In vitro fertilization for Orthodox Jewish couples: antagonist cycle modifications allowing for mikveh attendance before oocyte retrieval

GnRH-antagonist programming versus GnRH agonist protocol: a randomized trial

“…Hormonal based manipulations for the purpose of postponing retrieval day were reported in orthodox Jewish couples because they refrain from sexual intercourse on the days following vaginal bleeding. In a study involving this specific population [15], GnRH antagonist was administered on cycle days 2, 3, and 4 to delay the initiation of injectable medications combined with an estradiol patch. Control patients in this study [15] started gonadotropin on cycle day 2 in the typical fashion.…”

“…In a study involving this specific population [15], GnRH antagonist was administered on cycle days 2, 3, and 4 to delay the initiation of injectable medications combined with an estradiol patch. Control patients in this study [15] started gonadotropin on cycle day 2 in the typical fashion. No differences were observed between the two groups in terms of clinical outcomes.…”

Ultra‐Orthodox Jews and infertility diagnosis and treatment

“…Therefore, oocyte retrieval timing must take into account the day of the 'mikve' and be delayed accordingly, often with some endocrine manipulations (Reichman et al, 2013). Therefore, oocyte retrieval timing must take into account the day of the 'mikve' and be delayed accordingly, often with some endocrine manipulations (Reichman et al, 2013).…”

“…In the IVF setting, a similar situation may dictate a creative solution, as spermatozoa may become available only by sexual intercourse, after the female partner had her 'mikve'. Therefore, oocyte retrieval timing must take into account the day of the 'mikve' and be delayed accordingly, often with some endocrine manipulations (Reichman et al, 2013). Sperm freezing, when deemed medically necessary, is allowed, and so is intracytoplasmic sperm injection (ICSI).…”