Your treatment will usually start on Day 1 of your period when you will need to call or email the clinic. We will then instruct you to start the treatment plan as explained in your Nurse Planning appointment.
When you contact us to book your treatment cycle, you will be issued with an invoice. This will need to be paid before a prescription and treatment schedule can be issued.
Most patients have long protocol IVF, which starts with suppressing your hormones so we can manage your next ovulation. This is called down-regulation and is achieved by daily injection and usually takes 2-3 weeks. You don’t start taking these drugs until day 21 of your cycle.
During this time, you should have a bleed. We will arrange a scan appointment to check that the drugs are working properly and that your hormones have “switched off”. At this appointment we will teach you how to administer the ovarian stimulation drugs.
Ovarian stimulation during IVF consists of the administration of daily injections which cause the ovaries to develop more eggs. The eggs develop in fluid filled sacs called follicles.
In order to monitor the development and maturity of the eggs you will need to attend for ultrasound scans. Over a period of around 2 weeks of stimulation, you’re likely to have 1-3 scans, and possibly blood tests, to monitor the development of the egg producing follicles. These are short appointments that last around 20mins, and the results are available later the same day. These scans are included in the price of your cycle.
To be capable of fertilizing, an egg needs to be mature. When the follicles are large enough to indicate that the egg inside each of them is mature, we schedule the egg collection 36 hours after administering an injection of the hormone hCG which causes the oocytes to mature in a similar way as in a natural cycle.
Egg collection takes about 30 minutes and you will be given drugs to make you sleepy so that you do not feel any kind of discomfort during the procedure. With the help of a scan probe, a very fine needle is passed through the vaginal wall and into the ovary to collect the eggs. Usually, around 80% of follicles contain an egg. Once the procedure is finished you will need to stay in the clinic at least an hour but you can go home the same day. You’ll need someone to pick you up; you mustn’t drive for the rest of the day, because of the anaesthetic.