• Timeline
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    Menstrual Cycle: Introduction

    The average length of the menstrual cycle is 28 days. More

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    Menstrual Cycle: Days 1-5

    Day 1 of menstruation is the first day of your cycle. More

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    Menstrual Cycle: Days 1-13

    Days 1-13 of your menstrual cycle are the "follicular phase" More

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    Menstrual Cycle: Days 10-18

    Days 10-18 of your menstrual cycle are considered the "ovulatory phase". More

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    Menstrual Cycle: Days 15-28

    Days 15-28 of your menstrual cycle are considered the "luteal phase". More

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    IUI: Introduction

    With intrauterine insemination (IUI), a doctor uses a soft catheter to place sperm directly into the uterus. More

    iui
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    IUI: Day 1

    Fertility drug injections begin at the start of the your menstrual cycle. More

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    IUI: Day 2

    Follicles begin to respond to the fertility drugs and grow. More

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    IUI: Day 3

    Daily fertility drug injections cause your follicles to continue to grow. More

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    IUI: Day 4

    Your follicles continue to grow. More

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    IUI: Day 5

    As the follicles respond to the fertility drugs, your doctor will monitor your progress with vaginal ultrasound. More

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    IUI: Day 6

    Your body is producing more estrogen and your uterine lining begins to thicken. More

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    IUI: Day 7

    Fertility drug injections continued and you are monitored for ovulation. More

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    IUI: Day 8

    Daily fertility drug injections continue and follicles continue to grow. More

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    IUI: Day 9

    Your follicles are still developing and you continue fertility drug injections. More

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    IUI: Day 10

    You discontinue using injectable fertility drugs. More

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    IUI: Day 11

    The hCG trigger shot is injected to help follicles mature and release the eggs. More

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    IUI: Day 12

    Your follicles and eggs are almost mature. More

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    IUI: Day 13

    Ovulation occurs. More

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    IUI: Day 14

    Sperm is washed and you are inseminated when you are ovulating. More

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    IUI: Day 15

    The embryo, now in the fallopian tube, will continue to divide. More

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    IUI: Day 16

    The embryo continues to grow. More

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    IUI: Day 17

    The embryo travels from the fallopian tube to the uterus. More

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    IUI: Day 18

    Hormone levels continue to increase. More

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    IUI: Day 19

    The uterine lining is now 8-12 mm thick. More

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    IUI: Day 20

    Your embryo is working to ultimately attach to the lining of your uterus. More

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    IUI: Day 21

    Your embryo will attach to your uterine lining. More

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    IUI: Day 22

    The embryo is starting to implant. More

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    IUI: Day 23

    The embryo continues to implant. More

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    IUI: Day 25

    Your body begins to produce hCG and progesterone production continues. More

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    IUI: Day 26

    The embryo continues to grow, and progesterone support continues. More

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    IUI: Day 27

    The embryo continues to grow. More

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    IUI: Day 28

    A blood pregnancy test will determine if you are pregnant. More

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    IVF: Introduction

    More

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    IVF: Day 1

    On Day 1 of your IVF cycle, you'll begin fertility drug injections. More

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    IVF: Day 2

    On Day 2 of your IVF cycle, you'll continue fertility drug injections. More

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    IVF: Day 3

    Your follicles continue to grow as they respond to the fertility drug injections. More

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    IVF: Day 4

    Your follicles continue to grow as you continue daily fertility drug injections. More

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    IVF: Day 5

    As you continue to use fertility drugs you will be monitored by your fertility doctor. More

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    IVF: Day 6

    The lining of your uterus is beginning to thicken as you continue fertility drug injections. More

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    IVF: Day 7

    Daily fertility drug injections continue, and your fertility doctor may start monitoring hormone levels. More

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    IVF: Day 8

    You'll continue fertility drug injections and follicles will continue to grow. More

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    IVF: Day 9

    You'll continue fertility drug injections and follicles will continue to grow. More

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    IVF: Day 10

    You'll stop using fertility drugs at this point in your IVF cycle. More

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    IVF: Day 11

    Once your body has responded to the fertility drugs, you'll receive an hCG injection (trigger shot) and egg retrieval will be scheduled. More

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    IVF: Day 12

    Your eggs are almost mature, and are ready for egg retrieval. More

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    IVF: Day 13

    At this stage of the IVF cycle, your eggs are retrieved and fertilized. More

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    IVF: Day 14

    Your eggs are fertilizing in the lab. More

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    IVF: Day 15

    Embryos will continue to develop, and if PGD has been scheduled the procedure will take place. More

