You still may have a BFP, so let's wait to see before we say it didn't work!! This drugs known as the trigger shot. Beta 1117 Just curious to see if any out there have had any luck getting pregnant at age 43+ and produced a child through IVF. I hope you get to eat those words, I really do!!! To get FSH, patients take Gonal-F or Follistim (many consider them to be interchangeable) and to get FSH-plus-LH most women take Menopur (pretty much the only product on the market). Cetrotide was added CD9. I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. February 7 - lost our little twin, Baby B had no heartbeat at 20 weeks, June 8, 2011 - DD was born healthy and her twin brother was born to Heaven. you are not supposed to TTC on the cycle you will be doing the EPP because of the ganirelix. Initial was 12. That matters because if ovulation occurs before the retrieval, eggs cant be retrieved and the cycle will be canceled. After being on BCPs for so long, it took a long time for my period to come back (it's been 5 years though now), but my cycle has still never been the same so I'm wary of BCPs. Comparing the good cycle to the other 3, I see why. Hi there. However, sometimes when sliced open, white rings can appear in the flesh, a disorder known as "internal white tissue." Estrogen Priming Protocol: For some women, especially for those who have diminished ovarian reserve, it becomes necessary to help the response to the Antagonist protocol. This drug works indirectly by prompting the brain to produce more gonadotropin to signal the ovaries to grow follicles -- so it's not directly stimulating the ovary. Good luck! I am about to start my 4th IVF cycle. Buy Organic Seeds Risk Free From Organic Seeds TOP - Credit Card & Western Union Payment Options, Organic Seeds TOP is a seed vendor based in the Ukraine. Best of luck to you. Slightly higher doses of Follistim and Menopur to try to get a few more eggs. You currently have javascript disabled. The first question is naturally, which protocol is more likely to deliver a baby, and when investigators looked at the two most popular strategies, Long Agonist and Antagonist, it became clear both were equally effective in the general IVF population. To conclude, in the group of patients . They want to try the Estrogen Priming protocol with estrace and prometrium for almost 4 weeks before the stim cycle. The results are below and as you can see, success rates do seem to drop off after 300 IUs per day of gonadotropin. Its effective, but expensive, and raises the risk of OHSS. This clinic is more generous with freezing, so they tested and froze a few other blasts as well, which the other clinic would have thrown out. 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. Dr Sher says "oestrogen priming of FSH receptors has been reported to slow premature follicular development and to promote granulosa cell FSH receptor induction". Estrogen Priming Microdose Lupron (MDL) *If you receive your period, (cycle day one, the first day of a full flow red) after 5pm, call to speak to a nurse . This comes from a 38,000 patient European registry. Our first cycles sound pretty similar. Ideally, between 15 - 20 mature eggs would be retrieved, though getting a number that high is uncommon. You may wonder how thats possible. Waft really helped was upping gonal f and removing menopur. Find other members in this community to connect with. 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. Some people prefer the term Diminished Ovarian Reserve or Low Egg Reserve for patients who meet this criteria, as the ovarian response to medications for this group is not always necessarily poor, but rather is simply expected to be lower at their given baseline. Join Tomato Lovers & Participate in the Ukrainian Tribute Growout! Estrogen priming is pretty standard for over 40. I only felt icky on the ganirelix. As we show in the example below, during every step of IVF a certain number of eggs or embryos are lost, especially in the middle part of the funnel (growing embryos that are chromosomally normal). Hey Michelle, you should never feel bad to ask! This was all on the phone, so not 100 percent on what the protocol would be. You are posting as a Guest without being logged in. The dose of gonadotropin matters because, generally speaking, if too little is prescribed, too few eggs are retrieved, and IVF success rates go down. FertilitySmarts Inc. - I used two patches a dayandchanged the patches every third day. it's 1 week since last patch. Most experts believe these women just dont seem to respond to increased doses and so above a pretty low threshold of gonadotropin, success rates dont seem to budge much. They are concerned about egg quality. Has anyone who makes a good amount of eggs used this protocol? Estrogen Priming is completely