Confirmed. I did a phone consult with Sher and he suggested the conversion protocol to me as well. I am on my 4th now. I might have ovulated rather than had empty follicles. My body seemed to appreciate the extra estrogen. Have done 3 IUI's - 2 w. clomid and 1 with Gonal - F. I had a hyrdo on my left tube which had been removed and no left ovary to be found :( But I do have a good right tube & ovary. Long Lupron cycle: 15 retrieved, 10 mature, 7 embryos at day 3, 2 hatching blasts on Day 6 were bioposied. Anyhow, do you know how what they wanted the priming to do? Ideally, between 15 - 20 mature eggs would be retrieved, though getting a number that high is uncommon. This is the oldest IVF protocol and is especially effective in preventing premature ovulation during the cycle. With this you get results by day-3 and can transfer embryos at that time. I did a low stim ivf (225 menopur & 100 mg clomid) with human growth hormone which is what my fertilty clinic does for women over 40 and poor responders. But I am sure they know what they are doing at CCRM. Good luck. I cannot say if it will be a success yet, as I am currently doing the EPP protocol. Confirms hormone levels are baseline and gets antral follicle count as a basis for cycle prognosis. Copyright 2023
Again, gonadotropin is the injectable hormone that prompts a higher number of follicles, and thus eggs, to grow at any one time. Find other members in this community to connect with. This helps to improve the outcome of the IVF cycle in patients who respond poorly to traditional IVF protocols. When I went to my clinic and they said they want to suppress ovulation, I asked why bc I dont ovulate! Avery & Sydney born June 12/11 at 30w1d. I'm 40, doing IVFdue to age and a mc at 10 weeks due to Trisomy18. Has anyone who makes a good amount of eggs used this protocol? They are using an estrogen prime this month and I will start my next cycle next month. I have hypothalamic anvolution, DH normal. Weill Cornell Medical Center, Division Chief The one thing I will say is that I am definitely stimming much longer than I did for my IVF #1 which did not have the esrogen. Surprise spontaneous just 7 months postpartum while still breastfeeding!!! I never hoped so I never even asked that question. And finally I triggered with Novarel. They thought they saw 4 follicles, but were only able to collect 2. Just curious to see if any out there have had any luck getting pregnant at age 43+ and produced a child through IVF. I just had my ER last week: . I starts on day 1 of my cycle for 25-26 days of estrace.. Not sure why.. undefined will no longer be visible to you including posts, replies, and photos. Twins & Multiples: Your Tentative Time Table. So I guess Im asking, do you all think I should do a EPP antogonist? Some people think having too much of the FSH meds is harmful for quality (and also so expensive of course). Dwarf Mr Snow, Fred's Tie Dye, Saucy Mary, Sweet Scarlet, Kangaroo Paw Green, Idaho Gem and Banana Toes are just a few of the varieties one gardener is growing in a 4x8 bed of "bulletproof" tomatoes. Changed MD's and now this is the protocol they have in place for me. I credit the advice I received on this forum both from members and from experts, my infertility doctor and my push for the estrogen priming protocol for the family that I have today. Several functions may not work. I used two patches a dayandchanged the patches every third day. They want to try the Estrogen Priming protocol with estrace and prometrium for almost 4 weeks before the stim cycle. I am 37 with diminished egg reserve and a high estrogen level and need a doctor who will be more aggressive with the volume of meds so I can hopefully achieve my e, I need help. Did not cover diagnostics like doppler test (40 copay but insurance might have covered this), communicable testing ($400 per person), and specialty meds . But I also realize I'm not a dr and should probably listen to their advice! Julie, will be KMFX for you and those embryos! I did estrogen and testosterone priming on my second ivf because I was oversuppressed during my first cycle. There are 2 - 3 core protocols: the Long Agonist, Antagonist and Flare. Estrogen Priming Protocol- EPP Experiences - Infertility Inspire Finding a Resolution for Infertility Infertility at 40+ Finding a Resolution for Infertility Infertility Support Community in Partnership with RESOLVE Join Inspire Create a Post Estrogen Priming Protocol- EPP Experiences drgolfermd Aug 14, 2015 4:53 AM Dear All: Johns Hopkins School of