Once you have been pre-screened and qualified to be an egg donor for in vitro fertilization the egg donation center that you are working together with will educate you on how to self-administer the medications used throughout the process. Be forewarned you will be injecting yourself with your medications. Two kinds of medication often useful for controlled ovarian hyperstimulation include Follicle Stimulating Hormone (FSH) and Lupron. FSH stimulates the production of eggs while Lupron prevents the ovaries from releasing the eggs before the retrieval process takes place. Some possible side effects of these drugs include fatigue, moodiness, headache, ovarian cysts, and in a few rare cases hyper stimulation syndrome of the ovaries. An indication of hyper stimulation syndrome is enlarged painful ovaries and could be detectable on an ultrasound. hcg injections
Timing is everything as it pertains to the administration of these medications. Lupron is usually begun 5-6 days before the start of your period. Whenever your period starts you will have to have a baseline vaginal ultrasound prior to starting the FSH. This will help to detect the presence of any cysts on the ovaries. Ovarian cysts are not uncommon and usually resolve independently but large or complex cysts may require treatment. If the ultrasound is clear you will begin taking the FSH approximately 2-3 days after the start of your period. Your blood will be drawn at regularly to monitor the amount of estradiol, the hormone secreted by developing eggs, in your system.
Another vaginal ultrasound will be performed to find out the size and quantity of eggs in your ovaries whenever your estradiol level is at the right level. A single injection of Human Chorionic Gonadotropins (hCG) will be administered when the eggs are ready for retrieval. HCG is a naturally occurring hormone that helps with the last stage of development of the eggs. About 36 hours after the hCG injection the eggs are ready for removal.
Because you will be sedated whenever your eggs are removed you will be asked not to eat or drink anything after midnight the day before the procedure. Once you arrive for the process you will change in to a gown and an IV will be started for the administration of medications and fluids. You then will be given medication to make certain you are adequately sedated and comfortable throughout the egg removal. An individual will be sedated, a slim needle is inserted through the vagina into the ovaries and the eggs are aspirated into the syringe. hcg injections
After the process you could experience some pelvic discomfort, small levels of vaginal bleeding or blood in your urine. These side effects usually clear within a day or two. You will have the ability to go back home a few hours when you wake up. You will have to have someone drive you home as you it's still feeling the effects of the medication used to sedate you. You will be given a prescription for pain management along with an antibiotic to decrease your likelihood of infection. Following the eggs are removed your part is done. The eggs will likely then be useful for the infertility treatment called in vitro fertilization.