IVF #3 Protocol At-a-Glance

GANIRELIX ACETATE PROTOCOL

This protocol is a method for administering medication designed to optimize ovarian response to gonadotropin stimulation.  This protocol may be adapted based on your individual response.
MEDICATIONS:
•    Birth Control Pills - 21-day pack (1-2 packs)
•    Ganirelix or Cetrotide syringes.
•    Gonadotropins: FSH (Follistim, Gonal - F, Bravelle) and 75 IU FSH&LH (Menopur)
•    hCG 10,000 IU, one vial, IM - “Trigger” injection. ***
•    Zithromax 500 mg  - two tablets to be taken together at bedtime the night before retrieval.
•    Endometrin 100 mg (#63) - taken vaginally three times a day, to start morning after egg retrieval.
•    Estrace 2mg (#80) - taken orally, twice daily, to start evening of egg retrieval.
•    Prenatal vitamin 1 tablet every day.


 Date
Protocol Day
 Instructions

1
CALL THE PRIMARY NURSE TEAM WITH THE FIRST DAY OF FULL FLOW.  No blood work or sonogram. 

10/14 Start Birth Control Pills - 1 tablet each day for 18 days. 

11/1
Day after last birth control pill
* LUPRON EVALUATION* Office visit for Ultrasound and Blood work..  Your nurse will call you in the afternoon with your results and instructions regarding medication doses and follow up appointment.

11/44th day after last birth control pill Gonadotropins are usually started on the 4th day after your last birth control pill.  Your nurse will give you the date to start along with dosing instructions and date to return for follow-up monitoring. * ♦ Once follicles are >14mm (or per physicians orders) you will be given instructions for continuing gonadotropins and beginning Ganirelix/Cetrotide. When instructed, you will take your first dose of Ganirelix/Cetrotide that evening, and starting the next morning you will take the Ganirelix/Cetrotide once a day in the morning until instructed to stop.

11/15-11/17 APPROX
Egg retrieval (approximate date).

3-6 days after retrieval
Embryo transfer  (approximate date).
*Protocol will be individualized hereafter.