Estrogen Priming Protocol

If we stay with Shady Grove, here will be our new protocol.

4/24/08 - Call your primary nurse with day 1 of menses. REMEMBER TO USE BARRIER CONTRACEPTION THIS MONTH!

5/3 (10 to 15) - Start lh predictor kit on day 10, call nurse with positive lh surge result. *if no surge by day 15 call the office to schedule blood work, lh and p4 will be drawn to estimate surge.
approx.

5/17 - Begin using the Vivelle patch on day 10 after the LH surge as advised by the nurse. Replace patch every other day.
approx.

5/18 - Start Ganirelix injection on DAY 2 of the patch . You will only take 3 days of injections at this time.

Approx. 5/22 - Call your primary nurse with DAY 1 of menses (FULL FLOW). Schedule appointment for ultrasound and bloodwork on day 2 of menses. Start your Children’s Aspirin as directed. *Keep last Patch on until it falls off or until your trigger injection.

Approx. 5/23 **Office Visit. You will be called in the afternoon with your results.**

Approx. 5/23 - Stimulation day 1 If blood work & ultrasound are within normal limits gonadotropins are started in the evening. Your nurse will review dosing instructions and give the date to return for follow-up monitoring. The stimulation with gonadotropins usually lasts 10 to 12 days, with frequent office visits. Dosing: A.M. Follistim 300 IU Dosing: P.M. Follistime 150 IU and Menopur 150 IU.

Once follicles are >14mm (or per physicians orders) you will be given instructions for continuing gonadotropins and re-starting Ganirelix.

6/3 Egg retrieval (approximate date)

6/6 to 6/8 Embryo transfer (approximate date)