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Originally Posted by Tav Mom 
Wow, that's sounds incredibly painful. I know she mentioned shots, but no nose spray or bc pills.
Thank you for writing. It gives me an idea on what my sil might be going thru.
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Protocols vary widely. I have done 4 fresy IVF cycles and 3 frozen with three different REs over the course of several years and I've never done the nose spray and only two of my REs used BCPs. The nose spray is relatively new and doesn't work for everyone so doctors who like more traditional protocols don't use them. Also, if you have a practice that does procedures and monitoring 7 days a week, they probably won't use BCPs as BCPs are usually (not always, but usually) used to control a woman's cycle to make it conform to a calendar. Sometimes BCPs are needed for medical reasons to calm down the uterus after a particularly difficult cycle, but the alternative to BCPs is ... time. Just giving things more time. My first RE is a researcher in another country and traveled back and forth so things had to be somewhat scheduled and if we missed those 2-3 week windows when he was in the US, my cycle would have to be canceled (he's in private practice with his wife who's an OB/GYN) so BCPs were a necessity. My current RE is part of a group who rotates call for procedures 7 days a week and you get to know all of them (and I actually like all of them) so they don't use BCPs because it doesn't matter when you need to have a blood draw or transfer or retrieval because they can do it any day of the week.
There are a wide variety of protocols out there and it's hard to get a fix on what meds she may be using, but the one thing you know she'll need is support. Regardless of the actual drugs involved, they may (or may not) make her "hormonal"/moody and weepy and at times -- many times -- make her wonder what the heck is she doing and WHY does she have to do this and it's just so not fair.
One thing I like to tell my friends who are cycling is that: "I want your dreams to come true because you deserve it."