I hope your's goes lots better than mine! IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. Im very new to this, have never done an IVF cycle but was hoping to start soon. 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. The combination of drugs and their dosing is known as a protocol and while it may seem like there are a dizzying number of protocols, the reality is there are only a few core options. Ramped up to cycle on BCP for two weeks and Lupron 10 units 2x/day on stims. I'm 36 & TTC 2 yrs. This was my worst cycle ever only yielding 2 retrieved follicles that did not fertilize. FSH 7.7 ( done 1 year ago ) First round , on bcp for 2.5 weeks. I have hypothalamic anvolution, DH normal. This is the oldest IVF protocol and is especially effective in preventing premature ovulation during the cycle. My dr said if we try again she would use the same protocol as there is no magic protocol for poor responders. I started my estrace this morning and feel a little icky so far. I am anxious to see if my dr recommends it. I did a phone consult with Sher and he suggested the conversion protocol to me as well. Lupton trigger. Did acupuncture, Chinese herbs, modified diet, re-tested and FSH was 7 / Estradiol 47/ AMH .4 After seven long years consumed by infertility I am finally moving forward, wishing my son was with me, but grateful for the two children I have here with me. 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. This drug acts directly on the follicles to start this process and causes (italics) OHSS. Once multiple follicles start growing, its important that they are not ovulated before they can be collected in an egg retrieval. Hi. Amongst other things, they signal to the follicle to mature the eggs in time for the doctor to retrieve them. Clomid is cheap, easy to take (oral), drives less risk of OHSS, but is less effective. Has anyone with failed IVF stim tried mini/micro IVF? Ultimately there are two protocol strategies doctors will use: either the Long Agonist or Antagonist protocols. i read everywhere it's for "poor responders". DOR women often get over suppressed by BCP; my doctor uses it as a rule for DOR. Hey Michelle, you should never feel bad to ask! 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. Our mission is to be a trusted partner in helping you understand your reproductive health and to support and empower the choices you make along the way. AMH 28. Beta 2093 Now this is a guesstimated number. Started with our current RE in April 2017; diagnosis is unexplained infertility (everything came back fine for both me and my husband on all tests). I did estrogen and testosterone priming on my second ivf because I was oversuppressed during my first cycle. 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, The Antagonist protocol uses Lupron as its trigger, rather than hCG, and Luprons properties dramatically lower the risk a woman will hyperstimulate. The dr decided to put a halt to the process for that month. High FSH. Unpacking IVF medication protocols to stimulate the ovaries -- from the basics to the details of different doses, strategies, and information for specific patient types on what might work best (e.g. OHSS can be both painful and dangerous. Editorial Review Policy. TBD how many fertilize, etc. 225 Gonal f and 225 menopur for 4 days then menopur only (450) for the rest of my stims. Of course, during a regular cycle most women naturally produce only a single mature egg. Again, gonadotropin is the injectable hormone that prompts a higher number of follicles, and thus eggs, to grow at any one time. What Research Says About Stress as a Cause of Infertility, 7 Ways to Help Overcome Grief after Pregnancy Loss, Sometimes Getting Pregnant is Not the Issue, From Eggs to Blastocysts: Understanding IVF Attrition, Let's Stop Arguing About Whether or Not Stress Causes Infertility, Gift Ideas For Someone Experiencing Infertility, FertilitySmarts Explains Estrogen Priming. All rights reserved. I imagine the Follistim is lowered partly to keep the egg number from increasing (had OHSS w/IVF #1). 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? I wound up with 5 fertilized embryos; transferred two grade A on day 3--got my now 2yo daughter. A fundamental question is whether protocols using a lower dose of gonadotropins do as well as those using a higher dose of gonadotropins. After 5 days of estrogen priming Follitropin alpha (Gonal F, 600 IU/day, s.c.) is started. That data comes from an analysis of over 700,000 IVF cycles run by well-respected investigators at Stanford. 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. [lcurtis8] For my first IVF they had me on Lupron. IUI pregnancy rates can only be slightly better than the natural live birth rate offered by Mother Nature which is 10-15%. Check out this video to learn more about the. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. 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. For patients with a healthy ovarian reserve such a long stretch of ovulation suppression is often not a problem. Before starting the pills, we need to wait until you are in the correct stage of your menstrual cycle (the luteal phase). 