Share |

Cardone & Associates Reproductive Medicine & Infertility, LLC

Evaluation Cycle Instructions

Please call the nurse at 781-438-9600 with the onset of your menstrual cycle, which is cycle day one (CD1). If your period is not a full flow until after 3 PM, call the following day to report cycle day one (CD1).

If CD1 starts on the weekend, please call 781-438-9600, extension 303, and leave a detailed message including: the spelling of your name, birth date, and a phone number where you can be reached. A nurse will call you back with your instructions within 24 hours. Please do not start any medications until instructed by a nurse.

Blood drawing and ultrasounds are performed by appointment in the Stoneham office between 6:30 to 8:15 AM, first come, first serve, Monday through Saturday.

Please do not arrive later than 8:15 AM, since we cannot guarantee there will be staff available to draw your blood or perform your ultrasound.

Physical Examination: A physical examination report, including documentation of heart and lung assessment, is required for all patients undergoing IVF. This must have been performed within one year of your treatment cycle. If you have not had a physical exam within the last year, please make an appointment by calling the front desk.

Ovulatory Assessment

The following tests will be performed:

  • Cycle day (CD) three (3) of the menstrual cycle: fasting blood test and vaginal ultrasound
  • Cycle day ten (10) of the menstrual cycles: blood test and vaginal ultrasound
  • Luteal progesterone blood level, date to be determined after CD10 blood work and ultrasound.
  • Routine laboratory work
  • Vaginal culture to detect any bacteria that may hinder pregnancy
  • Pap smear

CCCT (Chlomiphene Citrate Challenge Test)

  • Cycle day three (3) blood work
  • Do not start taking your Clomid until instructed by a nurse.
  • Take two (2) pills of Clomid cycle days five (5) through nine (9). Each tablet is 50 mg; you will take 100 mg for five (5) nights on days five (5) through nine (9) of your cycle.
  • Return on cycle day ten (10) blood work.

Call the front desk on cycle day 1 to schedule the following:

Hysterosalpinogram (HSG)

An HSG is an x-ray where dye is injected through the cervix into the uterus and fallopian tubes to detect blockages or malformations. Dr. Cardone performs HSG's at Baldwin Park in Woburn.

  • The HSG will be scheduled between cycle days 5-12, after your period stops and prior to your ovulation.
  • Take Doxycycline 100mg twice daily for three (3) days starting the day before your HSG.
  • Take Ibuprofen 800mg by mouth one (1) hour prior to HSG.

Sonohysterogram (SonoHSG)

A sonoHSG determines abnormalities inside the uterine walls, such as fibroids, polyps, a bicornate uterus, and other conditions, via the injection of sterile fluid to inflate the uterus.

  • Performed in the Stoneham office.
  • SonoHSG will be scheduled between cycle days five (5) through twelve (12), after your period stops and prior to your ovulation.
  • Take Doxycycline 100mg twice daily for three (3) days starting day before sonoHSG
  • Take Ibuprofen 800mg by mouth one (1) hour prior to the sonoHSG.

Hysteroscopy

An outpatient surgical procedure allowing visualization of the intrauterine cavity.

  • Location to be scheduled either at the Hunt Center in Danvers or Beverly Hospital
  • Hysteroscopy will be scheduled between cycle days five (5) through twelve (12), after your period stops and prior to ovulation.
  • You will need pre-op and post-op appointments.

Endometrial biopsy

A small sample of the endometrium, the lining of the uterus, is taken to rule out inflammation that may interfere with pregnancy.

  • Performed in the Stoneham office.
  • Endometrial biopsy will be scheduled between cycle days five (5) through twelve (12), after your period stops and prior to your ovulation.
  • Take Ibuprofen 800mg by mouth one (1) hour prior to the sonoHSG.