Couples who are trying to conceive, or using contraceptive methods need to know the exact phase of ovulation. Modern medical technology has made it possible to detect ovulation. To avoid becoming pregnant, women of childbearing years are keen to monitor their ovulation cycles. The fertility period (or sperm life) lasts approximately five days and ends after ovulation. It can also continue for as long as one or two days thereafter (the lifetime of an egg). The identification of the menstrual cycles is essential for pregnancy prevention and contraception (Musewu 2019). Artificial reproductive procedures can be used by doctors to assess whether the menstrual cycles are normal. The procedure can only be performed during ovulation or the reproductive window. The first step in the future would be an ultrasonogram. This will determine which dominant follicle is being used and keep track of it through ovulation. LH surge levels in the urine can be very sensitive to ovulation and are a reliable indicator for a woman’s fertility. It is possible to use the closure of the reproductive windows as a marker for the release of progesterone from the corpus.
Ultrasonography allows you to confirm or detect ovulation through the reduction in size (or disappearance) of once-dominant foollicles. It also shows the rise in echogenicity which is indicative of formation of the corpus.
After confirming ovulation, the obstetrician will conduct hysterosalpingography and examination of the sperm. This imaging procedure evaluates the structure, hormone, and partner factors and focuses on fallopian tube patency and the endometrial cavity. The degree of fallopian tube patency dictates whether the oocytes will be fertilized and implanted in the endometrium (Lindsay, T. J., & Vitrikas, K., 2015). The sperm analysis determines whether sperm are viable, motility and morphology. These characteristics are the basis for future conception.
Obstructing the fallopian tube can cause sperm to stop working. Obstructing fallopian tube access prevents the sperm from fertilizing. If the fallopian tubes are open and unobstructed, Clomiphene Citrate can trigger ovulation.
For a complete evaluation, the pair will be sent for treatment by an obstetrician. Failure to conceive when taking the maximum dose of Clomiphene indicates a more complicated medical problem, and in-vitro fertilization is the next-preferred approach for treating infertility (Lindsay, T. J., & Vitrikas, K., 2015).