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Egg Donation Process for Recipients

Before we start your actual treatment , we need to synchronise your cycle with that of your donor. This is easy to do and is done either by putting her or both of you on birth control pills; or downregulating her with Lupride till your cycle starts.


Donor egg IVF treatment starts from Day 1 ( the day the bleeding starts) of your cycle. At this time, we downregulate you by starting you on Inj Lupride (GnRH analog mfr by Sun Pharma) , 0.2 ml sc daily . On Day 3, we do an Ultrasound scan to confirm there is no ovarian cyst, after which we start your treatment with 4 tablets daily of Progynova ( estradiol valerate, 2 mg each).

We do the next scan on Day 10, after which you would have to be in Bombay for about 10 days. Your husband is needed on Day 14-Day 16 ( the day of the Egg pickup). All the treatment is performed at our clinic, which means you never have to go elsewhere.

This is what the daily schedule would look like.
  • Day 1. Inj Lupride, 0.2 ml sc. ( Downregulation starts)
  • Day 2. Inj Lupride, 0.2 ml sc.
  • Day 3. Inj Lupride, 0.2 ml sc. Vaginal ultrasound scan to confirm there is no ovarian cyst. If there is no cyst, we can commence treatment.
  • Day 4 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
  • Day 5 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
  • Day 6 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
  • Day 7 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
  • Day 8 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
  • Day 9 Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
  • Day 10. Inj Lupride, 0.2 ml sc. Tab Progynova ( 2 mg) 4 tab daily
Vaginal ultrasound scan to monitor endometrial thickness.

The Lupride injection and Progynova will continue on a daily basis, until the donor's follicles are mature. This is usually Day 14- Day 16 for most patients. At this time, an HCG injection will be given, and the donor's eggs retrieved 36 hours after this.

Your husband will need to provide a sperm sample at this time.

Embryo transfer is performed 2 days later; and supernumerary embryos , if any, are cryopreserved.

After the transfer, luteal phase support is provided with daily Progynova ( estradiol valerate2 mg, 3 tab daily; and Uterogestan ( 200 mg), 3 vaginal suppositories daily.

You can travel back 3 days after the embryo transfer.

14 days after the transfer, you need to do a blood test for beta HCG to confirm a pregnancy.

You can print out a sample calendar of your treatment cycle at http://www.ivfindia.com/ivfcalendar3.php

What if you have no periods because you are menopausal ? This makes it even easier !

Normally, donor egg IVF treatment starts from Day 1 ( the day the bleeding starts) of your cycle.

In your case, since you do not have a period, we can start on any day.

We do an ultrasound scan to confirm there is no ovarian cyst, after which we start

Your treatment with 4 tablets daily of Progynova ( estradiol valerate, 2 mg each).This is the time we start your donor's superovulation

With HMG.

We do the next scan on Day 10, after which you would have to be in Bombay

For about 10 days. Your husband is needed on Day 14-Day 16 ( the day of the Egg pickup). All the treatment is performed at our clinic, which means you never have to go elsewhere.

This is what the daily schedule would look like.
  • Day 1 - No action needed
  • Day 2 - No action needed
  • Day 3. Vaginal ultrasound scan to confirm there is no ovarian cyst. If there is no cyst, we can commence treatment.
  • Day 4 Tab Progynova ( 2 mg) 4 tab daily
  • Day 5 Tab Progynova ( 2 mg) 4 tab daily
  • Day 6 Tab Progynova ( 2 mg) 4 tab daily
  • Day 7 Tab Progynova ( 2 mg) 4 tab daily
  • Day 8 Tab Progynova ( 2 mg) 4 tab daily
  • Day 9 Tab Progynova ( 2 mg) 4 tab daily
  • Day 10. Tab Progynova ( 2 mg) 4 tab daily
Vaginal ultrasound scan to monitor endometrial thickness.

The Progynova will continue on a daily basis, until the donor's follicles are mature. This is usually Day 14- Day 16 for most patients. At this time, an HCG injection will be given, and the donor's eggs retrieved 36 hours after this.

Your husband will need to provide a sperm sample at this time.

Embryo transfer is performed 2 days later; and supernumerary embryos , if any, are cryopreserved.

After the transfer, luteal phase support is provided with daily Progynova ( estradiol valerate2 mg, 3 tab daily; and Uterogestan ( 200 mg), 3 vaginal suppositories daily.

You can travel back 3 days after the embryo transfer.

14 days after the transfer, you need to do a blood test for beta HCG to confirm a pregnancy.
 
     

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