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XIO > IVF protocol - differences > Flashcards

IVF protocol - differences Flashcards

1
Q

OCP follicular - what tests during monitoring

(OCP E2 is twice as fun)

A

E2 and then US and E2

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2
Q

OCP luteal - how long to take BC?

(OCP Luteal - L for longer)

A

7-10 days

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3
Q

Aygestin - how long to take?

(Ajustin to 10 days)

A

10 days

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4
Q

aygestin - high responder

(high on Sat)

A

stop aygestin Sat - baseline - wed, E2 Friday, ultrasound monday

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5
Q

aygestin - low responder

(low on Thursday)

A

stop aygestin - baseline - thursday, US and E2 Monday

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6
Q

E2 - when to start? and stop?

(E2 and menses don’t mix)

A

start 5 days after +OPK
stop - menses

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7
Q

E2 - baseline

A

day of menses

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8
Q

E2 - monitoring tests

A

day 5 - e2 and ultrasound

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9
Q

mid luteal baseline - what day is it?

A

3-6 after +OPK

(the only other protocol w/ baseline not at start of menses is follicular testosterone - 4-6 days after +OPK)

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10
Q

late luteal baseline - when is it?

(late luteal 10)

A

10-12 days after +OPK

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11
Q

mid or late luteal - what tests at baseline?

A

US, E2, and P4

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12
Q

Demi Halt - when to take lupron

(Loop in demi 5 days positively)

A

5 days after +OPK

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13
Q

what tests at baseline for demi halt?

A

US and E2

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14
Q

when does patient stop lupron in demi halt?

A

when menses starts

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15
Q

what trigger for demi halt?

A

FSH 450 and HCG

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16
Q

how does lupron work?

A

agonist - first stimulates FSH and LH, then it stops responding

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17
Q

follicular testosterone - what tests at baseline?

(the testosterone 3)

A

US, E2, and P4

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18
Q

follicular testosterone - when to start T? and when to stop?

(T stops at the bases)

A

on CD 1 or 2, stop at baseline

19
Q

follicular testosterone - what unusual test during baseline?

A

HCG on stim day 7 or 8

20
Q

which has no antagonist?

A

demi halt - BECAUSE lupron suppresses LH enough that we aren’t worried about premature ovulation

21
Q

microdose flare - if straight start - what do we do on the first day?

A

baseline, US +E2 on CD 1 or 2.

22
Q

microdose flare - if priming, which options?

A

OCP follicular or luteal phase

23
Q

microdose flare - if using E2

A

same protocol - Estrace 5 days after +OPK and continue until menses

24
Q

LMP for microdose flare?

(lupe in the flare for LMP)

A

start of Lupron

25
Q

microdose flare - what meds start at baseline?

A

Lupron

26
Q

microdose flare - what meds are added to lupron?

(micro 1, 2, 3)

A

lupron only the 1st 2 days, then on day 3 add stim meds, like FSH/menopur and GH

27
Q

microdose flare - trigger med?

(loop in the flare - so THINK - what trigger meds)

A

HCG and FSH 450

28
Q

E2 and antagonist priming

(esther antagonizes me for 3 nights and 10 days)

A

same protocol as E2, but pt will take antagonist for 3 nights starting 10 days after +OPK

29
Q

aygestin and testosterone priming - (just adding testosterone to aygestin)

A

same protocol as aygestin but pt will take testosterone for same duration as aygestin starting 5 days after +OPK

30
Q

straight start

A

pt calls w/ period and baseline that day. Then OCP/aygestin

31
Q

random start

A

pt picks random day and then OCP/aygestin

32
Q

min stim - when is baseline?

A

period

33
Q

min stim - what meds?

A

this is clomid/LTZ

34
Q

min stim - how long after trigger is retrieval?

A

34 hours

35
Q

min stim - LMP?

A

day before start of CC/LTZ - the actual period date

36
Q

CC/LTZ flare - how much FSH and menopur?

(let’s flare at 225 and 150)

A

same as min stim, but FSH 225 and menopur 150

37
Q

CC/LTZ flare - LMP

A

date of cycle before CC/LTZ

38
Q

GnRH - which meds?

(grrr, it’s centered in gan)

A

cetrotide/ganHirelix/fyremadel

39
Q

HCG - med names?

(hug the novel preg)

A

novarel/pregnyl

40
Q

min stim - when to start FSH?

A

after finishing CC/LTZ

41
Q

Clomid/LTZ flare - when to start FSH?

(fishes flare after 3 days)

A

FSH started 3 days after starting CC/LTZ

42
Q

min stim and Clomid/LTZ flare - when to start menopur?

A

with the antag

43
Q

LMPs - start of stimulation for all but…

A

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),

44
Q

baseline

A

w/ period

XIO (393 decks)

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