|
Sample IVF Cycle Schedule at Malpani
Infertility Clinic
We use a simplified protocol for superovulation, which
minimises your cost; number of injections ; and stress levels (
since we do not measure blood levels of hormones ); and ensures a
high pregnancy rate.
|
|
|
|
Enter Day 1 - the start of the
menstrual period. |
|
First menstrual
period |
|
Date the cycle starts (day 1). Start
Buserelin, 0.5 ml sc daily; along with baby aspirin and folic acid |
| Day 3 Scan |
|
Vaginal ultrasound scan to rule
out ovarian cysts. If there is a large cyst, we may need to
aspirate it. We also do an antral follicle count to assess ovarian
reserve |
|
Start HMG injections
( Day 3) |
|
Start HMG ( Menogon) injections. The
dose needs to be individualised. The standard dose is 225 IU daily
( 3 ampuoles). Buserelin continues.
|
|
Start ultrasound
scans ( Day 10) |
|
Ultrasound to measure number and size
of follicles in ovaries. Done every alternate day from Day
10 onwards |
|
HCG Shot |
|
Once follicles have matured, we time
the hCG shot and plan retrieval. |
|
Egg Retrieval |
|
Egg retrieval performed approximately
36 hours after hCG shot. Start daily use of progynova and
uterogestan for luteal phase support . |
|
Embryo Transfer...or |
|
Standard embryo transfer followed by
24 hours of rest. |
|
Blastocyst transfer |
|
If elected, wait until day-5 embryo
development followed by 24 hours of rest. |
|
First Beta HCG Test |
|
Clinic blood test to measure hCG
level. |
|
Second Beta HCG Test |
|
Check HCG level rise to confirm viable
pregnancy . |
|
Home Pregnancy Test |
|
The earliest date one should try a
home pregnancy test. |
|
First Ultrasound |
|
Ultrasound confirmation if second beta
indicates positive result. |
|
Expected Due Date |
|
Happy Birthday ! |
| Note: Most cycles will vary
in actual timelines based on your response to meds and actual
menstrual period cycles.
|