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Once you have had all your screening tests done and been to a treatment information appointment with a nurse you are ready to commence treatment.
You will be given a detailed plan of your cycle at the TIA including clear written instructions about when to start medication. The first part of your treatment is known as down regulation and makes the ovaries temporarily inactive to improve their responsiveness to the hormone injections. A scan will confirm if down regulation has occurred and then Follicle Stimulating Hormone (Gonal F) injections are injected daily to stimulate the ovaries.
We will monitor your response to the injections by using ultrasound scans to measure and record the follicular development and endometrial thickness. We aim to get the leading follicles to about 18 to 20mm and the endometrium at least 7-8mm.
hCG (human Chorionic Gonadotrophin) : the late night injection
When the follicles have reached the required size and the endometrium is sufficiently developed, a crucial injection of hCG is given to ripen the eggs prior to their collection approximately 36 hours later. This injection is given at a specific time at night (usually between 9.00pm and 1.00am) and is directly related to the time of your egg collection.
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