In patients where anovulation is determined, with at least one patent fallopian tube and a normal spermogram, it is indicated to stimulate ovulation. This most often occurs in patients with PCOS. Upon the onset of menstruation, from days 3-5 of the cycle, tablets that are aromatase inhibitors are administered, which lead to the stimulation of follicle growth. Ultrasound is used to monitor the development of follicles, with the addition of gonadotropin ampoules in small doses if the patient does not respond to oral therapy. Once the leading follicle reaches periovulatory size, an injection is given to induce ovulation, and intercourse is advised over the next 3 days, after which an ultrasound is performed again to check if the follicle has ruptured.
