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 . 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. We respect everyones right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expects Terms of Use. This comes from a 38,000 patient European registry. As a result, a woman needs to start the process with many eggs. Gardening, outdoors, country living, my furbabies, my DH, anything but working! November 8 - we're having twins:) Wow!!! This drug prompts the brain to release LH, the signal for ovulation, and is effective in helping to avoid OHSS. Best of luck to you. 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. IVF #1, we did Follistim, Menopur, Cetrotide. Did they think estrogen helped with even follicle growth or egg quality? EPP is an aggressive form of an IVF Antagonist Protocol. As a result, most fertility doctors shoot to retrieve 15 to 20 mature eggs per cycle. I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. Can you try to conceive the cycle that you estrogen prime? Most of the encouraging studies have been in poor responders, but because the trials were so small, most never met statistical significance. However, sometimes when sliced open, white rings can appear in the flesh, a disorder known as "internal white tissue." 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. Estrogen priming is usually matched with an antagonist to prevent ovulation. OHSS can be both painful and dangerous. Implantation Calendar: What is Happening During the Two Week Wait. 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! The meds alone cost $5,400. 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 I will have retrieval hopefully this weekend and will let you know what happens. 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. 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'm so shattered that so few fertilized turns out that we have an egg quality issue. I will probably stim for 12-13 days! Copyright 2023 I am interested in hearing from women who have never tried to get pregnant and therefore do not have any specific infertility issue per se, other than age. 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. This time she is switching me to EPP w/ 100 Follistim/150 Menopur. After my labs on CD6 they kept 300 Gonal F but upped Menopur to 300. I cannot say if it will be a success yet, as I am currently doing the EPP protocol. 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. Ugh, that made me feel like I was hit by a truck. This is not recommended for shared computers. This community is sponsored by RESOLVE: The National Infertility Association, an Inspire trusted partner. Fingers crossed that your period waits for the right day. Just not sure what type of protocol would be best. 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. Also, your stims are actually a lot higher than most REs will do for DOR. I am about to start my 4th IVF cycle. Good luck! The combination and duration of drugs to stimulate, suppress, and incite ovulation taken together comprise a protocol. Yes, I did antagonist for IVF 1, 2 and 3. I'm not doing IVF, however. Worked for me! I did estrogen and testosterone priming on my second ivf because I was oversuppressed during my first cycle. You should also label each packet with the variety name, date, and a brief description (e.g. They are generally used for suppression in Long Lupron Protocols. Patients using EPP exhibited similar clinical PRs (21.5% vs. 21.4%) and live birth rates (15.0% vs. 15.3%) per started cycle. With this you get results by day-3 and can transfer embryos at that time. FertilitySmarts is your go-to source for medically accurate info and expert-sourced opinions on all aspects of fertility. Thank you for subscribing to our newsletter! This drugs known as the trigger shot. But not all patients respond equally to ovarian stimulation using these hormones. An analysis that combined six extremely small studies (that in aggregate only included about 160 patients) show gains in live birth rates, as you can see below. Only 2 drugs during stim and finally got one good pgs tested embryo!!! EPP results: 17 retrieved, 13 mature, 8 fertilized with PICSI, 2 hatching blasts on day 6 have been biopised. I sounds like a good plan since the first protocol didn't work out so great. 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. me: 37 Dont know what. Though I had 4 or 5 follicles to begin with, only ended up with one. After 5 days of estrogen priming Follitropin alpha (Gonal F, 600 IU/day, s.c.) is started. When The Data Favors Freezing All Embryos, Issues Associated With Twin or Triplet Pregnancies. 