Part of preparing for a successful frozen embryo cycle means being on a lot of medications, supplements, and hormones. When people get pregnant naturally, everything aligns perfectly in their bodies for that pregnancy to happen. For those of us who struggle with diseases that cause infertility and miscarriage, we have to medically force our bodies into submission.
One thing I have learned about infertility treatment is that everyone has a different protocol and a different journey. So please know that what I’ve been prescribed for my FET protocol may look very different from what you’ll be prescribed. This journey comes with a lot of trial and error and adjustments along the way. I want to share what my FET protocol looks like because I’ve found it super helpful to see what others’ journeys look like! It helped me understand possible scenarios to expect so I want to do the same.
This is my FET protocol medication list from the clinic:
- Nortrel 1/35 Birth Control: I actually started this in November after my third miscarriage and had to start my third pack for the transfer, but I only had to be on that third pack for 9 days. This means my reproductive system is now quiet and under control!
- Z Pack Antibiotic: 500mg for 1 day + 250mg for 5 days; this is to kill any potential infection and bacteria that could affect implantation.
- Baby Aspirin: 1x/day; this is a mild blood thinner. After all of the extensive testing I had done, we saw no need for something stronger like Lovenox. I do not have MTHFR or Factor V Leiden, or any other clotting/genetic disorder that may affect implantation.
- Femara: 2.5mg for 5 days; and yes, this is usually used as a follicle-stimulating drug for some women but guess who never had mature follicles from it? ME! But apparently, this is sometimes prescribed for women with PCOS for a frozen embryo transfer to help with the uterine lining so that’s what we’re using it for.
- Estradiol Patches: 0.1mg patches, changing them out every 3 days and increasing as we go. Just patches for me, no pills at the moment. I’m starting with 2/day and will eventually end up with 4/day.
- Progesterone in Sesame Oil: 1ml/injection, 1x/day. I won’t have to start this until later in the process.
- Prenatal Vitamin: the clinic asked me to be on one with at least 1,000mcg of folic acid, but I prefer naturally-sourced folate so I use a plant-based prenatal with 1,300mcg of folate.
Outside of preparing for a frozen embryo transfer, I also take:
- Levothyroxine: 50mcg/day for proper thyroid function (this may get adjusted as we move forward)
- Labelatol: 200mg, 2x/day for blood pressure
Outside of the clinic’s protocol and my normal daily meds, I’m also taking these on my own accord:
- Vitamin E: 400 IU to further encourage cell generation in my uterus! This is only before transfer. I’ll stop after.
- Probiotic: I take one formulated for women to keep my gut health pristine. If the gut is a mess, everything can be a mess. I’ve been taking a women’s probiotic for a few months now and have no intention of stopping. I’m so thankful I’m on this regularly because that Z Pack is going to do a number on me… not happy about that one.
Additionally, I previously shared how I am preparing my body for the embryo transfer in this post, so there are more steps I’m taking outside of a medication/supplement protocol if you’d like to read more and missed that post.
I know this sounds like a lot, but that’s because it IS a lot. Welcome to the world of infertility… it’s a lot of work to grow our families. A lot of expensive work. But it’s worth it! So, so worth it. If your protocol was similar to mine and successful, I’d love to learn more about your journey!