A higher dose won't make more eggs than you have.

Ovarian stimulation is the use of tablets or hormone injections so that follicles mature that would otherwise be lost that month.

Each month your ovaries start a small group of follicles. Usually one wins and the rest fade. Stimulation changes the hormone signal so that either one matures reliably, or several mature together. It does not draw on eggs meant for future months.

Yes: for IUI or ovulation induction the aim is one or two follicles, and for IVF the aim is several eggs.

In IUI, fertilisation happens in the body, so every mature egg could become a baby. Too many follicles means a real risk of twins or triplets, so we cancel or change the plan when too many grow. In IVF the eggs are collected, and how many embryos go back is a separate decision, never more than two.

Most IVF cycles at Jananam use daily FSH injections with an antagonist protocol, which is shorter and allows the safer agonist trigger.

Letrozole or clomifene tablets are used to help ovulation for IUI or timed intercourse. Gonadotropins (FSH, sometimes with LH) are small injections under the skin, used for IVF. An antagonist injection stops eggs releasing too early. The trigger (hCG or a GnRH agonist) ripens the eggs, and collection follows about 34 to 36 hours later. A long agonist protocol or a milder protocol still suits some women. [CONFIRM: antagonist protocol is Jananam's usual default]

OHSS (ovarian hyperstimulation syndrome) is an over-response where the ovaries swell and fluid leaks into the abdomen, and we reduce it by using an agonist trigger and freezing all embryos.

Mild OHSS feels like bloating, discomfort and nausea. Severe OHSS is less common: breathlessness, fast weight gain, passing little urine, a swollen tummy. It needs same-day hospital assessment. Risk is higher with PCOS, a high AMH or many follicles. For these women we use an antagonist protocol, an agonist trigger and a freeze-all, and we transfer in a later cycle.

Response depends mostly on age and egg reserve, which is why a higher dose cannot make eggs your ovaries don't have.

AMH and the antral follicle count on scan predict response before you start, so your dose is chosen, not guessed. Weight, thyroid, smoking and past ovarian surgery also matter, and some can be changed first. High responders need a gentler plan to avoid OHSS. Low responders rarely gain from a higher dose; they gain from collecting eggs over more than one stimulation.

Stimulation cannot create new eggs, improve egg quality, or undo the effect of age.

It matures eggs already started that month. It cannot get past blocked tubes or a sperm problem, so repeating tablets on their own without a wider plan wastes time. Tablets are usually reviewed after about 6 ovulatory cycles [CONFIRM: Dr Vani's limit, same as ovulation induction page].