QUICK START: Introduction to IVF - PowerPoint Presentation

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QUICK START:

Introduction to IVF

Congratulations on your cycle start!

Everyone

at RMA wishes you success. Introduction to In-Vitro Fertilization (IVF) Cycle

In Vitro Fertilization Introduction

Stimulation & TriggerOocyte Retrieval

Embryology & Transfer

In Vivo

In Vitro

Introduction to In-Vitro Fertilization (IVF) Cycle

In Vitro

Fertilization Introduction

Stimulation & Trigger

Oocyte Retrieval

Embryology & Transfer

In Vitro Fertilization, or IVF involves bringing sperm and egg together in a laboratory dish.Embryos are made and the best embryos are used to help couples conceive.

Introduction to In-Vitro Fertilization (IVF) Cycle

In Vitro Fertilization Introduction

Reasons for IVF:Tubal factorSevere Male FactorEndometriosisOvulatory dysfunction

Ovarian failureDiminished ovarian reserve

Fertility preservationUnexplained infertility

Introduction to In-Vitro Fertilization (IVF) Cycle

Introduction to In-Vitro Fertilization (IVF) Cycle

Please confirm the following is complete prior to starting your IVF cycle:Checklist Blood Work

Consents are signed Cleared by Finance

Cycle medications from specialty pharmacy

Introduction to In-Vitro Fertilization (IVF) Cycle

Oocyte Retrieval

Embryology & TransferStimulation & Trigger

Introduction

There are many IVF protocols which are tailored to each patient specific diagnosis, age, diagnosis and prior responses to stimulation medications.Your physician may prescribe estrogen pills or birth control pills for pre- treatment prior. These medications help to synchronize your follicles prior to starting your stimulation injections.

Introduction to In-Vitro Fertilization (IVF) Cycle

Injection TrainingTake the time to watch RMA’s injection training videosHormonal injections are administered for 8 to 12 days in order to grow the ovarian follicles and allow the eggs to

matureExpect to administer approximately 2-4 injections dailywww.rmanj.com/injection-training-videos*Ask your nurse what injections your physician will be prescribing.

Introduction to In-Vitro Fertilization (IVF) CycleFrequent ultrasounds and blood work will be needed every 1 to 3 days through this time to monitor progress.Your Nurse will call you with results and medication instructions by 7pm.

Please only page if you have not received a call by 7pm

Introduction to In-Vitro Fertilization (IVF) Cycle –Morning Monitoring

Location

Weekday

Monitoring Hours

Weekend/Holiday Monitoring HoursBasking Ridge

Mon-Fri 6:00am – 7:30am

Sat/Sun 6:00am – 10:00am

open every day

Eatontown

Mon-Fri 6:00am – 7:30am

Sat/Sun 6:00am – 8:00am

open on holidays

Marlton

Mon-Fri 6:00am – 7:30am

Sat/Sun 6:00am – 8:00am

open on holidays except Christmas Day

Morristown

West Orange

Somerset

Springfield

Englewood

Princeton

Freehold

Mon-Fri 6:00am – 7:30am

Closed

Lehigh Valley, PA

Daily 7:00am-8:30am

Daily 7:00am-8:30am

Please make sure you arrive within designated monitoring hours in order to obtain same-day results.

You can monitor at the office of your choice, but please let your Nurse know which office you plan to visit   

There is a Nurse available beginning at 7am to meet with patients that have questions or need to review trigger instructions. Please be aware that many patients need to get to work, so time is limited in the morning. If you have more complex questions, please ask your Nurse about scheduling a meeting time.

Introduction to In-Vitro Fertilization (IVF) Cycle

Ultrasounds

Blood work

Injections

Introduction to In-Vitro Fertilization (IVF) CycleTrigger Injection

Novarel/Pregnyl/Ovidrel/Lupron Trigger

Stimulate ovulation (releasing of eggs) ***Time specific injectionRetrieval 36 hrs. later (i.e. 7pm trigger time on Monday results in 7am egg retrieval on Wednesday)Egg Retrievals take place in our Basking Ridge office

Day of Egg Retrieval: Nothing to eat or drink after midnight the day prior to retrievalPartners

are not allowed in the Operating RoomNo children allowedYou will not be able to drive day of retrieval. A responsible adult must accompany you home.

Introduction to In-Vitro Fertilization (IVF) CycleEmbryology & Transfer

Oocyte RetrievalStimulation & Trigger

Introduction

Male Partner (if applicable)2-5 days of abstinence if producing a fresh semen specimen on the day of oocyte retrieval

Introduction to In-Vitro Fertilization (IVF) Cycle

Introduction to In-Vitro Fertilization (IVF) Cycle

Egg retrievals are performed

approximately 36 hours after the scheduled trigger injection.

What to Expect on the Day of Your Egg Retrieval

IV SedationEgg retrievals are an ultrasound guided procedure, which takes approximately 10-20 minutes

Learn how many eggs are retrieved that day

Introduction to In-Vitro Fertilization (IVF) CycleNight of the Procedure

Call the office if you experience:

Temperature above 101Persistent nausea or vomitingSevere abdominal pain or swellingHeavy vaginal bleeding

Shortness of breathFaintingPain, burning, redness and or swelling in area around IV site

Vaginal spotting and/or mild abdominal cramping may occur and is normal.

The Next Day = Day 1

Fertilization Check

Introduction to In-Vitro Fertilization (IVF) Cycle

Embryology

Oocyte RetrievalStimulation & TriggerIntroduction

Day of Retrieval

Day 1

Days 2, 3 & 4

Days 5, 6 & 7Introduction to In-Vitro Fertilization (IVF) Cycle - Embryology

Introduction to In-Vitro Fertilization (IVF) CycleThe day after your egg retrieval, a nurse will call you with fertilization

results or number of eggs we were able to freeze. The next embryology update will be 7 days

following your egg retrieval with how many embryos were available to freeze.

Introduction to In-Vitro Fertilization (IVF) CyclePost Egg RetrievalPlease call your nurse with day 1 of your period following your egg retrieval

If your treatment plan involves screening your embryos for chromosomal abnormalities please expect results in approximately 2 weeks from the day of embryo biopsy.

Introduction to In-Vitro Fertilization (IVF) Cycle

P

lease contact your

nurse with any questions or concerns.