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. 2017 Oct-Dec;18(4):368–378.

Table 1.

Adjuvant protocols

Adjuvant Protocol
Antibiotics Doxycycline 100 mg for 4 days beginning from vaginal egg pick up (VPU)
[or]
Azithromycin 1g given on the night before VPU
[or]
Augmentin duo forte BD for 4–5 days post-VPU
Aspirin 100 mg from VPU until pregnancy test
Enoxaparin / Heparin 20–40 mg from VPU until pregnancy test
Steroids Various protocols
10–30 mg daily
Used from stimulation until
- Some stopping at pregnancy test
- Some stopping until the 1st trimester
Melatonin 4 mg given at night
Variable start time, but between 2 days and up to 8 weeks before egg collection
Ceased on egg collection
Dopamine agonist 0.5 mg cabergoline orally daily
From day of hCG or egg pick up and continuing to 5 days or until pregnancy test
[or]
Bromocriptine 7.5 mg oral or PV daily starting with hCG trigger until pregnancy test
HCG infusion Dilution of 1500 IU of hCG in 125 microlitres of blastocyst media,
40 microlitres of this was infused into the uterus 10 min to immediately prior to embryo transfer
DHEA 75 mg daily
Given for 3 mths prior to cycle
Testosterone Given as pre-treatment between 5–21 days before the start of a cycle
Given as either a 2.5 mg patch or 10 mg topical gel
Growth hormone 12 IU/day from day of FSH until trigger injection
Intramuscular injection
Intralipid infusion 200 mls of Intralipid 20% was given intravenously over two hours 7–10 days before embryo transfer. When a pregnancy was confirmed, additional doses were administered at 7, 9, 11 and 13 weeks
Filgrastim Intrauterine
Given 2 days before embryo transfer
300 μg into uterus 2 days before ET
Co-enzyme Q10 150–300 mg given at night
Variable start time, but between 2 days and up to 8 weeks before egg collection
Ceased on egg collection