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Advanced Fertility Center of Chicago ivf

Microdose Lupron Flare Protocol for IVF - Sample CalendarIn Vitro Fertilization Microflare Protocol

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The sample schedule and calendar below is for IVF stimulation using the flare protocol.

  • The flare protocol is used to "jump start" ovarian response to stimulation in poor responders, in women of advanced reproductive age, and in women with low ovarian reserve.

  • As women lose eggs due to aging, it can be hard to stimulate ovaries to produce enough follicles and eggs for a good chance for success with in vitro fertilization.

  • This sample in vitro fertilization cycle shows a microdose Lupron flare plan with timing of drugs, ovarian stimulation monitoring, and IVF procedures.

Flare IVF Protocol Calendar

USING BIRTH CONTROL PILLS

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

1

Birth control pill

2

Birth control pill

3

Last birth control pill (of about 14 pills)

4

No meds

5

No meds

Baseline blood and ultrasound

6

Start diluted Lupron (DL) twice daily

7

DL twice daily

8

DL twice daily

Start stimulation shots

9

Day 2 of stim

DL twice daily

10

Day 3 of stim

DL twice daily

11

Day 4 of stim

DL twice daily

Blood and ultrasound

12

Day 5 of stim

DL twice daily

13

Day 6 of stim

DL twice daily

14

Day 7 of stim

DL twice daily

Blood and ultrasound - follicles now are ready

HCG trigger shot at night

15

16

Egg retrieval procedure

17

Fertilization check in morning

Start progesterone

18

19

Embryo transfer procedure

Day 3 transfer of cleavage stage embryos

20

21

Embryo transfer procedure

Day 5 transfer of blastocyst stage embryos

22

23

 

24

25

26

27

28

29

30
Blood pregnancy test

 

 

 

 

 

Key to flare IVF calendar:

Blood and ultrasound = blood test for IVF hormone values (estrogen levels in IVF stimulation are important) and transvaginal ultrasound to measure the follicle sizes in the ovaries. These visits usually take about 20-30 minutes in our offices and can be scheduled as early as 6:30AM.

DL = diluted Lupron, a subcutaneous injection of a very low dose of Lupron. This drug is taken twice daily starting on the third pill free day (after the last birth control pill).

Stim = ovarian stimulation. Involves subcutaneous injection of a medication containing follicle stimulating hormone (FSH), which causes multiple follicles containing eggs to develop in the ovaries. Ovarian stimulation with a flare usually lasts about 8-11 days.

HCG injection = subcutaneous or intramuscular injection of a medication called HCG, which causes the eggs to complete the maturation process.

Progesterone = vaginal cream or suppositories or intramuscular injection of a medication (female hormone) called progesterone. This drug helps to prepare a receptive uterine lining for embryo implantation.

Egg retrieval procedure = procedure to get eggs from the ovaries

Embryo transfer procedure = procedure to put embryos in the uterus

The example above is a typical flare stimulation cycle. Most patients will need 3 or 4 visits for monitoring the stimulation (shown as "Blood and Ultrasound" on the calendar) before the HCG trigger shot. It depends on the woman's response to the ovarian stimulating medications.

4920 N. Central Ave
Suite 2C

Chicago, IL 60630

Phone: (773) 794-1818
Fax: (773) 794-1819

30 Tower Court
Suite F
Gurnee, IL 60031

Phone: (847) 662-1818
Fax: (847) 662-3001

820 E. Terra Cotta Ave (Rte 176)
Suite 118
Crystal Lake, IL 60014

Phone: (815) 356-1818
Fax: (815) 356-1866

TESTIMONIALS

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I am so grateful for Advanced Fertility Center. I just had my son Leland. I want to thank Dr. Catenacci and all of the nurses that helped us. Especially Ashley in the Crystal Lake office. You made this process easier by being supportive and positive. Thank you very much!

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Dr. Sherban and his staff are the most amazing, compassionate, and supportive people. After almost 5 years of trying to conceive, going through numerous tests and meeting with another clinic closer to home, who told me my chances even with IVF were still very low, a good friend recommended advanced fertility center of Chicago. Best decision we ever made! We now have 2 amazing children who are now 5 and 3 years old! I cannot stress enough how amazing this staff is, they make you feel like family!

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Our experience was amazing with Dr. Cantanucci and all of the nurses (especially Ashley). After ttc for 4 years and at 41 years of age, we became pregnant after 1 round of IVF, and had our beautiful boy this past October. Can't thank them enough!

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2/7/15 our son was born all thanks to the assistance of Dr. Sherbahn and his staff. Everyone was so helpful and here for all our questions, worries, etc. They want this for you just as much as you want this for you! Handled with pure professionalism and care from the very start! Thank you advanced fertility!

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