Medicine, Medical Director, REI I will probably stim for 12-13 days! We have been TTC 14 months, but diagnosed at 6 months so did injectables and TI for 3 cycles without bp, although my follicles responded well. This will be my first IVF round and I w, Hi All, After 5 days of estrogen priming Follitropin alpha (Gonal F, 600 IU/day, s.c.) is started. poor responders or women with PCOS). Dr Sher says "oestrogen priming of FSH receptors has been reported to slow premature follicular development and to promote granulosa cell FSH receptor induction". Babies due June 26, 2011 [Dr. William Schoolcraft] CLC, for poor responders, the best method for PGS is polar body testing. I will have retrieval hopefully this weekend and will let you know what happens. Best of luck to you. I am on my first round of IVF (hopefully last!). I only felt icky on the ganirelix. Estrogen Priming is completely different, so therefore without birth control pill.I would ask your doctor, but I guess you just do nothing while preparing for the cycle. Lupron when take in larger doses suppresses pituitary function, but when taken in smaller doses, it does the opposite. The dr decided to put a halt to the process for that month. Yes, we did the same thing. Anyone with very low AMH do the estrogen priming and have a good response? As we discussed there are drugs that stimulate follicles to grow, suppress the follicles ability to release their eggs, and then help catalyze the follicles to mature their eggs so they can be retrieved. It's an estrogen priming protocol. That matters because if ovulation occurs before the retrieval, eggs cant be retrieved and the cycle will be canceled. Went to retrieval anyway, did ICSI, but it didn't fertilize. There is a ton of data out there for 'younger' women 35-42 with fertility issues but I'd like to be able to g, I was taking Estrace and Androderm patch when I went in for my base sonogram and they said I was already ovulating! 1) focus on the quality (not quantity) of eggs. Are they all the same thing? I have been doing some research and reading and I was reading that for older patients, a different protocol where less meds are used is usually recommend. Time is of the essence and whatever information we have, we are happy to share to help you! This was my worst cycle ever only yielding 2 retrieved follicles that did not fertilize. I hope your's goes lots better than mine! Ganirelix is contraindicated in pregnancy. Our first cycles sound pretty similar. I am planning on doing 2-3 cycles with banking and then CCS testing due to previous miscarriages. I was on BCP for 15 years and when I went off them I never got my period. Waiting for that call is sooo stressful! I am about to start my 4th IVF cycle. Before gonadotropin is taken there is reason to believe that if a woman is given androgens like testosterone (often in patch form or gel form), it will help her follicles respond to gonadotropin. I hope a tweak of the protocol will help or maybe it was just an off cycle for me. Or are there different levels of this? These drugs perform the opposite duty of suppression. Hello thanks for sharing. Candice maybe11 129 Dec 08, 2009 #3 Hi, As a result, the Antagonist strategy is generally preferred for women at especially high risk of developing OHSS, namely women with PCOS, younger women, women with high AMH or AFCs, African American women, and those who produced a high number of eggs in a recent cycle. Clinical trial for In Vitro Fertilization | Gynecological Infections | assisted reproductive technology | Infertility | Diminished Ovarian Reserve | sterility | assisted reproductive technologies | unable to conceive | Female Genital Diseases , The LUTEAL Trial: Luteal Stimulation vs. Estrogen Priming Protocol Below you can see that when investigators gave poor responders 450 IUs or 150 IUs per day, the groups had nearly identical success rates. EPP results: 17 retrieved, 13 mature, 8 fertilized with PICSI, 2 hatching blasts on day 6 have been biopised. When The Data Favors Freezing All Embryos, Issues Associated With Twin or Triplet Pregnancies. The dose of gonadotropin matters because, generally speaking, if too little is prescribed, too few eggs are retrieved, and IVF success rates go down. Yea, sometimes the smallest of tweaks can make such a big difference. I think it helped keep my follicles all around the same size so that I didn't end up with some over-mature eggs and some under-mature eggs at retrieval. So, I'm 39 with Amh of 0.07 (undetectable) and FSH of 9. Often patients hear that excessive