#stemcellpakistan

A herniated disc or slipped disc is a medical condition that affects the spine in which the fibrous outer portion of the intervertebral disc ruptures or tears allowing the soft jellylike central portion to squeeze or bulge out.

The spinal column is made up of 33 bones known as vertebra stacked on to each other, accordingly, the column includes seven bones in the cervical spine followed by twelve bones in a thoracic spine and five in the lumbar spine followed by five fused vertebrae in the sacrum and four fused vertebrae in the coccyx at the base.

Each vertebra is separated from the adjacent vertebra and cushioned by an intervertebral disc. The disc helps to protect the bones by minimizing the impact on the spinal column. A herniated disc can occur in any part of the spinal column however, they are more common in the lumbar spine just above the hips. A herniated disc can compress nearby nerves resulting in pain, numbness, or weakness in the arm or leg.

Causes of herniated (slipped) disc: 

Disc degeneration can often be the result of gradual, age-related wear and tear termed degenerative disc disease. As people age, the intervertebral discloses its water content as well as the ability to cushion the vertebrae. This reduction in fluid makes the discs less flexible and more prone to rupture even with a little twist or bend.

In some cases, a disc herniation may occur in young and healthy people as a result of injury or tear from lifting large heavy objects, this injury may occur after twisting while lifting a heavy item or using back muscle instead of a leg muscle while lifting heavy objects.

Certain factors that may increase the risk of a herniated disc may include :

Excess body weight  

Genetics 

An occupation that is physically demanding 

Sedentary lifestyle 

Symptoms of herniated (slipped) disc: A cervical herniated disc symptoms may include pain in the neck, shoulder, or arms, numbness, or weakness in the neck, shoulders, or arms. If the disc herniation is large and compresses the nerves in the spinal column, there may be numbness, weakness stiffness in the legs, loss of bowel control, difficulty with bladder control.

A thoracic herniated disc symptoms may include pain in the mid-back, pain or numbness that travels from the back to the front of the chest or upper abdomen.

A lumbar herniated disc symptoms may include persistent or continuous back pain that is worsened by movement, sneezing, coughing, or standing for long periods of time, unexplained muscle weakness in the leg, difficulty in walking and coordination, changes in bowel or bladder function, pain that starts near the back or bottom and makes it’s way all down the leg and to the foot, decreased reflexes at the knees and ankles.

Diagnosis of the herniated (slipped) disc: 

Diagnosis is based on the history, symptoms, and physical examination may aim to check reflexes, walking ability, muscle strength, range of motion, sensitivity to touch, and the possibility of tender regions in the back. If any other medical condition is suspected or the doctor needs to find the location of the herniated disc and see which nerve is affected, the doctor may order MRI imaging, CT scan, or myelogram.

Available treatment for herniated (slipped) disc in Pakistan: 

Treatment options of medication for herniated (slipped) disc in Pakistan includes :

Medication

Therapy

Surgery

Medication: Medication include over-the-counter pain medications such as ibuprofen or naproxen, doctors may also prescribe narcotics such as codeine or oxycodone, acetaminophen combination if OTC medication doesn’t improve pain. If muscle spasm is present muscle relaxants may also be prescribed, cortisone injections that are injected directly into the area of the herniation to help reduce pain and inflammation.

Therapy: Physical therapy may be suggested if the pain doesn’t resolve within a few weeks physical therapists may show patients positions and exercises designed to help relieve the pain.

Surgery: In very few cases surgery may be required, surgery is suggested if other treatment options fail to improve the patient’s symptoms after a period of six weeks. Surgery may include either removing just the protruding portion of the disc or removing the entire disc. In cases where the entire disc is removed metal hardware may be used to fuse the vertebrae together to provide spinal stability, in very rare cases surgeons may suggest an artificial disc replacement.

Stem cell therapy for herniated (slipped) disc: 

Stem cell therapy has been in use for the last few years and resulted in highly successful procedures for the treatment of herniated or slipped disc. The main function of stem cell therapy is to regenerate a dysfunctional disc that is compressed or bulged out of the spinal canal due to any type of injury or age-related wear and tear of the spine.

Stem cell injections are directly injected into the spine and regrow and regenerate disc that was causing pain and inflammation. As the pain and inflammation are mediated by pressing of the nerves, therefore, stem cell therapy influences reduction and pain management by regenerating the affected disc.

Enriched with growth factors and healing properties of stem cells that are undifferentiated cells and can take the shape of any type of cells that are either inflamed or dysfunctional in the body, is the natural mechanism for self-healing.

