So here I would like to close “the bridge management” so these protocols showed us that there are three major factors that can be improved by patients; such as the deficiency of vitamin D, overweight or obesity, and smoking. So in other words, if we would stop smoking and if we will improve our BMI (body mass index) and find a way where we’ll have a good level of vit D so, that we’ll be better for implantation definitely.
The window of implantation it’s actually something that your doctor is going to prepare while preparing the endometrium for an embryo transfer, well or at least when you are doing a frozen embryo transfer or an egg donation program on a fresh IVF cycle, the window of implantation will sort of get ready or get prepared while stimulating the ovaries for the pickup, for the oocyte pickup and while doing a frozen embryo transfer or or a transfer of egg donors embryo, we start the preparation by preparing the endometrium with estrogens and then we start the progesterone five days earlier when we are transferring blastocyst, three days days earlier when we are transferring day three embryo (we try to transfer blastocyst of course) and the most important thing that I would like to say here is that what you really need to do is to measure the progesterone before and after starting it, so that you know that you are going to control that opening of the window while adding progesterone to the treatment.
