IVF breakdown

Question 1

OCP follicular

Answer 1

full period - OCP that day for 10-14 or 14-20 days. Stop. full period and baseline and LMP. start stim meds. antag when egg is 12 mm. trigger

Question 2

OCP luteal

Answer 2

same exactly as OCP follicular except start BC (take for 7-10 days) when ovulation is confirmed

Question 3

aygestin - how long to take?

(ajustin to 10 days)

Answer 3

same as OCP luteal (start meds w/ ovulation) and take for 10 days

Question 4

E2

(E2 my ovulation)

Answer 4

start 5 days after ovulation, take until next period. everything else the same

Question 5

mid late luteal - what is the one thing to tell pts?

Answer 5

no meds except stim - patient reports ovulation and then schedule baseline - only difference is PERIOD IS expected during stim meds

Question 6

demi halt

(demi loops for 10 days)

Answer 6

lupron 5 days after ovulation, no antagonist!!!, and trigger meds FSH and HCG

Question 7

follicular testosterone - how long to take T?

Answer 7

same, except pt starts T w/ period until baseline (period)

Question 8

microdose flare - priming will be what? (just 2)

Answer 8

OCP or E2

Question 9

microdose flare - what about the trigger?

(flare in the micro with loops at 3 days)

Answer 9

Lupron for 3 days starting w/ period (baseline), then start stim meds (FSH and GH), then trigger FSH 450 and HCG

Question 10

EAP - what is it?

Answer 10

E2 and antagonist

Question 11

EAP protocol

(eap the antag for 3 days only)

Answer 11

same as E2 but pt will take antag 10 days after +OPK and only take for 3 nights

Question 12

ATP - what is it?

(ATP is AT)

Answer 12

Aygestin and testosterone

Question 13

ATP - protocol

Answer 13

same as aygestin but pt will take T with the aygestin

Question 14

min stim - when does menopur start? min stim is CC/LTZ

(mini minopur w/ antagonist)

Answer 14

priming - OCP, aygestin, or straight start. baseline - CC/LTZ for 5 days.Then FSH 150 for 3-7 days. Menopur 75 starts w/ antagonist at 12 mm. Retrieval 34 hours later.

Question 15

CC/LTZ flare

(clomid is flaring at 225)

Answer 15

same as min stim but pt takes FSH 225 and Menopur 150

Question 16

what protocols can’t use medpak?

Answer 16

min stim or flare

Question 17

gonal f - dosage

Answer 17

300, 450, 900

Question 18

follistim - dosage

(stim at 600)

Answer 18

300, 600, 900 (this is the cartridge)

Question 19

cetrotide dose

Answer 19

.25 mg kit

Question 20

garnirelix dose

Answer 20

250 mcg syringe

Question 21

how many days for antag when ordering meds?

Answer 21

between 4-6 days

Question 22

how many days of meds to order for medpack?

Answer 22

9 days of stim, 6 days of antag and trigger meds to start

Question 23

no atagonist

(don’t antagonist demi)

Answer 23

demi halt

Question 24

mid late luteal is

Answer 24

nothing but stim, antag, and trigger

Question 25

LMPs: start of stim for all except

Answer 25

micro dose flare (start of lupron