Referring to your description, I assume
that your gynecologist was trying to
perform “in vitro” fertilization. But
stimulation with Repronex (FSH) probably
caused too many follicles (14) to start
growing. Eventual ovulation of all those
14 ovarian follicles after receiving the
HCG-shot would cause ovarian
hyper-stimulation syndrome (OHSS) which
can be a very dangerous condition so
doctors had to stop the procedure.
The ovarian follicles that remained now
act like functional follicular cysts. They
are producing high doses of estrogen
hormone that prevents any new follicle
from growing. They act as a natural
contraceptive. New ovarian follicle growth
and ovulation will be prevented as long as
those ovarian follicular cysts are active.
Functional ovarian cysts are usually
active for a few months. You may not have
a new ovulation in the next 2-3 months but
you may expect irregular bleeding from the
womb to happen.
LH surge, that happens right before
ovulation happens, is caused by increased
production of GnRH from the hypothalamus
and that is probably triggered by the
sudden decrease of the estrogen level
right before the ovulation.
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