Timing Intercourse After Ovidrel Injection: Key Insights and Risks - Obstetrics and Gynecology

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Ovidrel is a medication used to trigger ovulation in women undergoing fertility treatments. It contains the active ingredient choriogonadotropin alfa, which is a synthetic form of the hormone human chorionic gon


Hello, doctor.
I would like to ask, after injecting the ovulation trigger shot (Ovidrel 250mg), during what period should we engage in intercourse? Also, what symptoms of ovarian hyperstimulation syndrome (OHSS) should prompt a visit to the hospital? Thank you for your response!

phoebe, 30~39 year old female. Ask Date: 2009/03/11

Dr. Huang Jianxun reply Obstetrics and Gynecology


Dear Phoebe,
The physician who prescribed your medication and injections should have a comprehensive plan detailing when to administer the injections, how to monitor ovulation, and when to engage in intercourse.
Additionally, in the event of complications such as ovarian hyperstimulation syndrome, there should be a protocol for referral to an appropriate hospital for treatment.
Please communicate further with the physician who prescribed your medication and injections for clarification.
Wishing you safety and health,
Dr.
Huang Chien-Hsun
Director, Department of Obstetrics and Gynecology
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2009/03/11

More Info


After receiving an Ovidrel injection (which contains the active ingredient choriogonadotropin alfa), timing intercourse is crucial for maximizing the chances of conception. Ovidrel is typically administered to trigger ovulation, and it is important to understand the optimal timing for intercourse to coincide with ovulation.


Timing Intercourse After Ovidrel Injection
1. Timing for Intercourse: Generally, it is recommended to have intercourse within 24 to 36 hours after the Ovidrel injection. This is because ovulation typically occurs approximately 36 hours after the injection. Engaging in intercourse during this window increases the likelihood of sperm meeting the egg.

2. Frequency: To further enhance the chances of conception, it is often advised to have intercourse every other day starting from the day of the injection until ovulation is confirmed. This ensures that sperm is present in the reproductive tract when the egg is released.

3. Monitoring Ovulation: Some women may use ovulation predictor kits or monitor their basal body temperature to better pinpoint ovulation timing. This can help in determining the best days for intercourse.


Risks and Symptoms of Ovarian Hyperstimulation Syndrome (OHSS)
Ovarian Hyperstimulation Syndrome (OHSS) is a potential risk associated with fertility treatments, including the use of Ovidrel. It is important to be aware of the symptoms of OHSS, as severe cases can require medical attention.

1. Mild Symptoms: Mild OHSS may present with symptoms such as:
- Abdominal bloating
- Mild abdominal pain
- Nausea
- Diarrhea
2. Moderate Symptoms: If symptoms worsen, they may include:
- Increased abdominal pain
- Significant bloating
- Weight gain (more than 5 pounds in a few days)
- Decreased urine output
3. Severe Symptoms: Severe OHSS is a medical emergency and requires immediate attention. Symptoms may include:
- Severe abdominal pain
- Rapid weight gain (more than 10 pounds in a few days)
- Shortness of breath or difficulty breathing
- Severe nausea and vomiting
- Decreased urine output or dark urine
- Swelling in the legs or abdomen

When to Seek Medical Attention
If you experience any of the severe symptoms listed above, it is crucial to seek medical attention promptly. Early intervention can help manage OHSS and prevent complications. Additionally, if you have any concerns about your symptoms or the timing of intercourse after the injection, do not hesitate to reach out to your healthcare provider for personalized advice.


Conclusion
In summary, after receiving an Ovidrel injection, the best time to have intercourse is within 24 to 36 hours post-injection. Monitoring for symptoms of OHSS is essential, and any severe symptoms should prompt immediate medical evaluation. Always consult with your healthcare provider for tailored advice based on your specific situation and health history.

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