IVF protocol - differences Flashcards
OCP follicular - what tests during monitoring
(OCP E2 is twice as fun)
E2 and then US and E2
OCP luteal - how long to take BC?
(OCP Luteal - L for longer)
7-10 days
Aygestin - how long to take?
(Ajustin to 10 days)
10 days
aygestin - high responder
(high on Sat)
stop aygestin Sat - baseline - wed, E2 Friday, ultrasound monday
aygestin - low responder
(low on Thursday)
stop aygestin - baseline - thursday, US and E2 Monday
E2 - when to start? and stop?
(E2 and menses don’t mix)
start 5 days after +OPK
stop - menses
E2 - baseline
day of menses
E2 - monitoring tests
day 5 - e2 and ultrasound
mid luteal baseline - what day is it?
3-6 after +OPK
(the only other protocol w/ baseline not at start of menses is follicular testosterone - 4-6 days after +OPK)
late luteal baseline - when is it?
(late luteal 10)
10-12 days after +OPK
mid or late luteal - what tests at baseline?
US, E2, and P4
Demi Halt - when to take lupron
(Loop in demi 5 days positively)
5 days after +OPK
what tests at baseline for demi halt?
US and E2
when does patient stop lupron in demi halt?
when menses starts
what trigger for demi halt?
FSH 450 and HCG
how does lupron work?
agonist - first stimulates FSH and LH, then it stops responding
follicular testosterone - what tests at baseline?
(the testosterone 3)
US, E2, and P4
follicular testosterone - when to start T? and when to stop?
(T stops at the bases)
on CD 1 or 2, stop at baseline
follicular testosterone - what unusual test during baseline?
HCG on stim day 7 or 8
which has no antagonist?
demi halt - BECAUSE lupron suppresses LH enough that we aren’t worried about premature ovulation
microdose flare - if straight start - what do we do on the first day?
baseline, US +E2 on CD 1 or 2.
microdose flare - if priming, which options?
OCP follicular or luteal phase
microdose flare - if using E2
same protocol - Estrace 5 days after +OPK and continue until menses
LMP for microdose flare?
(lupe in the flare for LMP)
start of Lupron
microdose flare - what meds start at baseline?
Lupron
microdose flare - what meds are added to lupron?
(micro 1, 2, 3)
lupron only the 1st 2 days, then on day 3 add stim meds, like FSH/menopur and GH
microdose flare - trigger med?
(loop in the flare - so THINK - what trigger meds)
HCG and FSH 450
E2 and antagonist priming
(esther antagonizes me for 3 nights and 10 days)
same protocol as E2, but pt will take antagonist for 3 nights starting 10 days after +OPK
aygestin and testosterone priming - (just adding testosterone to aygestin)
same protocol as aygestin but pt will take testosterone for same duration as aygestin starting 5 days after +OPK
straight start
pt calls w/ period and baseline that day. Then OCP/aygestin
random start
pt picks random day and then OCP/aygestin
min stim - when is baseline?
period
min stim - what meds?
this is clomid/LTZ
min stim - how long after trigger is retrieval?
34 hours
min stim - LMP?
day before start of CC/LTZ - the actual period date
CC/LTZ flare - how much FSH and menopur?
(let’s flare at 225 and 150)
same as min stim, but FSH 225 and menopur 150
CC/LTZ flare - LMP
date of cycle before CC/LTZ
GnRH - which meds?
(grrr, it’s centered in gan)
cetrotide/ganHirelix/fyremadel
HCG - med names?
(hug the novel preg)
novarel/pregnyl
min stim - when to start FSH?
after finishing CC/LTZ
Clomid/LTZ flare - when to start FSH?
(fishes flare after 3 days)
FSH started 3 days after starting CC/LTZ
min stim and Clomid/LTZ flare - when to start menopur?
with the antag
LMPs - start of stimulation for all but…
microdose flare (start of lupron w/ period), EAP, ATP, straight start & random start (period), min stim (day before start of CC/LTZ), CC/LTZ flare (date of cycle before CC/LTZ),
baseline
w/ period
