IVF- Estrace Priming Microflare FSH-HMG
Your treatment plan will be submitted to FCNE’s insurance team once all of the ordered testing has been
resulted and valid consents are on file.
Please note that the insurance approval process can take up to 21 business days.
Once approved, you will be notified via the portal. The clinical team will then begin to work on the
medication order within 72 hours. Please note that in most cases Prior Authorization is required (PA). The
time from medication order to delivery to your home could take up to 10-14 days.
Please note that a cycle can’t be started until you have received all of the medications.
Instructions
1. Contact your Care Team on Cycle day 1 by calling 781-944-0052 OR send a
message via the Patient Portal.
2. Abstain from unprotected intercourse from day one of your period until
you have the pregnancy test at the end of your cycle.
3. Once your IVF cycle is approved and you have your IVF medications
delivered, contact your Care Team by calling 781-944-0052 OR send a
message via the Patient Portal. You will be instructed to come in for a
progesterone blood test on cycle day 20.
4. You will receive portal instructions that afternoon to start taking estrace 2 mg
tablets twice a day orally and a subcutaneous injection of Cetrotide/Ganirelix
for the following 3 nights. You will contact your Care Team via the portal or
call 781-944-0052 on the first day of full flow period by 3 PM. You will be
instructed to STOP taking the estrace tablets and come in the next day for
your baseline ultrasound and bloods before starting your injections. Every
time that you come in for ultrasound and bloods you will receive portal
instructions in the afternoon. These will include what medication(s) to take,
how much, on what days and when to return for monitoring.
Please take morning injectable medications at a time that works with your morning schedule within a 2-
hour time frame from day to day.
Please take evening injectable medications between 7 – 9 PM within a 2-hour time frame from day to day.
If there is a day that you have plans to be out in the evening it is better to take the injection earlier before
you go out.
The trigger injection (Human Chorionic Gonadatropin, Pregnyl) will be injected at a time specified by FCNE
and will be included in your instructions.
5. You will be instructed to return for a blood test after 3 - 5 nights of injections.
We will send portal instructions that afternoon. You will come back for bloods
and an ultrasound 2 or 3 days later.
6. When you have enough follicles 17.5 mm or larger you will be instructed to
discontinue your Microdose Leuprolide Acetate, Gonal-F/Follistim and
Menopur and take a one time injection of HCG/Human Chorionic
Gonadotropin/Novarel/Pregnyl. This injection is taken at a VERY SPECIFIC
TIME in the evening 36 hours before your egg retrieval.
7. You will be instructed to have nothing to eat or drink starting @ 12 AM the
day of your egg retrieval. You will arrive 30 – 60 minutes before your egg
retrieval. You will be instructed not to wear make-up, jewelry or contact
lenses. You will need a responsible ride home. If you are using a ride
service such as Uber, LYFT or a taxi cab you MUST be accompanied by
someone to care for you. If applicable, your husband or male partner will
need to produce a semen sample when the two of you arrive the day of the
egg retrieval if you are not using donor sperm or frozen sperm.
8. You may receive written instructions at your egg retrieval to begin
Estrace/estradiol once a day beginning that evening. You will receive portal
instructions the day after egg retrieval with fertilization results, progesterone
support instructions and embryo transfer instructions. Embryo transfer is
scheduled for 5 days after the egg retrieval.
You will be instructed to arrive with a full bladder 15 minutes before your
scheduled embryo transfer. You can eat and drink that morning unless
otherwise instructed. Once the embryo transfer is complete, you will be
discharged to your home with instructions to rest that day.
9. You will come back for your pregnancy blood test 10 days after your embryo
transfer. We will call you that afternoon with your results.
IVF- Estrace Priming Microflare FSH-HMG: updated 3/1/19