Lumbar spinal stenosis is the loss of space inside the spinal canal, it can occur anywhere in the spine but is most common in the lumbar spine or lower back. Lumbar spinal stenosis is very common in people over the age of 60 approximately 1 in 3 people. However symptomatic lumbar spinal stenosis is quite uncommon and it is only present in 5-10% of those people with lumbar spinal stenosis .

Causes of lumbar spinal stenosis: Degeneration or normal age-related wear and tear on the parts of the spine can result in bulging discs, bone spurs, thickened spinal ligaments, and enlarged joints near the spinal canal.

These changes take up space inside the canal and the resulting narrowed space puts pressure on the spinal nerves which cause irritation and inflammation. People usually do not begin experiencing age-related symptoms from stenosis until later in life, however, it can occur in younger people who were born with abnormally small canals.

Symptoms of lumbar spinal stenosis: Symptoms of spinal stenosis are caused by a squeezing of the nerve root. These symptoms occur most often in the legs with people experiencing heaviness, weakness, and pain while walking or during the prolonged periods of standing.

Standing or walking makes the symptoms worse due to pressure and stretching of the irritated nerves, after rest symptoms often disappear due to pressure taken off the nerve roots. 

Available treatment for lumbar spinal stenosis: In many cases, mild pain medication and rest relieve the pain of stenosis. Physical therapy or steroid injections are other possible treatment options. If symptoms become severe the doctor may recommend a surgical procedure to free up or decompress the nerves, two or more vertebrae may also be fused together or connected to stop motion at the painful area.

How stem cell therapy treats lumbar spinal stenosis: Stem cell therapy is part of medical science and termed “regenerative therapy” that harness the body’s own defense mechanism to heal and regrow damaged and inflamed tissue and especially in the case of lumbar spinal stenosis inflamed disc tissue regeneration that is causing nerve root compression.

Stem cells are injected into the spinal canal that regenerates degenerated disc and thus results in the opening of the spinal canal directly influencing the compression on the nerve root that was compressed or pinched before treatment. Stem cell-mediated disc and joint regeneration reduce inflammation and pain by regenerating bulging of the disc and provide quicker onset of relief to patients without the need for an invasive surgical procedure that is high risk and even one small error can result in paralysis of the body either on a temporary or permanent basis. Stem cell therapy not only regenerates but also halts the progression of the disease therefore symptoms experienced by the patient are lessened at once.

Cost of stem cell therapy vs traditional treatment for lumbar spinal stenosis: 

The cost of stem cell therapy vs available traditional therapy is quite significant both in comparison of economical terms in consumption of time for treatment as traditional treatment is a multi-disciplinary approach involving consultation with orthopedic surgeons and neurosurgeon along with any other medical branch that is treating the underlying condition.

Furthermore, after a successful surgical procedure patient has to go through a physical therapist and exercise for many months and sometimes up to 14 months that burdens the patient in both ways of financial and time-wise.

The rotator cuff is a set of four muscles and tendons that attach the shoulder blade to the proximal part of the arm or the proximal humerus, it serves to stabilize the shoulder and socket and also helps to lift and rotate the arm.

Rotator cuff common injuries and causes: common injuries to the rotator cuff include inflammation of the tendon itself or the surrounding tissue called the rotator cuff tendonitis or subacromial bursitis or more significant injuries such as tears.

These tears can be small or partial in size or they can involve the entire tendon’s full thickness and be quite large, they occur because of wear and tear as we age or from acute traumatic injuries. 

Symptoms: Symptoms of rotator cuff injury are following such as 

Pain on the outside of the shoulder down the arm and up to the neck.

Inability to raise one’s arm above shoulder level 

Continuous pain in the shoulder regardless of night or day but more if resting on the affected shoulder.

Difficulty in rotating and weakness in lifting the arms.

Treatment for rotator cuff injury: Treatment for rotator cuff can involve simple measures such as rest and activity modification to avoiding activities that are painful for your shoulder, to things like physical therapy and icing the shoulder, and pain medication such as anti-inflammatory medications like ibuprofen and aspirin.

Surgical treatment for rotator cuff injury: Surgery is a good option for the treatment of rotator cuff injury or tears when non-surgical measures such as physical therapy and pain medications have failed to provide symptomatic relief over a period of time.

Other reasons for surgery include a large tear or tears that are resulted from an acute traumatic injury, finally, if someone has a high demand occupation that requires a lot of overhead shoulder activity, this may be another reason to consider surgical fixation.