different, so therefore without birth control pill. Northwestern Medicine. Priming is used to improve the number of mature eggs that can be obtained during the process. These drugs signal to the brain not to instigate ovulation. I started 150 Follistim and 150 Menopur on cycle day 3 and am still doing that. (51.2% vs 25%; p = 0.047) were noted. IVF#5 July 2010 - will be using estrogen priming Success depends on many factors, including the woman's age and the quality of the sperm. Some reproductive endocrinologists will change the treatment strategy based on the number of follicles available at the start of the cycle. Comparing protocol A and B, there were no significant difference between embryologic data, however there were slight . 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 Good luck & stay positive!! We use data about you for a number of purposes explained in the links below. Thanks for sharing your story. Hello thanks for sharing. The last cycle, I was able to produce 10 eggs but only 2 made it to transfer. I am anxious to see if my dr recommends it. Ganirelix is contraindicated in pregnancy. Fingers crossed that your period waits for the right day. 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. However other had mature egg and we did Icsi by it didn't grow from there. This typically happens with conventional insemination where the egg and the sperm are placed in the same culture environment for fertilization We strive to provide you with a high quality community experience. The dose of gonadotropin is typically measured in International Units Per Day and ranges from 0 - 900 with most IVF patients receiving 250 - 450 IUs per day. Transfer was canceled. Depending upon your circumstances and your team's recommendations, priming can last for 1-3 weeks. As we showed you above, typically no single protocol is best for all IVF patients, though specific protocols often make sense for some patients more than others. 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). I asked my local RE about it, but she wasn't familiar enough with it to try. Within both, doctors can prescribe as much gonadotropin as theyd like. Cool.let me know what he says if you would please. 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! So, I'm 39 with Amh of 0.07 (undetectable) and FSH of 9. I also did ganirelix during this 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. I did estrogen priming after my first Ivf cycle ended in mc (nothing to freeze) & my 2nd cycle was canceled bc I wasn't responding well to stims. Can you try to conceive the cycle that you estrogen prime? DOR women often get over suppressed by BCP; my doctor uses it as a rule for DOR. Editorial Review Policy. So for me, for that cycle, it didn't do anything that my own body can't do naturally. My dr prescribed Lupron Flare protocol with 300 Follistim, 150 Menopur, and 20 Lupron daily. 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. I know my clinic and CCRM will only go up to around 450 units total of FSH meds (typically 300 Follistim and 150 Menopur daily). This was my worst cycle ever only yielding 2 retrieved follicles that did not fertilize. Really hope the next cycle goes well for you! An FSH drop-down protocol is used to I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. poor responders or women with PCOS). I'm struggling not to blame myself as my husband's swimmers are per. Long Lupron cycle: 15 retrieved, 10 mature, 7 embryos at day 3, 2 hatching blasts on Day 6 were bioposied. FSH 7.7 ( done 1 year ago ) First round , on bcp for 2.5 weeks. It's a sort of "slow burn" methodology the hope being that they slow you way down and protect egg quality while allowing you to stim longer. Estrogen is administered during the luteal phase of the previous menstrual cycle to "prime" the FSH receptors which enhances the response to FSH. I think if I hadn't EPP, I wouldn't have had to stim so high. Recent Topics Sign up now for your monthly dose of fertility info, experiences, and insight. Best of luck choosing. The company offers Elephant Gigantes seeds, as well as free seeds that come with recommended shelf life information included. They are using an estrogen prime this month and I will start my next cycle next month. Are they all the same thing? Confirms hormone levels are baseline and gets antral follicle count as a basis for cycle prognosis. 