Sample Cycles
Sample IVF 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."
Pre-procedure month |
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day 1 menses start |
day 2 |
day 3 |
day 4 |
day 5 |
day 6 |
day 7 |
day 8 |
day 9 |
day 10 |
day 11 |
day 12 |
day 13 |
day 14 |
day 15 |
day 16 |
day 17 |
day 18 |
day 19 |
day 20 |
day 21 start Lupron |
day 22 Lupron |
day 23 Lupron |
day 24 Lupron |
day 25 Lupron |
day 26 Lupron |
day 27 Lupron |
day 28 Lupron |
day 29 Lupron |
day 30 Lupron |
day 31 Lupron
menses start |
day 32 Lupron
ultrasound |
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Procedure month |
||||||
day 1
FSH, hMG and Lupron |
day 2 FSH, hMG and Lupron |
day 3 FSH and Lupron |
day 4 FSH and Lupron
ultrasound estradiol |
day 5 FSH and Lupron |
day 6 FSH and Lupron |
day 7 FSH and Lupron |
day 8 FSH and Lupron
ultrasound estradiol |
day 9 FSH and Lupron |
day 10 FSH and Lupron
ultrasound estradiol |
day 11 FSH and Lupron |
day 12 FSH and Lupron
ultrasound estradiol |
day 13 HCG trigger shot |
day 14 no meds |
day 15
Egg retreival progest., estrace |
day 16
progest., estrace |
day 17 embryo transfer progest., estrace |
day 18 progest., estrace |
day 19
progest., estrace |
day 20
progest., estrace |
day 21
progest., estrace |
day 22
progest., estrace |
day 23
progest., estrace |
day 24
progest., estrace |
day 25 progest., estrace |
day 26 progest., estrace |
day 27 progest., estrace |
day 28
Blood draw for pregnancy test
progest.
estrace |
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 is 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 and estrace are continued if pregnant.
Procedure month |
||||||
day 1 menses start,
begin Lupron |
day 2
Lupron |
day 3
Lupron, FSH |
day 4
Lupron, FSH |
day 5
Lupron, FSH |
day 6
Lupron, FSH |
day 7
Lupron, FSH |
day 8
Lupron, FSH |
day 9
Lupron, FSH |
day 10
Lupron, FSH |
day 11
Lupron, FSH |
day 12
hCG trigger shot |
day 13
no meds |
day 14
Egg Retrieval, progest.,
estrace |
day 15
progest., estrace |
day 16
embryo transfer, progest., estrace |
day 17 progest., estrace |
day 18 progest., estrace |
day 19 progest., estrace |
day 20 progest., estrace |
day 21 progest., estrace |
day 22
progest., estrace |
day 23
progest., estrace |
day 24
progest., estrace |
day 25
progest., estrace |
day 26
progest., estrace |
day 27
progest., estrace |
day 28
blood draw for pregnancy test, progest.,
estrace |
- Give FSH between 6:00p.m. and 8:00p.m.
FSH is given on average for 8-11 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 after the morning dose on the day hCG is given.
Oocyte retrieval is 36 hours after hCG.
Pprogesterone 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 and estrace are continued if pregnant.
Procedure month |
||||||
day 1 menses start |
day 2
|
day 3
FSH |
day 4
FSH |
day 5
FSH
|
day 6
FSH
|
day 7
FSH
|
day 8
Cetrotide, FSH, hMG
|
day 9
Cetrotide, FSH, hMG
|
day 10
Cetrotide, FSH, hMG
|
day 11
Cetrotide, FSH, hMG |
day 12
Cetrotide, hCG
|
day 13 |
day 14
Egg Retrieval, progest., estrace |
day 15
progest., estrace |
day 16
embryo transfer, progest., estrace |
day 17 progest., estrace |
day 18 progest., estrace |
day 19
progest., estrace |
day 20 progest., estrace |
day 21 progest., estrace |
day 22
progest., estrace |
day 23
progest., estrace |
day 24
progest., estrace |
day 25
progest., estrace |
day 26
progest., estrace |
day 27
progest., estrace |
day 28
blood draw for pregnancy test, progest., estrace |
- Give FSH between 6:00p.m. and 8:00p.m.
FSH is given on average for 8-11 days.
Cetrotide is started based on the size of the follicles on ultrasound. This is given daily, in the morning, up to and including the day of hCG.
hMG (Repronex, Menopur) is started on the same day as Cetrotide.
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.
Oocyte retrieval is 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 and extrace are continued if pregnant.
