Egg Retrieval Instructions

File: Egg Retrieval Instructions

EGG RETRIEVAL INSTRUCTIONS(read this once you have been scheduled for egg retrieval)

WHAT YOU WILL NEED 2 DAYS PRIOR TO, 1 DAY PRIOR TO, AND ON THE DAY OF EGG RETRIEVAL

  1. HCG trigger injection (Human Chorionic Gonadotropin 10,000 IU or Ovidrel 250 microgram) or Lupron trigger injection (2 mg=0.4 cc)
    • This medication is crucial to allow the eggs to mature and to prepare them for being harvested
    • If not injected, or injected incorrectly, this can result in no eggs being recovered
    • It must be injected at a very specific time prior to the scheduled egg retrieval (35.5 hours prior to retrieval)
  2. Antibiotic (Doxycycline 100 mg tablets x 7,or Azithromycin 250 mg tablets x 4) oral tablets
    • This is given to prevent infection (very low likelihood) as result of the egg retrieval procedure
    • If you are allergic to Doxycycline or Azithromycin an alternative antibiotic will be given to you
    • Take this medication regardless of whether an embryo transfer is planned or not
    • It may cause a mild stomach upset and should be taken with food
  3. Progesterone [progesterone in oil injections 50 mg=1 cc, or vaginal progesterone inserts (progesterone 200 mg, or Endometrin 100 mg capsules)]
    • This is given to support embryo implantation and the resulting pregnancy
    • Administration begins on the day/night of egg retrieval and typically continues through the 9th week of gestation
    • It is not to be discontinued until otherwise specified
    • You will not need to take progesterone if no embryo transfer is planned (i.e. embryos/eggs are to be frozen)
  4. Medrol (Methylprednisolone) 4 mg oral tablets x 16
    • This is a corticosteroid given to reduce inflammation by lightly suppressing your immune system
    • Administration begins on the day of egg retrieval and continues for 4 consecutive days; in some cases, you will be required to continue 1 tablet of Medrol daily through the 6th week of gestation
    • It may cause a mild stomach upset and should be taken with food

 
SPECIFIC INSTRUCTIONS PRIOR TO AND ON THE DAY OF EGG RETRIEVAL

  1. Take your last gonadotropin injection (Follistim or Gonal-F, and/or Menopur) on _________________________.
  2. If you were taking Ganirelix or Cetrotide to suppress ovulation take your last injection the morning of your HCG trigger (2 days prior to egg retrieval) on _________________________; if you were taking Lupron to suppress ovulation take your last injection the day prior to HCG trigger) on _________________________.
  3. Take the HCG (or Lupron) trigger injection as instructed (see attached trigger shot instructions sheet) at exactly _________________________ pm/am on _________________________.
  4. Stop taking baby Aspirin on the day of HCG trigger. You will resume baby Aspirin on the day of embryo transfer.
  5. Your partner should ejaculate sperm (preferably by masturbation) on the day of the trigger shot, and then avoid ejaculation until he is required to do so again on the day of egg retrieval (if applicable).
  6. Begin taking Doxycycline on _________________________ (the morning prior to your egg retrieval), 100 mg pill every 12 hours, until completed (a total of 7 pills). On the day of egg retrieval you are required to fast, therefore take your Doxycycline pill after your egg retrieval, when at home.
  7. Do not eat or drink anything after midnight the night prior to egg retrieval.
  8. Your egg retrieval procedure is scheduled for _________________________ am/pm. Please report to Beverly Sunset Surgical Associates, LLC (9201 W. Sunset Blvd, Suite 202, West Hollywood, CA 90069, tel 310-550-1951) with your partner or an accompanying adult no later than 45 minutes prior to your scheduled procedure. Arriving late may result in your egg retrieval not starting on time and loss of the eggs/no eggs being harvested. You and your partner should avoid wearing any scented lotions, perfumes, colognes... as these may affect eggs, sperm and embryos in the IVF laboratory. Your partner or an accompanying adult must drive you home after the procedure as you will not be able to drive yourself.
  9. Begin Medrol on _________________________ in the evening (the night of egg retrieval), 4 mg tablet x 4 tablets together (16 mg total per day) each evening for a total of 4 nights (a total of 16 tablets).
  10. If you were instructed to use progesterone in oil injections, begin progesterone 1 cc (50 mg/cc concentration) intramuscular injections (see attached progesterone in oil injection instructions sheet) on _________________________ (the night of the egg retrieval) and continue nightly until otherwise specified. If you were instructed to use progesterone vaginal inserts (progesterone capsules or Endometrin), insert the 1st vaginal insert on _________________________ in the afternoon of the egg retrieval, and then a 2nd one at night before bedtime; then the following day (the day after egg retrieval) begin administering progesterone vaginal inserts 3-times daily (morning, afternoon, and night), until otherwise specified.