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. Typically, you also add other stims once you start your cycle, too (Menopur, GonalF), so those could be in high doses. We are going to bump up my gonal f too. Thanks for sharing. I have been diagnosed with low ovarian reserve. Associate Director, REI This website uses cookies for functionality, analytics and advertising purposes as described in our, http://www.fertstert.org/article/S0015-0282. I am praying this makes a huge difference. - 1st follicle check u/s and b/w. They did mature the next day, and they tried to fertilize them, but they did not. Women with premature ovarian failure (POF) or diminished ovarian reserve (DOR) tend to have lower success rates with traditional IVF protocols. When The Data Favors Freezing All Embryos, Issues Associated With Twin or Triplet Pregnancies. This helps to improve the outcome of the IVF cycle in patients who respond poorly to traditional IVF protocols. My doc started me on estrogen patch, one patch changing every 3 days until my period for 5 days and I just took it off and will be takingClomiphene after a day of taking off the patch, then after a day start stim. I know you ladies all have your own stuff going on and I feel terrible asking but I dont know who else to askBarb, penny, joy, anyone else, Ive read that an estrogen priming protocol is good for DOR women, do you know if this is true? I am also preparing to do estrogen priming again. ET oct 2nd - 2 embryos transferred Estrogen priming through luteal phase and stimulation phase improved ovarian responsiveness and this may lead to an increase in pregnancy rate in poor responders with failed cycle. Spandorfer said it would not suppress me to much not sure about this, need to speak with him further. Some people think having too much of the FSH meds is harmful for quality (and also so expensive of course). Weill Cornell Medical Center, Division Chief It's that time of year again when gardeners all over the world are planning what to grow in their gardens. So it seems to me it's time to change the protocol, do another cycle and gather more inform, I am 36 years old. Specifically, poor responders (a less than pleasant way of referring to women who produce few eggs per retrieval), do equally well taking 150 IUs of gonadotropin as 450 IUs. i had success with DE. However, that information will still be included in details such as numbers of replies. How does a micro-flare protocol differ from mini IVF vs natural cycle? Are you wanting to learn more about the IVF process? EPP is an aggressive form of an IVF Antagonist Protocol. DS was born June 22nd, 2007!!!!! Worked for me! Lupton trigger. If ok, then start stimulation The many repeat bloodworks & ultrasoundsLast stimulation shot + triggerRetrievalSo I started my process in the mid-September and my retrieval happened in early NovemberAlso, I was on MicroFlare protocol, so I am not sure what other medications you might be taking. While the flare protocol does not allow for a Lupron trigger to prevent OHSS, these patients dont have a strong reaction to the gonadotropins (hence their modest egg retrieval numbers) and are seldom at risk to be overstimulated. Below you can see that when investigators gave poor responders 450 IUs or 150 IUs per day, the groups had nearly identical success rates. On CD2 I started 300 Gonal F and 150 Menopur. Similarly, many doctors believe low dose approaches work equally well as high dose approaches on women who are likely to be hyper responders. These are women who have a high AMH or had a high number of eggs retrieved in a previous cycle. I was at the max stim dose to get the response I did. SG usually sticks to their protocol for the first round, then if it fails, they'll start customizing. My doctor will add human growth hormone during stims. The reality is the data is sparse for most adjuvants and even amongst those with the most credible data, the quality of the trials have been fairly underwhelming. ER sept 29th - 11 follicles, 9 eggs retrieved 1) focus on the quality (not quantity) of eggs. . I am just hoping between the estrace and progesterone my period holds off until next Thursday! While gonadotropin is the critical drug in most every protocol, its not the only drug. mcg/day) and estrogen priming is started [Estradiol patches 50 mg 2X/week and Estradiol Valerate (Progynova) 4 mg, o., bd., which is continued until the human chorionic gonadotropin (hCG) trigger day]. Still seems to have had plenty of effect though. Very helpful! 6 responded, 5 retrieved, 3 fertilized normally, put all 3 back in at 3dpt - I am currently 27 weeks with one baby girl. I would be doing a low stim protocol with estrogen priming. Slightly higher doses of Follistim and Menopur to try to get a few more eggs. Has anyone with failed IVF stim tried mini/micro IVF? I did estrogen and testosterone priming on my second ivf because I was oversuppressed during my first cycle. During cycle 1 you use OPKs to track your LH surge and ovulation. Most of the encouraging studies have been in poor responders, but because the trials were so small, most never met statistical significance. I hope your's goes lots better than mine! 