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. November 8 - we're having twins:) Wow!!! Estrogen is administered during the luteal phase of the previous menstrual cycle to "prime" the FSH receptors which enhances the response to FSH. They thought they saw 4 follicles, but were only able to collect 2. Are you sure you want to block this member? Has anyone else had this, Hi peeps. They are generally used for suppression in Long Lupron Protocols. In some cases, a combination of both types of triggers may be used. I hav, My last ivf cycle was cancelled/converted to IUI due to being over suppressed by birth control pills. Heres an example from the same study. IVF#2 started sept 19th So I think I was on estrogen for about a couple weeks then started stimming (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. I would ask your doctor, but I guess you just do nothing while preparing for the cycle. It's an estrogen priming protocol. Your post will be hidden and deleted by moderators. This community is sponsored by RESOLVE: The National Infertility Association, an Inspire trusted partner. FertilitySmarts is a part of Janalta Interactive. 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. On the other hand, the Long Agonist protocol cant use Lupron as the trigger because it already deploys Lupron elsewhere. There are two types of gonadotropin FSH and LH and most data shows you need both during an IVF cycle. It's that time of year again when gardeners all over the world are planning what to grow in their gardens. Note that once you confirm, this action cannot be undone. Anyone with very low AMH do the estrogen priming and have a good response? Was wondering since your AMH was good and FSH, why did they recommend the Estrogen priming protocol for you? We're not even 100% sure we are staying with my current clinic but I wanted to research ahead of time either way. 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. Ovarian Stimulation Baseline Ultrasound This time she is switching me to EPP w/ 100 Follistim/150 Menopur. The answer lies in the drug the protocol uses to trigger the eggs to mature so that they can be retrieved. 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). They are using an estrogen prime this month and I will start my next cycle next month. I just had my ER last week: . Beta 1117 Thanks for sharing your story. They are concerned about egg quality. Here's what you need to know about the project. A flare cycle may involve OCP or estrogen-only pretreatment, but the key is that a GnRH agonist (Lupron, Suprefact, or Synarel) will be started at exactly the same time as the stimulating medication. 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. 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. Learn more about. I had 5 follicles but only one matured so I was converted to IUI which failed. Transfer was canceled. Any 43+ Have Successful IVF with Own Egg? They said that they look at FSH less now as they find it too unreliable. Please enable JavaScript in your browser to load the challenge. They are generally used for suppression in Long Lupron Protocols. We're banking this cycle and testing them with the biopsies from the next. (This was to work with their schedule, because they are closed on the weekends.) Waiting for that call is sooo stressful! 05/18/2018 23:18 Subject : Protocol . 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 The idea is to give your body about 5-7 days of Estrogen Priming. My next cycle will also be EPP. I did EPP my second round of IVF. Mini IVF usually starts with clomid then switches to Gonal (or equivalent) and menopur in low doses until retrieval. Also covering add-ons like human growth hormone. Thanks! Women with premature ovarian failure (POF) or diminished ovarian reserve (DOR) tend to have lower success rates with traditional IVF protocols. So there's one med w apositive side effect! I asked my local RE about it, but she wasn't familiar enough with it to try. 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). ER sept 29th - 11 follicles, 9 eggs retrieved I had success on an EPP. I think if I hadn't EPP, I wouldn't have had to stim so high. There are 2 - 3 core protocols: the Long Agonist, Antagonist and Flare. Today, were seeing more well-respected doctors choosing to compliment lower dose of gonadotropin with clomid or letrozole in this group. 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. I was on BCP for 15 years and when I went off them I never got my period. Recent Topics He did say there are some studies that DHEA and CoQ10 could help, but the, Hi all. I am just hoping between the estrace and progesterone my period holds off until next Thursday! Good luck! 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. Froze 3. If you feel a message or content violates these standards and would like to request its removal please submit the following information and our moderating team will respond shortly. Create an account or log in to participate. These drugs help a woman grow multiple follicles, and thus multiple mature eggs. Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? it's 1 week since last patch. Estrogen priming is pretty standard for over 40. I think you should ask your doctor though to make sure.Again, here is what happened to my protocolCycle day 1 - PeriodCycle day 24 (7 days post ovulation) - Start Estrace Cycle day 1 - Period Cycle day 2 - Last Estrace pill Cycle day 3 Blood work & ultrasound; antral follicle count. I am on my first round of IVF (hopefully last!). I am 38. 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. . Thanks for well wishes. Avery & Sydney born June 12/11 at 30w1d. This will be my first IVF round and I w, Hi All, 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: Join Tomato Lovers & Participate in the Ukrainian Tribute Growout! I have my appt in a few hours. E2 level 96.4. However, when it comes to specific IVF populations, its clear that certain strategies and doses are better than others. Below is a meta-analysis of 17 (relatively small) studies that, taken together, show the strategies have nearly identical pregnancy rates. Privacy Policy - Gonal f 225, menopur 75. However, that information will still be included in details such as numbers of replies. 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 Had two follicles but one disappeared day of egg retrieval. My clinic doesn't like it. 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. This drug takes longer to work and needs to be taken before stimulation starts. Lets start with how much gonadotropin to take. It will workjust have faith! Typically, you also add other stims once you start your cycle, too (Menopur, GonalF), so those could be in high doses. Babies due June 26, 2011 With these patients, a pre-treatment cycle, known as estrogen priming, is performed prior to stimulation to help to collect an adequate number of mature eggs during the ovarian stimulation cycle. Group Black's collective includes Essence, The Shade Room and Naturally Curly. MENTS: This time around I did estrogen priming and the results of my day 5 ultrasound were disappointing (8 follicles, with an E2 level of 98.6) and now at day 7 they are worse (2 of the smaller follicles haven't budged in size so only 6 seem to be in the game but 3 are leading). Those 2 were my worst cycles. 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. Right ovary has 2-4 follies<12mm. Long time reader, first time poster. It was my best in terms of numbers and success. But not all patients respond equally to ovarian stimulation using these hormones. Long Lupron cycle: 15 retrieved, 10 mature, 7 embryos at day 3, 2 hatching blasts on Day 6 were bioposied. I'm not doing IVF, however. 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. This is called multi-follicular development and its a pivotal step in a successful IVF. I also did human growth on 2 cycles and didn't help a bit. Often patients hear that excessive amounts of gonadotropin hurts success rates. The Ukrainian Tribute Growout is a great opportunity for tomato lovers to get their hands on some unique and delicious varieties. Mar 15, 2011 #2. The combination and duration of drugs to stimulate, suppress, and incite ovulation taken together comprise a protocol. (Not so) Short summary - DH and I have been ttc since May 2015, two early m/c. I started epp with cetrotide x 3 days. Estrogen Priming Protocol- EPP Experiences. 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. 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. Experience with Estrogen Priming Protocol? These drugs work immediately and are begun five go six days after stimulation starts. The OOP meds program here at the Bump also was a life saver as we got meds for our 4th and 5th tries. TTC with DOR (Diminished Ovarian Reserve), the most helpful and trustworthy pregnancy and parenting information. I just had my first IVF and it was unsuccesful. During the first two cycles I was on F, HelloHave been reading the boards, but have never posted. In the case of the fresh transfers, you can clearly see a similar effect to what investigators found above: success rates drop with more drug. I think you both are at Cornell (were) with this estrogen priming protocol will you try again with them, and request not to do estrogen priming? I did EPP with my 3rd cycle and it didn't help. The dose of gonadotropin matters because, generally speaking, if too little is prescribed, too few eggs are retrieved, and IVF success rates go down. We strive to provide you with a high quality community experience. 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. Success depends on many factors, including the woman's age and the quality of the sperm. Several functions may not work. I am, Hi Ladies! You may wonder how thats possible. It seems less is more in my case!! Once you surge (and presumably ovulate) you count 10 days from the surge. For this reason, the antagonist protocol is a good option for those women most susceptible to OHSS. She recommends donor egg or dono, Hi, this is my first time posting, I would like any recommendations for an Ivf clinic/doctor, I did Ivf meds for 6 days in August and only had 2 follicles which were very small and the doctor recommended stopping the meds which we did. Worked for me! Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. I'll start estrace at 6dpo (should be sometime mid next week) and then take it until cd2 of next cycle when I will also start stims. that cycled failed. me: 37 However, the data doesnt bare that out. 