IVF- NO OCP- FSH-HMG- Cetrotide/Ganirelix
Your treatment plan will be submitted to FCNE’s insurance team once all of the ordered testing is 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. Once your IVF cycle is approved and you have your IVF medications
delivered contact your Care Team by calling781-944-0052 OR send a
message via the Patient Portal.
2. Alert the Care Team with your cycle day one either by phone or Patient
Portal. We will schedule you for your baseline ultrasound and bloods on cycle
day 2.
3. Abstain from unprotected intercourse from day one of your period until
you have the pregnancy test at the end of your cycle. You will be
instructed to come in for your baseline ultrasound and blood on cycle day 2.
4. You will receive portal instructions every time that you come in for ultrasound
and bloods. 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 – 3 days later.
6. You will eventually add in daily injections of Cetrotide/Ganirelix . Please note
that at this point in your IVF cycle, you may require daily monitoring until you
are ready for an egg retrieval.
7. When you have enough follicles 17.5 mm or larger you will be instructed to
discontinue your Gonal-F/Follistim, Menopur and Cetrotide/Ganirelix 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.
8. 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.
9. You will receive a message the day after retrieval regarding the number of
eggs that fertilized and again 6 days later confirming the number of embryos
biopsied. The biopsy results are available approximately 10-14 days later.