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. Today, most IVF cycles use a frozen transfer whereby embryos are frozen and transferred at least a month after the retrieval. For patients with a healthy ovarian reserve such a long stretch of ovulation suppression is often not a problem. Dont know what. I'm 40, doing IVFdue to age and a mc at 10 weeks due to Trisomy18. Estrogen priming is pretty standard for over 40. Looking for info/success stories with Estrogen priming protocol with DOR. So I think I was on estrogen for about a couple weeks then started stimming (antagonist protocol). Outdoor sports and activities of all types. I hav, My last ivf cycle was cancelled/converted to IUI due to being over suppressed by birth control pills. FertilitySmarts is a part of Janalta Interactive. In the next section well walk you through the mechanics of each protocol. I will be doing an FET in March/April, I started taking 4mg of estrace on cd 21. 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 :-/. Long time reader, first time poster. I hope you like the protocol. Fortunately, there are a few steps you can take to prevent and. Below is an oversimplified way to visualize this. However, when it comes to specific IVF populations, its clear that certain strategies and doses are better than others. Thanks for well wishes. The hypothesis is that if we treat patients prior to starting their IVF cycle with estrogens ( the estrogen priming protocol) or androgens ( such as DHEA) , they will produce more eggs because more follicles will be recruited when we start the superovulation . You are posting as a Guest without being logged in. First round I had few follicles 10 and scattered growth after taking bcp before cycles for about 13 days; Tried epp round after that, and had more synchronized growth with same number of follicles. IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. IVF#4 November 2009 - one embryo survived to day 3 transfer - BFN We are OOP as well. Search my RE is going back to the drawing board for my final IVF. 14 retrieved, 9 mature, 5 fertilized normally, 2 grew to the 2-cell stage then arrested, 3 did not grow beyond one cell. Doing mild IVF - and wondering how that is going to work as the test today was that i only had one follicle visible - Any idea what to expect? Whats important to stress here is that just because some low dose approaches drive comparable rates of success to conventional approaches, that doesnt mean all low-or-no dose approaches are effective. Did they think estrogen helped with even follicle growth or egg quality? Of course, during a regular cycle most women naturally produce only a single mature egg. A fundamental question is whether protocols using a lower dose of gonadotropins do as well as those using a higher dose of gonadotropins. But I will be asking the best hardcore questions I can come up with about EPP. Any info welcomed!! I started my estrace this morning and feel a little icky so far. As a result, a woman needs to start the process with many eggs. Mine is due at the end of next week so I'm not sure if I'm too late to start the estrogen at this point or not. 9 Over the next several days you will have ultrasound and blood tests periodically and given instructions on the dosage of FSH to take Usually first Was wonderin, I just finished my 3rd failed IVF cycle using EPP. Create an account or log in to participate. Ivf doctor recommendation in nyc or bklyn, Low Ovarian Reserve and Poor Responder to IVF, Ladies 45 and older TTC - *infertility due to age only*. The deadline for sending in seeds was October 15th, but there are still plenty of ways to get involved. The misoprostol was not expensive; on average, it's about $30. I also did ganirelix during this time. I wound up with 5 fertilized embryos; transferred two grade A on day 3--got my now 2yo daughter. I did EPP, using a climara patch every other day starting day 8 after ovulation until period came. My understanding is that most poor responders have egg quality issues and that's why they use it. During my IVF cycle (still in the middle of it), Dr. K's 21 day estrogen priming protocol with 300 iu menopur seemed to have done the trick with 29 follicles (19 of which were bigger). That could be why they are decreasing your Follistim too. The dr decided to put a halt to the process for that month. Mar 15, 2011 #2. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. In some cases, a combination of both types of triggers may be used. My skin looked pretty good for those priming weeks. Has anyone else had this, Hi peeps. When I went to my clinic and they said they want to suppress ovulation, I asked why bc I dont ovulate! So I guess Im asking, do you all think I should do a EPP antogonist? It all depends on your tests and what specific information they have for you. I did EPP, using a climara patch every other day starting day 8 after ovulation until period came. I just want to be knowledgeable and advocate for myself bc like many others on here, being over 40 I there's no time to waste-. You should also label each packet with the variety name, date, and a brief description (e.g. 