The example above shows 8 days of stimulation drugs (FSH shots) before the HCG trigger shot. The duration of the ovarian stimulation process can be shorter or longer than that shown above. It depends on the woman’s response to the medications. Some patients will need only 3 monitoring visits and some require 5 or 6 visits. Most patients will need about 4 visits for monitoring the stimulation (shown as “ Blood and Ultrasound” on the calendar) before they get the HCG trigger shot.
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The example above is a typical IVF cycle. This drug helps to prepare a receptive uterine lining for embryo implantation.Įgg retrieval procedure = the procedure that obtains eggs from the ovariesĮmbryo transfer procedure = the procedure that places embryos back in to the uterine cavity Progesterone = vaginal cream or suppositories or intramuscular injection of a medication (female hormone) called progesterone. HCG injection = subcutaneous or intramuscular injection of a medication called HCG, which causes the eggs to complete the maturation process. This medication is taken once daily.įSH = subcutaneous injection of a medication containing follicle stimulating hormone (FSH), which causes follicles containing eggs to develop in the ovaries. Lupron = subcutaneous injection of a medication called Lupron (GnRH agonist). These visits usually take about 20-30 minutes in our offices and can be scheduled as early as 6:30AM. Ovarian stimulation shots start soon thereafter.īlood and ultrasound = blood test for hormone values ( estrogen levels in IVF stimulation are important) and transvaginal ultrasound to measure the follicle sizes in the ovaries. A period starts a few days after the last pill. For cycles using a birth control pill (BCP or OCP), we usually give 12-21 days of pills overlapping Lupron with the last 3 pills.Birth control pills are not being used to control the menstrual cycle in this example. This example is for a 28 day menstrual cycle.This schedule shows the main steps and timing of IVF drugs, approximate timing of ovarian stimulation monitoring, and procedures.For many fertility doctors and patients, this is the standard IVF protocol.This in vitro fertilization stimulation protocol is often referred to as Lupron down regulation, or “luteal Lupron” or “long Lupron”.This sample IVF protocol is for ovarian stimulation using Lupron without birth control pills. Antral Follicle Counts, Resting Follicles and Ovarian Reserve.
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Female Age and Chromosome Problems in Eggs and Embryos.