At the time of periods start injection in 2nd or 3rd day. Daily injections for 10 to 14 days. After that ultra sound scan. Certain blood test to check hormone level will also be done by hospital. The development of eggs is monitored on ultra sound scan and dose of injection, will be altered accordingly. Once eggs are ready, patient will be given a different injection called HCG before egg collection (OR), which may be during night, so patient get admitted for 1 or 2 days till OR. Egg collection will be done by ultra sound scan guided aspiration, under anesthesia, patient will be discharged home after recovery, by evening Mild discomfort in lower abdomen or spotting is normal after that. Some patients have distended abdomen and gas formation also; there is no need to worry, as there are body’s changes to egg collection and ovarian stimulation. Very rarely patient requires admission and medicine for hyper stimulation.
If husband has TESA/PESA, it will be done under GA on the date informed by doctor as needed, as doctors are making embryos and scanning and planning treatment. Moreover, the detail of eggs, embryos and quality becomes clear only after few days by embryo transfer.
Patient will be given medicines to take orally and keep vaginally. Next is embryo transfer. In this time patient will be in mild sedation during embryo transfer (E.T.) The procedure of putting embryo in uterus is very simple, but has to be done with lot of care and concentration in dark atmosphere.
After ET rest as advised. do urine pregnancy test/blood test according to advice from hospital If test is negative, it needs repeated after 2-3 days. Do not stop medicine at all. Once Result is confirmed positive Dr Will advice further medicine or may include injections also, which needs to be taken up to 3 months of pregnancy.