Oxford Medical Kuwait — Ovarian Stimulation Protocol

Protocol Type

GnRH Antagonist

Day 2 start, antagonist from Day 5-6

GnRH Agonist Long

Day 21 start, downregulation then stimulation

Estrogen Priming

Luteal E2 priming, then antagonist cycle

PPOS

Progestin-primed, freeze-all

Mini / Mild Stimulation

Clomid/Letrozole + low-dose gonadotropins

Natural / Modified Natural

Minimal or no stimulation

Medication Configuration

Start Date

Days 1-2 Drug

Days 1-2 Dose (IU)

Days 3+ Drug

Days 3+ Dose (IU)

GnRH Agonist

Reduced Agonist Dose (during stim)

GnRH Antagonist

Cetrotide 0.25mg SC daily

Antagonist Start

Oral Agent

Progestin

Estrogen Priming Drug

Priming Duration (days)

Trigger

Dual Trigger:
2 × Ovitrelle 250mcg SC
4 × Decapeptyl 0.1mg SC

Growth Hormone

1.2mg/day SC
Daily from stimulation start

Post-Retrieval Pathway

Patient Details

Patient Name

Patient ID / MRN

Date of Birth

Clinician