Surgery is typically performed arthroscopically although an open incision may be needed in rare cases. The arthroscopic approach uses small incisions around the shoulder to insert a camera and arthroscopic equipment to perform the work.

The goals of surgery are to remove inflammation, remove the diseased portion of the rotator cuff and repair the rotator cuff tendon back into the bone.

For more information visit https://shifarejuvenation.com/ 

The recovery period of surgery: Recovery after surgery can be lengthy and can progress over several months, typically the patient will be in a sling for four to six weeks after surgery and continues for five and six months.

Physical therapy for rotator cuff injury: Physical therapy is usually individualized and prescribed by the surgeon after surgery is performed, in general, however, the patient starts with passive range of motion exercise where motion is generated by the therapist and later towards the active range of motion where the patient performs the range of motion exercises. After a range of motion has returned, strengthening exercises can begin.

The prognosis for rotator cuff repairs is excellent, particularly in terms of pain relief, functional results can continue to improve even out to one year. The majority of the patient will return to a high portion of their activities within four to six months including sports. 

Stem cell treatment/injections for rotator cuff injury: Stem cell therapy helps repair rotator cuff injury and tears using minimally invasive and ultrasound-guided injection precisely into the torn areas of the muscle and tendons.

The results from the stem cell therapy have resulted in more than 70% of patients who received groundbreaking stem cell therapy for rotator cuff injury noted improvements in range and of motion and inflammation reduction of 80% on average.

Further clinical trials have also shown that patients benefited from quicker recovery and can get back to things they love faster than those who undergo traditional surgery and treatments.

Sadly 6 out of 10 patients of rotator cuff injury surgery don’t heal afterward, in fact, a US government-sponsored investigation into healthcare quality recently reviewed more than 150 published studies and concluded that there was no solid evidence that rotator cuff surgery benefited patients any more than no surgery at all.

The rotator cuff is a set of four muscles and tendons that attach the shoulder blade to the proximal part of the arm or the proximal humerus, it serves to stabilize the shoulder and socket and also helps to lift and rotate the arm.

Rotator cuff common injuries and causes: common injuries to the rotator cuff include inflammation of the tendon itself or the surrounding tissue called the rotator cuff tendonitis or subacromial bursitis or more significant injuries such as tears.

These tears can be small or partial in size or they can involve the entire tendon’s full thickness and be quite large, they occur because of wear and tear as we age or from acute traumatic injuries. 

Symptoms: Symptoms of rotator cuff injury are following such as 

Pain on the outside of the shoulder down the arm and up to the neck.

Inability to raise one’s arm above shoulder level 

Continuous pain in the shoulder regardless of night or day but more if resting on the affected shoulder.

Difficulty in rotating and weakness in lifting the arms.

Treatment for rotator cuff injury: Treatment for rotator cuff can involve simple measures such as rest and activity modification to avoiding activities that are painful for your shoulder, to things like physical therapy and icing the shoulder, and pain medication such as anti-inflammatory medications like ibuprofen and aspirin.

Surgical treatment for rotator cuff injury: Surgery is a good option for the treatment of rotator cuff injury or tears when non-surgical measures such as physical therapy and pain medications have failed to provide symptomatic relief over a period of time.

Other reasons for surgery include a large tear or tears that are resulted from an acute traumatic injury, finally, if someone has a high demand occupation that requires a lot of overhead shoulder activity, this may be another reason to consider surgical fixation.

Surgery is typically performed arthroscopically although an open incision may be needed in rare cases. The arthroscopic approach uses small incisions around the shoulder to insert a camera and arthroscopic equipment to perform the work.

The goals of surgery are to remove inflammation, remove the diseased portion of the rotator cuff and repair the rotator cuff tendon back into the bone.

For more information visit https://shifarejuvenation.com/ 

The recovery period of surgery: Recovery after surgery can be lengthy and can progress over several months, typically the patient will be in a sling for four to six weeks after surgery and continues for five and six months.

Physical therapy for rotator cuff injury: Physical therapy is usually individualized and prescribed by the surgeon after surgery is performed, in general, however, the patient starts with passive range of motion exercise where motion is generated by the therapist and later towards the active range of motion where the patient performs the range of motion exercises. After a range of motion has returned, strengthening exercises can begin.

The prognosis for rotator cuff repairs is excellent, particularly in terms of pain relief, functional results can continue to improve even out to one year. The majority of the patient will return to a high portion of their activities within four to six months including sports. 