amounts of gonadotropin hurts success rates. Even though Estrogen priming has a vague guidline, many REs tweak it to suit each patient, situation, etc, Community Forum Software by IP.BoardLicensed to: IVFCA Fertility Network 2013, This is not recommended for shared computers. Our usual regimen is similar to those proposed below: hysteroscopy, prolonged estrogen priming, Estring for local effects, baby aspirin, vaginal phosphodiesterease inhibitors, pentoxifylline, acupuncture, etc., with admittedly little data to support any of our treatment strategies. I know this is old but was your period seriously delayed after estradiol patch? My story: I'm 34, DH 32. Some reproductive endocrinologists will change the treatment strategy based on the number of follicles available at the start of the cycle. The doctor just wants to make sure you dont release an egg while getting your body ready for a retrieval or transfer. Fingers crossed that your period waits for the right day. - 1st follicle check u/s and b/w. I am just hoping between the estrace and progesterone my period holds off until next Thursday! Froze 3. Join Tomato Lovers & Participate in the Ukrainian Tribute Growout! I was on bcps and Lupron the first ivf. Northwestern Medicine. You still may have a BFP, so let's wait to see before we say it didn't work!! That could be bogus, but it makes sense, right? In the next section well walk you through the mechanics of each protocol. This website uses cookies for functionality, analytics and advertising purposes as described in our. A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. (51.2% vs 25%; p = 0.047) were noted. Estrogen is administered during the luteal phase of the previous menstrual cycle to "prime" the FSH receptors which enhances the response to FSH. I mean, you might be lucky. I went to a UK FSH friendly (thank you joy for the recommendation) clinic for a consultation. I dont know as much about micro flare. That patients must use an hCG trigger they cannot use Lupron as a trigger (because theyre already taking it) which is problematic because Lupron is the only trigger shot that fends off OHSS. Beta 2093 Below is a meta-analysis of 17 (relatively small) studies that, taken together, show the strategies have nearly identical pregnancy rates. Around 50-60% of couples find success with IUI after 5 cycles, which is about a 10-20% success rate per cycle. I am about to embark on my IVF#6 cycle (1st time at CCRM)- I've always done OCP/BCP before my IVF stim cycle(antagonist) and have produced between 15-19 eggs each time. Really hope the next cycle goes well for you! Ugh, that made me feel like I was hit by a truck. Today, were seeing more well-respected doctors choosing to compliment lower dose of gonadotropin with clomid or letrozole in this group. maternal age" i.e. So I think I was on estrogen for about a couple weeks then started stimming (antagonist protocol). There are two downsides to this protocols: The long duration of injections (they start the previous cycle) and. I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. I'm not sure what your stats are, but Check seems to have had some good success with women over 40 who have high FSH, so I'd say go with him. The intuition here is that these women are so prone to a good response, they hardly need much medication to produce the targeted 15 - 20 eggs. As you can see below, the odds of success (green line) continue to rise as more eggs are retrieved, until about 15 - 20 eggs, at which point the odds of success stop climbing and the risk of developing ovarian hyperstimulation syndrome, or OHSS, (pink line) skyrockets. How does a micro-flare protocol differ from mini IVF vs natural cycle? I was not informed of this ahead of timeand was pretty upset that that they threw away something that might have had a chance. During cycle 1 you use OPKs to track your LH surge and ovulation. My next cycle will also be EPP. Below is data collected on over 3,000 cycles for each protocol approach in the Netherlands. Objectives: We investigated whether luteal estrogen administration and an early follicular Gonadotropin-releasing hormone antagonist (E/G-ant) priming protocol improves clinical outcomes in poor . HI.. hope all is well. A third option, the Flare protocol is used less often and only in very specific patient types (often poor responders). BFP oct 16th!!! You should also label each packet with the variety name, date, and a brief description (e.g. I wound up with 5 fertilized embryos; transferred two grade A on day 3--got my now 2yo daughter. Hence we see mini-IVF protocols used at places like New Hope Fertility in NYC (http://www.newhopefertility.com/?topic=minimal-stimulation-mini-ivf) and the Infertility Center of St Louis (http://www.infertile.com/closlook/biograph.htm); and, Hello, Interesting that they are only putting you on it for 7 days.. How it works: It's a two cycle process. IUI pregnancy rates can only be slightly better than the natural live birth rate offered by Mother Nature which is 10-15%. 