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. Confirms hormone levels are baseline and gets antral follicle count as a basis for cycle prognosis. I am also preparing to do estrogen priming again. Associate Director, REI So.. Fx! I did EPP with my 3rd cycle and it didn't help. They are generally used for suppression in Long Lupron Protocols. The protocol can also be preceded by the use of BCPs even if you have DOR. Slightly higher doses of Follistim and Menopur to try to get a few more eggs. Please re-enable javascript to access full functionality. I did EPP, using a climara patch every other day starting day 8 after ovulation until period came. (Not so) Short summary - DH and I have been ttc since May 2015, two early m/c. He is starting me on a peculiar Omnitrope protocol as well:- he wants me mixing two vials of omnitrope in 10 mL of water and inject myself with 1 mL daily until egg retrievaland to keep refilling the Rx until retrieval. 2nd IVF/ICSI age 42 : Menopur 425; 2 eggs; 2 fertislised; transfer day 5; BFN Fortunately, there are a few steps you can take to prevent and. It's that time of year again when gardeners all over the world are planning what to grow in their gardens. Terms of Use - Was wonderin, I just finished my 3rd failed IVF cycle using EPP. There are several methods of pre-treatment that involves using either a combined oral contraceptive pill, progestogen or estrogen. Collection was yesterday and they retrieved 9 eggs. This drug acts directly on the follicles to start this process and causes (italics) OHSS. I understand the idea for the patch is to help time the growth of follicles vs. increase the number? Im on this for 21 days starting on cycle day 1. How does a micro-flare protocol differ from mini IVF vs natural cycle? They said that they look at FSH less now as they find it too unreliable. Second, this study was only done in cycles using a fresh transfer. Ideally, between 15 - 20 mature eggs would be retrieved, though getting a number that high is uncommon. After you go off BCP theyll do a baseline bloodwork and ultrasound to see what your levels are without having drugs in your system. Depending upon your circumstances and your team's recommendations, priming can last for 1-3 weeks. It is used for low/poor responders -- often women with high FSH and/or over 35 years of age. However, the data doesnt bare that out. I started the estrace (I am doing pills) 2mg 2x/day 7 days after a positive OPK, and then continuing throughout stims. I'm 45 and having a hard time accepting the reality of not having my own bio child. While gonadotropin is the critical drug in most every protocol, its not the only drug. Please whitelist our site to get all the best deals and offers from our partners. To bridge that gap, doctors prescribe drugs that woman take at the start of a cycle to instigate growth of ovarian follicles that contain eggs. My next cycle will also be EPP. . Looking for info/success stories with Estrogen priming protocol with DOR. On CD2 I started 300 Gonal F and 150 Menopur. I dont know much.But my RE will do EEP for my second cycle..I'm just reading alot on the net, http://estrogenprimingprotocol.blogspot.com/. Back to home page. Best of luck x Reply Quote 14 retrieved, 9 mature, 5 fertilized normally, 2 grew to the 2-cell stage then arrested, 3 did not grow beyond one cell. Similarly, when an investigator named Revelli decided to swap out a few days of gonadotropin for clomid in this poor responder population in Italy (and thereafter resumed gonadotropin at low levels), he saw similar rates of success to more conventional levels of gonadotropin use. I am just hoping between the estrace and progesterone my period holds off until next Thursday! Outdoor sports and activities of all types. I did EPP, using a climara patch every other day starting day 8 after ovulation until period came. My doctor will add human growth hormone during stims. This clinic only biopsies hatching blasts. Waft really helped was upping gonal f and removing menopur. Ultimately there are two protocol strategies doctors will use: either the Long Agonist or Antagonist protocols. - Baseline u/s and b/w. 14 retrieved, Take a look at the data below published on roughly 1,000 fresh transfers and 1,000 frozen transfers. poor responders or women with PCOS). I only felt icky on the ganirelix. Best of luck choosing. I'd love to hear from women of "advanced (advanced !) Estrogen/androgen priming protocol improves egg quality and . I'm wondering if, 5/15 i had success with DE. 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. Editorial Review Policy. Just curious to see if any out there have had any luck getting pregnant at age 43+ and produced a child through IVF. He also said he would start with BCPs to suppress ovulation- he explained why, but at my age that just doesn't sound like a good idea to be suppressing anything. Please enable JavaScript in your browser to load the challenge. That could be bogus, but it makes sense, right? Really hope the next cycle goes well for you! My clinic doesn't like it. Did acupuncture, Chinese herbs, modified diet, re-tested and FSH was 7 / Estradiol 47/ AMH .4 45 and over - who are trying to get pregnant. 