Hello and welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Active reagent in Ovafar is
Clomiphene citrate. It can be started from day 2 of the cycle for induction of ovulation. Associated treatment with
Metformin or Myo
inositol is supposed to give better results.
After the course of Ovafar for 5 days, ovulation monitoring with
ultrasonography is advised. When the follicle(s) has (have) reached size of 18 mm, injection hCG will give you programmed rupture of follicle; thus you can have planned sexual relations. The follicles of size between 18 mm to 21 mm release the best quality eggs having maximum opportunity of successful
pregnancy.
Since your follicle is now already 22 mm, you may start the intercourse frequently upto 24 hours after the egg release. The life of the egg is 24 hours while sperms are active for 72 hours. Hence, please start frequent sexual relations from the 18 mm size of the follicle and continue then at least for 24 hours after the ovulation has been achieved.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Nishikant Shrotri