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Controlled Ovarian Stimulation (COS) at Gynatal Clinic (Timișoara is a personalized hormonal protocol designed to mature multiple follicles for IVF or IUI. Using thin-needle subcutaneous injections and precise ultrasound monitoring, we maximize egg quality while actively preventing OHSS through modern strategies like the GnRH trigger and Freeze-All protocols.

Why is Ovarian Stimulation Necessary?

In a natural cycle, the body typically matures only one egg. To increase the success rates of assisted reproduction (IVF/IUI), we use stimulation to encourage the ovaries to produce a higher number of mature, high-quality eggs.

Who is this treatment for?

Stimulation is a primary line of treatment for:

  • Ovulatory Disorders: Including PCOS or irregular cycles.
  • Unexplained Infertility: When standard tests are normal but conception hasn't occurred.
  • IVF & IUI Patients: As a mandatory step to ensure a sufficient number of embryos.

The Gynatal Roadmap: A Step-by-Step Guide

We minimize patient stress by providing a clear, evidence-based journey from Day 2 of your cycle to the "Trigger Shot".

fertility journey

Baseline Evaluation (Days 2-3)

Your cycle begins with a transvaginal ultrasound at our clinic in Timișoara to confirm the ovaries are resting and to perform an Antral Follicle Count (AFC).

fertility journey

Personalized Medication

You will administer subcutaneous injections (gonadotropins) daily at the same hour. Our team provides full training, ensuring you feel confident and comfortable with the process at home.

fertility journey

Precise Monitoring

Over 10–12 days, you will attend 2–4 monitoring sessions. We use high-resolution ultrasound and blood tests (Estradiol, LH, Progesterone) to fine-tune your dosage in real-time.

fertility journey

The Final Oocyte Maturation (Trigger Shot)

Once the follicles reach 17–18 mm, a final injection is administered. This precisely timed "trigger" prepares the eggs for retrieval 34-36 hours later.

Patient Safety: Preventing OHSS

At Gynatal, your safety is our "Scientific Gold Standard." Ovarian Hyperstimulation Syndrome (OHSS) is a rare complication we proactively prevent through:

  • Customized Dosages: Based on your AMH and BMI.
  • GnRH Agonist Triggers: Reducing the hormonal surge.
  • Freeze-All Strategy: If estrogen levels are too high, we cryopreserve all embryos and perform the transfer in a later, more natural cycle.

Frequently Asked Questions (FAQ)

Are the injections painful?

Most patients report minimal discomfort. The needles are extremely thin, similar to insulin pens, and are easily administered into the abdomen.

No. Stimulation only "saves" the eggs that your body would have naturally discarded (atretic follicles) during that specific month. It does not deplete your future egg reserve.

Extensive international studies show no direct link between ovarian stimulation and an increased risk of breast or ovarian cancer.