ASA should be continued until delivery, or until the patient is advised to discontinue it. Lupron should be begun one week before the last hormone-containing pill is taken. Gonadotropins Ovulation induction will use rFSH, without specifying a particular brand. The usual starting dose of Lupron will be mg, which will be reduced to mg once stimulation drugs are begun. Patients with prior OHSS will remain on mg of Lupron throughout.
Gonadotropin dose is determined on a case by case basis.
For patients on 3 ampules of gonadotropins per day, the daily dose is split if their chart number is even, whereas those with odd chart numbers take a single injection. The last dose of Lupron will be given in the evening of the day on which hCG is given. The evening's gonadotropin dose for Monday may be given at the M.D.'s discretion. The default day of transfer will be 3 days after egg retrieval. These rules may be changed on an individual basis.