Sexuality, Reproduction & Menopause
Special supplement for the nursing staff --
Bridging the patient education gap: Moving from OI to IVF
Read this supplement now
A 35-year-old woman visits your clinic after several unsuccessful attempts at ovulation induction (OI) elsewhere (including 2 cycles of Clomid). You start her on Follistim, 50 IU/d, with microtitration. She produces one follicle; no pregnancy results. In her second cycle, you switch her to Bravelle, 75 IU/d; she produces 2 mature follicles and has a positive pregnancy, which results in a missed abortion due to a trisomy. In the third cycle, you give her Bravelle at 150 IU/d for the first 3 days, then reduce the dose to 75 IU/d. She produces 4 mature follicles; no pregnancy results. What is the next step for this patient?
Help your patients through the OI or IVF process.
Read “Bridging the patient education gap: Moving from OI to IVF.”
Wendy Shubin, MPAS, PA-C,(Moderator), HRC Fertility, Encino, California
Jennifer Barocas, RN, FNP, Reproductive Specialists, Mineola, New York
Patricia Jossim, RN, Florida Institute for Reproductive Medicine, Jacksonville, Florida
Moya Laskowski, RN, The Advanced IVF Institute, Naperville, Illinois
Margaret Post, RN, Valley IVF Center, Paramus, New Jersey
Jackie Zagami, RN, Shady Grove Fertility Clinic, Annapolis, Maryland
This supplement is supported by a grant from Ferring Pharmaceuticals.