Hallow Dear,
Decapeptyl is a
gonadotropin-releasing hormone agonist (GnRH agonist). By causing constant stimulation of the pituitary, it decreases pituitary secretion of gonadotropins
luteinizing hormone (LH) and
follicle stimulating hormone (FSH). LH is a hormone which causes the egg release from the follicle in the ovary.
What you need at this stage is a stimulation for ovulation which is given by hCG injections.
Now what you can do is monitor the ovulation by
ultrasonography everyday. Utilize the day when you find the egg released; it may happen any day now. Please understand that the life of ovum after ovulation is 24 hours while the sperms are active for 72 hours. Therefore, you can have your intercourse daily from today onwards in the hope of ovulation in next 24-48 hours.
If this cycle you do not conceive, please observe the following instructions:
1. The egg which is released when the follicle is between 18 mm to 21 mm of size is the healthy egg and has got maximum chance of successful
pregnancy. When the follicle starts becoming larger before ovulation, the quality of the egg for successful pregnancy is not good.
2. Therefore when the follicle id 18 mm size, get Inj. hCG 5000 units to effect the ovulation. Usually within 24 hours after this injection the ovulation takes place. Hence, you may even have intercourse before you take the injection.
3. The lining of the uterus (endometrium) is most conducive for successful
implantation of fertilized ovum (
blastocyst) when its thickness is between 9 mm and 13 mm.
I hope this helps you.
Dr. Nishikant Shrotri