Ivy tube long program is to do IVF when the reduction of the classic program, the medication time is relatively long, that is, the use of drugs artificially block the physiological cycle, and then the use of gonadotropins to promote follicle development, you can take multiple mature eggs to improve the success rate of IVF. Beilai Fertility Center said that in general, the long program is suitable for patients who are less than 40 years old, have better ovarian function, a relatively large number of follicles, and 8 basal FSH.
What are the ivory long ivy regimen procedures
1. Check the six sex hormones, vaginal ultrasound and AMH on the second day of menstruation, and first look at the patient's hormone level, basal follicles and ovarian function;
2. On the 19th day of menstruation, review the hormone four items (E2, P, FSH, LH) and vaginal B ultrasound, see if there is ovulation during the period, if the patient has been ovulated, you can get a down-adjustment injection, if there is no ovulation, you need to recheck the hormone four items (E2, P, FSH, LH) and vaginal B ultrasound for a few days, until the ovulation is then administered;
3. On the 14th day after the injection, recheck the six hormones, vaginal ultrasound, check all the normal day to play the ovulation induction needle, the ovulation induction injection generally needs to be played for 10-12 days, the specific time varies from person to person.
4. On the 5th day of the promotion, go to the hospital to do six hormones and vaginal B ultrasound examination, monitor the situation of induction, and the doctor adjusts the dosage according to the patient's examination report on the day and then carries out the day's stimulation. After the 5th day of re-examination, most patients will add a drug that inhibits ovulation on the same day to prevent the follicles from automatically ovulating prematurely, but it is up to the doctor to decide whether to increase this drug.
5. On the 8th day of the promotion, the six hormones and vaginal ultrasound are rechecked, and the situation of the stimulation is monitored, and the same doctor adjusts the dosage according to the patient's examination report on the same day and then carries out the day's stimulation.
6. If the patient is sensitive to ovulation drugs, the follicle growth is relatively fast, the 9th and 10th days of the ovulation promotion should be reviewed for six hormones and vaginal ultrasound, the development of the follicle should be monitored at any time, and the patient with slow follicle growth should be re-examined on the 10th, 11th or 12th and 13th days. (Approximately 5 checks are carried out during the induction period), except in exceptional circumstances.
7. After the last day of re-examination, the injection is promoted, the night injection is given from 9 pm to 11 pm, the specific time is determined by the doctor, the egg must be retrieved within 36 hours after the night injection, and the egg retrieval is best in 34 hours (the night needle is generally helped by the nurse of the reproductive center).
How long does it take for the IVF long program
The classic long-term regimen is first adjusted in the last menstrual cycle, followed by ovulation induction therapy in the current menstrual cycle, egg retrieval and transplantation. Usually the ivy long program lasts about 40 days. Doctors make different long plans according to each person's conditions, and the time between the beginning and the end takes about two months, and the time for treatment and injection is about 20 days.
No matter what kind of plan the doctor formulates, you need to follow the doctor's advice and follow the doctor's advice to do each step. In addition, you need to relax and not be too nervous, the process of promoting ovulation is more psychologically stressful, and there is not much psychological burden in this link, which is more conducive to success.