Patients should be aware that this monitoring requires anywhere from three to seven office visits. When your follicles have reached an opportune size, it is time for the trigger shot, which will cause ovulation to occur within 36 hours. Over the course of the next few days, we will let the embryos grow. On day 3 or 5, the most healthy embryos can be transferred to the uterus. Following the transfer, our doctors will place you on a progesterone supplement to support the uterine lining and promote implantation.
About 12 days after the transfer, it will be time for your first pregnancy test at the clinic. If the test comes up positive, we will schedule another pregnancy test to be taken within one week.
If the second test is positive, we will then schedule an ultrasound for two to three weeks later to confirm the pregnancy.
While fertility struggles can cause so much uncertainty, being informed about the timeline and what to expect from the IVF process can help relieve some of the stress from this time in your life. If you have questions about fertility treatments or are interested in IVF, the Centre for Reproductive Medicine is here to help. Call our office at or contact us online anytime. Janelle Dorsett and our warm, highly trained team provide the tools you need to start or add to your family.
Dorsett is a board-certified fertility specialist and is an associate clinical professor at the Texas Tech University Health Sciences Center School of Medicine. She is a member of the:. Schedule a consultation to learn more by sending us a message or calling our office at Some images are of models, not actual patients.
Lastly, birth control pills can also decrease the chance of developing cysts prior to starting the stimulation medications. When cysts are present, sometimes we need to drain the fluid from them and that can cause a delay in your cycle. Not just any birth control pill can be used in IVF. Birth control pills vary in the amount of hormones delivered with each pill.
For the purposes of an IVF cycle, we use a monophasic type which contains the same amount of hormones in every active pill. Therefore, a consistent level of these hormones is maintained.
The birth control pill that we prescribe is Desogen or its generic substitute. If you prefer, a NuvaRing can be used instead. This is a flexible ring that is inserted vaginally and remains in place while releasing a continuous level of hormones.
Here's how taking birth control pills fits into the IVF process : To start an IVF cycle using birth control pills, you would call with Day 1 of full flow of your period, and then be scheduled to come in on Day 2, 3 or 4 for a baseline blood draw and ultrasound. If these results are normal, you would be instructed to start taking the birth control pills or insert the NuvaRing no later than day 5 of your cycle.
One pill is taken each evening. The pills are arranged in four rows. The first three rows are active pills, but the fourth row does not contain any hormones. Therefore, if you finish the third row of pills, you would not take the fourth row but instead start a new pack of pills the next day. It is very important to take the Desogen at approximately the same time each evening, and not to skip any pills. If you are using a NuvaRing, you would remove the ring after 21 days and insert a new one.
This is done through a basic infertility workup that includes testing of both the male and female partner.
The work-up includes:. Once diagnostic testing is complete, the physician will discuss treatment options with the patients. However, IVF would be the first line of treatment for patients with the following conditions:. Data shows that after treatment cycles, success rates begin to decline sharply. By moving to IVF treatment, a couple increases their chances of success dramatically.
Some additional diagnoses for which IVF can improve the chances of success are: advanced age, endometriosis, ovulatory disorders and unexplained infertility. An IVF cycle takes about 2 months to complete. The basic outline of a cycle is as follows:. During the procedure, an ultra-thin catheter is inserted into the uterus while a sonogram guides the process on a monitor.
It is completely painless and takes only a few minutes. Following the completion of the pre-cycle testing, each patient will meet with their physician to review the results and their planned treatment protocol. The treatment protocol is like a blueprint that is used by the patients and their medical team throughout the IVF cycle.
It identifies the treatment plan from medications to lab procedures, all the way through the transfer and storage of embryos. It is important to understand that this blueprint can only provide tentative dates for stimulation, egg retrieval, and embryo transfer.
Frequently, treatment timelines will need to be adjusted based on how each patient responds to their medication. Every patient should anticipate changes and block time as needed in their work and travel schedules. Many women start an IVF cycle by taking birth control pills for a set number of days. Birth control medications decrease the chances of creating cysts that could interfere with the cycle start.
They also allow the doctor to control the timing of the cycle. As a quality control measure, Shady Grove Fertility only allows a certain number of IVF cycles to begin at any given time. The patient may also have scheduling issues that dictate starting on a certain date. The birth control medication will synchronize the egg follicles so they all start at the same stage, on the date collectively chosen by the doctor and patient. Also, in cases where women have low ovarian reserve, the doctor may not want to suppress their ovaries with birth control medication.
Sometimes, these patients use estrogen patches instead to help the ovaries prepare for stimulation. In a normal ovulation cycle, one egg matures per month.
In an IVF cycle, the goal is to have as many mature eggs as possible, as this will increase your odds of success with treatment. In this phase of the IVF cycle, injectable medications are used for approximately days to stimulate the ovaries and produce eggs.
Some women are concerned that using several eggs in a single cycle may prematurely deplete their ovarian reserve and cause an early onset of menopause. Women are born with all of the eggs they will ever have, around 1 million. By the time they reach their first menstrual cycle there are approximately , eggs remaining. Retrieving several eggs at any given time will not cause women to use all of their remaining eggs or develop an early onset of menopause. Stimulation medications are derivatives from the hormones FSH and LH, which are the natural hormones involved in the natural ovulation process.
Some protocols use one or the other of these hormones exclusively and some use a combination. Patients give themselves these medications via subcutaneous injections, which means under the skin, as opposed to intramuscular injections which go into a muscle.
These injections for some patients can be the most intimidating aspects of IVF. To help ease the fear of injections patients are encouraged to take advantage of injection classes provided at Shady Grove Fertility. Patients can also find videos at ShadyGroveFertility.
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