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I V F D R U G S

I V F D R U G S

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I V F D R U G S

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  1. I V F D R U G S

  2. 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

  3. 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

  4. Doxycycline 100mg • Purpose: 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

  5. Methylprednisolone • Purpose: Prevent allergic reaction to procedure • Start: On day of retrieval • Notes: Take 2 tablets once daily with food

  6. LUPRON (Leuprolide) • Purpose: Prevent Ovulation • Start: day of baseline • Notes: MUST be kept in refrigerator MUST inject twice daily 12 hours apart

  7. Accusure 0.5 syringes • Purpose: Inject Lupron • Notes: Inject 0.2ml or 20 units

  8. 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)

  9. Ovidrel Pregnyl • Purpose: 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)

  10. Progesterone • Purpose: Enhances buildup of uterine lining to increase retention of embryos • Start: Day of implant • Notes: IM shot Once daily/Least time sensitive/MUST have someone else do injection/BRING with to retrieval and they will demonstrate again

  11. 25G 3cc Syringes • Purpose: 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

  12. Prometrium • Purpose: 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

  13. Estradiol 1mg • Purpose: Build up endometrium in frozen embryo transplant. • Start: When directed • Notes: 3 tablets twice daily for 14 days; then 2 tablets twice daily