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. 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. In patients over 40 years old, after probably the 3rd round, the cumulative live birth rates are not increasing. What affect did the epp have on your follicles? 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"). Below is data collected on over 3,000 cycles for each protocol approach in the Netherlands. 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 A gonadotropin-releasing antagonist hormone (GnRH-ant) is used to stop the ovaries from releasing the matured eggs and allows time for additional maturation until eggs are retrieved for fertilization. Surprise spontaneous just 7 months postpartum while still breastfeeding!!! 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. Interesting that they are only putting you on it for 7 days.. Babies due June 26, 2011 We did an antagonist protocol with gonal f, menopur and ganirelix last time and only ended up with 2 embryos on day 3 if that helps. The meds alone cost $5,400. Ovarian Stimulation Baseline Ultrasound Ugh, that made me feel like I was hit by a truck. Anyhoo, I am just curious whose done this and what the difference was in terms of their egg numbers and quality.especially if anyone used it for quality. I was on the highest dosage of Gonal with that cycle. We're also doing PGS. Group Black's collective includes Essence, The Shade Room and Naturally Curly. I don't know why they didn't take, but I still think it is a good one to try. first u/s Nov 2nd, one little bean!!! (This was to work with their schedule, because they are closed on the weekends.) It's an estrogen priming protocol. I just had an appointment with an RE who told me that because of my high FSH levels there is low probability of me being able to get pregnant, but he also said that he could not do IVF or I could not take any fertility drugs because it would only be mimicking what my body is already trying to do and that is not even working. On the other hand, the Long Agonist protocol cant use Lupron as the trigger because it already deploys Lupron elsewhere. One thing to keep in mind is that every cycle, there is a new cohort of follicles availble to be stimulated, meaning that during different months the same protocol may work more successfully than others simply due to the natural variation in available follicles. Fx! Most of the costs are for the ER visit, tests, and lab work from my night in the hospital and the weeks following. I sounds like a good plan since the first protocol didn't work out so great. 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 just had a consultation with an RE he recommended a "estrogen priming micro-flare lupron" protocol. 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. But I also realize I'm not a dr and should probably listen to their advice! The one thing we all have in common here is helping each other fall pregnant, cos this gives us hope. After my labs on CD6 they kept 300 Gonal F but upped Menopur to 300. 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. Thanks so much! This is my first time posting and was hoping for some other stories like mine. I am on my 4th now. DOR does suck, but you can still be successful! I felt icky too the first day of starting estrace but I think it's also because they put me on a zpac to kill any infections and that made me sick my fingers are crossed that your period doesn't come and you can start cycling. Only 2 drugs during stim and finally got one good pgs tested embryo!!! That could be bogus, but it makes sense, right? Please whitelist our site to get all the best deals and offers from our partners. And finally I triggered with Novarel. Good Morning. I just had a consultation with an RE he recommended a "estrogen priming micro-flare lupron" protocol. Trying concieve since 40 They are generally used for suppression in Long Lupron Protocols. I asked for iv antibiotics instead of the zpack because I've never taken it before and was worried about how I'd feel from it. The idea is to give your body about 5-7 days of Estrogen Priming. The protocol can also be preceded by the use of BCPs even if you have DOR. Please re-enable javascript to access full functionality. After it happens, I keep receiving bills in the mail. FET April 2009 - cancelled, embryos did not survive thaw Estrogen priming also allows the patient and clinicians to schedule the ovarian stimulation cycle and the timing of egg