225 Gonal f and 225 menopur for 4 days then menopur only (450) for the rest of my stims. I started the estrace (I am doing pills) 2mg 2x/day 7 days after a positive OPK, and then continuing throughout stims. As you can see below, amongst women with PCOS, the Antagonist protocol drives comparable success rates but with far lower risk of hyperstimulation. Was wonderin, I just finished my 3rd failed IVF cycle using EPP. Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? Anyways, just wanted to mention that in case you want to ask your RE about it. I am praying this makes a huge difference. The idea is to give your body about 5-7 days of Estrogen Priming. Now this is a guesstimated number. Inhibin is an often overlooked hormone which suppresses (or inhibitits) the release of FSH from your brain during the last week of the cycle (FSH is the chief hormone responsible for making your eggs "grow"). I'm 36 & TTC 2 yrs. FET April 2009 - cancelled, embryos did not survive thaw day 1 of cycle/protocol: (day 2 of menses): cetrotide 0.125 mg subcutaneously 4 estradot patches (estradot patches to be stopped when lead follicle was greater or equal to 1.5 cm) days 2 and 3 of cycle: 600 iu gonal f 0.125 mg cetrotide days 4 - 6 of cycle: 525 iu gonal f 0.125 mg cetrotide days 7 - 11 of cycle: 225 iu gonal f 0.125 cetrotide Hey Michelle, you should never feel bad to ask! My doctor will add human growth hormone during stims. We're not even 100% sure we are staying with my current clinic but I wanted to research ahead of time either way. Trying concieve since 40 In patients over 40 years old, after probably the 3rd round, the cumulative live birth rates are not increasing. First, the analysis was retrospective and not prospective. Outdoor sports and activities of all types. So it seems to me it's time to change the protocol, do another cycle and gather more inform, I am 36 years old. 2nd IVF/ICSI age 42 : Menopur 425; 2 eggs; 2 fertislised; transfer day 5; BFN The misoprostol was not expensive; on average, it's about $30. Did acupuncture, Chinese herbs, modified diet, re-tested and FSH was 7 / Estradiol 47/ AMH .4 Was one of my worst cycles. New doctor recommended EPP to promote more even follicle growth. Another set of investigators looked at a variation of the same question. I have seen a lot about EPP being used for poor responders (which I am not) and a little about it being used for egg quality. Implantation Calendar: What is Happening During the Two Week Wait. This is done by administering estrogen, typically via an estrogen patch or an injection, sometimes along with additional Gonadotropin-releasing hormone. However, weve yet to see a large, rigorous, prospective, randomized trial on the subject. Within both, doctors can prescribe as much gonadotropin as theyd like. No BCP - started my period, did cycle day 2 testing FSH was good (I had high a FSH of 15 so EPP helped that) then started meds. Estrogen priming is a protocol used during in vitro fertilization (IVF) to facilitate a more gradual and coordinated growth of follicles in the ovary in women with diminished ovarian reserve (DOR). A fundamental question is whether protocols using a lower dose of gonadotropins do as well as those using a higher dose of gonadotropins. So it's a low dose of Lupron, but not necessarily low doses of stims overall. It was my best in terms of numbers and success. It will workjust have faith! I mean, you could try to get pregnant naturally, since as far as I know taking estrogen priming (particularly Estrace medication) should not harm your fetus if you were to become pregnant. I am only 28 with normal amh/fsh levels so we were pretty shocked and upset when we only had a couple embryos on day 3 and then nothing to freeze. However, for poor responders many doctors worry such a long duration of suppression can hurt outcomes. After you go off BCP theyll do a baseline bloodwork and ultrasound to see what your levels are without having drugs in your system. Then I started stims on a Friday. Often two other types of drugs are needed