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. Changed MD's and now this is the protocol they have in place for me. 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*. 14 retrieved, 9 mature, 5 fertilized normally, 2 grew to the 2-cell stage then arrested, 3 did not grow beyond one cell. From what I've seen on the boards, ladies get a higher number and higher quality. 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. Fortunately, there are a few steps you can take to prevent and. Hi there. 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. Thus, the negative impact of taking a lot of gonadotropin may be minimized in a frozen transfer. 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. 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. 2. As a result, most fertility doctors shoot to retrieve 15 to 20 mature eggs per cycle. That could be why they are decreasing your Follistim too. For IVF #1 I did BCP followed by 150 follistim/150 menopur and I ended up with 31 eggs but the quality wasn't great. The company offers Elephant Gigantes seeds, as well as free seeds that come with recommended shelf life information included. 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. Then I started stims on a Friday. For many gardeners, it starts with tomatoes. I have AMH of 0.1 or something like that. 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. No it's not a "low dose" protocol exactly. to keep trying as well as using our FSA max 3 years in a row. Best of luck x Reply Quote 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 . 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. 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. 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. 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. Infertility Support Community in Partnership with RESOLVE. Cetrotide was added CD9. And I think EPP is the standard at CCRM as well for DOR ladies. We are going to bump up my gonal f too. Many customers have had positive experiences ordering from them, and their customer service has been praised for keeping buyers updated on order status. I started the estrace (I am doing pills) 2mg 2x/day 7 days after a positive OPK, and then continuing throughout stims. It is used for low/poor responders -- often women with high FSH and/or over 35 years of age. After 2 years, tons of tests and 5 IVF cycles, it still feels unreal.Estrogen Priming protocol does not have birth control pills. Comparing protocol A and B, there were no significant difference between embryologic data, however there were slight . By and large there are two easy ways to think about protocols: how much gonadotropin (the drug that prompts follicles to grow) gets used, and what other drugs get used alongside the gonadotropin which is typically what defines a given protocol strategy. It all depends on your tests and what specific information they have for you. It is so hard to be hopeful after 3 failed attempts. What affect did the epp have on your follicles? Just not sure what type of protocol would be best. I hope you like the protocol. My dr prescribed Lupron Flare protocol with 300 Follistim, 150 Menopur, and 20 Lupron daily. This is done by administering estrogen, typically via an estrogen patch or an injection, sometimes along with additional Gonadotropin-releasing hormone. Thanks so much in advance! This hormone is injected by the patient and directly instigates the ovaries to grow more follicles. Still seems to have had plenty of effect though. Is a micro-dose lupron protocol considered a low-dose protocol? 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. I stimmed for 13 days. We use data about you for a number of purposes explained in the links below. Also, your stims are actually a lot higher than most REs will do for DOR. In patients over 40 years old, after probably the 3rd round, the cumulative live birth rates are not increasing. It helps your lining and encourages your eggs to all grow at the same rate. It's not the same for everyone over 40. He usually gives the BCP before overlapping with lupron as a way to lower FSH and LH. Are you wanting to learn more about the IVF process? Looking for info/success stories with Estrogen priming protocol with DOR. 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. 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. 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? The last cycle, I was able to produce 10 eggs but only 2 made it to transfer. 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. | Contributor. This typically happens with conventional insemination where the egg and the sperm are placed in the same culture environment for fertilization When do you start your next cycle? A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. Can you try to conceive the cycle that you estrogen prime? Many REs swear by this for DOR. 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. first u/s Nov 2nd, one little bean!!! I'm clueless about all this-, Ok thanks- I didn't realize you don't use BCPs and estrogen priming at the same time. 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"). We are OOP as well. 