Showing posts with label IVF Medications. Show all posts
Showing posts with label IVF Medications. Show all posts

Thursday, January 30, 2014

How do I begin treatment?


The first step in treatment is to gather all the necessary information, i.e. the test results mentioned above. One we have all the test results, we are able to identify the right treatment protocol as well as the precise dose of medication to be administered. Once you send us your test results, we will be able to provide our feedback and lay down all the options based on your unique fertility assessment.

At this point, we are able to map out your treatment calendar and issue your prescription. We work with an international pharmacy in the UK which delivers worldwide, so you will be able to order your medication online and receive them at your door. There are clear instructions on how to administer the medication as well as daily instructions of what you need to do on your treatment calendar.


Once you begin with the preliminary treatment, you will begin using your medication locally and you will need to visit your local gynecologist in order to observe your response to medication and reassess the dose of medication if necessary. These local scans can be done at your local gynecologist or scanning clinic. We work with a number of places in the United States, United Kingdom, Sweden, Turkey, Germany, France, Holland and Spain for scans. Therefore, should you not have a local doctor, we may be able to recommend a place or two.

www.donasyon.net
www.lowcostivf.net
www.gender-selection-ivf.co.uk
www.egg-donor-ivf.co.uk

Tuesday, January 14, 2014

Why do I need to use medication if I don’t have any fertility issues?





This is one of the most commonly asked questions from patients undergoing treatment for gender selection. Given that most patients require gender selection for their second or third or even fourth pregnancies, they are mostly fertile individuals who are able to achieve pregnancy through natural means. This raises the question why they need to use fertility medication like other patients who are not able to conceive naturally. The answer is simple. Whether you are able to conceive naturally or not, in any IVF treatment, we will need to obtain multiple eggs and therefore multiple embryos so that we can maximize your chances of success. Without any use of fertility medication, your ovaries are likely to release only one egg in a given menstrual cycle. This single egg may or may not be of optimal quality. Especially in gender selection treatments, we need multiple eggs so that we can have multiple embryos, which will allow us to find at least one embryo that is healthy genetically and that is of desired sex.


Not all the eggs will fertilize into good quality embryos and not all the fertilized embryos will survive until the day of embryo transfer, and not all the embryos that have survived will turn out to be healthy and of desired sex. This is why we need to administer a custom prepared medication protocol which will optimize the number of eggs to be harvested so that we can offer you the highest chance of success possible.

www.donasyon.net
www.lowcostivf.net
www.northcyprusivf.com
www.gender-selection-ivf.co.uk
www.egg-donor-ivf.co.uk

Tuesday, September 10, 2013

Fertility Drugs


An IVF Medication cycle consists of different medications or fertility drugs that stimulate the body to promote pregnancy using IVF. The particulars of the cycle are decided by a specialist physician, below are some of the most widely used medications.

GnRH Agonists - Allow for improved control of ovarian stimulation during the administration of exogenous FSH. Exogenous FSH is given to stimulate ovarian follicle, followed by human chorionic gonadotropins (hCG) to trigger ovulation. Some GnRH agonists are: Buserelin, Leuprorelin, Nafarelin, Lupron (Prostap), Triptorelin, Decapeptyl and Synarel. Some are injected just under the skin others are applied as a nasal spray. They allow the body to produce a higher number of improved quality eggs during the treatment cycle. Midcycle hormonal surge caused by a cancellation of a cycle can also be minimised using these.

Antagonists - Cetrotide, Ganirelix and Antagon are IVF medications that are given by injection usually for three or four days they are antagonists of gonadotropin releasing hormones (GnRH) and are used to prevent premature ovulation.

Gonadotropin preparations - are medications that simulate the physiological effects of gonadotropins. They are taken as subcutaneous injections that provide stimulation to the follicles that contain the eggs during the stimulation phase. Gonal F, Menopur, Merional, Fostimon, Puregon, Bravelle, Follistim, Pergonal and Repronex are the most commonly used gonadotropins.

Human Chorionic Gonadotrophin (hCG) - The administration of hCG in the presence of one or more mature ovarian follicles can trigger ovulation to aid egg retrievel and it can also be used to stimulate the production of progesterone. The most commonly used hCGs are Pregnyl, Ovitrelle, Profasi and Novarel.

