
Please note: Egg donor has to be chosen, lab work, and consents are presumed to be completed prior to the start of the calendar. Birth control pills are used for both the donor and the recipient. Each case is different, but we hope to will give you an idea about the timeline of the program.
Initial Consult with Dr. Hummel or Dr. Kettel (phone or in person)
Discussion of patient's history and establishment of treatment plan
Financial Consult
30 Minute consult to review costs and financial plans available
Pre-Cycle Lab WorkB
lood tests, cervical cultures or antibiotics; uterine assessment, additional documentation (may take up to one month to complete).
Start of Birth Control Pills (D & R)
For cycle coordination of menses
Lupron Start Date Assigned (D)
Official start of the treatment
Financial Plans Finalized
Payment and financial contract due
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
Saturday |
Sunday |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
Start Lupron Birth Control Pill D & R |
Lupron Birth Control Pill D & R |
Lupron Birth Control Pill D& R |
Lupron Last Birth Control Pill D & R |
Lupron |
Lupron |
Lupron |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
Lupron Menstrual cycle day 1 D & R (approx.) |
Lupron Start FSH injections -D Start estrogen pills -R Blood and ultrasound -D Day 1 of stimulation or estrogen |
Lupron FSH - D Day 2 of stimulation or estrogen |
Lupron FSH - D Day 3 of stimulation or estrogen |
Lupron FSH - D Blood test - D Day 4 of stimulation or estrogen |
Lupron FSH - D Blood and ultrasound - D Day 5 of stimulation or estrogen |
Lupron FSH - D Blood and ultrasound - D Day 6 of stimulation or estrogen |
15 |
16 |
17 |
18 |
19 |
20 |
21 |
Lupron FSH Blood and ultrasound - D Day 7 of stimulation or estrogen |
Lupron FSH Blood and ultrasound - D Ultrasound - R Day 8 of stimulation or estrogen |
Non-Local Patients Travel to San Diego - Intended parents Last Lupron - D & R HCG injection Blood and ultrasound - D Day 9 of stimulation or estrogen |
Day 10 of estrogen |
Egg Retrieval Procedure - D Donor eggs fertilized Start progesterone - R |
Recipient continue estrogen and progesterone |
Estrogen and progesterone - R |
22 |
23 |
24 |
25 |
26 |
27 |
28 |
Estrogen and progesterone- R Embryo Transfer Procedure R |
Estrogen and progesterone- R Bedrest |
Estrogen and progesterone-R Bedrest |
Estrogen and progesterone-R Travel home-R |
Estrogen and progesterone -R |
Estrogen and progesterone - R |
Estrogen and progesterone - R |
29 |
30 |
31 |
1 |
2 |
3 |
4 |
Estrogen and progesterone -R |
Estrogen and progesterone-R |
Estrogen and progesterone-R |
Estrogen and progesterone-R |
Pregnancy test - R Recipient continue estrogen and progesterone if pregnant |
Estrogen and progesterone if pregnant -R |
Estrogen and progesterone if pregnant -R |
Blood and ultrasound = blood test for hormone levels and transvaginal ultrasound to measure follicle development in ovaries.
R = Recipient woman
D = Egg donor
Lupron = subcutaneous injection of a medication called Lupron. Taken once daily.
FSH = subcutaneous injection of a medication containing follicle stimulating hormone (FSH), which causes growth and egg development in women. The donor takes this.
HCG injection = intramuscular injection of a medication called Human Chorionic Gonadotrophinc, produced by developing pregnancy. The donor takes this.
Estrogen = pills or skin patches containing estrogen. Used to develop a proper lining in the recipient woman's uterus.
Progesterone = vaginal cream or suppositories or intramuscular injection of a medication called progesterone, which helps to prepare a receptive uterine lining for embryo implantation.
Note: The calendar shown above is an example of how the cycle stimulation may evolve. It is possible that the ovarian stimulation process on the egg donor would be shorter or longer than that shown above. The example above shows 9 days of stimulation (FSH shots). The average number of days of taking the FSH injections is 10, with the general range being about 8-13.