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    IVF: Day 16

    Usually on Day 16 of your IVF cycle your embryo transfer will take place. More

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    IVF: Day 17

    The embryo is in your uterus, and cells continue to divide and increase. More

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    IVF: Day 18

    The embryo continues to grow and hormone levels increase. More

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    IVF: Day 19

    The lining of your uterus is now 8-12 mm thick. More

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    IVF: Day 20

    Your embryo is working to attach to the lining of your uterus. More

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    IVF: Day 21

    The embryo attaches to the uterine lining. More

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    IVF: Day 22

    The embryo begins to implant in the uterine lining. More

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    IVF: Day 23

    The embryo continues implanting in the uterine lining. More

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    IVF: Day 24

    More

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    IVF: Day 25

    Your embryo continues to grow and progesterone continues to be produced. More

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    IVF: Day 26

    Your implanted embryo continues to grow. More

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    IVF: Day 27

    The implanted embryo continues cell division. More

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    IVF Cycle: Day 28

    It's time to take a blood pregnancy test. More

Donor Eggs: Do You Know Some of the New Options?

Donor Eggs: Do You Know Some of the New Options?

by Rachel Lehmann-Haupt, Dec. 3, 2009

An increasing number of women and couples are choosing to start their families in their late 30s and 40s and as a result many are turning to donor eggs. According to the Centers for Disease Control and Prevention (CDC), the number of donor egg cycles has risen from 1,802 attempts in 1992 to 9,575 in 2007 with a 55.2 percent pregnancy rate.

When starting the search for an egg donor, the options can be overwhelming - and expensive. Some fertility clinics have year-long waiting lists to use a donor in their program; others limit your choices to using only their donors and their clinic alone.

What if you want more choice, are looking to save some money, or need a donor quickly? There are some new options.

To help with the search, Nancy Block, a former infertility nurse who ran an egg donor clinic in Chicago, has now launched The Donor Network Alliance as a one-stop shop. The idea behind the DNA is to aggregate a large number of clinics so that patients can look in a broader pool of donors. “Through the years of seeing matches fall through, cycles fail, recipients looking for something very selective and insurance deadlines that make a patient have to find a donor in a matter of weeks, I realized that we need a better system,” she explains.

So far 22 donor agencies are paying to be listed in the DNA and there are 3,000 donors on the site. Potential donor parents can get access for a subscription fee of $49 for two weeks.

There are also a number of new donor egg agencies that are taking advantage of egg freezing technology, which is still considered experimental by the American Society of Reproductive Medicine. Dr. Daniel Shapiro, the Clinical Director of RBA in Atlanta, says 180 babies have now been born from frozen donor egg cycles in the U.S., of which 112 babies were born at RBA.

Most agencies play matchmaker between the recipient and donor. The donor goes through the retrieval process, and the eggs are fertilized and implanted immediately. These newer frozen egg banks are more like sperm banks. Banks such as RBA of Atlanta, The Donor Egg Bank in Los Angeles and The World Egg Bank in Phoenix, Arizona, offer the option of buying an egg directly from a stock of eggs that have been frozen and stored.

The option allows for a new kind of flexibility: the donor and recipient don’t have to line up their schedules so that the recipient will be physically ready for the transfer of eggs as soon as they are retrieved from the donor. It is also considerably less expensive for the recipient. Instead of the recipient paying for all the donor’s expenses, the clinic covers the medical expenses. "We can provide equivalent pregnancy rates at half the traditional cost,” says Dr. Shapiro. “It’s easier and the patient has more control over the process right out of the gate.”

So the good news is, that as egg donation grows in popularity as a family building plan (and decreases in stigmatization), your choices for how and where you find your donor eggs are increasing. You’ll want to do your homework, but it’s good to have options!

You can learn more about egg donation here:

  • Egg Donation Overview
  • Considering Egg Donation
  • Getting Started
  • Anonymous & Known Egg Donation
  • Egg Donor Screening
  • Process: Donor Perspective
  • Process: Recipient Perspective
  • Shared Egg Donation Cycles
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    Rachel Lehmann-Haupt (www.lehmannhaupt.com) is a journalist and the author of In Her Own Sweet Time: Unexpected Adventures in Finding Love, Commitment and Motherhood (Basic Books, 2009).

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