Stem cell treatment/injections for rotator cuff injury: Stem cell therapy helps repair rotator cuff injury and tears using minimally invasive and ultrasound-guided injection precisely into the torn areas of the muscle and tendons.

The results from the stem cell therapy have resulted in more than 70% of patients who received groundbreaking stem cell therapy for rotator cuff injury noted improvements in range and of motion and inflammation reduction of 80% on average.

Further clinical trials have also shown that patients benefited from quicker recovery and can get back to things they love faster than those who undergo traditional surgery and treatments.

Sadly 6 out of 10 patients of rotator cuff injury surgery don’t heal afterward, in fact, a US government-sponsored investigation into healthcare quality recently reviewed more than 150 published studies and concluded that there was no solid evidence that rotator cuff surgery benefited patients any more than no surgery at all.

Shoulder trauma is a broad term used to define fractures and dislocation of the shoulder. Fracture and dislocation both are different conditions as used also to define the severity of the trauma.

A fracture involving a significant trauma such as falling onto your outstretched arm or maybe being involved in a car accident. These injuries are extremely painful and can limit your function immediately after the injury and can be confirmed with an x-ray.

A dislocation is a total displacement of the articular end of the bone from the joint cavity, in dislocation normal alignment of the bone is altered. Various factors are attributed to the bone and joint dislocations.

Types of dislocation: dislocation of the bones and joints are divided into the following types such as:

Congenital

Traumatic

Pathological

Paralytic 

Congenital dislocation: Congenital deformities are due to genetic factors or factors operating on the developing fetus. These are also called a teratogenic or teratologic disorder.

Traumatic dislocation: It is due to serious violence, it occurs in the shoulder, elbow, and hip.

Pathological dislocation: pathological dislocation can occur due to some disease.

Paralytic dislocation: Paralytic dislocation occurs when a remarkable imbalance occurs in the muscle power 

Types of fractures: Fractures can involve different portions of the shoulder. The fracture can involve the proximal part of the arm or proximal humerus or can involve the socket of the shoulder, called the glenoid.

Fractures also vary in severity, some are simple breaks where the two bone pieces do not move relative to each other, these are called minimally displaced or non-displaced fractures. Other fractures can be more severe and bone can be broken into several pieces.

How are fractures and dislocation treated? As both of the conditions are different and require a different approach to treat each, therefore, treatment method is also different according to the severity of the disease.

For dislocation, if an individual is under the age of 20 years then surgery is a good option for earlier recovery and healing time. Healing time takes about 10-12 weeks. There are two procedures for shoulder dislocation such as “Arthroscopy”  or “Bankart repair” and the second procedure is called “Open surgery” or “Latarjet procedure”.

Surgical repair of the shoulder fracture involves an open surgery generally under general anesthesia and also with the nerve block.

The surgery is an open surgery and is a ten to twelve-centimeter incision Infront of the shoulder, the pieces of bone are carefully realigned and fixed with the metal plate and screws.

In some cases, the fracture may be so severe, or the bone quality so poor that the metal fixation cannot hold, in these cases a metal prosthesis will be used to reconstruct the shoulder.

Recovery from a shoulder fracture involves a 1-2 day hospital admission followed by outpatient physical therapy, depending on the type of surgery an individual has, physical therapy will start with gentle range of motion exercises initially performed by the therapist or passive range of motion, followed by active range of motion exercise performed by the patient. When the range of motion is restored, strengthening exercises will begin which typically occurs after the bone has healed in three to four months.

Cost of fracture and dislocation by traditional treatment vs stem cell therapy: The cost of fracture and dislocation is very high in Pakistan as not only the patient has to pay for the surgical procedure but also for one week of hospitalization that is the minimum requirement.

Medication and physical therapy cost as much as the surgical procedure itself, therefore, rendering multiple financial burdens on the patient which is already suffering from a poor economic climate at the moment.

Stem cell therapy offers no such additional cost in terms of continuous treatment and afterward physical therapy cost on the patient, therefore it is the most logical and conclusive therapy for shoulder fracture and dislocation.

Common types of bone and joint injuries and their treatment through stem cell therapy: 

In common bone and joint fracture and dislocation stem cell therapy is also used as stem cell therapy contains several growth factors, cytokine, and acts as an immunomodulator, and therefore promotes early recovery and bone regeneration at the site of fracture.

