IVF – Sample Cycle

Please note that your In Vitro Fertilization (IVF) cycle may vary depending on your individual situation and determined protocol.

There are three main calendars we use at The Fertility Center. The first is where Lupron is started on day 21 of your pre-cycle month called “Long Lupron Protocol.” The second protocol is called the “Lupron Flare Protocol” or the “Microdose Lupron Protocol.” The third is the “Cetrotide/Ganirelix Protocol.”

Long Lupron Protocol

Pre-procedure month

day1

menses start

day2

 

day3

 

day4

 

day5

 

day6

 

day7

 

day8

 

day9

 

day10

 

day11

 

day12

 

day13

day14

 

day15

 

day16

 

day17

 

day18

 

day19

 

day20

 

day21

start Lupron

day22

Lupron

day23

Lupron

day24

Lupron

day25

Lupron

day26

Lupron

day27

Lupron

day28

Lupron

day29

Lupron

day30

Lupron

day31

Lupron menses start

day32

Lupron ultrasound

     

 

Procedure month

day1

FSH, hMG and Lupron

day2

FSH, hMG and Lupron

day3

FSH, hMG and Lupron

day4

FSH,hMG and Lupron ultrasound estradiol

day5

FSH, hMG and Lupron

day6

FSH, hMG and Lupron

day7

FSH, hMG and Lupron

day8

FSH,hMG and Lupron ultrasound estradiol

day9

FSH, hMG and Lupron

day10

FSH,hMG and Lupron ultrasound estradiol

day11

FSH, hMG and Lupron

day12

FSH,hMG and Lupron ultrasound estradiol

day13

HCG trigger shot

day14

no meds

day15

Egg retreival progest.

day16

progest.

day17

embryo transfer progest.

day18

progest.

day19

progest.

day20

progest.

day21

progest.

day22

progest.

day23

progest.

day24

progest.

day25

progest.

day26

progest.

day27

progest.

day28

Blood draw for pregnancy test progest.

*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 and hMG are 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 is continued if pregnant.