Understanding Timelines

In Vitro Fertilization (IVF) and Ovulation Induction (OI) Timeline

IVF and OI: First Steps

In order to have a better chance of a successful treatment, ‘timing’ becomes one of the crucial factors in assisted reproductive technology. Every patient needs to understand the timelines associated with your own treatment plan and collaborate with your medical team throughout the whole process. Each patient is different, your individual timeline depends on when you start your menstrual cycle.

IVF and OI procedures entail oral contraceptives for three to four weeks – or longer, in some cases. Next, two weeks of hormone treatment will prevent ovulation and encourage follicle growth. This usually involves follicle-stimulating hormone (FSH) and a GnRH analogue. In some cases, you may also require human menopausal gonadotropin (HMG). RMA of Southern California will closely monitor every stage of this treatment to track egg development and appropriately time the next crucial steps. These tests will determine when you are ready for the hCG trigger. This single injection helps the eggs reach their final development stage and prepares you for egg retrieval. If you’re pursuing cryopreservation (egg freezing), this is when your treatment ends.

Embryo Transfer

After retrieval, your eggs are fertilized and allowed to develop into embryos. Once the healthiest embryos have been selected, you will undergo the embryo transfer process. This usually happens 2, 3, or 5 days after the retrieval procedure, depending on the quality and number of embryos. You will then have your first pregnancy test about two weeks after the transfer procedure.

Luteal Support

For patients undergoing IVF with embryo transfer, you’ll start your progesterone treatment after the egg retrieval procedure. This is known as luteal support, and aims to prepare the uterus for pregnancy. Luteal support also leads to the best chances of successful implantation and pregnancy. There are various progesterone treatment options available, but most treatment plans will include progesterone doses for about ten days.

Additional Cycles or Transfers

Many of our patients will require more than one cycle for a successful pregnancy. If you have any embryos in frozen storage or are starting a new cycle, you may want to try again as soon as possible. Your RMA of Southern California care team will work closely with you to determine the schedule that is most likely to succeed.

If you have further questions about our doctors and the fertility treatment services they provide, please contact us today.