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. Had two follicles but one disappeared day of egg retrieval. Find advice, support and good company (and some stuff just for fun). For this reason, the antagonist protocol is a good option for those women most susceptible to OHSS. :) worked well for me. Regular menstrual cycles between 21 and 40 days Presence of both ovaries Meets criteria for DOR by the recent ASRM/ACOG Committee Opinion antimllerian hormone (AMH) value less than 1 ng/mL antral follicle count less than 5-7 and follicle-stimulating hormone (FSH) greater than 10 IU/L or 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. When I went to my clinic and they said they want to suppress ovulation, I asked why bc I dont ovulate! Did not cover diagnostics like doppler test (40 copay but insurance might have covered this), communicable testing ($400 per person), and specialty meds . It's an estrogen priming protocol. Are you sure you want to block this member? As you can see below, amongst women with PCOS, the Antagonist protocol drives comparable success rates but with far lower risk of hyperstimulation. You still may have a BFP, so let's wait to see before we say it didn't work!! Lupton trigger. They are using an estrogen prime this month and I will start my next cycle next month. Recent Topics I was recently on micro dose EP protocol and while I had sleepy follicles wake up, they didnt grow. I was at the max stim dose to get the response I did. However, in frozen transfers, the effect was smaller and didnt come close to clearing statistical significance. 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. But there is one more protocol to consider: a flare cycle. So I guess Im asking, do you all think I should do a EPP antogonist? You currently have javascript disabled. 3rd IVF age 42 : Short protocal Menopur 375; so far on Day 4 scan 2 focilles again and some very small ones FertilitySmarts is a part of Janalta Interactive. I'm starting with this IUI and then will see how I respond and move forward from there. I am on my 4th now. HiI'm new. 2 expanded blasts on Day 6 were not biospied. 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. To conclude, in the group of patients . Are they all the same thing? Candice maybe11 129 Dec 08, 2009 #3 Hi, I'm 36 & TTC 2 yrs. - 1st follicle check u/s and b/w. The Ukrainian Tribute Growout is a great opportunity for tomato lovers to get their hands on some unique and delicious varieties. So for me, for that cycle, it didn't do anything that my own body can't do naturally. Looking for info/success stories with Estrogen priming protocol with DOR. First, make sure your seeds are dry before sending them in. It will workjust have faith! 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*. However, the study has two major shortcomings and for that reason most experts arent ready to concede that rates of gonadotropin over 300 IUs per day is harmful. I was on BCP for 15 years and when I went off them I never got my period. This is done by administering estrogen, typically via an estrogen patch or an injection, sometimes along with additional Gonadotropin-releasing hormone. Then I started stims on a Friday. This hormone is injected by the patient and directly instigates the ovaries to grow more follicles. On the other hand, if too much gonadotropin is taken, a woman is at higher risk of hyperstimulation, known as Ovarian Hyperstimulation Syndrome or OHSS. 2. Long time reader, first time poster. 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. xx, Oww Hun, please dont worry about me, look after yourself, here if you need a listening ear xxx. I started taking 4mg of estrace on cd 21. Spandorfer said it would not suppress me to much not sure about this, need to speak with him further. Privacy Policy - I am anxious to see if my dr recommends it. When do you start your next cycle? We use cookies to improve your experience on this website and so that ads you see online can be tailored to your online browsing interests. Best of luck. I tried it and it seemed to help with even follicle growth but so some reason I had less eggs in the follicles than prior cycle when I was on bcp first? Julie, will be KMFX for you and those embryos! I have had 4 failed ivf cycles on the short antagonist protocol which all failed, 3 out of the 4 cycles I had 1 average embryo which resulted in chemical pregnancies and 1 cycle I had nothing to. Hi @cmugnolo, you have a similar situation to mine perhaps. Once multiple follicles start growing, its important that they are not ovulated before they can be collected in an egg retrieval. For patients younger than 35 years old, doing up to 5 cycles increase the chances of success, the cumulative rate will still be reasonable, it will be around 63%, according to a study from 2009. I hope you get to eat those words, I really do!!! How many follicles were you usually starting with? Why so many days of esterace( 15-16 days before starting/adding promethium for 10 days) then the stim cycle, 3. Ovarian Stimulation Baseline Ultrasound RE put me on Estrogen priming protocol, and I am on Lupron and Cetrotide as well.On Friday, (cycle day 6) the newer nurse thought she saw 11 follicles.. ranging from 5mm to 9mm.. now, Cycle day 9, the other nurse, who has been there forever, saw only 5 and she had a hard time locating my other ovary. For my cycle in July they are not giving me Lupron but are giving me Antagon. It's a horrifyingly traumatic experience. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are used to stimulate the ovaries to recruit and develop more than one follicle. You can be assured it is a good protocol. The dose of gonadotropin matters because, generally speaking, if too little is prescribed, too few eggs are retrieved, and IVF success rates go down. They are concerned about egg quality. Priming is used to improve the number of mature eggs that can be obtained during the process. 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 . Until then, its hard to make a definitive call on whether these drugs work. maternal age" i.e. IUI pregnancy rates can only be slightly better than the natural live birth rate offered by Mother Nature which is 10-15%. By: Kelly Park 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. Beta 2093 Lets start with how much gonadotropin to take. My friends did this estrogen priming protocol and highly recommend it and were successful. Polyspermy refers to the fertilization of one egg with multiple sperm cells that result in the formation of an embryo with abnormal sets of chromosomes. In that time a womans hormonal balance has been restored and so IVF cycles using a frozen transfer are more likely to work. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. Baby boy born May 2, 2013, Full details are now in my profile "About Me" page. There are 2 - 3 core protocols: the Long Agonist, Antagonist and Flare. During cycle 1 you use OPKs to track your LH surge and ovulation. 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]. You are posting as a Guest without being logged in. Ultimately, for only a handful of patient types has one protocol shown itself to be superior to the others and we profile those below. The goal was to use the estrogen to prevent any dominant follicles from taking over again to allow follicles to grow evenly. You may wonder how thats possible. 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. Do they use this protocol as sort of standard for someone who is starting? I would be doing a low stim protocol with estrogen priming. I also did ganirelix during this time. Learn more about. All rights reserved. Another gardener is pla. I might have ovulated rather than had empty follicles. Note that once you confirm, this action cannot be undone. Dr Sher says "oestrogen priming of FSH receptors has been reported to slow premature follicular development and to promote granulosa cell FSH receptor induction". I'm now 19 wks pregnant with #2 from embryo from same batch. 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. However, for poor responders many doctors worry such a long duration of suppression can hurt outcomes. DH: 36 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. View Full Term. The misoprostol was not expensive; on average, it's about $30. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. My first IVF cycle I was on the antagonist with stims started on Day 3.This was my best cycle as I had 8 follicles at retrieval, 7 retrieved and got three high grade (1 & 2) embryos. There are two downsides to this protocols: The long duration of injections (they start the previous cycle) and. Recently went thru an IVF cycle that gave me a poor result: 3 blasts all abnormal.RE suggested BCP for 21 days followed by lupron. The dr decided to put a halt to the process for that month. IVF#1 with ICSI spring 2006 - 3 eggs retrieved, one transferred - BFN i read everywhere it's for "poor responders". Yea, sometimes the smallest of tweaks can make such a big difference. I am new to all this so I dont' even really know what all this means, but can anyone give me any guidance or advice? - Apply first estrogen patch. But I also realize I'm not a dr and should probably listen to their advice! The OOP meds program here at the Bump also was a life saver as we got meds for our 4th and 5th tries. I know this is old but was your period seriously delayed after estradiol patch? (This was to work with their schedule, because they are closed on the weekends.) However, when it comes to specific IVF populations, its clear that certain strategies and doses are better than others. Gonal f 225, menopur 75. I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. I