In a typical in vitro fertilization (IVF) cycle, undefinedfertility medications,undefined sometimes referred to as undefinedhormonal medications,undefined are used to foster egg production in the ovaries.
During the course, of a natural menstrual cycle, your brain produces hormones that stimulate one of your two ovaries to release a single egg each month. During an IVF stimulation cycle, you are prescribed these same hormones to mimic the bodyundefineds natural menstrual cycle. These drugs are known as fertility medications. The goal of fertility medications is to simultaneously stimulate both ovaries to mature numerous eggs. If more eggs are matured, more can be retrieved, and ultimately more can be used to create embryos, resulting in higher chances for a successful pregnancy today or in the future.
Infertility is a medical condition that often requires treatment using hormonal medication(s). At NYULFC, we believe there is no undefinedone size fits allundefined approach to fertility treatment. If your physician determines that fertility medications need to be part of your treatment plan, you will be prescribed an individualized medication protocol that meets your needs and family building goals. The medication list below outlines common medications that may be prescribed during a fertility treatment cycle at NYULFC.
Clomid is an oral medication started at a specific time of the menstrual cycle, typically between days 3 to 5 after the start of a menstrual bleed. This drug is used to recruit and develop the production of ovarian follicles that will produce an egg. Clomid is often prescribed to women who experience irregular ovulation or do not ovulate. This medication can be prescribed by either an OB/GYN or by a fertility specialist. Clomid should be taken at approximately at the same time each day, and the usual treatment course is five days in total.
This popular treatment plan, if deemed medically appropriate, is viewed as the first step in treating infertility. Ovulation Induction (OI) cycles are cost effective and less invasive than other types of fertility treatment cycles. Common side effects may include heightened symptoms of the menstrual cycle such as nausea, bloating, and mood changes. There is also a higher risk of a multiple pregnancy (roughly a 7% chance of twins), and therefore Clomid is not recommended for women who are unwilling or unable to carry a twin pregnancy.
The medications listed below are commonly used during an ovarian stimulation cycle for IVF or egg freezing. Like all medications, there is a risk of side effects ranging from bruising or a reaction at the injection site to nausea and abdominal bloating. While each patient reacts to medications differently, many describe side effects as mild or manageable.
Progesterone (sometimes referred to as luteal support) enhances the uterine liningundefineds ability to promote embryo implantation and sustain pregnancy. Progesterone is needed in both fresh and frozen embryo transfer cycles. Progesterone in Oil is administered via intramuscular injections and/or used every other day in combination with progesterone vaginal suppositories such as Endometrin or Crinone daily.
The self-pay fee for medications used during an IVF cycle ranges from $2,000 to $8,000 depending on the length of the cycle, the types of medication needed, and pharmacy used to procure the medication(s). Most patients undergoing IVF can expect their fertility medications to cost between $4,000-$5,000. Prior to your first visit at NYU Langone Fertility Center (NYULFC), please reach out to your insurance company to discuss coverage for fertility medications and services.
The number of injections needed for an IVF cycle will vary depending on the length of your cycle. In an undefinedaverageundefined or standard cycle, a patient will be prescribed two injections per day for the first five to seven days, and three injections per day for an additional three to five days. The trigger shot involves two to three injections 12 hours apart. This would total approximately 30 injections per cycle, but this estimate may vary significantly based on each patientundefineds unique medication protocol.
Before your cycle, you will attend an orientation class with our NYULFC health educator, during which you will receive detailed instructions for injecting fertility medications. Remember, itundefineds normal to feel anxious. You may refer to the below training videos for guidance at any point before or during your cycle.
At NYU Langone Fertility Center, we are dedicated to providing our patients with exceptional clinical care to help them build their families. Our first job is to support you, so please bring all your questions to our team of world-class specialists for an introductory consultation.