INSTRUCTIONS/WHAT TO EXPECT WHILE YOU ARE AT HOME POST EGG RETRIEVAL:

  1. Plan to rest for the remainder of the day following your egg retrieval.
  2. You may eat a regular diet after the procedure.
  3. You may experience a mild to moderate amount of lower abdominal cramping discomfort for 2-3 days. You may take one or two regular strength Tylenol tablets every four hours for discomfort.
  4. You may experience a small amount of vaginal bleeding for 2-3 days following your egg retrieval. Avoid tampons (pads OK).
  5. If you experience a high temperature, fainting spell, excessive vaginal bleeding, extreme weakness and/or severe nausea or vomiting page the doctor (818-907-1571). If you are extremely ill for any reason, report to the nearest emergency room.
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Eliran Mor, MD • Encino, Santa Monica, Valencia & West Hollywood, CA

Reproductive Endocrinologist located in Encino, Santa Monica, Valencia & West Hollywood, CA • Irene Woo, MD

Doctor Mor received his medical degree from Tel Aviv University-Sackler School of Medicine in Israel. He completed a four-year residency in Obstetrics and Gynecology at New York Methodist Hospital in Brooklyn, New York. Subsequently, Dr. Mor completed a three-year fellowship in Reproductive Endocrinology and Infertility at the University of Southern California. Doctor Mor is Board Certified in both Reproductive Endocrinology/Infertility and Obstetrics and Gynecology. Throughout his career Dr. Mor has researched many topics in infertility and human reproduction, including polycystic ovary syndrome (PCOS); emergency contraception; neuroendocrinology; insulin resistance; male factor infertility; donor sperm insemination; tubal factor infertility; IVF stimulation protocols; congenital uterine anomalies; tubal gamete/embryo transfer (GIFT/ZIFT/TET); pregnancy at advanced reproductive age; and hormone replacement therapy (HRT), and continues to do so today. He is a member, in excellent standing, of multiple prestigious medical societies, including the American Society of Reproductive Medicine (ASRM), the Pacific Coast Reproductive Society (PCRS), the Society of Laparoendoscopic Surgeons (SLS), and the American College of Obstetricians and Gynecologists (ACOG), and remains a Clinical Instructor at USC.

Doctor Mor is one fertility expert who is constantly striving to stay on the cutting-edge of fertility treatments and human reproduction. In addition to monthly Journal Club meetings/publication review sessions and educational seminars/lectures, Dr. Mor attends at least two major Reproductive Endocrinology/Infertility meetings each year in an effort to present his patients with the latest in innovative reproductive care. Only interventions that have been tested and validated through multiple good studies are adopted in Dr. Mor’s practice, in an effort to administer safe and effective treatments to achieve a healthy pregnancy.

A true “patients’ doctor,” Dr. Mor is and will be your physician throughout your fertility journey! All consultations, after-hour inquiries, pelvic examinations, ultrasound examinations, diagnostic procedures, assisted reproductive procedures (egg retrievals, embryo transfers...), and surgical procedures, if needed, will be performed by Dr. Mor. Involvement in every aspect of your fertility care and complete micromanagement of your treatment makes Dr. Mor your ideal partner in your path to becoming pregnant.

See Dr. Mor's Publications

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California Center for Reproductive Health

Doctor Mor received his medical degree from Tel Aviv University-Sackler School of Medicine in Israel. He completed a four-year residency in Obstetrics and Gynecology at New York Methodist Hospital in Brooklyn, New York. Subsequently, Dr. Mor completed a three-year fellowship in Reproductive Endocrinology and Infertility at the University of Southern California. Doctor Mor is Board Certified in both Reproductive Endocrinology/Infertility and Obstetrics and Gynecology. Throughout his career Dr. Mor has researched many topics in infertility and human reproduction, including polycystic ovary syndrome (PCOS); emergency contraception; neuroendocrinology; insulin resistance; male factor infertility; donor sperm insemination; tubal factor infertility; IVF stimulation protocols; congenital uterine anomalies; tubal gamete/embryo transfer (GIFT/ZIFT/TET); pregnancy at advanced reproductive age; and hormone replacement therapy (HRT), and continues to do so today. He is a member, in excellent standing, of multiple prestigious medical societies, including the American Society of Reproductive Medicine (ASRM), the Pacific Coast Reproductive Society (PCRS), the Society of Laparoendoscopic Surgeons (SLS), and the American College of Obstetricians and Gynecologists (ACOG), and remains a Clinical Instructor at USC.

Doctor Mor is one fertility expert who is constantly striving to stay on the cutting-edge of fertility treatments and human reproduction. In addition to monthly Journal Club meetings/publication review sessions and educational seminars/lectures, Dr. Mor attends at least two major Reproductive Endocrinology/Infertility meetings each year in an effort to present his patients with the latest in innovative reproductive care. Only interventions that have been tested and validated through multiple good studies are adopted in Dr. Mor’s practice, in an effort to administer safe and effective treatments to achieve a healthy pregnancy.

A true “patients’ doctor,” Dr. Mor is and will be your physician throughout your fertility journey! All consultations, after-hour inquiries, pelvic examinations, ultrasound examinations, diagnostic procedures, assisted reproductive procedures (egg retrievals, embryo transfers...), and surgical procedures, if needed, will be performed by Dr. Mor. Involvement in every aspect of your fertility care and complete micromanagement of your treatment makes Dr. Mor your ideal partner in your path to becoming pregnant.

See Dr. Mor's Publications


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Doctor Mor is a Board Certified Reproductive Endocrinology/Infertility expert with extensive experience in the most advanced fertility treatments available. Under his leadership, CCRH has become renowned for superior reproductive care, receiving rave reviews year after year. The Center is a boutique practice with exceptionally personalized service, customized and individually-tailored to each person or couple's needs with unmatched results.

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The physicians and staff of the California Center for Reproductive Health are dedicated to patient education and care. The Center is affiliated with several prestigious medical societies and organizations aimed at educating both healthcare professionals and patients and at improving patient care. The following is a list of professional affiliations:

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