started 150 Follistim and 150 Menopur on cycle day 3 and am still doing that. You can see my sig. Ramped up to cycle on BCP for two weeks and Lupron 10 units 2x/day on stims. Often patients hear that excessive amounts of gonadotropin hurts success rates. I did a phone consult with Sher and he suggested the conversion protocol to me as well. However, given some of the additional features for each protocol (for example, the duration of suppression), some patients might find one preferable to the others. Im very new to this, have never done an IVF cycle but was hoping to start soon. In some cases, priming may not be required. I don't know why they didn't take, but I still think it is a good one to try. I did that back in the beginning of the year but I ovulated in my own and terrified it might happen again. I then switched clinics. 2Mg 2x/day 7 days after a positive OPK, and incite ovulation taken together comprise a.... That so few fertilized turns out that we have an egg quality issue ) OHSS before starting/adding promethium 10... Know this is old but was hoping to start my 4th IVF cycle close clearing! Who is starting my second IVF because i was oversuppressed during my first.. Getting a number that high is uncommon moderators and escalate potential violations for review, but i also i. 4Mg of estrace on cd 21 combination and duration of injections ( they start the previous cycle and. 2093 Lets start with how much gonadotropin to take max stim dose to get all the best and! For this reason, the signal for ovulation, i really do!!!!! To cycle on BCP for 15 years and when i went to my and. And highly recommend it and were successful ( this was to use the estrogen to prevent any dominant from! Am currently doing the EPP protocol been biopised forward from there EPP protocol and media ownership 150 and! For medically accurate info and expert-sourced opinions on all aspects of fertility 2 yrs will add human growth during! Its not the only drug are you sure you want to suppress ovulation, i why... Estrace ( i am doing pills ) 2mg 2x/day 7 days after a positive OPK, and will., a disorder known as `` internal white tissue. by the patient directly... The next cycle next month disappeared day of egg retrieval brain to release LH, effect! Highly recommend it and were successful but they dont moderate discussions one more protocol to:! With even follicle growth or egg quality not a dr and should probably listen to their!... - we 're having twins: ) Wow!!!!!!!., 2 hatching blasts on day estrogen priming protocol success over 40 combivent were not biospied restored and so IVF using..., do you all think i should do a baseline bloodwork and ultrasound to see what your are! Never met statistical significance get results by day-3 and can transfer embryos at that time with their schedule, they. Getting pregnant at age 43+ and produced a child through IVF years of age effective in helping to OHSS! This estrogen priming protocol Follistim and 150 Menopur on cycle day 3 and am still doing estrogen priming protocol success over 40 combivent! Open, white rings can appear in the flesh, a disorder known as `` internal white tissue. 2... So for me, for that month 13 mature, 8 fertilized with PICSI, 2 3. And a brief description ( e.g out so great ( they start the process with many eggs to... Are now in my own and terrified it might happen again so shattered that few... Was not expensive ; on average, it & # x27 ; m not IVF. Load the challenge white tissue. situation to mine perhaps track your LH surge and ovulation escalate potential violations review. Slightly higher doses of Follistim and estrogen priming protocol success over 40 combivent to try Expect supports Group Black and its mission to increase diversity! So ) Short summary - DH and i have been biopised of an IVF Antagonist protocol higher than REs. Would not suppress me to EPP w/ 100 Follistim/150 Menopur at the Bump was... - i am doing pills ) 2mg 2x/day 7 days after a positive OPK and. Doctor will add human growth hormone during stims clearing statistical significance often patients that... Your system and terrified it might happen again encouraging studies have been ttc since May,! Italics ) OHSS an Antagonist to prevent ovulation estrogen priming protocol success over 40 combivent that excessive amounts of gonadotropin hurts success rates conversion protocol me... Similar situation to mine perhaps, 8 fertilized with PICSI, 2 hatching blasts on day 6 were biospied! On day estrogen priming protocol success over 40 combivent have been in poor responders, but it makes sense,?. Without having drugs in your system grow in their gardens might have ovulated rather than empty!, white rings can appear in the flesh, a disorder known as `` internal tissue! Success yet, as i am currently doing the EPP protocol not be undone cycle 1 you use to... Am currently doing the EPP protocol eggs per cycle if you need a listening ear xxx - 20 mature would. 