With conventional treatment bone, fracture, and dislocation injuries take too much time, and in severe cases decrease in the quality of life of the patient is inevitable. 

Visit https://shifarejuvenation.com/ for more information regarding stem cell therapy.

Stem cell therapy initiates osteoblast activity which is natural bone builders in the body. By activating osteoblast activity bone formation is much faster and recovery is 3 folds early than traditional therapy and surgical procedures.

What Is Plantar Fasciitis? Plantar fasciitis is foot pain caused by a problem with the plantar fascia, the band of tissue that connects the heel and ball of the foot, it’s sometimes called plantar fasciosis.

Plantar fasciitis is the most common cause of adult heel pain, and pain associated with plantar fasciitis generally tends to be worse when a patient gets out of bed in the morning or sitting for a while.

Causes: plantar fasciitis is caused by strain, tearing, or wearing out of the tough band of tissue in the feet, causes varies according to the individual’s activity such as :

Wearing high heels

Being a runner or dancer

Sitting all the time 

Spend a lot of time on feet on hard surfaces

Having tight calf muscles

Having flat feet or very high arches 

Being overweight or having rheumatoid arthritis

Precaution: To lessen the pain and lower the stress on your foot there few precautions that need to adhere to in order to get better results from medications and reduction of inflammation such as:

Take smaller steps

Don’t walk barefoot

Avoid jogging and other high-impact activities

Lose weight especially if an individual is overweight

Do stretches of calves and feet

Rest and put ice on feet

Taking NSAID’s (non-steroidal anti-inflammatory drugs)

Wear a splint at night to stretch the muscle

Symptoms: Symptoms of plantar fasciitis are as followed :

Stabbing or pinching pain in the foot or heal

Unable to walk after few steps 

Unable to move the foot after standing or sitting for a long time (due to pain)

Plantar Fasciitis traditional treatment in Pakistan: Traditional treatment for plantar fasciitis in Pakistan is quite limited but consist of the following protocols such as:

Anti-inflammatory medication (ibuprofen etc)

Ice once or twice a day (5-10 min)

Cortisone injections

Shoe and orthotic therapy

Putting a cast on feet if there’s a fracture

Formal physical therapy

Activity modification

Surgery

Stem cell therapy for plantar fasciitis: recently stem cell therapy has been in use for the treatment of plantar fasciitis as a mediator for quick recovery and promotes an anti-inflammatory response which is usually lack by traditional medications.

Does stem cell therapy work for plantar fasciitis? Stem cell therapy is enriched with cytokines and anti-inflammatory properties that accurately target inflamed areas in the feet such as plantar fasciitis and reduces inflammation and promote recovery with quick onset.

As stem cell therapy include growth factors that stimulate the body’s natural healing process making way for fast recovery on a priority basis therefore stem cell not only works better than traditional therapy but also promotes recovery.

Cost of plantar fasciitis treatment in Pakistan: cost of plantar fasciitis is different in each region in Pakistan especially for orthopedic surgeons and rheumatologist consultation costing very high to visit the clinic and further surgical options and medication put an extra financial burden on the patient.

For a country like Pakistan treatment for diseases such as Plantar fasciitis is not economical where 80% of the population is living under the line of poverty and cannot afford continuous visits to physician clinics and treatments that prolong to several years. 

Stem cell therapy offers the best option for plantar fasciitis as it’s not only the body’s natural healing process but it also doesn’t offer severe side effects of steroid and pain killer medication that further increases the cost and decreases in quality of life.

Sciatica is the name given to the pain caused by the irritation of the “sciatic nerve”, anything that irritates this nerve can cause pain ranging from mild to severe. Sciatica is usually caused by a compressed nerve in the lower spine  

Causes: Sciatica occurs when the sciatic nerve becomes pinched usually by a herniated disc in the spine or overgrowth of the bone as in bone spur on the vertebra, more rarely the nerve can be compressed by a “tumor” or damaged by a disease such as diabetes.

Risk factors: Risk factors for developing sciatica includes:

Age 

Obesity

Occupation

Prolonged sitting

Diabetes

Symptoms: the main symptom of sciatica is shooting pain anywhere along the sciatic nerve from the lower back through the buttock and down the back of either leg.

Other common symptoms of sciatica include numbness in the leg along the nerve, tingling sensation as in pins and needles in the feet and toes. This pain can range in severity and may be aggravated by sitting for long periods.

