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Understanding IVF Treatment Step By Step

By Rachel Gurevich, About.com

Updated June 08, 2009

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

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IVF Treatment Step Three: Ovarian Stimulation and Monitoring

If your blood work and ultrasounds look normal, the next step is ovarian stimulation with fertility drugs. Depending on your treatment protocol, this may mean anywhere from one to four shots every day, for about a week to 10 days. (Ouch.)

You'll probably be a pro at self-injection by now, as Lupron and other GnRH agonists are also injectables. Your clinic should teach you how to give yourself the injections, of course, before or when your treatment begins. Some clinics offer classes with tips and instruction. Don't worry, they won't just hand you the syringe and hope for the best.

You can read more about fertility drugs in this article.

During ovarian stimulation, your doctor will monitor the growth and development of the follicles. At first, this may include blood work every few days, to monitor your estradiol levels, and ultrasounds, to monitor the oocyte growth. Monitoring the cycle is important, as it helps your doctor decide whether or not the medications need to be increased or decreased in dosage.

Once your largest follicle is 16 to 18mm in size, your clinic will probably want to see you daily.

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