Assisted Reproductive Technology

The First 12 to 14 Days of Your IVF Protocol, Called the Follicular Phase, Will Require at Least 10 Days of Medications

ivf-calendar-for-fertility-treatments-overseasThe success of your IVF treatments will greatly depend on how closely you follow our doctor’s instructions outlined in the IVF protocol specifically developed for you. Before you commence your fertility treatments with us, you will have numerous opportunities to connect with our IVF doctors on the phone and ask any questions you may have about assisted reproductive technology (ART) and the process you will follow. Nevertheless, we would like to explain how to read IVF protocols created for MedVacation patients by our fertility doctors.

For the purpose of example, we will use an IVF protocol developed for patients using their own eggs. The protocol for IVF with egg donor will look different for the first 12 days, because the recipient will not be stimulated and will take different types of medication to prepare herself for the embryo transfer. Incidentally, egg donor cycle patients theoretically have higher chances of a successful IVF cycle, because they do no need to take such medications as Gonal F and Menapur used in stimulating multiple egg production.

The first 12 to 14 days of your IVF Cycle, called the Follicular Phase, will require at least 10 days of medication. Please note that Lupron, Gonal F and Menapur (HMG) should be administered every day for at least first 10 days, unless instructed otherwise by our doctors! If your ovaries do not respond well, our reproductive endocrinologists will adjust the doses of these meds and may instruct you to take these fertility drugs longer than 10 days. This is critical to understand that if you stop taking medications for longer than 24 hours, your IVF cycle may be terminated prematurely, because your follicles containing eggs will stop developing. Therefore, you must ensure sufficient amounts of IVF meds, until our clinic sees you on Cycle Day 9. If you start your stimulation with a local OBGYN, you will need to travel to our clinic on Day 8 of your cycle. Once you are at our clinic you can purchase your medications at the pharmacy in our clinic.



Day 1: AM Dose 20 units of Lupron to be injected. PM Dose 225u of Gonal F and 150 of HMG. [First day of heavy menses a baseline ultrasound is needed, to rule out ovarian cyst and view of antrial follicle count. Estradial blood test required as well.]

Please note that, ideally, you should administer your medications at the same time each day!

If you are prescribed 150u of Gonal F, you will have to purchase twice as many vials of 75u strength, because the pharmaceutical company does not manufacture 150u vials.

Day 2: AM Dose 20 units of Lupron to be injected. PM Dose 225u of Gonal F and 150 of HMG.
Day 3: AM Dose 20 units of Lupron to be injected. PM Dose 225u of Gonal F and 150 of HMG.
Day 4: AM Dose *IMPORTANT* Lupron reduces to 10 units starting today until the end of treatment. PM Dose 225u of Gonal F and 150 of HMG. Ultrasound and estradial blood test are needed [Depending on today’s Estradial blood test results & ultrasound, a dose change for Gonal F, Menapur and Lupron will be given for Cycle Day 4 and Day 5.]
Day 6: AM Dose 10units of Lupron to be injected. PM Dose 225u of Gonal F and 150 of HMG. Ultrasound and estradial blood test are needed [Depending on today’s Estradial blood test results & ultrasound, a dose change for Gonal F, Menapur and Lupron will be given for Cycle Day 6 and Day 7.]
Day 8: AM Dose 10units of Lupron to be injected. PM Dose 225u of Gonal F and 150 of HMG. Ultrasound and estradial blood test are needed [Depending on today’s Estradial blood test results & ultrasound, a dose change for Gonal F, Menapur and Lupron will be given for Cycle Day 8 and Day 9.]

CYCLE DAY 8 IS THE DAY TO TRAVEL TO OUR CLINIC

Day 9: 1ST VISIT TO OUR DOCTOR’S OFFICE Tentative Ultrasound and estradial blood test. [Depending on today’s Estradial blood test results & ultrasound, a dose change for Gonal F, Menapur and Lupron will be given for Cycle Day 9.]
AM Dose 10units of Lupron to be injected. PM Dose 225u of Gonal F and 150 of HMG.
Day 10: Possible Day of HCG, decision is based on how you respond to treatment.

NOTE: With some patients, slow growth sometimes occurs, because their ovaries do not react as fast to the medications. Our doctors will extend the length of your treatments. This means that instead of 10 days of medications, you may be required to take medication for 13 to 15 days.

Day 11: Start antibiotic in PM. No visit, no injectable medications, no ultrasound.
Day 12: Oocyte Retrieval, Partner’s sperm is needed.

For male patients requiring sperm aspiration, TESA procedure will be performed on this day.

Day 13: Fertilization check & report back to patient
Day 14: Embryos are not disturb
Day 15: Possible Day 3 Embryo Transfer
Day 17: If Day 3 Transfer – Travel Home

Based on the development of your embryos, our embryologists may recommend Day 5 Blastocyst Transfer. Cycle Day 17 may also be Day 5 Embryo transfer.

Day 19: If Day 5 Transfer – Travel Home
Day 26: Progesterone and Estradial blood test
Day 29: Pregnancy Test! Beta HCG, repeat Progesterone and Estradial test.


Did you know that our all inclusive IVF treatments packages start at $8,199 and include airfare for two and hotel stay?


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