I V F D R U G S. SUNMONTUESWEDTHURFRISAT ALL APPOINTMENTS WILL BE IN THE MORNING GONAL F OR FOLLISTIM IS TAKEN IN THE EVENING ONCE DAILY PARTNERS TAKE.

I V F D R U G S

SUN MON TUES WED THUR FRI SAT

ALL APPOINTMENTS WILL BE IN THE MORNING

GONAL F OR FOLLISTIM IS TAKEN IN THE EVENING ONCE DAILY

PARTNERS TAKE DOXY FOR 10 DAYS

WOMEN FOR 4 DAYS AT TIME OF RETRIVAL

Last Birth

Control Pill

Baseline

Appointment

Group 1

START LUPRON

Twice daily am & pm

HUSBANDS

Start Doxycline 2X

Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X

Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X

Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X

Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X

Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X

Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X

Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X

Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X

Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X

Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X

Lupron twice dailyGonal F or Follistim in eveningDoxycycline 2X

YOU WILL BE ADVISED EXACTLY WHEN TO STOP THESE MEDS

BRING YOUR PROGESTERONE TO RETRIVAL FOR FIRST SHOT AND REFRESHER COURSE

MEDROL 4MG TAKE 2 TABLETS EACH DAY FOR 4 DAYS STARTING ON DAY OF RETRIEVAL

BRING A CHECK FOR $300 FOR ANESTHESIA ON DAY OF RETRIEVAL

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

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

Doxycycline 100mgPurpose: 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

MethylprednisolonePurpose: Prevent allergic reaction to procedure

Start: On day of retrieval

Notes: Take 2 tablets once daily with food

LUPRON (Leuprolide)

Purpose: Prevent Ovulation

Start: day of baseline

Notes: MUST be kept in refrigerator MUST inject twice daily 12 hours apart

Accusure 0.5 syringesPurpose: Inject Lupron

Notes: Inject 0.2ml or 20 units

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)

Ovidrel PregnylPurpose: 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)

ProgesteronePurpose: Enhances buildup of uterine lining to increase

retention of embryos Start: Day of implantNotes: IM shot Once daily/Least time sensitive/MUST

have someone else do injection/BRING with to retrieval and they will demonstrate again

25G 3cc SyringesPurpose: 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

PrometriumPurpose: 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

Estradiol 1mgPurpose: Build up endometrium in frozen embryo

transplant. Start: When directedNotes: 3 tablets twice daily for 14 days; then 2

tablets twice daily