Frequently Asked Questions
IVF – In Vitro Fertilization
ICSI – Intracytolasmic sperm injection
CGH – Comparative genomic hybrization
ER – Egg Retrieval
ET – Egg Transfer
BCP – Birth Control Pill
IUI – Intrauterine Insemination
PGD – Preimplantation Genetic Diagnosis
PGS – Preimplantation Genetic Screening
PICSI – Physiological Intra-cytoplasmic Sperm Injection
FET – Frozen Embryo Transfer
ET – Fresh Embryo Transfer
OC – Oral Contraceptive
PNV – Prenatal Vitamin
There are a lot of opinions about the use of many different supplements during the course of fertility treatments. It is complete conjecture and speculation that any of these has benefit for improving outcomes. That is to say, there is no evidence to suggest that taking any supplementation will improve egg quality, sperm quality, implantation potential, outcome of pregnancy itself, reduced miscarriages, etc. There is no data suggesting that any of these supplements that people read about, and the list is very long , has a direct benefit. So, there are many, many opinions but no evidence upon which to give a recommendation. Not only has no supplement been shown to improve outcomes, as described above, but no one knows if there are combinations of these various supplements that have benefit nor does anyone know the actual dose for prescribing a regimen that is to be recommended. Again, in short, there are no recommendations because there simply is no data to show any of these things improve outcomes. At MCRM, we certainly do not object to people utilizing these therapies as again there is no evidence to suggest that there is any harm. As such, here is a list of many things that people do take during the course of fertility treatments:
- A multivitamin/prenatal vitamin.
- Vitamin C.
- Vitamin E.
- Various other antioxidants like grape seed extract, resveratrol, green tea extract, Pycnogenol.
- There are many other remedies that I have heard such as cranberry juice, pineapple core consumption, there are fruits and vegetables, Chinese herbs.
- Acupuncture, myofascial release, chiropractic care, massage therapy.
Alcohol intake, in small amounts, during the stimulation phase is safe; however, alcohol intake is to be refrained from post an embryo transfer.
We do not recommend any abstention prior to egg retrieval.
No high impact activity after transfer, but no restrictions up to that point.
It is normal. You can wear a pantyliner/pad if needed, just alert us if it gets to more like a full flow.
Light brown spotting typically refers to old blood from a previous bleed. If the spotting is more than light, in nature, you should notify your coordinator.
As long as you are taking the BCP daily as directed, any break thru bleeding is of no concern. Please do let your coordinator know however.
Yes to all.
You can fly during any time of your IVF cycle, unless contradicting an office appt.
For headaches or mild pain,Tylenol may be taken. Regarding additional medications, consult with your physician or OB/GYN prior to use.
We do not recommend any abstention prior to any semen analysis testing.
No full bladder is required for ultrasound examination except for an ET/FET where a semi-full bladder is required.
It is okay, and expected when you are early in your cycle.
The BCP is used as a means to manipulate your menstrual cycle into our IVF cycle. You will be on it temporarily.
If spotting on the BCP, no concerns. If spotting during the stimulation week, let your coordinator know. If spotting after ER and ET, let your coordinator know. We will need to know more about the spotting in relation to where you are in the cycle process.
It could be for genetic reasons, immunology reasons or other reasons.
Once your personalized protocol has been determined by one of our physicians, your coordinator will order your medications from a specialty pharmacy.
Yes. Infectious disease testing is required by the FDA and must be completed within 6-months of your egg retrieval. No exceptions can be made.
Medication costs vary depending on multiple reasons including by not limited to: personal protocol,available discount programs, manufacturer rebates and pharmacy pricing. To assist with updated pharmacy pricing, you may use the Fertility Drug Calculator App available at http://www.fertilitydrugcalculator.com.
For the latest guidance recommendations from ASRM visit: https://www.mcrmfertility.com/2016/09/zika-fertility-asrm-guidelines-reproductive-age-women-men/