So on Day 12 of my last cycle, I experienced my LH surge. The center nurse instructed I start wearing the Climara patch 8 days later replacing it every 2 days. So here’s what the IVF cycle looked like through Day 12:

Day 12: LH surge

Day 20: Climara patch #1

Day 22: Climara patch #2

Day 24: Climara patch #3

Day 25/Day 1: full menstrual flow

Day 2: Monitoring begins at the center. Bloodwork, Ultrasound and Consents (hubby came with me today) Results: uterine lining still requires shedding. Do not start stimulation meds yet. Instead inject 1 cartridge of Cetrotide SQ.

Day 3: Ultrasound with Dr. L. Results: uterine lining still requires some shedding. Inject another cartridge of Cetrotide.

Day 4: Ultrasound with Dr. K. Results: uterine lining looks good. Start 300 IU Gonal-f, 150 IU Menopur (2 vials) x 2 nights, SQ injections to RLQ abdomen by hubby

Day 5: 3^rd Climara patch removed, no need for 4^th patch. 300 IU Gonal-f, 150 IU Menopur, SQ injections to LLQ abdomen by hubby

Day 6: Bloodwork only. Results: continue 300 IU Gonal-f, 150 IU Menopur x 2 nights, SQ injections to RLQ abdomen.

Day 7: continue 300 IU GONAL F, 150 IU MENOPUR, SQ injections to LLQ abdomen

Day 8: Bloodwork, Ultrasound with Dr. K. Results: continue 300 IU GONAL F, 150 IU MENOPUR x 2 nights, SQ injections to RLQ abdomen

Day 9: 300 IU Gonal f, 150 IU Menopur, SQ injections to LLQ abdomen

Day 10: Bloodwork.Results: continue 300 IU Gonal f, 150 IU Menopur, Cetrotide x 1 cartridge. SQ injections to RLQ abdomen.

Day 11: Bloodwork, Ultrasound with Dr. K. Results: continue 300 IU Gonal f, 150 IU Menopur, Cetrotide x 1 cartridge.

Day 12: Bloodwork, Ultrasound with Dr. S. LINING EXCELLENT, continue 300 IU Gonal f, 150 IU Menopur, Cetrotide x 1 cartridge. AT LEAST 5 FOLLICLES > 10MM, 2 IN RT OVARY, 4+ IN LT OVARY!!!Low AMH levels take that!!!