• 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

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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

Resolution

Resolution

The media portrays infertility resolution as a successful pregnancy and healthy baby, but that is not always the reality. Live birth rates for even the most high-tech treatments are less than 50 percent per attempt.

What is Resolution?

Resolution is actually determining what your place will be in the world following infertility diagnosis and having peace with that choice. It’s the plan you devise to “solve” the life crisis of infertility. Some people need to exhaust all treatment options before they are ready to look at other family building options. Others find that advanced treatments are not for them, and move on to find resolution sooner. Stopping treatment does not necessarily mean that you have resolved your infertility and that you know what you will do next. It does mean is that you feel like you no longer want to pursue tests and treatments and you do want to stop living the life of an infertility patient. Deciding that “enough is enough” usually takes time.

How do You Get There?

Finding resolution might mean accepting a reality that you did not expect, such as not giving birth to a genetic child. You must grieve your losses including the pregnancy, birth, and baby that you would have created. Keep in mind that it is difficult to mourn something you never had, and sometimes professional help is needed to help you work through that process.

Moving on from treatment and considering other family building options such as adoption, donor egg, donor sperm or childfree living is one of the hardest decisions you will have to make. If you have a partner you are not making this decision in a vacuum; his or her voice is just as important.

Part of reaching resolution is asking yourself what is most important to you — being a parent or being pregnant? The answer to that question may determine what other family building options you will consider in the future. Donor egg or donor sperm may result in pregnancy, but if being a parent is the most important thing to you, perhaps looking into adoption is the next step.

Don’t be fooled into thinking that when you resolve your infertility that infertility will be behind you. Experiencing infertility changes you; it makes you stronger, and gives you tools for managing other times when your life feels out of control. It also takes away your innocence; you begin to realize you can’t count on everything in life to work out.

The pain of infertility will pass, but you will not forget the experience or the toll it took on you.

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