Course of treatment program
Monitoring during the treatment
Checks during ovarian stimulation:
- Follicle development and the increasing thickness of the endometrium (using transvaginal ultrasound)
- Hormone levels, such as E2, LH, less often progesterone (using blood samples)
These will require 4-6 morning visits to our Unit.
The Director in collaboration with other doctors and midwives of our Unit assess the results and compare them to previous measurements and your medical history. They will decide on the dose of drugs, and other instructions that will be added to your personal file. Our midwives will inform you extensively and responsibly about the course of your treatment program, drug dosage and the date for the repeat of checks.
Catheter test
It is a painless procedure that mimics the embryo transfer. It allows us to observe the individualities of the cervix in detail so we can be best prepared for the day of the embryo transfer.
The injection for ovulation induction
The day when sufficient follicle maturation is observed you will be informed of the exact time for your last injection which will induce ovulation (Pregnyl or Profasi or Ovitrelle) as well as the dose that must be used.
The injection is administered late in the evening or after midnight. Ovulation is expected about 36 hours later.
This last injection concludes the painful phase of daily injections and marks the end of GnRH analogue and gonadotrophin administration. The following day is a day to rest and prepare for the egg collection.
This last injection is very particular in that it must be done at a very specific time, which will be the deciding factor for the time of egg collection. If we attempt to retrieve the eggs before they develop completely, i.e. much earlier than 36 hours after the injection, we shall collect immature eggs. On the contrary, if the injection is done before the programmed time there is a danger that ovulation will occur prior to the egg collection and the eggs will be lost.
If the injection is not done, the egg collection will have to be cancelled or postponed. The eggs will not be mature and it will not be possible to recover them from the ovary. If the injection is not done you must inform our Unit the following morning so your egg collection is re-programmed and the entire cycle is not cancelled.
Treatment and lifestyle
- During the drug treatment you do not have to change your way of life or modify your habits concerning work, exercise, diet or sex.
- If deemed necessary from the results of the preliminary tests, the male partner may have to take antibiotics at the same time as the onset of your ovarian stimulation.
Psychological support
For some couples, the problem of infertility has psychological effects. Emotional distress is usually greater after previous failed attempts or when IVF is regarded as the last chance of having a baby.
Eugonia gives you the option of talking to our collaborating specialised psychologist. It has been proven that psychological support reduces the emotional load. We therefore encourage you to contact our psychologist, who will positively contribute to your IVF attempt.
Possible cancellation
It is possible that a small percentage of ongoing ovarian stimulation cases may have to be cancelled.
We recommend the cancellation of a treatment cycle when the response of the ovaries to the drugs is contrary to our expectations.
Our aim is to always give you the best chances of success and to eliminate the already minimal danger of possible complications.
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