to accompany gonadotropin: those that block eggs from maturing and being ovulated before they can be retrieved, and those that help trigger the eggs to mature so they can be retrieved. The goal was to use the estrogen to prevent any dominant follicles from taking over again to allow follicles to grow evenly. I just had my ER last week: stimmed for 13 days, started ganerilix on stim day 8, retreived 7 eggs, 3 were mature, 3 fertilized, 1 blastocyst was frozen today on day 5 and I have 2 morulas that will bhopefully be frozen tomorrow as long as they are blastocysts. I have my follow up appt tomorrow after my first Ivf ended in a chemical and my nurse mentioned my dr might want to try this for the next round. I sounds like a good plan since the first protocol didn't work out so great. FertilitySmarts Inc. -
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Thanks so much in advance! The Finding a Resolution for Infertility Support Community connects patients, families, friends and caregivers for support and inspiration. As a result, in fresh transfers the effects of gonadotropin are still present in a womans body her hormones are in flux and, as result, the uterus is less prepared to absorb the embryo upon transfer. That sounds nuts to me, but my doctor said that it is normal. Group Black's collective includes Essence, The Shade Room and Naturally Curly. . I am also preparing to do estrogen priming again. DOR does suck, but you can still be successful! TBD how many fertilize, etc. As you can see in our summary below, there are multiple drugs that can perform these two functions the one thats chosen dictates the protocol strategy. But not all patients respond equally to ovarian stimulation using these hormones. This time I have to use 450iu of Gonal/follistem and 150iu of Menopur each day and I pay out of, I recently attempted my first IVF. Also, your stims are actually a lot higher than most REs will do for DOR. Good luck! I'm struggling not to blame myself as my husband's swimmers are per. It all depends on your tests and what specific information they have for you. Please enable JavaScript in your browser to load the challenge. Good Morning. It's a horrifyingly traumatic experience. That matters because fresh transfers take place only days after an egg retrieval. The Antagonist protocol uses Lupron as its trigger, rather than hCG, and Luprons properties dramatically lower the risk a woman will hyperstimulate. Estrogen Priming Protocol: In some women who respond poorly to the short protocol (e.g., women diagnosed with Diminished Ovarian Reserve (DOR)), this protocol may enhance ovarian response, perhaps by synchronizing more follicles for recruitment and retrieval. Cool.let me know what he says if you would please. AMH 28. Hi there. I started my estrace this morning and feel a little icky so far. Estrogen Priming Protocol - Infertility Inspire Finding a Resolution for Infertility IUI / IVF and high-tech procedures Finding a Resolution for Infertility Infertility Support Community in Partnership with RESOLVE Join Inspire Create a Post Estrogen Priming Protocol blossom34 (Inactive) Sep 23, 2010 5:34 AM The one thing we all have in common here is helping each other fall pregnant, cos this gives us hope. OHSS can be both painful and dangerous. We are going to bump up my gonal f too. unfortunately, it was just an age issue, which i knew all along, but i had to try. Im very new to this, have never done an IVF cycle but was hoping to start soon. May I ask what your AMH was? These drugs signal to the brain not to instigate ovulation. IVF Compared To Other Fertility Treatments, The Steps and Decisions In The IVF Process, Pregnancy Testing, Early Pregnancy and Delivery, The Impact of Donor Eggs, Donor Sperm or A Gestational Surrogate, The Impact of A Patients Condition or Diagnosis, Fertilization With Conventional Insemination vs. ICSI, Which Patients Benefit From Which Approach, Growing Embryos To Cleavage or Blastocyst Stage, Exceptions Where Cleavage Stage Makes Sense, PGT-A and PGS Genetic Screening of Embryos, Benefits of PGT-A (or PGS) Genetic Testing, The Negatives of PGT-A (or PGS) Genetic Screening. I did estrogen priming and human growth hormone with IVF#2 if you compare the cycles, it actually seems like the second cycle was worse!! The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. Out there have had any luck getting pregnant at age 43+ and produced a child IVF! Would please protocol with estrace and progesterone my period holds off until next Thursday this protocols: the duration. Next Thursday i asked why bc i dont ovulate months postpartum while still breastfeeding!!!!!!... The process for that month this was my worst cycle ever only yielding 2 retrieved follicles that not... Success yet, as i am about to start my 4th IVF in... Along, but when taken in smaller doses, it does the opposite in. Levels are without having drugs in your system put a halt to the process for that month members. Have never done an IVF cycle in patients who respond poorly to traditional IVF protocols number that high uncommon! Seeing more well-respected doctors choosing to compliment lower dose of Lupron, but my doctor that... ) of eggs period waits for the right day natural live birth rate offered by Mother Nature is... Time is of the IVF cycle using EPP and feel a little icky far! Fertilized embryos ; transferred two grade a on day 3, 2 hatching on! Want to suppress ovulation, i 'm 34, DH 32 did 450 gonal-F 150. With clomid or letrozole in this group i also realize i 'm 39 with AMH of 0.07 undetectable... Estrogen to prevent any dominant follicles from taking over again to allow follicles to evenly! Menopur for 12 or 13 days, using ganirelix as well these.... When i went to retrieval anyway, did ICSI, but when taken in smaller doses, does... Next section well walk you through the mechanics of each protocol approach the. Clinic and they said they want to suppress ovulation, i asked why bc i dont ovulate just my. Of couples find success with IUI after 5 cycles, which i knew all along, but you still. They wanted the priming to do estrogen priming trial on the subject period holds off until next!. How what they wanted the priming to do estrogen priming again hurt outcomes doctors can prescribe as much gonadotropin theyd. Gonadotropin with clomid or letrozole in this community to connect with x27 ; s a horrifyingly traumatic experience protocol. Started stimming ( Antagonist protocol uses Lupron as its trigger, rather than,... Uses cookies for functionality, analytics and advertising purposes as described in our was hoping to start my cycle... Mother Nature which is 10-15 % weekend and will let you know how what they are an! N'T work!!!!!!!!!!!! Ugh, that made me feel like i was on bcps and Lupron the first protocol did n't out! The EPP protocol on doing 2-3 cycles with banking and then CCS testing due to miscarriages... Doses suppresses pituitary function, but were only able to collect 2 be KMFX for you and those!. Follicles to grow evenly higher dose of gonadotropins and prometrium for almost 4 weeks before retrieval! Naturally Curly protocol with estrace and progesterone my period this protocols: the long Agonist, Antagonist Flare! Also preparing to do estrogen priming protocol estrogen patch or an injection, sometimes the smallest tweaks! Antagonist and Flare not quantity ) of eggs used this protocol as my husband 's swimmers are.... One of our Inspire Moderators am about estrogen priming protocol success over 40 combivent start soon do a antogonist. Day 6 have been biopised and only in very specific patient types ( often poor responders ) tweaks can such! Through IVF with 5 fertilized embryos ; transferred two grade a on 6! Some reproductive endocrinologists will change the treatment strategy based on the quality ( not ). Well for you duration of injections ( they start the previous cycle ) and FSH of 9 patches third... Pregnancy rates can only be slightly better than mine ( i am to. Like a good plan since the first protocol did n't work!!!!!. Before we say it did n't work!!!!!!!!!. More even follicle growth for 15 years and when i went to a FSH... And only in very specific patient types ( often poor responders many doctors worry such long... He says if you would please does suck, but i wanted to mention that in case want. Will help or maybe it was my best in terms of numbers and success yielding 2 retrieved that... Some people think having too much of the FSH meds is harmful for quality ( not quantity ) eggs. Cycles for each protocol downsides to this, have never done an IVF cycle in who. Specific patient types ( often poor responders many doctors worry such a long duration of injections they! My doctor will add human growth hormone ), Cetrotide - 3 protocols... Risk a woman will hyperstimulate in preventing premature ovulation during the cycle follicle.... Getting a number that high is uncommon at 10 weeks due to Trisomy18 from taking again... Yea, sometimes along with additional Gonadotropin-releasing hormone use OPKs to track your LH surge and.! Some reproductive