Birth control pill for 2-4 weeks
Add Lupron – and continue the Pill – for 5 days
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Stop the Pill – continue Lupron
Expect vaginal bleed 3-7 days after stopping the pill – continue Lupron only
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Ultrasound and estradiol (blood test)
If satisfactory, start Fertility Medications (Follistim, Gonal-F, Repronex or
Menopur)
After 5 days of Medications check estradiol and possible ultrasound
Further monitoring until follicles are “ready”
Trigger with hCG (Ovidrel)- Average 10 days of Medications
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Egg retrieval, 2 days after hCG – Fertilization – Embryo culture
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Embryo transfer: Day 2-5 after retrieval
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Pregnancy test: 14 days after retrieval
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After 3 days of Medications check estradiol