A large part of the success depends upon the right preparation and precision timings. Many women starting the IVF journey are nervous, understandably, about the number of injections required as part of this process and how, what, where and when to use them. What happens during IVF, and the medications provided, may differ slightly from clinic to clinic but a typical treatment follows the steps below.
You can get more information from qualified clinicians at your chosen clinic. This may also be used for those who are not responding well to stimulation. Short protocols begin much earlier in your cycle and is a much quicker process but your clinic will discuss with you the protocol that is right for you and will go through exactly what you need to do and when.
The medications below are an overview of some of the possible treatments available but your clinic will determine what is best for your individual situation. This steroid can be prescribed to help with any inflammation and to prepare the uterus for an embryo implantation.
This medication is prescribed to help the pituitary gland secrete more follicle stimulating hormone FSH. Commonly known as Clomid or Serophene, this medication is often prescribed orally, often for a maximum of six months. Metformin reduces insulin in the body to normal levels, allowing ovulation to return to normal.
This kind of medication can be administered through a nasal spray Synarel or through injections Lupron or Zoladex , with the goal of helping the body produce more eggs from the follicles. They also help prevent hormone surges that cause an IVF cycle to fail. This puts the patient in a temporary state of menopause to give the clinic control over the cycle and prevents early ovulation.
These medications are administered daily through self-injection, using precise doses tailored to the individual.
These injections contain follicle stimulating hormones and luteinizing hormone to help stimulate the ovaries to produce several eggs. Regular office visits are now begun, starting with day five of stimulation and then continuing every one to two days until follicle aspiration. During each office visit, an ultrasound and blood test for estradiol are performed.
You must call at the end of the day about p. Ovulation is triggered with an injection of human chorionic gonadotropin HCG , lupron, or both. Trigger is administered when the follicles are judged to be mature, usually 8 and 12 days after the start of injectable fertility medications. On the day of follicle aspiration, you will be asked to come to the office about one hour before your scheduled retrieval procedure. You will go home approximately two hours afterwards.
For example, for a a. The aspiration procedure itself takes less than 30 minutes. Sperm are obtained from the male partner on the day of egg retrieval. Occasionally, a final specimen may be requested on the morning after egg retrieval, if fertilization is sub-optimal and the embryologists have reason to believe that an additional sperm specimen would be useful.
In order to optimize sperm quality, it is best to abstain from ejaculation for two to seven days prior to the first sperm specimen. In most cases, this will mean abstinence after the seventh day of fertility medications to the woman. Sperm are then joined with the eggs to allow fertilization.
In most cases, sperm solution is added to the eggs and fertilization occurs naturally. If indicated, Assisted Hatching is conducted to facilitate fertilization. If you feel lightheaded after taking this medication, do not drive or use machinery. Avoid doing anything that requires alertness or that could be dangerous if you are not alert, for at least 24 hours after you stop using it.
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Quantity for Ganirelix mcg Syringe:. Quantity for Gonal-f IU Multi-dose vial:. Quantity for Gonal-f 75IU Vial:. Quantity for Letrozole 2. Quantity for Leuprolide trigger 1mg-5mg :. Quantity for Lupron Depot 3.
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