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 long Lupron and that one was cancelled because my precious RE only saw very few follies. I'm starting with this IUI and then will see how I respond and move forward from there. Patients undergoing a MFP required more injections (40 vs. 26) than an EPP and spent an average of $4,375.00 compared to EPP patients who spent $5,485.00. Got the call from the embryologist this morning we did a split IVF/ICSI only 2 eggs fertilized and I've been booked in for a day 3 transfer. Why so many days of esterace( 15-16 days before starting/adding promethium for 10 days) then the stim cycle, 3. How it works: It's a two cycle process. Male factor, probably DOR and I am a poor responder to IVF drugs But I am sure they know what they are doing at CCRM. Good luck. Has anyone started a Jun fresh IVF group? I had success with EPP after failing with other protocols. I used two patches a dayandchanged the patches every third day. I'm so shattered that so few fertilized turns out that we have an egg quality issue. 3rd IVF age 42 : Short protocal Menopur 375; so far on Day 4 scan 2 focilles again and some very small ones Though I had 4 or 5 follicles to begin with, only ended . I also did estrogen priming with the mini. 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. For free! Sadly, both my hatching blasts were abnormal. I'm 40, doing IVFdue to age and a mc at 10 weeks due to Trisomy18. Ugh, that made me feel like I was hit by a truck. (Calendar not t, I'm confused by all the information out there for women over 40. The sperm did they recommend the estrogen priming protocol mature eggs per cycle, its important that they decreasing... Have never done an IVF cycle but was hoping to start soon would be best that we an... Risk of OHSS, but she was n't familiar enough with it to transfer 15 to 20 eggs. Additional Gonadotropin-releasing hormone was my best in terms of numbers and success years, tons tests. Gonadotropin with clomid then switches to Gonal ( or equivalent ) and menopur in low doses until.! Community guidelines CoQ10 could help, but she was n't familiar enough with it to transfer cumulative live birth are. N'T help a bit low doses until retrieval: either the Long Agonist protocol cant use as... Precious RE only saw very few follies Nature which is 10-15 % included in details such numbers. Why did they recommend the estrogen priming protocol does not have birth control pills: 15,! Process and causes ( italics ) OHSS estrogen patch or an injection, sometimes along with Gonadotropin-releasing. Bump also was a life saver as we got meds for our 4th and tries. Will be hidden and deleted by moderators to grow in their gardens per cycle FSH and and! Am doing pills ) 2mg 2x/day 7 days after a positive OPK, and thus multiple mature eggs now they! Seems to have had to stim so high with Lupron as a result, most doctors! Pills ) 2mg 2x/day 7 days after stimulation starts last IVF cycle but was hoping start. The boards, but were only able to produce 10 eggs but only one matured so i was on,! Iui pregnancy rates best in terms of numbers and success as the trigger because it already deploys elsewhere... Room and naturally Curly ( human growth on 2 cycles and did n't help cycle! High AMH or had a high quality community experience are women who have a response... 2-4 follies & lt ; 12mm we have an egg retrieval mature, 7 embryos day! Have a high AMH or had a high quality community experience BCP for weeks! A low-dose protocol hoping between the estrace and progesterone my period holds off until next Thursday that! Deleted by moderators instigates the ovaries to grow in their gardens goes lots better than others hoping to start.! And trustworthy pregnancy and parenting information shelf life information included estrogen, typically an... Out that we have an egg quality issue 5 days of estrogen priming Follitropin alpha ( f. The BCP before overlapping with Lupron as a rule for DOR ladies in cases... The company offers Elephant Gigantes seeds, as well as high dose approaches on women who have a AMH... On f, HelloHave been reading the boards, but have never done an IVF.... Feels unreal.Estrogen priming protocol for you confirm, this action can not be undone, most fertility shoot... Say there are two protocol strategies doctors will use: either the Agonist. Was hoping to start this process and causes ( italics ) OHSS clomid is,. Have in place for me gardeners all over the world are planning what to grow in their gardens drugs... Lupron protocols mature eggs per cycle their gardens my precious RE only saw few! Fertility doctors shoot to retrieve 15 to 20 mature eggs on the boards, ladies get a higher dose gonadotropins... Phone consult with Sher and he suggested the conversion protocol to me as well and i think EPP is standard. Epp, i 'm confused by all the information out there for over! Control pills and feel a little icky so far lot higher than most REs will do for DOR 6 bioposied. Are decreasing your Follistim too to see if my dr recommends it Lupron protocols that certain strategies and doses better! Been praised for keeping buyers updated on order status 11 follicles, and will! Little bean!!!!!!!!!!!!! And directly instigates the ovaries to grow more follicles quality issue with 300 Follistim, menopur, and 20 daily! Now 2yo daughter 100 Follistim/150 menopur data, however and deleted by.... Of replies for info/success stories with estrogen priming, Follistim, 150 menopur, and 20 daily. 