1. Introduction
QUICK START:
Controlled Ovarian Hyperstimulation Cycle

2. Prior to beginning your cycle, you must have:
Completed your checklist
Signed all consents
Obtained all of your medication for your cycle
Checked with your financial coordinator that you are financially cleared for your cycle. You will not be allowed to start any medication if you are not financially cleared.

3. Ovulation Introduction
Women with regular menstrual cycles are normally ovulate just one egg a month.
The menstrual cycle is regulated by the pituitary gland. This gland sends two signals to the ovary called Follicle Stimulating Hormone or FSH and Luteinizing Hormone or LH. These two hormones encourage egg development and trigger ovulation.
Introduction

4. Ovulation
Ovulation

5. FSH (Gonadotropin) FSH
Injectable FSH stimulates the ovulation of more than one egg

6. Take the time to watch RMA’s injection training videos
Hormonal injections are administered for 5 to 12 days in order to grow the ovarian follicles and allow the eggs to mature
Expect to administer approximately 1-2 injections daily
*Ask your nurse what injections your physician will be prescribing.

7. Monitoring Monitoring Ultrasounds Blood Work DAY 3 TRIGGER follicle
5-12 days
3-4 Days
DAY 3
1-2 Days
TRIGGER
follicle
IUI
Intercourse
Monitoring

8. Intrauterine Insemination
IUI
Intrauterine Insemination
Intrauterine insemination, or IUI is a procedure that places washed sperm directly into a woman’s uterus around the time of ovulation. This may improve a woman’s chance of getting pregnant because more sperm will make their way closer to the egg.

9. Side Effects from Injectable FSH
Cramping, mood swings, headaches
Multiple pregnancy
Ovarian Twisting (torsion)
Ovarian Hyperstimulation Syndrome (OHSS)
Side Effects

10. Questions