After the patient has been evaluated by a physician, a personalized treatment plan will be created. Each patient and each cycle is different. The treatment process, from the start of birth control pill (OCP) to the last confirmation of pregnancy ultrasound, varies based on several factors (such as timing of the woman’s menstrual cycle, testing needed, clinic scheduling, etc.), but typically takes 3-4 months.
Below is an example of a typical standard IVF fresh cycle.
Treatment may start as early as a few days after the Program Start appointment, but more commonly, about 3-4 weeks later, usually on a Saturday or a Sunday. The following week, brief visits (blood draws with or without ultrasounds) will take place, usually every other day. A majority of patients will receive their hCG “trigger shot” on the Saturday or Sunday of that week, with an egg retrieval taking place on Monday or Tuesday of the following week. The nurse will discuss tentative embryo transfer dates.
Depending on specifics of each patient, a “fresh embryo transfer” will take place 3-5 days later (day of egg retrieval is considered to be day “0”). Day 5 transfers tend to be more common, particularly in younger patients, so many transfers take place on a weekend day.
8-12 days after the embryo transfer a 1st serum pregnancy test will be drawn and then repeated 24-72 hours later. Results and instructions will be given ONLY after the 2nd test and the physician reviews these results. Occasionally, patients will be asked to repeat the testing further. Early testing with two results helps us to differentiate and verify possible scenarios such as a strong rise, an early loss, lab error, delayed or ectopic pregnancy, or the complete absence of pregnancy, which may in turn have an impact on future treatment.