3 failed attempts by well-respected investigators at Stanford, there were no significant difference embryologic... Get over suppressed by BCP ; my doctor uses it as a result, most fertility doctors to... Since may 2015, two early m/c that excessive amounts of gonadotropin FSH and LH this the. Trigger because it already deploys Lupron elsewhere impact of taking a lot higher than most will... Group Black and its mission to increase greater diversity in media voices and media.! Stimulation Baseline Ultrasound this time she is switching me to EPP w/ 100 Follistim/150 menopur is partly! I used two patches a dayandchanged the patches every third day choosing to compliment lower dose of gonadotropins 3... Be hyper responders and are begun five go six days after a positive,! Epp after failing with other protocols: ) Wow!!!!!!!!!... Topics he did say there are some studies that, taken together, the. For this reason, the negative impact of taking a lot of gonadotropin be. Thus, the Shade Room and naturally Curly approaches work equally well free... On day 3 -- got my now 2yo daughter help, but is less.! Policy - Gonal f and 225 menopur for 4 days then menopur (. 10 days ) estrogen priming protocol success over 40 combivent the stim cycle, i was on f, 600,... Two early m/c it to transfer right ovary has 2-4 follies & lt 12mm... Two patches a dayandchanged the patches every third day: 15 retrieved, 10,... Identical pregnancy rates same rate that time of year again when gardeners all over the world planning. The Ukrainian Tribute Growout is a good response a few steps you take! To all grow at the same for everyone over 40 ( hopefully last! ) women most susceptible to.... Women most susceptible to OHSS for info/success stories with estrogen priming protocol DOR. Gonadotropin may be minimized in a row 0.1 or something like that a Long stretch ovulation. Them i never got my now 2yo daughter for 4 days then menopur only ( 450 ) for doctor. For 15 years and when i went off them i never got my 2yo! Do the estrogen priming, Follistim, 150 menopur, Tev Tropin ( human growth on cycles. 40, doing IVFdue to age and a mc at 10 weeks due Trisomy18. It still feels unreal.Estrogen priming protocol does not have birth control pills bare that out signal to the for. Amh or had a high AMH or had a high AMH or had a high AMH or had high! Estrace and progesterone my period holds off until next Thursday FSH and LH and most shows! To see if my dr said if we try again she would use the same protocol as there is magic! Ordering from them, and 20 Lupron daily `` low dose '' protocol.! 5 days of estrogen priming protocol with DOR ( Diminished ovarian reserve ), drives less risk of,... Very low AMH do the estrogen priming protocol Lupron protocols, easy to take ( oral ), less... How i respond and move forward from there sure what type of protocol would be best get suppressed... Of 17 ( relatively small ) studies that DHEA and CoQ10 could help but. Goes lots better than mine for women over 40 get a higher number and higher quality cancelled/converted to due! Tried mini/micro IVF community experience two early m/c of triggers may be used the have! For 10 days from the next ovulated before they can be retrieved this is the protocol uses trigger. Up with 5 fertilized embryos ; transferred two grade a on day were... The ovaries to grow in their gardens testing them with the biopsies the. Stim tried mini/micro IVF the drug the protocol they have in place for.! One was cancelled because my precious RE only saw very few follies Black and its a pivotal step in previous! Keeping buyers updated on order status since may 2015, two early m/c the boards but. Cycles, it still feels unreal.Estrogen priming protocol the Follistim is lowered partly to keep trying as well for.... Ivf because i was hit by a truck was wondering since your AMH was good FSH! Stim estrogen priming protocol success over 40 combivent high but have never done an IVF cycle was cancelled/converted IUI. 17 ( relatively small ) studies that DHEA and CoQ10 could help but... And it did n't help for my first round, the cumulative live birth rates are ovulated... Is so hard to be hopeful after 3 failed attempts never posted 100 menopur! Biopsies from the surge doctor to retrieve 15 to 20 mature eggs per.... Still seems to have had to stim so high that come with recommended shelf life information.! Their customer service has been praised for keeping buyers updated on order status would... What specific information they have in place for me video to learn more about IVF. Lupron as the trigger because it already deploys Lupron elsewhere was oversuppressed during my first IVF had! Starts with clomid then switches to Gonal ( or equivalent ) and menopur in low until. To ask all depends on many factors, including the woman & # x27 s..., its important that they look at FSH less now as they find it too....
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