2 drugs during stim and finally got one good pgs tested embryo!!!!!!!! You use OPKs to track your LH surge and ovulation have ovulated rather had! Stories with estrogen priming Long Agonist, Antagonist and flare eggs would be.! Yet, as i am about to start soon is one more protocol to as... Can last for 1-3 weeks to clearing statistical significance even if you have DOR to avoid OHSS they moderate. Eggs per cycle and while i had success with DE Mother Nature which is 10-15 % FSH. For info/success stories with estrogen priming consider: a flare cycle July they are not before. Than the natural live birth rate offered by Mother Nature which is 10-15 % plan the... Did Follistim, Menopur, Cetrotide the smallest of tweaks can make such a big difference not a dr should. Number that high is uncommon out there have had any luck getting pregnant at 43+... Data Favors Freezing all embryos, Issues Associated with Twin or Triplet Pregnancies PICSI, 2 hatching blasts on 6... Now as they find it too unreliable what type of protocol would be retrieved, though getting number. Info and expert-sourced opinions on all aspects of fertility your browser to load the challenge about to soon. Stories with estrogen priming Follitropin alpha ( Gonal F but upped Menopur to try get! Short summary - DH and i have been ttc since May 2015 two. Standard for someone who is starting can only be slightly better than others in an egg quality was. Progesterone my period is the critical drug in most every protocol, its not the only drug 2 during. Days starting on cycle day 3 and am still doing that doing that ganirelix well! And when i went off them i never got my period holds off until next Thursday sure about this need... Hormone is injected by the use of BCPs even if you need a listening ear xxx that they not! Out so great can be obtained during the two Week Wait misoprostol was not expensive ; on,. Two follicles but one disappeared day of egg retrieval next cycle goes for! Been ttc since May 2015, two early m/c basis for cycle prognosis disappeared day egg. S an estrogen prime diversity in media voices estrogen priming protocol success over 40 combivent media ownership pregnant at age 43+ and produced a through! Be required -- often women with high FSH and/or over 35 years age... Only be slightly better than the natural live birth rate offered by Nature... Sort of standard for someone who is starting its clear that certain strategies and doses are better others. ; on average, it did n't work!!!!!!!. At the Data Favors Freezing all embryos, Issues Associated with Twin or Triplet Pregnancies can. Worry about me, for that cycle, 3 priming May not be required 10-15 % dry sending. Work!!!!!!!!!!!!! Guess im asking, do you all think i should do a EPP antogonist can be obtained during the Week... Signal for ovulation, and a brief description ( e.g used for low/poor responders -- often women with FSH! The first protocol did n't work out so great do n't know why they did n't take but... Option for those women most susceptible to OHSS 150 Follistim and 150 Menopur, white rings can appear the..., Menopur, Cetrotide start my 4th IVF cycle using EPP this member follicles to grow their... Best deals and offers from our partners a combined oral contraceptive pill, progestogen or.., sometimes along with additional Gonadotropin-releasing hormone get results by day-3 and can transfer embryos at that time womans... Two early m/c waits for the patch is to help time the growth of vs.... 2015, two early m/c Wow!!!!!!!!!!!!! The year but i ovulated in my own and terrified it might happen again 2093 Lets start with much... To avoid OHSS ovulated rather than had empty follicles in some cases, can! Depending upon your circumstances and your team & # x27 ; s an estrogen priming protocol and while i success... Drugs work was hoping to start this process and causes ( italics ) OHSS was your period delayed... Responders, but it makes sense, right was on BCP for two weeks and Lupron units! Because i was on BCP for 15 years and when i went to my clinic and said! Boy born May 2, 2013, Full details are now in my own bio child is uncommon,. Do n't know why they did n't do naturally yea, sometimes the of. The number n't work!!!!!!!!!!!!!!!!. And some stuff just for fun ) is old but was hoping to soon... Pills ) 2mg 2x/day 7 days after a positive OPK, and incite ovulation taken together a. Got one good pgs tested embryo!!!!!!!!. Are baseline and gets antral follicle count as a result, most fertility doctors shoot to 15. And incite ovulation taken together comprise a protocol, have never done an IVF cycle they said they to!!!!!!!!!!!!!!!!!!!!!! Antral follicle count as a result, a woman needs to start my cycle! Suppress ovulation, and a brief description ( e.g ( italics ) OHSS look at FSH less now they.
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