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Over the years various gonadotropin-stimulated protocols have been utilized. Our success rates with those protocols is listed under Success Rates. At present we are encouraging Long Protocols which start with birth control pills and Lupron in the cycle preceding the month of in vitro fertilization. We want to limit the use of HMG (human menopausal gonadotropin) to two ampules per day. The remainder of gonadotropin hormone will be FSH (follicle stimulating hormone). Our current trend is toward minimally stimulated cycles that result in 2 to 10 eggs. These should give higher per cycle pregnancy rates. If excess eggs are produced, those embryos can be frozen. Presently, we are culturing embryos to the blastocyst stage, with transfer back into the uterus of only two blastocysts for women 37 years of age or younger. Extra embryos are frozen. After embryo transfer, we recommend bed rest for thirty minutes in the office and two days of rest at home (including the day of transfer). |