Initial Consult with Dr. Hummel or Dr. Kettel
Discussion of patient's history and establishment of treatment plan (phone or in person)
Financial Consult to review costs and financial plans available
Pre-Cycle Lab Work Blood tests, semen analysis, uterine assessment, additional lab work if necessary (this may take one month to complete).
Starting IVF Treatment
Week 1
Day 1 on menstrual cycle
Call office to set up IVF consult with nurse
Day 2 on menstrual cycle
Day 3 on menstrual cycle
Day 4 on menstrual cycle
Start oral contraceptives (OCP)
Day 5 on menstrual cycle
OCP
Day 6 on menstrual cycle
OCP
Day 7 on menstrual cycle
OCP
Week 2
OCP
Be on the pill anywhere from 10 days to 5 wks depending on patient's schedule.
Week 3
OCP
You will be told when to stop pills at IVF Consult
IVF Consult anywhere from week 2 to week 4.
Injection class scheduled.
Week 1 of Injections
OCP
OCP
Blood test, ultrasound & start FSH
FSH
Week 2 of Injections
FSH
FSH
FSH
FSH
Blood test & ultrasound
FSH
FSH
Blood test & ultrasound
FSH
Week 3 of Injections
FSH
Blood test & ultrasound
Hcg Injections
No injections
TVA
Start Progesterone
Day 2-5 Transfer
then bedrest
72 hours of bedrest after transfer
Week 4 and after
Pregnancy test 2 weeks after transfer
OB Ultrasound 2 weeks after pregnancy test
Stop all medication at 5 or 8 weeks (we will instruct you).
Note: The calendar shown above is an example of how an IVF cycle may evolve. It is possible that the ovarian stimulation process is shorter or longer than above depending on your response. A Day3 or Day5 (blastocyst) transfer will be based on the embryo development. A pregnancy test is performed 14 days past transfer.
Key to Calendar
Blood and ultrasound = blood test for hormone levels and transvaginal ultrasound to measure follicle development in ovaries.
Lupron = subcutaneous injection of a medication called Lupron. Taken once daily.
FSH = subcutaneous injection of a medication containing follicle stimulating hormone (FSH), and lutenizing hormone (LH), which causes growth and egg development in women. Plan 10-14 days of FSH/LH injections.
Ovidrel/HCG injection = intramuscular injection of a medication called Human Chorionic Gonadotropin, final maturation of oocytes (eggs) prior to retrieval.
Progesterone = intramuscular injection of progesterone oil, which helps to prepare a receptive uterine lining for embryo implantation. Supports a pregnancy.
Ganirelex Acetate/Antagon - Cetrotide = prevents ovulation and is started 5-8 days after FSH start.
Sometimes patients find us by typing: ferility, inferility, fertility centre, fertilty, infertilty, micscarriage, miscarraige, fertiliy, infertiliy, fertilitydoctors, clinicfertility, ferlity, and inferlity. Doctors Hummel and Kettel are sometimes called Dr. Humel, Dr. Kettle, Dr. Hummle, Dr, Ketel, Dr. K, and Dr. H.
