Where babies happen

3146 Deming Way
Middleton, WI 53562

Phone: 608-824-0075 | Fax: 608-829-0748

In-Vitro Fertilization: Frequently Asked Questions

I have had all my lab testing done. Now what do I do?

If your testing was completed at the Wisconsin Fertility Institute, we will contact you when the results are in and have you set up an appointment with one of the providers to discuss your specific treatment plan.   If your testing was done through your own health care provider, you will need to get your results sent or faxed to our office. Once we have received all of the records, we will contact you to set up your treatment plan visit.

When is day one of my menstrual cycle?

This can be difficult to know for some people, if they are spotting or bleeding stops and starts. Day one is considered the first day you see flow. Spotting does not count as flow. If you are not using a pad or tampon, then it is not day one yet. Do your best to pick which day you first notice flow and count that as day one.

I need a refill on one or more of my medications. What do I do?

When we call in your original prescription, we also call in several refills. Simply contact the pharmacy from where you received your original prescription and they will mail out more medications. Some pharmacies do not deliver on the weekends, so if you will need more medication on Saturday or Sunday, you should have it delivered by Friday.

After starting the Lupron, I started bleeding. Is this normal?

About ½ of the women taking Lupron will have bleeding like or less than a period. Continue with your Lupron and keep the next appointment you have scheduled.

The flow sheet on the patient portal doesn’t tell me which dose of medication to take tomorrow. What do I do?

When looking on the patient portal Flow sheet Tab, you will notice the medications are listed for each day you are to take them. You can look at the Patient Instructions tab to see when your next ultrasound and estrogen appointment should be scheduled. Please call to schedule the time for that appointment.

What time of day should I take my medication?

  • Lupron: Either each morning or if prescribed twice daily, then morning and night, preferably 12 hours apart.
  • Oral Contraceptives: Once daily, same time each day
  • Follistim/Gonal-f/Stimulation Drugs: We usually prefer you take these in the afternoon/early evening.
  • Cetrotide/Ganirelix: this medication is taken in the mornings, make sure you take it within 30 minutes of your scheduled time each morning. You will still take this medication the day that you trigger with Lupron or Ovidrel in preparation for the egg retrieval.
  • Lupron/Ovidrel AS A TRIGGER: This medication should be taken at the precise time that we tell you. Your egg retrieval time is based on when you took the Lupron or Ovidrel, so taking it on time is important. If you take your Lupron or Ovidrel at another time than we indicated (by more than 15 minutes) please call us right away.
  • Progesterone: Should be at the same time each day, twice or three times daily, based on the time of day that works for you.
  • Doxycycline: Every 12 hours/twice daily with food.
  • Estrogen/Estrace: This drug can cause nausea, so it is best to spread it out during the day. You can take it with meals or at bedtime. It will be taken 3-4 times daily.

What do the abbreviations on the patient portal stand for?

You may notice, on the flow sheet tab of the patient portal website, the medications are listed under abbreviations. Generally, these abbreviations stand for the type or category of drug, rather than the actual name of the drug. When we are talking about medications, we generally refer to the actual name of the drug. This key should help clarify:

  • GnRh Agonist: Lupron or Leuprolide
  • Recombinant FSH: Follistim or Gonal-f or Bravelle or Menopur
  • Estradiol: Estrogen or Estrace
  • Human Menopausal Gonadotropins: Menopur
  • QD: Once daily
  • BID: Twice daily, Every 12 hours
  • TID Three times a day, every 8 hours
  • QID: Four times a day, every 6 hours.
  • PV: place the medication vaginally

Which medications should be refrigerated and which ones should be kept at room temperature? When do they expire?

Please see the Medication Storage Fact Sheet in your IVF folder for a complete listing of medications and instructions.

What about herbs, supplements, or over the counter medications?

Any medications besides the ones we are prescribing should be cleared by one of our staff. Please review all medications you take with us. Tylenol and Benadryl products are ok to use during the cycle. Ephedrine based medications should be avoided.

Are there limitations on sexual activity?

There is no evidence to suggest that restricting intercourse is helpful.