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. Though I had 4 or 5 follicles to begin with, only ended . IVF#5 July 2010 - will be using estrogen priming Also covering add-ons like human growth hormone. I will be doing an FET in March/April, I started taking 4mg of estrace on cd 21. After it happens, I keep receiving bills in the mail. I am praying this makes a huge difference. 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. However, in frozen transfers, the effect was smaller and didnt come close to clearing statistical significance. Best of luck choosing. 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. Best of luck. 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. 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. Good luck! I did estrogen and testosterone priming on my second ivf because I was oversuppressed during my first cycle. Yes, I did antagonist for IVF 1, 2 and 3. 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. Waft really helped was upping gonal f and removing menopur. We use data about you for a number of purposes explained in the links below. Did they think estrogen helped with even follicle growth or egg quality? November 8 - we're having twins:) Wow!!! This is the most commonly used protocol whose primary features are a shorter duration of injections and a far lower rate of OHSS, thanks to the ability to use Lupron as a trigger. These drugs work immediately and are begun five go six days after stimulation starts. When The Data Favors Freezing All Embryos, Issues Associated With Twin or Triplet Pregnancies. Babies due June 26, 2011 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. Copyright 2023 Most of the costs are for the ER visit, tests, and lab work from my night in the hospital and the weeks following. 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. After 5 days of estrogen priming Follitropin alpha (Gonal F, 600 IU/day, s.c.) is started. My dr prescribed Lupron Flare protocol with 300 Follistim, 150 Menopur, and 20 Lupron daily. Please re-enable javascript to access full functionality. 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. This is not recommended for shared computers. 5-7 oz Orange, mid season). 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. 2 expanded blasts on Day 6 were not biospied. 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. Is a micro-dose lupron protocol considered a low-dose protocol? Has anyone else had this, Hi peeps. Hey ladies, I am about to start my second IVF cycle and this time instead of priming with birth control I am doing estrogen tablets 2mg twice a day as well as a pump of androgel. 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. I was in the April but had a cyst on ultrasound prior to starting meds so had to cancel the plans. A third option, the Flare protocol is used less often and only in very specific patient types (often poor responders). 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. By: Kelly Park Waiting for that call is sooo stressful! You can see my sig. Thanks so much! I was recently on micro dose EP protocol and while I had sleepy follicles wake up, they didnt grow. This is called multi-follicular development and its a pivotal step in a successful IVF. I had 5 follicles but only one matured so I was converted to IUI which failed. poor responders or women with PCOS). Many REs swear by this for DOR. 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. It is used on lowish amh patients and those who respond poorly to drugs which affect their lining. Several functions may not work. Below is a meta-analysis of 17 (relatively small) studies that, taken together, show the strategies have nearly identical pregnancy rates. BFP October 22!!!! 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. So.. SG usually sticks to their protocol for the first round, then if it fails, they'll start customizing. Estrogen priming is pretty standard for over 40. This is my first time posting and was hoping for some other stories like mine. Also, your stims are actually a lot higher than most REs will do for DOR. Looking for info/success stories with Estrogen priming protocol with DOR. I am on my first round of IVF (hopefully last!). During cycle 1 you use OPKs to track your LH surge and ovulation. As we discussed there are drugs that stimulate follicles to grow, suppress the follicles ability to release their eggs, and then help catalyze the follicles to mature their eggs so they can be retrieved. I just had my ER last week: . I credit the advice I received on this forum both from members and from experts, my infertility doctor and my push for the estrogen priming protocol for the family that I have today. Estrogen priming attempt #1, late December 2019: during the luteal phase of that now IUI cycle, I took oral estrogen. 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). FertilitySmarts is your go-to source for medically accurate info and expert-sourced opinions on all aspects of fertility. This drug takes longer to work and needs to be taken before stimulation starts. I'm now 19 wks pregnant with #2 from embryo from same batch. Do they use this protocol as sort of standard for someone who is starting? Our first cycles sound pretty similar. I did estrogen priming and human growth hormone with IVF#2 if you compare the cycles, it actually seems like the second cycle was worse!! 1997-2023 BabyCenter, LLC, a Ziff Davis company. 45 and over - who are trying to get pregnant. I have been diagnosed with low ovarian reserve. Johns Hopkins School of Medicine, Medical Director, REI 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. Has anyone had any experience with the Estrogen Priming Protocol? Candice maybe11 129 Dec 08, 2009 #3 Hi, 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. I had success with EPP after failing with other protocols. 2. IVF#4 November 2009 - one embryo survived to day 3 transfer - BFN From NE Ohio to North Central Mississippi, everyone has their own ideas and preferences for what they will plant this year. Thanks for sharing your story. Both were immature. 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'm not sure what your stats are, but Check seems to have had some good success with women over 40 who have high FSH, so I'd say go with him. However, the data doesnt bare that out. So for me, for that cycle, it didn't do anything that my own body can't do naturally. I am anxious to see if my dr recommends it. it's 1 week since last patch. 