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I V F D R U G S
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SUN MON TUES WED THUR FRI SAT
ALL APPOINTMENTS WILL BE IN THE MORNING
GONAL F OR FOLLISTIM IS TAKEN IN THE EVENING ONCE DAILY
PARTNERS TAKE DOXY FOR 10 DAYS
WOMEN FOR 4 DAYS AT TIME OF RETRIVAL
Last Birth
Control Pill
Baseline
Appointment
Group 1
START LUPRON
Twice daily am & pm
HUSBANDS
Start Doxycline 2X
Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X
Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X
Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X
Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X
Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X
Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X
Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X
Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X
Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X
Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X
Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X
YOU WILL BE ADVISED EXACTLY WHEN TO STOP THESE MEDS
BRING YOUR PROGESTERONE TO RETRIVAL FOR FIRST SHOT AND REFRESHER COURSE
MEDROL 4MG TAKE 2 TABLETS EACH DAY FOR 4 DAYS STARTING ON DAY OF RETRIEVAL
BRING A CHECK FOR $300 FOR ANESTHESIA ON DAY OF RETRIEVAL
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Prenatal Vitamins
• Purpose: General maternal/fetal health (Must have a minimum of 400 mcg Folic Acid)
• Start: One Month before start (should be taking now or start as soon as possible
• Notes: If have nausea and cannot tolerate, can take Folic Acid 400mcg alone
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Birth Control Pills
Purpose: Prevent Ovulation until ready to retrieve & Down Regulate ovaries
Start: Several months before start
Notes: STOP on date listed on your calendar
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Doxycycline 100mgPurpose: Prevent infection in sperm sample and prevent infection after
implant Start: Males: 10 days before sample (start when female starts
Lupron) Females: start on day of Ovidrel injection
Notes: Take with small amount of food to prevent upset stomach; avoid milk or antacids within 1 hour before or after taking
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MethylprednisolonePurpose: Prevent allergic reaction to procedure
Start: On day of retrieval
Notes: Take 2 tablets once daily with food
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LUPRON (Leuprolide)
Purpose: Prevent Ovulation
Start: day of baseline
Notes: MUST be kept in refrigerator MUST inject twice daily 12 hours apart
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Accusure 0.5 syringesPurpose: Inject Lupron
Notes: Inject 0.2ml or 20 units
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Gonal-F ** Bravelle ** Follistim
Purpose: Promote follicle development
Start: Day of baseline
Notes: MUST be kept in refrigerator MUST inject at same time each day in the evening at the same time as Lupron (not in same syringe)
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Ovidrel PregnylPurpose: Causes ovulation
Start: 36 hours prior to retrieval
Notes: MUST be kept in refrigerator MOST time sensitive of all injections ONE injection only 36 hours before retrieval at exact time given (call in if unable to inject at this time)
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ProgesteronePurpose: Enhances buildup of uterine lining to increase
retention of embryos Start: Day of implantNotes: IM shot Once daily/Least time sensitive/MUST
have someone else do injection/BRING with to retrieval and they will demonstrate again
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25G 3cc SyringesPurpose: Use to draw up and inject Progesterone
Start: Day of retrieval
Notes:Change needle after draw up and before inject
21G or 22G 1.5" needles
Notes: After draw up Progesterone, change needle before injection
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PrometriumPurpose: Same as Progesterone
Start: IF cannot tolerate Progesterone IM
Notes: Once daily/May be instructed to take one pill and insert one pill into vagina
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Estradiol 1mgPurpose: Build up endometrium in frozen embryo
transplant. Start: When directedNotes: 3 tablets twice daily for 14 days; then 2
tablets twice daily