SPECIFIC INSTRUCTIONS FOLLOWING YOUR EMBRYO TRANSFER

  1. Complete Medrol 4 mg x 14 total days, as you have been doing (unless you have a day 5 or day 6 embryo transfer, in which case Medrol administration will finish prior to embryo transfer). Medrol may be required to continue . dose of 4 mg daily in some instances; do not continue Medrol unless otherwise specified.
  2. 
Continue progesterone in oil 1 cc (50 mg) single injection nightly, or progesterone 400mg vaginal capsules twice daily, or vaginal capsules 200mg 3x daily (morning, afternoon, and night), as you have been doing
  3. Begin Estrace 2 mg oral tablets – take 1 tablet the evening of embryo transfer, then 1 tablet twice daily starting the day after your embryo transfer, to continue until otherwise specified.
  4. This is a plant-derived natural estrogen given to support embryo implantation and the resulting pregnancy
  5. It is safe to use after embryo transfer and in pregnancy
  6. Administration the night of embryo transfer and continues through the 9th week gestation

Baby Aspirin 81 mg tablets - resume 1 baby Aspirin per day on the day or evening of embryo transfer, and continue daily until otherwise specified.

Relative rest - plan to rest ( light activity)a total of 14 day(s) (including the day of transfer) Try to be as relaxed as possible.

VAGINAL REST - nothing in vagina: no tampons, no sexual relations of any kind until otherwise specified NO hot tubs or swimming (pools, lakes, oceans) for two weeks. Showers are OK.

NO HEAVY LIFTING - nothing over 10 Ibs at a time. Avoid strenuous activities such as furniture moving, weight lifting, Etc.

NO HIGH-IMPACT EXERCISE - avoid high intensity exercise such as jogging, running, step aerobics or jumping rope. Light to moderate walking and leisurely hiking is OK and may help you to feel well.

NO ALCOHOL - no alcoholic beverages or recreational drugs.

NOSMOKING.

MINIMIZE CAFFEINE - one or less daily caffeinated drink intake (coffee, tea, cola beverage)

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