Prednisolone / Medrol - Generic name is Methylprednisolone and is a cortisteroid based hormone. It is normally given for a period of four days during the IVF cycle, to assist pre-embryo implantation.

Doxycycline - an antibiotic also know by the brand names Vibramycin, Monodox, Microdox, Periostat, Vibra-Tabs, Oracea, Doryx, Vibrox, Adoxa, Doxyhexal, Doxylin, Doxoral and Atridox. It is administered in pill form and is given to the male partner during the wife's stimulation IVF cycle to reduce the minute levels of bacteria found in the semen. This bacteria can compromise the performance and quality of the sperm during an IVF cycle. It is also sometimes given to the female to reduce the risk of infection following aspiration of the follicles during the egg retrieval period.

Progesterone - Natural Progesterone can be taken as a daily intramuscular injection called Gestone, starting two days after egg retrieval and continuing until the placenta is making adequate amounts of Progesterone. It can be given in the form of a pessary or suppository called Cyclogest. It is given in the dose of 400 mg twice daily rectally until embryo transfer and rectally or vaginally after embryo transfer. Progesterone can also be given in the form of a vaginal gel Crinone or Capsules called Utrogestan. It is essential to prepare the endometrium for implantation of an embryo, ovulation induction or sometimes to induce a period in a woman who hasn't ovulated.
Source - http://goo.gl/ICugOW

www.donasyon.net 
www.lowcostivf.net 
www.gender-selection-ivf.co.uk 
www.egg-donor-ivf.co.uk

Thursday, April 4, 2013

Preliminary Work


Obtaining Medication:
In order to obtain your medication, you can either contact your local gynecologist and kindly ask them to write you an order so that you can purchase your medication locally at your pharmacy, or, you can use the Fazeley pharmacy located in the UK.
The Fazeley Pharmacy is an international pharmacy and they can deliver worldwide. However, if you are not located in the UK, you will need to allow for at least 12 days from the day of your order until the medication arrives. The pharmacy also charges a fee of 25 STG to transcribe our prescriptions into a UK prescription. You can contact the pharmacy at info@fertility2u.com or alternatively, you can use the websitehttp://www.fertility2u.com. Ms. Bushra is the director and she will gladly help you sort out your medication needs.

Vitamins:
Vitamins are an essential part of your treatment. It has been shown that folic acid supplements not only help you maintain a healthy pregnanyc, but also help with your baby’s neural development, therefore, it is important to start using folic acid prior to embryo transfer and continue using for the duration of your pregnancy.
Similarly, use of Vitamin C tablets (precisely, 500 mg) has been identified with increased quality of eggs retrieved, therefore, it will be important to use vitamin C supplements daily for at least 2-3 weeks prior to egg retrieval.
Finally, because your daily food intake may not provide you with all the essential nutrients, it will be important to use a prenatal vitamin complex prior to and throughout your pregnancy. Pregnacare or any other one-a-day prenatal vitamin complex will be useful.

Using Medication:
Some of the medication you will use in your protocol are in tablet forms, so they are used orally. However, some of the medication are in injection form, therefore, it can be a bit more complicated to administer them. Some patients find it useful to have the injections administered by a nurse or a doctor first so they can learn how to do it and they can do it themselves afterwords. The injections we use in fertility treatment are sub-Q, meaning, they are administered right under the skin. Please watch the videos below for preparing and administering the Gonal-F injections:
Following video provides information about mixing and dose adjustment.
After watching the video on the link above, please view the video on the link below on administering the injection:
Even though the specific time of the injections does not make much of a difference with respect to outcomes, the time elapsed between each injection does. Therefore, it is important to be consistent with your injection timings. Make sure that there is approximately 24 hours between each injection. For instance, if you administer your Gonal-F at 8 AM in the morning the first day, make sure you administer it around the same time the next day. A couple of hours of difference is acceptable.

