Regular ultrasound scans are key. Expect monitoring every 1-2 weeks, starting around day 10-12 of your cycle, to track follicle growth. Your doctor will adjust your dosage or discontinue treatment based on these scans, aiming for a balanced number of mature follicles. Multiple pregnancies carry increased risks, so close monitoring is vital.
Managing Multiple Follicles
If multiple follicles develop, exceeding the recommended number for a healthy pregnancy, your doctor might advise against intercourse or recommend intrauterine insemination (IUI) to manage the likelihood of multiple births. This approach balances maximizing your chance of conception with minimizing the risk of high-order multiples (triplets or more).
Tracking Ovulation
Ovulation prediction kits and basal body temperature charting can supplement, but not replace, ultrasound monitoring. These methods help indicate ovulation timing, but ultrasound precisely shows follicle development and confirms ovulation. Combining methods offers a more complete picture.
Managing Pregnancy Risks
If twins result, anticipate increased monitoring throughout pregnancy. This will include more frequent ultrasounds, closer attention to blood pressure, and early identification of potential complications like preeclampsia or gestational diabetes. A high-risk obstetrician may be involved for added support and specialized care.