Advanced Fertility Center of Chicago ivf

Details about injectable medications for in vitro fertilization, IVF

In order to get sufficient follicles and eggs for the in vitro fertilization process, the woman is stimulated with injected medications to develop multiple follicles (egg-containing structures). The injections are usually given by the woman, or by her male partner. The technique is easy to learn.

Usually, two different injectable medications are used in IVF drug stimulation protocols. One drug is given to suppress ovulation from occurring before we take the eggs out and the other drug is used to stimulate multiple egg development.

The most commonly used IVF protocol is called "down-regulation" or "long Lupron".

Details about the long Lupron IVF medication protocol

With this Lupron drug regimen, the Lupron is started on about day 21 of the woman's cycle. The purpose of this medicine is to "down-regulate" the pituitary gland with regard to production of FSH and LH hormones.

This gives us more complete control of the subsequent stimulation of follicle and egg development in the ovaries. The Lupron is given as a subcutaneous (under the skin) injection with a small needle into the thigh or abdomen area.

The woman gets her period at the normal time (for example - day 28 of her cycle). The next medication begins a few days after her period starts. This is the FSH (follicle stimulating hormone) that will stimulate the ovaries to make multiple follicles and eggs.

There are several name brands of injectable FSH product available including Gonal-F, Follistim, Bravelle, Menopur and Repronex. These drugs can be given as subcutaneous injections or as intramuscular injections. We use them sub-Q because the women prefer it.

Once the FSH stimulating injections have begun, blood and ultrasound testing is done about every 2-3 days to monitor development of the follicles in the ovaries and the hormone levels.

Follicles contain eggs for IVF

Ultrasound of multiple follicles in a stimulated ovary

When the woman's follicles are mature and sufficient, an egg aspiration procedure is performed to remove the eggs from her ovaries for subsequent fertilization in the lab with her partner's sperm and then embryo transfer back to her uterus.

Overview about ovarian stimulation for IVF

Details about antagonist IVF protocols - using Ganirelix or Cetrotide

Details about Lupron flare protocols - also called microflare

In Vitro Fertilization
Subcutaneous Fertility Shots
Intramuscular Fertility Shots
Sample IVF Calendar

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



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!


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!


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!


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!