chapter  12
Controlled ovarian stimulation for intrauterine insemination
Pages 4

The previous chapters have primarily dealt with induction of ovulation for women with anovulatory infertility in which the aim was to stimulate the ovary just enough to produce, preferably, one dominant ovulatory follicle. When using a follicle stimulating hormone (FSH) preparation for ovulation induction, the principle is to estimate and administer the threshold dose for an ovarian response but not to exceed it. This, theoretically, avoids a multifollicular response and the associated complications of multiple pregnancies and ovarian hyperstimulation syndrome (OHSS).