Post Frozen Embryo Transfer Instructions

File: Post Frozen Embryo Transfer Instructions

POST FROZEN EMBRYO TRANSFER INSTRUCTIONS (read this once you have had your frozen embryo transfer)

WHAT YOU WILL NEED IMMEDIATELY FOLLOWING YOUR FROZEN EMBRYO TRANSFER AND UNTIL PREGNANCY TEST:

  1. Progesterone [progesterone in oil injections 50 mg=1 cc, or vaginal progesterone inserts (progesterone 200 mg, or Endometrin 100 mg capsules)]
    • Administration begins exactly 3 days prior to your scheduled frozen embryo transfer, or exactly 5 days prior to your scheduled frozen embryo transfer depending on whether your frozen embryos are 3 or 5 days old
    • Administration typically continues through the 9th week of gestation
    • It is not to be discontinued until otherwise specified
  2. Estrace (Estradiol) 2 mg oral tablets, or Estradiol Valerate (Delestrogen) injections (5 mg=1 cc)
    • This is a natural estrogen given to support the uterine lining, embryo implantation and the resulting pregnancy
    • It is essential to help thicken your endometrial lining to make sure it is receptive to embryos
    • It is safe to use after a frozen embryo transfer and in pregnancy
    • Administration begins at the onset of your frozen embryo transfer cycle (approximately 14 days prior to your embryo transfer)
    • Administration typically continues through the 9th week of gestation
    • It is not to be discontinued until otherwise specified
  3. Baby Aspirin 81 mg oral tablets
    • This is a low-dose Aspirin tablet which is used to improve blood flow to the uterus and may help with embryo implantation
    • Administration begins once you are no longer menstruating, approximately 2-3 days after estrogen treatment begins at the onset of your frozen embryo transfer cycle, and continues through the 2nd trimester of pregnancy, unless otherwise specified

SPECIFIC INSTRUCTIONS FOLLOWING YOUR FROZEN EMBRYO TRANSFER

  1. Continue progesterone — progesterone in oil 2 cc (100 mg) single injection nightly, or progesterone 200 mg vaginal capsules 3x daily, or Endometrin vaginal capsules 100 mg 3x daily (morning, afternoon, and night), as you have been doing, until otherwise specified.
  2. Continue Estrace 2 mg oral tablets — 1 tablet twice daily (approximately 12 hours apart), as you have been doing, until otherwise specified or, if you have been administering Estradiol Valerate (Delestrogen) injections — continue injecting 0.5 cc (2.5 mg) once every 3 nights, as you have been doing, until otherwise specified.
  3. Baby Aspirin 81 mg tablets — continue 1 baby Aspirin per day as you have been doing, until otherwise specified.
  4. BED REST — plan to rest in bed for a total of ______ day(s) (including the day of transfer) immediately following your embryo transfer. The position you are in is of no consequence, pick any position that makes you comfortable. You may get up occasionally to use the bathroom and freshen-up. Please avoid showers or baths. Try to be as relaxed as possible.
  5. VAGINAL REST — nothing in vagina: no tampons, no sexual relations of any kind until otherwise specified
  6. NO BATHING — no baths, hot tubs or swimming (pools, lakes, oceans) for two weeks. Showers are OK.
  7. NO HEAVY LIFTING — nothing over 10 lbs at a time. Avoid strenuous activities such as furniture moving, weight lifting, Etc.
  8. NO HIGH-IMPACT EXERCISE — avoid high intensity exercise such as jogging, running, step aerobics or jumping rope. Light to moderate walking and leisurely hiking is OK and may help you to feel well.
  9. NO ALCOHOL — no alcoholic beverages or recreational drugs.
  10. NO SMOKING.
  11. MINIMIZE CAFFEINE — one or less daily caffeinated drink intake (coffee, tea, cola beverage).
  12. AVOID OVER THE COUNTER HERBAL MEDICATIONS — no herbal supplements; Tylenol is OK for headaches, cramps...
  13. NO PRESCRIPTION MEDICATIONS — no prescription medications unless ordered or approved by CCRH. Please notify us of any medicines prescribed for you.
  14. AVOID CONTACT WITH TOXIC FUMES — avoid contact with toxic fumes and substances such as gasoline, paint, paint thinners, chlorine and ammonia. If you cannot avoid them, be sure the area is well ventilated.
  15. GET ADEQUATE REST — do not get overly fatigued.
  16. BALANCED DIET — eat and drink a well-balanced, nutritional diet. Remember to include plenty of fruits and vegetables and fluids to avoid constipation, which may be caused by progesterone.
  17. DO NOT PANIC — remember that mild cramping and/or a small amount of pink, dark red or brown vaginal spotting are normal following embryo transfer for up to two weeks, sometimes longer.
  18. POST FROZEN EMBRYO TRANSFER SCHEDULED FOLLOW-UP — please come into our office on the following days for blood work (preferably prior to 11:30 AM for each test, no appointment necessary):
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    2. Rachel A. Facebook

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    1. "Can't wait to meet our miracle baby... Thanks to Dr. Mor! Magic hands."

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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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We invite you to join our family as we look to expand yours!

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.

Great emphasis is placed on proper testing and accurate
diagnosis, allowing for safe and effective treatments to achieve the ultimate outcome – a healthy baby!

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Professional Affiliations/Resources

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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Testimonials

Words from our patients

  • Healthgrades

    "Dr. Mor has helped my wife and I get pregnant. He is an expert in his field with a wealth of knowledge which he personalized for our individual situation."

    Gilbert
  • Healthgrades

    "Dr. Mor is a phenomenal human being with a wealth of knowledge. From our first appointment to our last, he demonstrated his great bed side manner."

    Veronica
  • Dear CCRH Team, thank you for all the support in my journey to get pregnant. My twins are blessed without a deadly cancer gene and all of you made it happen.

    A.A.
  • You are a wonderful doctor and a very nice person. The babies are doing great and our family is very happy. M.L.

    M.L.
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