There are many steps involved in the IVF process, but try not to become too overwhelmed by the process – that’s why we are here. Together, we will discuss what you can expect throughout the treatment process, review all of the medications, and learn about the testing that will be done. Although the IVF process is complex, our board certified fertility specialist will try to simplify it for you and walk you through it one step at a time.
During our initial consultation, we will meet with you and discuss your case, diagnosis, and possible treatment options in detail. If IVF is appropriate for you and you decide to proceed with your treatment, they will review the various tests that will be required in preparation for your cycle and identify and review the dates of your cycle. This testing may include a mock transfer and evaluation of the uterine cavity with a hysteroscope.
The male partner or sperm donor will need to provide a semen sample for analysis. A sperm sample may be frozen to serve as a back up for the actual procedure. Once the evaluation is complete, you will be able to start your treatment cycle based on available schedule and your menstrual cycle. We understand that you are anxious to begin treatment as soon as possible and we make every effort to get you started right away.
Prior to starting the cycle, our IVF coordinator will meet with you again, review the medication schedule, and make sure that you are familiar with the drugs and the methods of administration. Once the treatment is in progress, you will be coming to the office periodically ( typically on day three, five, seven, and nine of your injections) for monitoring of your response to the medications. This usually includes a blood test (Estrogen, E2 level) and an ultrasound on each visit. With each visit we will notify you of your progress and make sure that you know what will happen next.
Following the egg retrieval procedure, you will be contacted and will receive an update of the status of your embryos. The day after the aspiration (24 hours, day 1) you will find out how many eggs have fertilized and start your progesterone supplementation. The options are a day three transfer or a day five transfer (blastocyst transfer). The final decision is made on day either day 1 or day 3 (72 hours) when we will make an assessment together as to the best option for you with respect to an embryo transfer date (day three versus day five). After the embryo transfer you will be asked to go home and stay home at bed rest the rest of the day. You will be asked to continue your progesterone supplementation until the confirmatory pregnancy tests are done 14 days after the retreival. If we are blessed with a positive pregnancy test, you will need to continue the progesterone for the first 10 weeks of pregnancy.
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