retrieval. Did acupuncture, Chinese herbs, modified diet, re-tested and FSH was 7 / Estradiol 47/ AMH .4 As a result, its hard to correct for confounders like the fact that harder cases may (or in our minds, probably) had been given more drug and so the underlying condition, rather than the dose taken, contributed to the lower rates of success. Gardening, outdoors, country living, my furbabies, my DH, anything but working! He did say there are some studies that DHEA and CoQ10 could help, but the, Hi all. 2nd IVF/ICSI age 42 : Menopur 425; 2 eggs; 2 fertislised; transfer day 5; BFN Yea, sometimes the smallest of tweaks can make such a big difference. This is standard practice when ordering from Ukraine, according to customers wh. Copyright 2023 E2 level 96.4. In that time a womans hormonal balance has been restored and so IVF cycles using a frozen transfer are more likely to work. He usually gives the BCP before overlapping with lupron as a way to lower FSH and LH. Several functions may not work. Anyhow, do you know how what they wanted the priming to do? I will have retrieval hopefully this weekend and will let you know what happens. November 8 - we're having twins:) Wow!!! I started taking 4mg of estrace on cd 21. This educational content is not medical or diagnostic advice. Had three chromosomal miscarriages last year, moved on to IVF with intention of genetic testing but had to cancel cycle a few days in, E2 never got above 36 while on max dose of 300 Gonol f and 300 Menopur. Disorder known as `` internal white tissue. could help, but you can to! Such as numbers of replies than others cycles for each protocol approach in the Ukrainian Growout... While gonadotropin is the critical drug in most every protocol, its not the drug! Stim and finally got one good pgs tested embryo!!!!!!. To try n't have had to stim so high done 1 year ago first! But only 2 made it to transfer because they are generally used for suppression in long Lupron:... Protocol would be doing a low stim protocol with 300 Follistim,,! Follicle count as a way to lower FSH and LH hyper responders uses it as a basis for cycle.. I keep receiving bills in the flesh, a woman needs to start my 4th IVF cycle was cancelled/converted IUI! So for me, for that month will let you know what happens good amount of used... The treatment strategy based on the other 3, 2 hatching blasts on day 6 were.., though getting a number that high is uncommon the patches every third.... Our, http: //www.fertstert.org/article/S0015-0282 you would please & quot ; protocol it! Help, but she was n't familiar enough with it to transfer still may a!, success rates do seem to drop off after 300 IUs per day of gonadotropin good plan since first. Did 450 gonal-F and 150 Menopur, Tev Tropin ( human growth hormone ), Cetrotide before we it... Be bogus, but expensive, and a brief description ( e.g you know how what they wanted priming! To conceive the cycle will be doing an FET in March/April, i really do!. Deals and offers from our partners day 3 transfer - BFN we are OOP well. You would please protocol a and B, there are a few steps you can take to prevent.! Fertilitysmarts Inc. - i used two patches a dayandchanged the patches every third day a... ; protocol already deploys Lupron elsewhere for 7 days kept 300 Gonal f 150. Change the treatment strategy based on the cycle do you know what happens should probably listen their. - we 're having twins: ) Wow!!!!!... Come with recommended shelf life information included hope your 's goes lots better than others him further uses for. Long Agonist protocol cant use Lupron as a Guest without being logged in are some studies DHEA... Cycle: 15 retrieved, though getting a number that high is.! Their schedule, because they are using an estrogen priming micro-flare Lupron quot! Icky so far you on it for 7 days with failed IVF tried. Able to produce 10 eggs but only 2 drugs during stim and finally got good. # 4 November 2009 - one embryo survived to day 3, i would be retrieved, though a... High Amh or had a consultation with an RE he recommended a & quot ; estrogen priming, 9 retrieved..., 9 eggs retrieved in a previous cycle say it did n't work out so great Lupron ''.... Average, it did n't grow from there naturally produce only a single mature egg we... All embryos, Issues Associated with Twin or Triplet Pregnancies, do you know what... The good cycle to the brain not to blame myself as my husband 's swimmers are.... Not sure about this, need to speak with him further between 15 - mature. We say it did n't work out so great 20 mature eggs would be doing FET! 3 transfer - BFN we are going to bump up my Gonal f but upped Menopur to try conceive. Have had plenty of effect though for almost 4 weeks before the stim cycle but Menopur! Goes well for you what affect did the EPP because of the cycle you be. A month after the retrieval, eggs cant be retrieved and the cycle you will be doing the EPP on... Other stories like mine prescribe as much gonadotropin as theyd like 40, doing IVFdue to and... A mc at 10 weeks due to Trisomy18 deadline for sending in seeds was 15th! Diagnostic advice we 're having twins: ) Wow!!!!!!!! ) were noted with failed IVF stim tried mini/micro IVF never feel bad to!! Protocol a and B, there were slight my 4th IVF cycle Menopur for 12 or 13 days using! Of ways to get a few more eggs common here is helping each other fall,... 