Sample IVF Cycle

Pre-procedure month
day 1 menses start	day 2	day 3	day 4	day 5	day 6	day 7
day 8	day 9	day 10	day 11	day 12	day 13	day 14
day 15	day 16	day 17	day 18	day 19	day 20	day 21 start Lupron
day 22 Lupron	day 23 Lupron	day 24 Lupron	day 25 Lupron	day 26 Lupron	day 27 Lupron	day 28 Lupron
day 29 Lupron	day 30 Lupron	day 31 Lupron menses start	day 32 Lupron ultrasound

 

Procedure month
day 1 FSH, hMG and Lupron	day 2 FSH, hMG and Lupron	day 3 FSH and Lupron	day 4 FSH and Lupron ultrasound estradiol	day 5 FSH and Lupron	day 6 FSH and Lupron	day 7 FSH and Lupron
day 8 FSH and Lupron ultrasound estradiol	day 9 FSH and Lupron	day 10 FSH and Lupron ultrasound estradiol	day 11 FSH and Lupron	day 12 FSH and Lupron ultrasound estradiol	day 13 HCG trigger shot	day 14 no meds
day 15 Egg retreival progest., estrace	day 16 progest., estrace	day 17 embryo transfer progest., estrace	day 18 progest., estrace	day 19 progest., estrace	day 20 progest., estrace	day 21 progest., estrace
day 22 progest., estrace	day 23 progest., estrace	day 24 progest., estrace	day 25 progest., estrace	day 26 progest., estrace	day 27 progest., estrace	day 28 Blood draw for pregnancy test progest. estrace

*progest. = progesterone

Procedure cycle:

Call with menses the month before your scheduled procedure month.

Start Lupron on day 21 of your cycle. Give Lupron between 6:00p.m. and 8:00p.m. Please use barrier contraception this month.

Call when menses restarts while on Lupron. This will occur approximately 10-12 days after starting Lupron. If you have not started your menses after 14 days on Lupron call our office to set up an ultrasound and estradiol appointment.

hMG (Repronex, Menopur) and FSH (Gonal F, Follistim) will be started once suppression has occurred as proven by ultrasound.

Drop Lupron dosage once FSH/hMG have started and continue until day of hCG.

Give FSH/hMG between 6:00p.m. and 8:00p.m.

FSH is given on average for 10-12 days.

hCG (Chorionic Gonadotropin, Pregnyl) 10,000 units is given the day your follicles/eggs are mature. You will be told the specific time you need to take your hCG injection.

Lupron is stopped the day hCG is given.

Oocyte retrieval is done 36 hours after hCG.

Progesterone injection and estrace are begun on day of egg retrieval. Start medrol and tetracycline as directed.

Embryo transfer or ZIFT is done 2 days after egg retrieval.

Pregnancy test 14 days after egg retrieval.

Progesterone and estrace are continued if pregnant.

Procedure month
day 1 menses start, begin Lupron	day 2 Lupron	day 3 Lupron, FSH, hMG	day 4 Lupron, FSH, hMG	day 5 Lupron, FSH	day 6 Lupron, FSH	day 7 Lupron, FSH
day 8 Lupron, FSH	day 9 Lupron, FSH	day 10 Lupron, FSH	day 11 Lupron, FSH	day 12 hCG trigger shot	day 13 no meds	day 14 Egg Retrieval, progest., estrace
day 15 progest., estrace	day 16 embryo transfer, progest., estrace	day 17 progest., estrace	day 18 progest., estrace	day 19 progest., estrace	day 20 progest., estrace	day 21 progest., estrace
day 22 progest., estrace	day 23 progest., estrace	day 24 progest., estrace	day 25 progest., estrace	day 26 progest., estrace	day 27 progest., estrace	day 28 blood draw for pregnancy test, progest., estrace

*progest. = progesterone

Give FSH between 6:00p.m. and 8:00p.m.

FSH is given on average for 8-11 days.

hMG (Repronex, Menopur) is given for 2 days.

hCG (Chorionic Gonadotropin, Pregnyl) 10,000 units is given the day your follicles/eggs are mature. You will be told the specific time you need to take your hCG injection.

Lupron is stopped after the morning dose on the day hCG is given.

Oocyte retrieval is 36 hours after hCG.

Pprogesterone injection and estrace are begun on day of egg retrieval. Start medrol and tetracycline as directed.

Embryo transfer or ZIFT is done 2 days after egg retrieval.

Pregnancy test 14 days after egg retrieval.

progesterone and estrace are continued if pregnant.

Procedure month
day 1 menses start	day 2	day 3 FSH	day 4 FSH	day 5 FSH	day 6 FSH	day 7 FSH
day 8 Cetrotide, FSH, hMG	day 9 Cetrotide, FSH, hMG	day 10 Cetrotide, FSH, hMG	day 11 Cetrotide, FSH, hMG	day 12 Cetrotide, hCG	day 13	day 14 Egg Retrieval, progest., estrace
day 15 progest., estrace	day 16 embryo transfer, progest., estrace	day 17 progest., estrace	day 18 progest., estrace	day 19 progest., estrace	day 20 progest., estrace	day 21 progest., estrace
day 22 progest., estrace	day 23 progest., estrace	day 24 progest., estrace	day 25 progest., estrace	day 26 progest., estrace	day 27 progest., estrace	day 28 blood draw for pregnancy test, progest., estrace

*progest. = progesterone

Give FSH between 6:00p.m. and 8:00p.m.

FSH is given on average for 8-11 days.

Cetrotide is started based on the size of the follicles on ultrasound. This is given daily, in the morning, up to and including the day of hCG.

hMG (Repronex, Menopur) is started on the same day as Cetrotide.

hCG (Chorionic Gonadotropin, Pregnyl) 10,000 units is given the day your follicles/eggs are mature. You will be told the specific time you need to take your hCG injection.

Oocyte retrieval is 36 hours after hCG.

Progesterone injection and estrace are begun on day of egg retrieval. Start medrol and tetracycline as directed.

Embryo transfer or ZIFT is done 2 days after egg retrieval.

Pregnancy test 14 days after egg retrieval.

Progesterone and extrace are continued if pregnant.