KKH IVF

Friday 08 June 2007 3pm

WE had an appointment with KKH IVF at 3pm. Staff Nurse Tan CK went through the details of the program. Basically it's more or less what we expected, except that the jabs went on longer than expected. I will be on lucrin for almost 21 days, in addition to Puregon for up to16 days. That's like 37 days of self inflicted pain.

a night jab of IM pregnyl and 4 days of HCG if egg collection is less than 15, or 17 days of IM progesterone if number of eggs collected is more than 15.

i really cannot imagine 17 days of progesterone jabs. last time we did alternate days and it was damn painful to the extent of numbed butts.

The actual schedule as follows:

Day 1 : start of menses - call KKH IVF
Day 2 - Day 16 : Microgyon (birth control pills) x 16 days
Day 16 - Day 21 : Microgyon 5 days + subcut Lucrin 10 units x 5 days Total Microgyon 21 days
Day 21 - Day 30 : subcut Lucrin 10 Units 9 days Total 14 days Lucrin - baseline scan & bloodtest for E2
Day 31 - Day 37 : subcut Lucrin 10 units x another 7 days
Day 38 - Day 44 : subcut Puregon 200 IU x 7 days + Lucrin 10 units
Day 45 (8th day of puregon)- Day 53 (16th day of puregon): subcut Puregon + Lucrin 10 units (dosage depends on growth of follicles) - 1st scan on 8th day of puregon; 2nd scan betwen 9th -12th days; 3rd scan between 13th - 15th day. When follicles reach 16mm, STOP Lucrin. Total 16 days puregon
Day 54 : IM pregnyl at night , ER 2 days later
Day 56 : Egg Retrieval
Day 57 - Day 58 : wait for fertilisation
Day 59 : Egg transfer / balance embroyo to freeze
Day 60 - Day 76 - return for progesterone blood tests (x3) - if more than 15 eggs collected, got to return for IM progesterone daily for 17 days. If less than 15 eggs collected, 4 x HCG jabs.
Day 77 : 17 days later, pregnancy test

Now the challenge is to put the estimated dates in

Day 1 : Mon 18 Jun
Day 16 : Tue 3 Jul - start of lucrin + appt at KKH + counselling session with Caroline
Day 30 : Tue 17 Jul - baseline scan & blooodtest
Day 38 : Wed 25 Jul - Start Puregon
Day 45: Wed 1 Aug - 1st Scan
Day 48 : Sat 4 Aug - 2nd scan
Day 51 : Tue 7 Aug - 3rd scan
Day 54 : Fri 10 Aug - IM pregnyl jab
Day 57 : Mon 13 Aug - ER
Day 59 : Wed 15 Aug - ET
Day 77 : Sat 1 Sep - pregnancy test