دلوعة♥Hanoo♥ حبيبي :

السلام عليكم اخواتي حصلت لكم طريقه علاج بالانابيب تستخدم في امريكا لحالات ارتفاع الهرمون ممكن تطبعيها وتعرضيها ع دكتورك يطبقها لك طبعا الجدول موضح بالايام كلها باذن الله اترجمها وانزلها بموضوع خاص اليوم Typically, treatment starts from Day 2 of your cycle. Day 1 = Day of bright red bleeding. If the bleeding starts after 6 pm count the next day as Day 1. Ignore the spotting. On Day 2, you need to do an ultrasound scan to confirm there is no ovarian cyst, after which we start your superovulation . This is done using a combination of Letrozole (which is also used for treating patients with breast cancer; and acts by boosting your own gonadotropin production) ; as well as gonadotropin injections. Tab Letrozole (Femara), 5 mg daily from Day 2 - Day 6 with Inj Menogon (75 IU), 8 amp (600 IU ) daily from Day 2. The dose of HMG will depend upon your ovarian morphology and your antral follicle count. From Day 7, you stop the Letrozole and start Inj Orgalutron/ Antagon, 0.25 mg daily . This is a GnRH antagonist which stops you from ovulating prematurely. The Menogon continues. We do the next scan on Day 10, after which you would have to be in Bombay for about 10 days. Your husband is needed on Day 12-Day 14 (the day of the egg pickup). All the treatment is performed at our clinic, which means you never have to go elsewhere. This is what the daily schedule would look like. Day 1. Day 2. Vaginal ultrasound scan to confirm there is no ovarian cyst. If there is no cyst, we can commence superovulation. If there is a cyst, we aspirate (puncture) it and continue with the treatment. Tab Letrozole (Femara), 5 mg daily . Inj Menogon (75 IU), 8 amp (600 IU ) daily Day 3 Tab Letrozole (Femara), 5 mg daily . Inj Menogon (75 IU), 8 amp (600 IU ) daily Day 4 Tab Letrozole (Femara), 5 mg daily .Inj Menogon (75 IU), 8 amp (600 IU ) daily Day 5 Tab Letrozole (Femara), 5 mg daily . Inj Menogon (75 IU), 8 amp (600 IU ) daily Day 6 Tab Letrozole (Femara), 5 mg daily . Inj Menogon (75 IU), 8 amp (600 IU ) daily Day 7 . Inj Menogon (75 IU), 8 amp (600 IU ) daily. Inj Orgalutron, 0.25 mg daily Day 8. Inj Menogon (75 IU), 8 amp (600 IU ) daily. Inj Orgalutron, 0.25 mg daily Day 9. Inj Menogon (75 IU), 8 amp (600 IU ) daily. Inj Orgalutron, 0.25 mg daily Day 10. Vaginal ultrasound scan to monitor follicular growth The Menogon and Orgalutron injections continue until the follicles are mature (approx Day 12). Then the HCG injection is given, and eggs retrieved 36 hours after this. Embryo transfer is performed 2 days later. For patient who are poor ovarian responders, we transfer all the embryos we get, to maximise the chances of implantation. In this group, the risk of a multiple pregnancy is very low.

السلام عليكم اخواتي حصلت لكم طريقه علاج بالانابيب تستخدم في امريكا لحالات ارتفاع الهرمون ممكن...

bint_almosul :

انزين هذااا العلاج لازم يكون guidlines يعني ينتشر او بالاحر ينتشر عالميااااا لووو من المنتدى رجائي اتاكدي من الموضوع اكثر اخاااف اودية وتقوم تضحك علييي دكتورتي سلامي لكي اختي

انزين هذااا العلاج لازم يكون guidlines يعني ينتشر او بالاحر ينتشر عالميااااا لووو من المنتدى ...