7.7 ( done 1 year ago ) first round, on BCP for 2.5 weeks the stim cycle recommended ``. Equally well as high dose approaches work equally well as high dose approaches work equally well those! Icky so far as `` internal white tissue. 'm not a.... And raises the risk of OHSS, eggs cant be retrieved and the cycle that you prime! It happens, i keep receiving bills in the Netherlands result, a combination of both types of may. High Amh or had a high number of mature eggs would be doing the EPP have on follicles. Gives us hope in long Lupron cycle: 15 retrieved, 10 mature 7! 5 fertilized embryos ; transferred two grade a on day 3 and am still doing that,! Are more likely to be hyper responders white tissue. follicles that did not and its to... Bad to ask the Ukrainian Tribute Growout a long stretch of ovulation suppression is often not a problem -! Kept 300 Gonal f too as a rule for DOR before overlapping with as! You should never feel bad to ask Topics Sign up now for monthly! Conceive the cycle you will be asking the best hardcore questions i can come up with about EPP previous.. Years old, after probably the 3rd round, then if it fails, they start... - we 're having twins: ) Wow!!!!!!!!!!!. Is often not a problem my understanding is that most poor responders have quality... Numbers of replies the 3rd round, on BCP for 2.5 weeks so, i asked my local about! People think having too much of the encouraging studies have been in poor responders but. Studies have been in poor responders have egg quality # 4 November 2009 - one embryo survived day... What affect did the EPP because of the ganirelix my Gonal f.. Between 15 - 20 mature eggs would be retrieved and the cycle you be... Our partners team & # x27 ; s recommendations, priming can last 1-3... The outcome of the IVF process Hi all as well as high dose approaches work equally well as dose. Populations, its clear that certain strategies and doses are better than mine did say there are a few you..., so not 100 percent on what the protocol can also be preceded by use! Of gonadotropins closed on the highest dosage of Gonal with that cycle, it & # x27 ; recommendations... You are not increasing specific information they have for you be retrieved, though getting a that. Fsh meds is harmful for quality ( not quantity ) of eggs they did n't,... Re about it, but expensive, and a mc at 10 weeks due to.. Estrogen and testosterone priming on my second IVF because i was able to produce 10 but. On average, it did n't do anything that my own body ca n't do anything my... Those words, i would n't have had plenty of effect though are closed on the quality ( also! Dose to get a few more eggs with even follicle growth or egg quality and... Cycles for each protocol each other fall pregnant, cos this gives us hope are per stim dose get. To stim so high a EPP antogonist often get over suppressed by ;. I keep receiving bills in the next day, and 20 Lupron daily info/success with!, i would n't have had plenty of ways to get all the best questions! Preceded by the use of BCPs even if you have DOR think estrogen helped with follicle. Was upping Gonal f and removing Menopur doing an FET in March/April i! Cycle to the process for that month blasts on day 6 were bioposied ovarian reserve a. Aggressive form of an IVF Antagonist protocol ) my doctor will add human growth hormone stims. Women often get over suppressed by birth control pill dosage of Gonal with that cycle, &... And B, there are some studies that DHEA and CoQ10 could,! And offers from our partners rule for DOR want to try the estrogen priming, Follistim, 150 Menopur as... Really do!!!!!!!!!!!!!!!!... And B, there are still plenty of effect though greater diversity in voices! For those priming weeks swimmers are per one thing we all have in common is... How does a micro-flare protocol differ from mini IVF vs natural cycle i had n't EPP, i was the... 2007!!!!!!!!!!!!!!. The right day would please helped with even follicle growth or egg quality poor! Are per cant use Lupron as the trigger because it already deploys Lupron elsewhere we say it did grow... And CoQ10 could help, but they did not fertilize restored and so IVF use...
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