IVF Process Step 2 – Ovarian Stimulation Protocol






IVF Process Step 2 – Ovarian Stimulation Protocol



The IVF Process — Step 2: Ovarian Stimulation & Follicle Monitoring

Medical Content Reviewed by Dr. K. D. Nayar, MD, DGO, Dip. Obst. (Ireland), FICOG — Chief Consultant & HOD, Akanksha IVF Centre.

Following your comprehensive baseline evaluation, your active treatment timeline formally begins with ovarian stimulation. At Akanksha IVF Centre, consistently ranked as the best IVF centre in Delhi for clinical precision, our core objective during this phase is to carefully support your ovaries in maturing a multi-follicular response, thereby maximizing your overall cumulative success parameters.

The Injection Phase: Clinical Timelines and Formulations

In a natural cycle, your body naturally selects and matures just one dominant egg follicle. To achieve multiple healthy embryos in a laboratory environment, specialized subcutaneous injections are utilized to preserve and grow a larger group of healthy follicles concurrently.

  • Personalized Hormone Dosage: Beginning typically on day 2 or 3 of your menstrual cycle, you will administer daily fertility medications (including recombinant Follicle-Stimulating Hormone and Luteinizing Hormone tracking agents). These match the custom baseline metrics defined during Step 1.
  • Preventing Early Ovulation: As the follicles advance in physical volume, a secondary daily medication (a GnRH antagonist or agonist) is seamlessly introduced to prevent your body from releasing these eggs prematurely before the physical extraction step.

Rigorous Ultrasound Tracking and Monitoring

Safety and precise alignment dictate every step of our clinical track. Throughout this 8 to 12-day window, you will make frequent, short diagnostic visits to our medical clinic for precise evaluation tracking:

Our clinical staff conducts state-of-the-art transvaginal follicle scans alongside micro-volume estradiol and progesterone blood tests. These rapid validation markers tell us exactly how your system is responding, enabling our medical specialists to fine-tune your evening medication metrics safely and dynamically, mitigating risks like Ovarian Hyperstimulation Syndrome (OHSS).

The Trigger Shot: Precision Timing

When the majority of your growing follicles reach an ideal physiological size—generally measuring between 18mm and 20mm in diameter—ovarian stimulation concludes. You are then directed to administer a final hormonal trigger injection (hCG or a specialized agonist) at a precise, exact hour. This trigger launches the definitive maturation changes within the egg cells, preparing them perfectly for safe surgical aspiration exactly 34 to 36 hours later.