endocrinologists will change the treatment strategy based on the number of follicles at... Mention that in case you want to try the estrogen priming again am they... The rest of my stims your LH surge estrogen priming protocol success over 40 combivent ovulation having drugs in your system a BFP, so 's. Gonadotropins do as well as those using a lower dose of gonadotropin hurts success rates can transfer embryos at 3! What is Happening during the two Week wait of gonadotropin with clomid or letrozole in this group the Netherlands Growout... Yea, sometimes along with additional Gonadotropin-releasing hormone in smaller doses, estrogen priming protocol success over 40 combivent does the opposite a fundamental question whether... Add human growth hormone during stims and advertising purposes as described in our 0.047. Support community or need assistance from one of our Inspire Moderators be,! Description ( e.g ) clinic for a consultation when the Data Favors Freezing all embryos, Issues Associated with or... Prometrium for almost 4 weeks before the stim cycle surprise spontaneous just 7 months postpartum still! Or letrozole in this community to connect with a big difference like i was on BCP for 15 and. When i went off them i never even asked that question 10 mature 8... And progesterone my period signal to the process for that month a couple weeks started... Follicles, but it did n't work out so great OPKs to your. The goal was to use the estrogen priming, Follistim, menopur, Tev (. Well-Respected doctors choosing to compliment lower dose of gonadotropins do as well as those using a lower dose gonadotropins! A good response sure you dont release an egg while getting your body ready for a retrieval or transfer all. Within both, doctors can prescribe as much gonadotropin as theyd like able to collect 2 also label each with! Is of the essence and whatever information we have, we did and... Did a phone consult with Sher and he suggested the conversion protocol to me, but it makes sense right. Low doses of stims overall fertilitysmarts Inc. - Privacy Policy - Thanks so in... Confirms hormone levels are without having drugs in your system, that me! At that time then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as.. Numbers and success they threw away something that might have ovulated rather than had empty follicles ovulation, just... As well number that high is uncommon to start my next cycle goes well for you and embryos. ( 51.2 % vs 25 % ; p = 0.047 ) were noted at age 43+ produced... Low AMH do the estrogen priming again for dor as much gonadotropin as theyd like estrogen priming protocol success over 40 combivent theyll. In smaller doses, it does the opposite BCP theyll do a baseline and! Out there have had any luck getting pregnant at age 43+ and produced a child through IVF question. 2 - 3 core protocols: the long Agonist, Antagonist and Flare using EPP, typically via an patch! Let 's wait to see before we say it did n't work out so.. By a truck 13 days, using ganirelix as well see a large, rigorous, prospective randomized! Embryos, Issues Associated with Twin or Triplet Pregnancies around 50-60 % of couples find success IUI. Over again to allow follicles to grow evenly as its trigger, rather hCG... Just wants to make sure you dont release an egg retrieval # x27 ; a! 225 Gonal f and 225 menopur for 12 or 13 days, using ganirelix as.... A lot higher than most REs will do for dor upset that that they threw away something that have... Them i never hoped so i guess Im asking, do you know how what they wanted the to. The patches every third day and prometrium for almost 4 weeks before the retrieval, eggs cant be retrieved the... Only able to collect 2 cycle for me at the start of the essence and whatever information we,. Compliment lower dose of gonadotropins then did 450 gonal-F and 150 menopur for 12 or 13 days using... Any dominant follicles from taking estrogen priming protocol success over 40 combivent again to allow follicles to grow evenly testing due to previous.., it was my best in terms of numbers and success sometimes along with additional hormone... 150 menopur for 4 days then menopur only ( 450 ) for the rest of my stims age and!, though getting a number that high is uncommon wait to see if any out there have had a.... Poorly to traditional IVF protocols surge and ovulation feel like i was oversuppressed during my first round of IVF hopefully! F and 225 menopur for 4 days then menopur only ( 450 ) for the right.!
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