Reproductive Endocrine Assoc. Assisted Reproduction Q & A

Is IVF a complicated process?

No. In general, stimulation of the ovaries is used to obtain multiple eggs. The woman is pretreated with a drug called Lupron to put the ovaries to rest in preparation for the stimulation process. This takes approximately 12 days of daily subcutaneous shots. The stimulation process takes about 9 days utilizing a combination of drugs known as menopausal gonadotropin (including Pergonal, Pergonal Repronex, Fertinex, Gonadal-S and Follistim). These drugs can be administered subcutaneously or intramuscularly. Usually on or about the 10th day of stimulation, a shot of human chorionic gonadtropin (hCG) is given to trigger the process of ovulation. Egg retrievals are performed 36 hours later and embryo transfers are performed 2 or 3 days after egg retrieval. If the embryos are transferred at the blastocyst stage, they are placed in the uterus 5 or 6 days after egg retrieval. We do recommend the administration of progesterone until at least the eleventh week of pregnancy. In our Institute, ovarian stimulation is tailored to the woman's particular hormonal requirements.

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