Gestational Surrogacy and IVF Meds
A Summary of the IVF Meds used during and IVF Cycle
One of the big factors in deciding to become a gestational surrogate is the amount of meds used during the IVF Cycle. Clinics use a mix of injectables, patches, pills, suppositories and nasal sprays. I am going to attempt to cover what the meds are and then give several examples of the total medicine consumption used during one IVF cycle. The examples will show you the variations of what you could expect to go through. Lets start with the meds and their purpose.
Gonadotropin releasing hormone (GnRH) agonists (Synarel, Lupron) are medications that inhibit the brain from secreting hormones that control the menstrual cycle. The ovaries enter into a state of rest, and the patient's cycle can be completely controlled. These medications prevent premature ovulation and allow the patient's cycle to be coordinated as needed.
Lupron is a subcutaneous injection and Synarel is a nasal spray. They are usually started one week before the gestational surrogates period is expected or in the very beginning of the cycle. These medications are usually well-tolerated, and most women do not have any side effects when taking these medications for a short time. However, some women may have hot flashes, fatigue, headaches, irritability or nausea.
Estrogen is the hormone that thickens the lining to the endometrium (inner wall of the uterus). Estrodial can be given as an oral tablet, intramuscular injection, or patch on the skin. Some women may experience vaginal irritation, dizziness, lightheadedness, headache, stomach upset, bloating, nausea, weight changes, increased or decreased interest in sex, or breast tenderness.
Progesterone is the hormone produced by the ovary after ovulation. This medication can be given to improve the uterine lining, which may improve implantation of the embryo. It is usually started in the second half of the cycle, several days before the embryo transfer. Progesterone can be given as an intravaginal suppository, oral capsule, or an intramuscular injection. Side effects can include bloating, irritability, and breast tenderness.
Antibiotics (doxycycline) and/or Steroids (methylprednisone) may be used as anti-rejection tactics.
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