Outline For IVF Cycle Using Mid-Cycle Lupron
05/15/04 First Day of menses:
> CALL clinic
> Schedule testing and injection instruction class as needed
> Confirm BCP and Lupron start
05/19/04 BCP's Start. Take only active tabs. Last BCP 06/12. Continue or begin Prenatal Vitamins.
06/02/04 IMPORTANT: CALL nursing staff week before Lupron Start to confirm all testing/consents
are complete.
06/09/04 LUPRON START: .5mg . Continue untol instructed to stop.
Cycle fee or fiancial contract is due.
06/15/04 2nd menses (begins ~ 2-4 days afetr last BCP, or 7 -10 days after beginning Lupron
if not usisng BCPs
CALL clinic, schedule baseline
06/17/04 (by then) BASELINE APPOINTMENT: Ultrasound, Uterine measurement (done), E2. Meet nurse
to review medication start.
06/18/04 STIMULATION MEDICATION START (Gonal-F + Repronex)
This is called Cycle Day 2 = CD2 for scheduling purposes
> Begin 81mg Aaaspirin
06/20/04 CD 4: last day of intercourse
06/22/04 CD 6: last day of high-impact exercise.
06/23/04 CD7: Estradiol level boold test
(Also collect semen specimen for "Back-Up" for freezing
Attend egg class, WEd. evenings at 6 pm, need to schedule/ DONE previous cycle)
06/25/04 CD 9: E2 test and ultrasound. Give Lupron in am, not stimulation meds. Wait until
after appointment. Meds may have to be adjusted based on u/s findings.
(Last day for partner to ejaculate until Egg retrieval.)
06/26/04 CD 10: E2 and ultrasound. Tenative review for HCG/ Pre-Op instructions/schedule Egg
Retrieval. (hCG trigger at 8:30pm that night.)
06/28/04 CD 12: Egg retrieval. Daily medications, Progesterone, Medrol and Antibiotic begin
as directed
07/03/04 CD 17: 5 day Embryo transfer.
Betas: Day 11 and day 13 after Egg Retrieval. BFN:(