• Timeline
  •  

    Menstrual Cycle: Introduction

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

    menstrual
  •  

    Menstrual Cycle: Days 1-5

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

  •  

    Menstrual Cycle: Days 1-13

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

  •  

    Menstrual Cycle: Days 10-18

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

  •  

    Menstrual Cycle: Days 15-28

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

  •  

    IUI: Introduction

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

    iui
  •  

    IUI: Day 1

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

  •  

    IUI: Day 2

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

  •  

    IUI: Day 3

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

  •  

    IUI: Day 4

    Your follicles continue to grow. More

  •  

    IUI: Day 5

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

  •  

    IUI: Day 6

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

  •  

    IUI: Day 7

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

  •  

    IUI: Day 8

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

  •  

    IUI: Day 9

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

  •  

    IUI: Day 10

    You discontinue using injectable fertility drugs. More

  •  

    IUI: Day 11

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

  •  

    IUI: Day 12

    Your follicles and eggs are almost mature. More

  •  

    IUI: Day 13

    Ovulation occurs. More

  •  

    IUI: Day 14

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

  •  

    IUI: Day 15

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

  •  

    IUI: Day 16

    The embryo continues to grow. More

  •  

    IUI: Day 17

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

  •  

    IUI: Day 18

    Hormone levels continue to increase. More

  •  

    IUI: Day 19

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

  •  

    IUI: Day 20

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

  •  

    IUI: Day 21

    Your embryo will attach to your uterine lining. More

  •  

    IUI: Day 22

    The embryo is starting to implant. More

  •  

    IUI: Day 23

    The embryo continues to implant. More

  •  

    IUI: Day 25

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

  •  

    IUI: Day 26

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

  •  

    IUI: Day 27

    The embryo continues to grow. More

  •  

    IUI: Day 28

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

  •  

    IVF: Introduction

    More

    ivf
  •  

    IVF: Day 1

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

  •  

    IVF: Day 2

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

  •  

    IVF: Day 3

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

  •  

    IVF: Day 4

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

  •  

    IVF: Day 5

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

  •  

    IVF: Day 6

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

  •  

    IVF: Day 7

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

  •  

    IVF: Day 8

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

  •  

    IVF: Day 9

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

  •  

    IVF: Day 10

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

  •  

    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

  •  

    IVF: Day 12

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

  •  

    IVF: Day 13

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

  •  

    IVF: Day 14

    Your eggs are fertilizing in the lab. More

  •  

    IVF: Day 15

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

  •  

    IVF: Day 16

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

  •  

    IVF: Day 17

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

  •  

    IVF: Day 18

    The embryo continues to grow and hormone levels increase. More

  •  

    IVF: Day 19

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

  •  

    IVF: Day 20

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

  •  

    IVF: Day 21

    The embryo attaches to the uterine lining. More

  •  

    IVF: Day 22

    The embryo begins to implant in the uterine lining. More

  •  

    IVF: Day 23

    The embryo continues implanting in the uterine lining. More

  •  

    IVF: Day 24

    More

  •  

    IVF: Day 25

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

  •  

    IVF: Day 26

    Your implanted embryo continues to grow. More

  •  

    IVF: Day 27

    The implanted embryo continues cell division. More

  •  

    IVF Cycle: Day 28

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

Love & Infertility

Love & Infertility

hearts in sky.jpg

by Kristen Magnacca

Village Fertility Pharmacy had invited me to present my “Every Day Certainty: 21 Days to Change the Way You Live Your Life” workshop to the Reproductive Nurse Managers Association (RNMA) and I was seated at the dinner, admiring the food on my plate, when I glanced up and smiled at the woman about to sit directly across from me.

She looked so familiar. As I searched my memory, she said, “Kristen, I didn’t know that you were going to be here. It’s Chris.” My eyes immediately began to tear: It was Christine Carlson, my reproductive nurse from 1997!

Coincidently, I had recently had a discussion about the role reproductive nurses play in the patient’s fertility journey, how they are the glue that holds the system together, the unsung heroines.

The discussion had triggered memories I thought were long forgotten, but apparently they were just hidden, barely, under the surface. My thoughts had played like a movie and, within the clips, there were images of blood draws, ultrasounds, procedures, and orders shared over the phone, with Christine right there by my side. I had wondered what had happened to her, and then, lo and behold, she appeared across the table from me!

Reproductive nurses are a different breed of nurse. They are the front line in the dance between patient and parenthood. They are the hand holders, the cheerleaders, the sounding boards and on occasion, the recipients of the emotional outbursts from hormone-induced breakdowns.

With their professionalism and care, the process moves forward: our cycles are monitored, instructions are given, blood and ultrasounds are taken. And that’s only the part of the dance that we are typically aware of. What happens behind the scenes to create a completed cycle? Many conversations, much follow-through and documentation, prescription writing and the careful overseeing of the patient’s responses to the medication, tasks that often don’t get noticed or acknowledged.

In my case, Christine was the one who remained at the clinic with me after all others had left for New Year’s Eve celebrations to make sure I was stable enough to make the drive home after a “emergency” procedure. She was the one who called and ensured I would be able to get the medication that I needed on the way home. And she was the one who walked me out of the clinic with wishes for a better year to come.

Christine now works at Reproductive Science Center where she has 15 years experience as a reproductive nurse. Her passion and dedication exudes throughout as she goes about her job of supporting and caring for her patients.

Reproductive nurses are the medical overseers of the fertility challenge, the ones who help us negotiate the foreign terrain of the entire process. They should get more credit and recognition! Christine made a huge impact on my whole experience and I am so grateful for her.

Do you know a reproductive nurse who stands out? FertilityAuthority welcomes your stories. Just send them to the Editors and perhaps they’ll feature your story.

---------------------------------------------------------------------------------------------------------------------

Kristen Magnacca is a mother, author, entrepreneur, speaker, life coach, and expert on the emotional aspects of infertility. She published her first book, Girlfriend to Girlfriend: A Fertility Companion, in 2000, followed by Love and Infertility, Survival Strategies for Balancing Infertility, Marriage and Life in 2004 which is the recipient of The Hope Award 2009 for Best Book from RESOLVE.

Kristen has been featured on the Today Show and in publications including Woman’s World, the Boston Globe, WebMD.com, About.com, and Pregnancy.org. Kristen and her husband Mark live on Cape Cod with their children, Grace and Cole. Kristen invites readers to contact her through her website at www.kristenmagnacca.com.

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