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 Ovulation, as mentioned before, requires
a delicate balance of hormones. When this balance is not working properly, we shut it down (or down-regulate) with
Lupron. We then rebuild the balance with hormones that bypass the influence of the brain. Here is a typical treatment
cycle:
E2 = blood estrogens
US = trans-vaginal ultrasounds
FSH = injectable fertility drug
Progesterone is given to prepare the
lining of the endometrium for the implantation of a fertilized egg.
Monitoring the Treatment Cycle
After 3-5 days of FSH, we begin monitoring
the response to help prevent multiple births and ovarian hyperstimulation. We may monitor every day or every other
day depending on the test results. The results we get from the tests also help us adjust the dosing of FSH and
determine when to give hCG. It is possible that we may cancel additional treatment if the response is too rapid
or too slow. Too rapid is dangerous if treatment is continued and too slow tends to be a waste of additional time
and money.
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