Where to get your scans?
Since majority of our patients come from abroad, and given that in our hectic lives, we all have work/family or other commitments, not everyone is able to travel for treatment for a long period of time. In order to shorten the length of your stay without compromising your chances of success, our protocols are prepared so that you can have access to your medication and follow a certain treatment calendar prior to your arrival in Cyprus. This minimizes your stay down to 8 days. However, in the meanwhile, while you are using your medication, you will need to have a couple of scans in order to observe how you are responding to the medication and whether we need any dose adjustments or additional supplements. For this end, you can either see your own gynecologist for the scans if they are willing to cooperate, or use one of the locations we recommend.
1- For UK patients, Cherish UK is a great place to have hormone testing and other blood work as well as scans. Alternatively, the Birth Company is also able to provide our patients with their preliminary tests and scans. 
2- For US patients, we have a number of locations that we can recommend. However, since the US has a very large geaography, our locations may need air travel, which may not be convenient to all patients. Please ask Ahmet directly about the US locations.
3- For Turkey patients, there is a location almost in every city where we can recommend for your scans, please ask Ahmet about these locations.
4- For patients from the Netherlands, we have a local representative who will be in charge of all the preliminary work, Mr. Bert Van Delen. We will get you in touch with him once you are admitted into our treatment program.
5- For other locations, please ask us if we have any recommendations. We have options for patients from Germany, Switzerland, Italy and France, but only in the capitals.

Traveling to Cyprus:
Cyprus is a country where the weather is usually warm during winter and hot during summer. It will be in lower 10s during winter and upper 30s during summer, so make sure you pack your clothes according to the weather.
There are two routes of travel to Cyprus. One is arriving at the Ercan Airport in the North, which is about 10 minutes drive from our clinic. The airport does not have directl air links, therefore, there will be a touch down in Turkey for a brief period. You may want to check out flypgs.com or turkishairlines.com for pricing information.
The second alternative is to travel to Larnaca or Paphpos Airports in the South. This would necessitate a border crossing and approximately ninety minutes of travel time to reach the North. If there aren’t huge savings with this option, we often recommend the Ercan Airport due to its convenience.
The electric plugs in Cyprus are similar to the ones in the UK, however, patients traveling from other countries should bring an adaptor with them if they are planning on bringing electrical equipment with them (blow dryers, cell phone chargers).
Do not use your cell phone excessively unless you have to. The roaming charges will be excessive and you will face a huge bill upon your return, therefore, it will be wise to obtain a prepaid phone chip with one of the local carriers to use in your cell phone to avoid those charges.
If you are staying at the Golden Tulip Hotel, it is very conveniently located right next to the clinic. You will find plenty of dining and shopping alternatives within walking distance. If staying at the guest house, you will still have access to supermarkets, and a few dining places. The guest house is about 10 minutes driving distance from the clinic, but our driver will be able to take you back and forth for your appoitments.



www.donasyon.net
www.lowcostivf.net
www.northcyprusivf.com
www.gender-selection-ivf.co.uk
www.egg-donor-ivf.co.uk

Tuesday, July 31, 2012

Vitamins and IVF




Vitamins are an essential part of your treatment. It has been shown that folic acid supplements not only help you maintain a healthy pregnanyc, but also help with your baby’s neural development, therefore, it is important to start using folic acid prior to embryo transfer and continue using for the duration of your pregnancy.
Similarly, use of Vitamin C tablets (precisely, 500 mg) has been identified with increased quality of eggs retrieved, therefore, it will be important to use vitamin C supplements daily for at least 2-3 weeks prior to egg retrieval.
Finally, because your daily food intake may not provide you with all the essential nutrients, it will be important to use a prenatal vitamin complex prior to and throughout your pregnancy. Pregnacare or any other one-a-day prenatal vitamin complex will be useful.





www.donasyon.net 
www.lowcostivf.net 
www.northcyprusivf.com 
www.gender-selection-ivf.co.uk 
www.egg-donor-ivf.co.uk

Monday, June 11, 2012

Short FAQ about Post IVF Treatment

Question : 


I just wanted to double check that I will be taking 2 x Progynova twice a day and Crinone Gel twice a day, plus the Pregnacare and junior aspirin once a day until we are at the 12 week mark. Once we get past the first trimester do we just stop the Progynova (Estradiol Valerate)  and Crinone Gel or do a gradual wind down? And carry on with the Pregnacare and junior aspirin throughout my pregnancy?  


Answer : 


Please keep taking the same dose of medication until week 11 and for the final week, go down in dose of Progynova and the gel and stop altogether on week 12. You will keep using baby aspirin and Pregnacare until week 36, a few weeks before delivery.


Please be sure to have your prescription before leaving the clinic and email us if you have any further questions.


www.donasyon.net 
www.lowcostivf.net 
www.northcyprusivf.com 
www.gender-selection-ivf.co.uk 
www.egg-donor-ivf.co.uk