Harmonogram of The IVF program

Before Eggs and Sperm are Obtained

     You will come to the first examination to the Ward 16 on Day 2 of your menstrual cycle. The first day of menstruation = the first day of the cycle.

Day 2 of the cycle

    7.30 - 8.30 a.m. drawing blood for tests in Ward 16, not necessarily on an empty stomach
    8.30 - 9.30 ultrasound transvaginal examination in the Centre of Assisted Reproduction (CAR). It is advisable to empty one's bladder before the examination.
    1.00 p.m. Ward 16 rounds. At the rounds, a decision is taken about the beginning of stimulation (administration of injections) and about further steps to be taken in the cycle. All examinations and the ward rounds are carried out with you as an outpatient, without hospitalisation. You cannot be registered as off sick.

What will you need to take with you on Day 3 of the cycle?

    Assisted reproduction card, completed and confirmed by the referring gynaecologist - Registration Number, recommendation for the given cycle. Please check your husband's data and signature.
    Report of sampling and results of oncology cytology from the registering gynaecologist. The result has to be entered into the card.
    Completed form 'Information for Patients...'
    The pre-operation medical examination may be performed during the cycle monitoring at our clinic. It is only requested in the case of surgeries under a total anaesthesia. If you are wish to have an medical examinations, inform the ward nurse on Day 3 of the cycle.
    Administration of injections schedule.

Day 3 to 10 of the treatment cycle

     The stimulation consists of intramuscular or subcutaneous administration of injections according to individualized schedules. The injections contain hormonal preparations promoting the production and maturation of eggs (oocytes). We differentiate among:
traditional drugs - Humegon, Menogon, Metrodin, Pergonal
highly purified FSH hormone - Metrodin HP
recombinant FSH (the latest drugs) - Puregon, Gonal-F.

     The injections will be administered by your gynaecologist. The health insurance company requires that fact of the administration be confirmed by the gynaecologist's stamp.

Ovaria stimulation
We use two types of preparatory protocols.

1. The short protocol:
Synarel 4ml (Superfact) nasal spray is administered together with injections in the dose of two squirts twice daily into the nostrils, at 12 hour intervals.

2.The long protocol:
Decapeptyl, possibly Zoladex, depot injections administered intramuscularly on Day 18 of the menstrual cycle or nasal spray Synarel 8 ml – administered from Day 21 of the menstrual cycle before the treatment cycle itself.

Day 8 to 10 of the treatment cycle

    7.30 – 8.30 a.m. drawing blood for tests in Ward 16, not necessary on an empty stomach
    8.30 – 9.30 a.m. ultrasound examination in the Centre of Assisted Reproduction (CAR). It is advisable to empty one's bladder before the examination.
    further monitoring of the cycle, injections administration and setting the timetable for the egg pick-up. The date will be set 2 days in advance.
    Have your injections administration schedule, ampules and nasal spray with you for the sterility ward rounds.

What will you need to take with you?

(see Day 3 of the cycle)

    Assisted reproduction cards, completed and stamped by your gynaecologist
    Injections administration schedule confirmed by your physician doctor. It will be required on the day of the egg pick-up.
    Report of sampling and results of oncology cytoscopy.
    Completed 'Information for Patients...' form and 35,000 CZK.
    Pregnyl (Profasi) Injections, 10,000 IU.

Timing of the egg collection

     Retrieval of oocytes from the ovary is executed under ultrasound control through the vagina under analgesia or total anaesthesia. Immediately after the operation, you will be informed about the number of eggs obtained. If accompanied, you may be released from the hospital 6 hours after the procedure.

     On the day of egg pick-up, your partner will be asked to come between 7.30 and 9 a.m. to the Centre of Assisted Reproduction for sperm collection.

     For detailed information on sperm collection, see the chapter Andrology.

     For information on the course of embryo cultivation and the timing of their transfer into the uterus, please phone the Embryology Laboratory (extension 281) between noon and 1 p.m. on workdays or between 10.30 and 11 a.m. on Saturdays and Sundays.

 





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