Monitoring the insemination treatment
The development of follicles and endometrium (lining of the womb) is monitored by blood hormone tests and ultrasound scans. When the leading follicle measures 18-mm or more in diameter and the endometrium is well developed, an A single hCG injection is given to time insemination.
Monitoring of the cycle is essential in stimulated cycles to see whether an excessive number of follicles develop, indicating the possibility of ovarian hyperstimulation syndrome (OHHS) and high orders multiple pregnancy (triplets or more). If more than four mature follicles develop, most infertility clinics will advise you that either to withhold hCG injection abandoned the cycle and abstain from intercourse. Alternatively, convert the treatment cycle to in-vitro fertilization (IVF) or gamete intra-Fallopian transfer (GIFT) if appropriate.