MY INFERTILITY LYFE

BASELINE (6-12 mts, insurance, Kaiser pt, post pregnancy, pregnancy loss, surgery)

• SAG UT / TRV UT

• Endo meas

• 3D sweep

• RT OVARY SAG / TRV with AFC

• LT OVARY SAG / TRV with AFC

  
  

• Fibroids, septum, polyps, myometrial cysts note and mess if applicable

OVU - PREMED TI / IUI

• Clomid/Letrozole

• Endo lining

• RT OVARY AFC

• LT OVARY AFC

• Measure any cysts /follicles greater than 10mm.

• If clear cyst measures over 13 mm, add E2 and let RN/MA know.

  
  

LE/ PREMED IVF / OOF/ EMBANK

• Lupron/gonal/menopur/follstim

• Endo lining (polyps, fibroids?)

• RTO AFC

• LTO AFC

• Measure any cysts over 10 mm.

OVU - FOR TI / IUI in cycle days

• Endo lining

• RTO AFC

• LTO AFC

• Measure any cysts > 10mm.

• ~18mm make sure they have trigger and collection sperm kit

IN CYCLE IVF / EGG FREEZING / OOF / EMBANK

• Endo lining

• RTO AFC

• LTO AFC

• measure all largest follicles over 10mm .

PRE MED FET

IF PROGRAMMED / ESTRACE ONLY NO NEED FOR AFC.

• Endo lining

• RTO AFC

• LTO AFC

• Measure any over 10mm.

FET LINING CHECK (STIMULATED / NATURAL)

• Endo lining!

• IF LESS THAN 8mm, get 3 Measurements

• ANY FLUID?

• NO AFC needed

• RT OVARY should be quiet

• LT OVARY should be quiet

• Measure any cysts over 10 mm.

MNC (Modified natural cycle) FET

Early:

• lining (polyps, fibroids?)

• RTO afc

• LTO afc

• Measure any >10mm

MID-CYCLE

• lining!

• Ovaries quiet

• No afc needed apparently

• Measure largest follicle

NAT cycle FET

Early

• lining (polyp, fibroids?)

• Lt and Rt Ovaries , quiet?

• No afc apparently

• Measure any >10mm

Midcycle

• lining (ideal 8 mm)

• Measure 3 times if less than 8mm

• Lt and Rt ovaries, quiet?

• No afc apparently

• Measure any >10mm

No menses panel

• lining (describe appearance)

• Check for cysts

• Rt and Lt AFC

• Look for possible GS

OB (5-10wks)

• GS (l x h x w)

• Yolk sac (inner to inner)

• Fetal pole / CRL

• FHR (m-mode) ALARA

• SCH note and meas

• RTO sag meas / TRV meas

• LTO sag meas / TRV meas

• Rt Adnexa

• Lt Adnexa

• Cervix

• Any abn, any masses, fluid, cysts note and meas

• ANY CLC?

Oral follicle stimulation drugs

Clomid - increases FSH / LH

Letrozole (Femara) - increases FSH / LH

Injectables stimulation drugs

• GONAL

• MENOPUR (FSH and LH)

• FOLLISTIM

Triggers/final maturation

• Ovidrel

• LUPRON

• Hcg

• Dual trigger (Lupron + hcg)

• Novarel/Pregnyl

Prevent OVULATION drugs (LH surge not yet!!!)

• ANTAG

• Ganirelix

• Cetrotide

ESTROGENS SUPPORT LINING

• Estrace (thicken lining)

• e2 priming = Vivelle dot

Progesterones (TO support implantation and early pregnancy )

• P4

• PIO (progesterone in oil , injection)

• prometrium (micro dose progesterone)

• Endometrium

• Crinone (vaginal gel)

Provera

• Resets uterine lining and induces a PERIOD .

• Synthetic form of progesterone

HSG (Hysterosalpingogram)

• Between cycle 5-12 days with light to no bleeding

• X-RAY, iodine DYE

• shape of uterus ?

• Blocked fallopian tubes??

• speculum insert

• Antiseptic solution to clean vagina

• Catheter into uterus

• Spill = no blockages

b4 procedure

• light meal

• Tylenol or ibuprofen 30 min or 1 hour before

• Take antibiotics as directed

after procedure

• Some cramping

• Light bleeding

SIS (Saline infusion sonogram)

Other shit to be more consistent bruh

• Write exam room number on post It

• White flag is IUI

• Top and bottom flag is OB

• black flag is occupied

• Blue 1st flag is the one next then 2 and 3 flags

• Read Alerts !!

• Look at previous imaging

• What name does pt go by

• Don’t use fat gel

• Report pages then P2, unfreeze and END

• When charting always press save .

• Click caluation twice to go back on machine

• b view ??

• When 3d move the dot in the middle, and true sagittal then true trv