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MY IVF Protocol


I shared my IVF protocol with some co-workers and they suggested I post it here so folks who aren’t familiar with the process can see how involved it is! I will admit that it was a bit overwhelming at first, but now that I’ve read through everything and started a special calendar, I’m feeling better. So here it goes...more

Prescriptions:

  • Birth control pills

  • Cetrotide 0.25 mg subcutaneous injection

  • ClomiPHENE 50 mg oral tablet (Clomid)

  • Dexamethasone 0.5 mg oral tablet

  • Doxycycline monohydrate 100 mg oral tablet

  • Estrace 2 mg oral tablet

  • Gonal-F 450 intl units subcutaneous injection

  • Leuprolide 1 mg/0.2 mL subcutaneous kit (Lupron)

  • Medrol 16 mg oral tablet

  • Menopur 75 intl units subcutaneous injection

  • Novarel 10,000 units intramuscular injection

  • Progesterone 50 mg/mL intramuscular solution

  • Prometrium 200 mg oral capsule

  • Synera 70 mg-70 mg topical film

  • Xanax 0.5 mg oral tablet

  • Stuff to administer injectable meds:

  • BD Disp Needles Miscellaneous 22G x 1-½”

  • BD Disp Needles Miscellaneous 27G x ½”

  • BD Luer-Lok Syringe Miscellaneous 21G x 1-½”

  • Sharps Container Miscellaneous

Protocol: E2 Priming

6/13: Cycle Day 1

6/15: Start birth control pills

6/21: Take last birth control pill

6/25: Start Estrace 2mg tablet, 1 pill orally once a day

7/10: Start Prometrium 200 mg, 1 capsule vaginally twice a day (a.m. and p.m.)

7/19: Take last dose of Estrace and Prometrium

TBD: Cycle Day 1

TBD: Cycle Day 2 - baseline ultrasound and blood work

TBD: Cycle Day 3 - start stimulation medications

  • 300 IU of Gonal-F = 1 shot subcutaneous

  • 2 vials of Menopur = 1 shot subcutaneous

  • 0.5 mg Dexamethasone = 1 tablet orally once daily

  • 100 mg Clomid = 2 tablets orally once a day x 5 days

TBD: Day of Stimulation 6

  • Ultrasound and blood work

  • Will be instructed on when to add Cetrotide injection subcutaneous

TBD: Day of Stimulation 8 ultrasound and blood work

  • Will have ultrasound and blood work every day until egg retrieval

Day of Lupron Dual Trigger Injection (Lupron and Novarel)

  • Will be instructed on when to take injection

  • Stop all stimulation meds

Day after Lupron Dual Trigger Injection

  • Take 4 mg Lupron Trigger in the morning

  • Pre-op appointment and blood work

  • Will receive another protocol with instructions for Doxycycline, Medrol, Estrace, Progesterone and Xanax

TBD: Egg Retrieval

TBD: Embryo Transfer

10 Days after Embryo Transfer: pregnancy test (blood work)

As you can see, there are a lot of days “to be determined” which is hard to accept for a planner, Type-A person like me. If everything goes like clockwork (which is doubtful lol), I’ll have my egg retrieval the week of August 1 and the embryo transfer the following week.

I still need to do my injection training, which is a little intimidating. If anyone has any tips or advice, I’d love to hear from you. I’ve found some really helpful YouTube channels to help guide me through this craziness. I love SomedayMama! She went through IVF a couple of years ago and now has the most precious twin girls. She’s silly and I just love her energy.

I’ve been going to acupuncture twice a week for almost a month now and I’m enjoying it. Usually cycle day 1 is a real bitch, but since starting acupuncture, I noticed that my first day was easy peasy! I also love the fact that I get to take a 45 minute nap during each session. It gives me a chance to decompress and relax.

While all of this is a bit intimidating, I am truly excited to get started! I’m feeling really good. I know it won’t be easy, but nothing worth having ever is!

 

Quoted: “You will face your greatest opposition when you are closest to your biggest miracle.” ― Shannon L. Alder

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