Medications Used During a Typical Stimulation Cycle
Oral Contraceptive: The birth control pill is given to provide a steady state of hormones to the body. It is utilized to keep patients in a “holding pattern” that allows the patient to begin suppression when her cycle is synchronized with that of her recipient.
Lupron (leuprolide acetate): A GnRH-agonist inhibits your pituitary’s production of LH and FSH. This medication, is taken as a subcutaneous injection just beneath the skin. This allows some of the other medications to provide a very even and balanced stimulation to the developing follicles. Lupron will allow patients to produce greater numbers of higher quality eggs during a given treatment cycle. Additionally, it prevents a spontaneous mid-cycle hormonal surge, which may result in cycle cancellation.
Gonal-F: and Menopur or Repronex are highly purified preparation of follicle stimulating hormone (FSH), which is taken by subcutaneous injection. The FSH provides the critical stimulation to the follicles containing the eggs, which are developing during the stimulation phase of the cycle.
Novarel: is a highly purified preparation of human chorionic gonadotropins which is taken as an intramuscular injection. This medication is used as a substitute for the mid-cycle hormonal surge that induces the final maturational changes in the eggs and prepares them for retrieval. Note: After receiving this medication, you will have a positive pregnancy test for the following 10 to 12 days.
Doxycycline: is an antibiotic which is taken after the retrieval. This medication is given orally and helps reduce the risk of infection following aspiration of the follicles at the time of egg retrieval.