PHASE 1 SUPPRESSION STAGE (Suprefact & YAZ)

In a natural menstrual cycle, hormones from the pituitary gland (LH & FSH) cause the growth of an egg within a fluid-filled space, or follicle, within the ovary. Although several follicles start to grow each month, in a natural cycle only one will become mature enough to ovulate following a surge of the hormone LH at midcycle.During the suppression cycle, we will be taking Lupron or Suprefact to prevent ovarian cysts and to block spontaneous ovulation during the stimulation cycle.

In contrast, during an IVF cycle it is desirable for several eggs to mature simultaneously. At the same time do not want an LH surge to trigger early release of these eggs. Therefore use a medication known as a GnRH agonist to temporarily turn off own LH and FSH secretion. This medication is usually started around day 22 of the menstrual cycle and continues through the stimulation phase. It is given daily, usually by nasal spray or occasionally by injection. Other GnRH agonist regimens or protocols may also be used in specific cases.

During the suppression stage of the IVF cycle, we will be taking a GnRH Agonist (Lupron, Suprefact, Synarel etc.) to suppress our ovarian function.

I am not sure how am I going to inject this. I just listen when the nurse explaining about the injection and I have to time to write down. Hope I remember to do what she asked me to do. Since I have to start taking the injection on 9th June, I tried with one sample and I wonder why they gave me 2 type of needle (blue and brown color) since there is only one type of medication I should take and not to be mixed with any other medication. I guess I will call the nurse to verify.

Suprefact with syringe and needles + alcohol swab
(To be taken until OPU)

24 tablets ~YAZ is a OCP

This cross over procedure scheduled as follows;

YAZ ~ 23/May ~ 15/June

Suprefact 0.25mg ~ 9/June ~ until OPU

I will be taking Puregon/Gonal F on Day2 or 3 depending on my blood result for LH and Progestrone are between the range. Otherwise, wait for another cycle? I really need God's blessing to go through the cycle without any delay again!