Answer from:
Well after we do the egg retrieval…well, we can do two things depending on how you plan the whole protocols, we can start progesterone and transfer on a fresh cycle. We start looking at the develop of the embryos and we actually measure progesterone the day of the trigger and then start the day of the retrieval for vaginal progesterone or subcutaneous – either way and we transfer after three to five days depending on when we decide to transfer and the other thing that we can do is to freeze the embryo and to do a what we call “freeze all” transfer and we wait till the next period or the other one, we wait till the ovaries are back to normal and the conditions are good to to go for the embryo transfer and we prepare the endometrium for a frozen embryo transfer.
Answer from:
After egg collection depending on what the patients are doing whether they’re having a fresh embryo transfer or a frozen embryo transfer. If they are having a fresh embryo transfer they will start another set of hormones on the day of egg collection, in the form of pessaries and potentially injections as well to get their uterus ready to receive the embryos that we are culturing for them in the laboratory. We will fertilize those eggs, we will create the embryos and typically the patients will come back after five days after egg collection to have an embryo transfer. If the patient is having a frozen embryo transfer or having genetic screening of their embryos from their perspective all the drugs stop, and they will expect a period after three to seven days, all the hormones stop. It’s a waiting game, they should expect a period and of course regular updates from the lab in terms of how many fertilized, how many embryos have formed, how many have been frozen, and what is the quality of the embryos. There will be that continuous dialogue with the lab staff, including the embryologist, which will give you a lot more information. Those are the differences. If you’re having a fresh embryo transfer expect to take more hormones after egg collection. If you’re having a frozen embryo transfer, then you will stop all the drugs and continuously get all the updates from the lab in either of these cases.
