Ovulation Induction & Follicular Monitoring in Delhi
Medication to produce a mature egg, with scans to confirm it actually happens.
What ovulation induction & follicular monitoring involves
Anovulation — not releasing an egg — is one of the commonest and most treatable causes of infertility, and PCOS is the usual reason. Letrozole or clomiphene stimulate follicle development, with gonadotrophin injections used when tablets fail.
Monitoring matters as much as the drug. Scans from around day nine confirm that a follicle is actually growing, show when it is mature, and let us time intercourse or IUI precisely instead of guessing from a calendar.
Who this is for
- PCOS with irregular or absent ovulation
- Irregular cycles with no other identified cause
- Luteal phase deficiency
- Timed intercourse or IUI cycles
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Baseline scan
A day-two or day-three scan excludes cysts and confirms you can start.
Medication
Letrozole or clomiphene from day two to day six, or low-dose injections if tablets have not worked.
Follicular tracking
Scans from day nine, every two to three days, until a follicle reaches maturity.
Trigger and timing
A trigger injection sets ovulation, and intercourse or IUI is timed to it.
Your results, in writing
Whatever the outcome of ovulation induction & follicular monitoring, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: Six monitored cycles instead of one blind year
26, Uttam Nagar · PCOS · anovulation
What she came in with
Periods three or four times a year. She had taken clomiphene on and off for a year, prescribed without any scan, with no idea whether she had ever ovulated on it.
What the workup showed
Ultrasound showed polycystic ovarian morphology with an antral follicle count above 25. A day-21 progesterone confirmed she had not ovulated in the cycle just past. Her BMI was 29.
What we did
Letrozole rather than clomiphene, which produces higher ovulation and live birth rates in PCOS and does not thin the endometrium. Scan tracking from day nine in every cycle, with the dose stepped up where no dominant follicle developed.
Outcome
Ovulation achieved from the second cycle at 5 mg. Conception in the fourth monitored cycle, alongside an 8% reduction in weight.
The point of this case
A year of unmonitored clomiphene produced no information. Four monitored cycles produced a pregnancy, and we knew after each one exactly what had happened.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Letrozole preferred in PCOS, where it outperforms clomiphene
Every cycle monitored by scan, never prescribed blind
Endometrial thickness checked, since clomiphene can thin it
Clear limit of six ovulatory cycles before moving on
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about ovulation induction & follicular monitoring
Which is better, letrozole or clomiphene?
For PCOS, letrozole produces higher ovulation and live birth rates and thins the endometrium less. It is our usual first choice.
Will these tablets cause twins?
The risk is small — roughly 5–7% with properly monitored cycles. Monitoring is what keeps it small, by cancelling cycles with too many mature follicles.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.