When starting a new cycle, it is necessary to have patient instructions. This means on cycle day 1(abbreviated as CD 1), your first full flow day, call the office to setup an appointment. If you plan to monitor away from our office, please contact the office for a lab and ultrasound order form to be sent to you. When you call to make your appointment, please let us know if you are planning to do an egg retrieval cycle or embryo transfer cycle. The baseline monitor day is preferably done on CD2 or CD3. Unfortunately, if you are unable to monitor before CD5, we will ask you to wait until your next cycle to begin treatment.
Once we receive your results, Dr. Yelian will review your blood work and ultrasound information and create a customized treatment plan based on your unique. In most cycles, patients will monitor 3-4 times in order to provide the most accurate treatment both for ovulation induction during egg retrieval cycles and for body-embryo synchronization during embryo transfer cycles. However, on occasion it may be necessary to monitor more or less than this since our facility uses less medications and everyone’s response to medication varies.
After Dr. Yelian reviews your results, a nurse will contact you electronically to inform you of your results and treatment plan. If you monitored in office, please expect your treatment plan on the same day, usually in the afternoon or early evening. For patients who monitor outside of our office, same day treatment plans may not be guaranteed as we rely on your chosen facilities to send the results of blood work or ultrasound on the same day. Our office requires a final report to be sent to the office so we may maintain a record of your results. Once you receive the treatment plan, it is time for your medications and instructions.
There are several medications that are commonly used in our office for each cycle. At the beginning of each cycle, it is strongly recommended that you have all possible medications at home or available in case it is required for your treatment. Since situations can be unpredictable, especially in natural cycles, we ask that each patient take personal responsibility to ensure that she has the medications in advance. It is not always possible to order/obtain medications in a pinch since fertility treatment is considered a “specialty” and fertility medication is not supplied by most local pharmacies.