, there was red blood during urination.
I visited a gynecologist for an ultrasound, and everything with the uterus appeared normal, but the endometrium was thinner than expected.
The doctor mentioned this indicates a lack of ovulation, so I received an ovulation injection today.
What is the purpose of administering the ovulation injection?
I am unsure if I am pregnant since the last sexual intercourse was on September 30, and the gynecologist could not confirm pregnancy, which is why they opted for an injection instead of prescribing ovulation pills.
What is the difference between the medication and the injection?
I would like to ask the original physician when would be the best time for the next attempt at conception?
I would also like to ask the original physician how to interpret the differences in basal body temperature readings.

Reply Date: 2018/10/17

More Info


Ovulation shots, commonly referred to as ovulation induction injections, are used primarily to stimulate the ovaries to produce eggs. This is particularly beneficial for women who have irregular menstrual cycles or conditions such as polycystic ovary syndrome (PCOS), which can hinder ovulation. In your case, since your ultrasound indicated a thin endometrial lining and the absence of ovulation, the injection serves to trigger the ovaries to release an egg, thereby increasing your chances of conception.

The primary difference between oral ovulation medications (like Clomiphene Citrate) and injectable medications (like Human Chorionic Gonadotropin, or hCG) lies in their mechanisms and effectiveness. Oral medications are often used to stimulate the ovaries over a few cycles, while injections can provide a more immediate and potent response. Injections are typically used when oral medications have failed or when a more aggressive approach is warranted. The choice between these two methods often depends on the specific diagnosis, the patient's medical history, and the physician's assessment.

Regarding the timing of your next attempts at conception, it is essential to understand the ovulation window. After receiving an ovulation shot, ovulation typically occurs within 24 to 36 hours. Therefore, the best time for intercourse would be within this window to maximize the chances of sperm meeting the egg. Since you received the injection today, you should plan to have intercourse in the next couple of days, ideally every other day, to ensure sperm viability.

Monitoring your basal body temperature (BBT) can also provide insights into your ovulation cycle. After ovulation, there is usually a noticeable increase in BBT due to the hormone progesterone. A sustained rise in temperature for more than 14 days can indicate that ovulation has occurred, and if your period does not arrive, it may suggest pregnancy. Conversely, if your temperature remains low or fluctuates, it may indicate that ovulation has not occurred.

In summary, the purpose of the ovulation shot you received is to stimulate your ovaries to release an egg, thereby enhancing your chances of conception. The difference between oral medications and injections lies in their potency and the speed of action. For optimal timing, focus on having intercourse within 24 to 36 hours post-injection. Lastly, tracking your basal body temperature can help you understand your ovulation patterns better. If you have further questions or concerns, it is always best to consult with your healthcare provider for personalized advice.

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