Treatment: If the pain doesn’t improve with self-care measures than the physician recommends the following treatments such as:

Anti-inflammatory medications

Muscle-relaxants

Narcotic painkiller medication

Trycyclic anti-depressants

Anti-seizure medications

Physical therapy

Corticosteroid injection 

Surgery: This option is usually reserved for when the compressed nerve causes significant weakness, loss of bowel and bladder control, or when the pain progressively worsens or doesn’t improve with other therapies.

Surgeons can remove the bone spur or the portion of the herniated disc that’s pressing on the pinched nerve.

Can stem cell play a big role in sciatica treatment? Over the years many research related to an out of the box complete treatment for sciatica has been circling around the medical community and biotechnology specialist resulted in stem cell therapy or regenerative medicine for a possible solution.

In October 2013 a research article published in the “National Library Of Medicine” showed amazing results of the application of stem cell injections in animal models for treatment of sciatic nerve and reduction of inflammation in the spinal canal.

The results showed not the inflammation was reduced but stem cell therapy has regenerated more than 50% of nerve cells or axons in the spinal cord which has improved the outcome even more in favor of stem cell therapy.

After the publication of this study application of stem cell therapy in humans has started and given even more conclusive results and most of the patients who had chosen stem cell therapy didn’t need surgery at all.

Sciatica pain treatment through stem cell therapy in Pakistan is widely used for the management of sciatica and have satisfied thousands of patients over many years and continues to serve many more patients for years to come.  

Infertility in the female is defined as the inability to conceive or carry a pregnancy to term after 12 months of regular and unprotected sexual intercourse.

Types: There are two types of infertility such as:

The failure of a couple to have any children at all is termed “Primary Infertility”.

Couples who have already conceived have produced a first child but have great difficulty in adding more or another to their family termed “Secondary Infertility”.

Some doctors prefer the term “Sub Fertility” to describe any form of reduced fertility with prolonged time. Infertility can arise from female factors, male factors, or a combination of both.

Fertilization is the term used to describe the successful fusion of a female egg and male sperm to form the new organism that is the baby.

Female Factors: Female factors affecting fertility include :

Hormone 

Oogenesis

Implantation 

Potential for pregnancy

Causes: Potential causes of sub-fertility or infertility are thought that male factors account for 30% of causes, female factors about 30%, a mix of female and male factors for 30%, and the remaining 10% is idiopathic or of unknown origin.

Causes of female infertility can be broken down into five main groups such as:

Pituitary Disorders 

Ovulation Disorder

Ovarian failure

Hypogonadism 

Hypothalamic pituitary failure 

Hyperprolactinemia 

Hypothyroidism 

Polycystic ovarian syndrome 

Premature ovarian failure

Destruction of ovaries by radiation or chemotherapy, surgery, or toxins

Luteal phase defects 

Pelvic, tubule, or uterine disorders 

Damage to the fallopian tube

Prevention of infertility: infertility can be prevented by:

Having regular sexual intercourse

Maintaining healthy personal habits

Maintaining healthy body weight

Exercise regularly

Avoiding exposure to toxins

Avoiding smoking and alcoholic drinks

Limiting caffeine intake

Conventional Treatment for female infertility: Fertility drugs are the most commonly used infertility treatment for women. Fertility drugs treat infertility by working on three purposes:

To get women to ovulate, who don’t ovulate on their own.

Increase the number of eggs released in women who do ovulate.

In preparation for IVF

For inducing ovulation, oral medications are usually used since they are less expensive, easier to use, and don’t require as much monitoring. Clomid (clomiphene citrate) is the most commonly used medication for female infertility.

Typically the doctor will start with a lower dose such as 1-2 pills a day for five days, after monitoring if the doctor determines that you did not ovulate then the dose can be increased by 1 pill per day.

So if two pills a day for five days didn’t work then the dose goes up to three pills a day and so on. Treatment can no longer be exceeded to more than five days but in some cases, Clomid can be given for 7-10 days.

Injectable medications are a more potent infertility treatment for women with a typically higher percentage of women who will ovulate and more will get pregnant. Commonly used brands of these medications are Follistim or Gonal-F.

Like the Clomid, if you are trying to induce ovulation, the doctor will usually start on a lower dose and increase only if necessary. The exact dose is determined by a number of factors such as age, results of hormone testing, and the response of any previous treatment.

Because they are more potent, the injections require closer monitoring with blood tests and ultrasounds in the doctor’s office every few days. When being used to get multiple eggs in women who already ovulate, or for IVF, the dose of medications may be higher than when it’s used to induce ovulation.