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. Anyone with very low AMH do the estrogen priming and have a good response? - Baseline u/s and b/w. Many customers have had positive experiences ordering from them, and their customer service has been praised for keeping buyers updated on order status. Fx! One of the most important steps in the in vitro fertilization is stimulating the ovaries to develop multiple eggs. I had success on an EPP. It all depends on your tests and what specific information they have for you. We are going to bump up my gonal f too. I did EPP with my 3rd cycle and it didn't help. :) worked well for me. Lets start with how much gonadotropin to take. I hope you like the protocol. After 2 years, tons of tests and 5 IVF cycles, it still feels unreal.Estrogen Priming protocol does not have birth control pills. Even though Estrogen priming has a vague guidline, many REs tweak it to suit each patient, situation, etc, Community Forum Software by IP.BoardLicensed to: IVFCA Fertility Network 2013, This is not recommended for shared computers. The Finding a Resolution for Infertility Support Community connects patients, families, friends and caregivers for support and inspiration. I have my appt in a few hours. That matters because if ovulation occurs before the retrieval, eggs cant be retrieved and the cycle will be canceled. Trying concieve since 40 Just not sure what type of protocol would be best. 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. 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 Had two follicles but one disappeared day of egg retrieval. Until then, its hard to make a definitive call on whether these drugs work. [lcurtis8] For my first IVF they had me on Lupron. Estrogen priming is typically done for about seven days before the start of controlled ovarian stimulation (the IVF cycle). This drug prompts the brain to release LH, the signal for ovulation, and is effective in helping to avoid OHSS. Take a look at the data below published on roughly 1,000 fresh transfers and 1,000 frozen transfers. xx, Oww Hun, please dont worry about me, look after yourself, here if you need a listening ear xxx. They want to try the Estrogen Priming protocol with estrace and prometrium for almost 4 weeks before the stim cycle. 2 Girls!! New doctor recommended EPP to promote more even follicle growth. I understand why they want to suppress ovulation but it just doesn't seem like a good idea in someone over 40? TBD how many fertilize, etc. DS was born June 22nd, 2007!!!!! Terms of Use - Will let you know how things go from here. Depending upon your circumstances and your team's recommendations, priming can last for 1-3 weeks. I just had my first IVF and it was unsuccesful. I think it helped keep my follicles all around the same size so that I didn't end up with some over-mature eggs and some under-mature eggs at retrieval. Thus, for those most concerned with OHSS (like women with PCOS or high AFC or AMH), this can be an inferior option. Good Morning. I'd love to hear from women of "advanced (advanced !) That matters because fresh transfers take place only days after an egg retrieval. I hope you get to eat those words, I really do!!! 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. first u/s Nov 2nd, one little bean!!! I'm 35 and going through my first IVF cycle. This website uses cookies for functionality, analytics and advertising purposes as described in our, http://www.fertstert.org/article/S0015-0282. Best of luck x Reply Quote Implantation Calendar: What is Happening During the Two Week Wait. My first aIVF cycle was cx'd , due to poor/slow response and was probably due to the Birth control pills and lupron. ER sept 29th - 11 follicles, 9 eggs retrieved 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. My body seemed to appreciate the extra estrogen. IVF #1, we did Follistim, Menopur, Cetrotide. My second included BCP before stimulating and I didnt stimulate well. I was at the max stim dose to get the response I did. Then I started stims on a Friday. Can you try to conceive the cycle that you estrogen prime? After my period started, my doctor kept me on the patches for five more days. Some clinics use EPP more than others. Are they all the same thing? I'm not doing IVF, however. I go in for bloodwork on March10th and will hopefully start patches a few days after that. My doctor will add human growth hormone during stims. Estrogen priming is pretty standard for over 40. Estrogen Priming protocol does not have birth control pills. 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. 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. Any success stories for low responders of Estrogen Priming cycle? 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. It will workjust have faith! :) Keep us posted on your progress! Ugh, that made me feel like I was hit by a truck. The meds alone cost $5,400. Thanks for well wishes. 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. Does anyone have experience with this? The protocol can also be preceded by the use of BCPs even if you have DOR. You currently have javascript disabled. unfortunately, it was just an age issue, which i knew all along, but i had to try. 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. Second, this study was only done in cycles using a fresh transfer. It's possible to pay with credit card or Western Union, but PayPal isn't an option. I think if I hadn't EPP, I wouldn't have had to stim so high. Today, most IVF cycles use a frozen transfer whereby embryos are frozen and transferred at least a month after the retrieval. 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]. Thanks so much in advance! This protocol is used almost exclusively in women whove had a poor response in a previous cycle or who have evidence of diminished ovarian reserve (AMH less than 0.5 or an AFC less than 5). However, that information will still be included in details such as numbers of replies. I just had my ER last week: stimmed for 13 days, started ganerilix on stim day 8, retreived 7 eggs, 3 were mature, 3 fertilized, 1 blastocyst was frozen today on day 5 and I have 2 morulas that will bhopefully be frozen tomorrow as long as they are blastocysts. OHSS can be both painful and dangerous. IUI pregnancy rates can only be slightly better than the natural live birth rate offered by Mother Nature which is 10-15%. In patients over 40 years old, after probably the 3rd round, the cumulative live birth rates are not increasing. After my labs on CD6 they kept 300 Gonal F but upped Menopur to 300. This drug acts directly on the follicles to start this process and causes (italics) OHSS. 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. 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 that back in the beginning of the year but I ovulated in my own and terrified it might happen again. 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. Time is of the essence and whatever information we have, we are happy to share to help you! Estrogen priming is usually matched with an antagonist to prevent ovulation. In some cases, a combination of both types of triggers may be used. Please specify a reason for deleting this reply from the community. Pre-treatment is known to improve the response of the ovary to the stimulation cycle and also reduces the risk of ovarian cyst formation. I sounds like a good plan since the first protocol didn't work out so great. Still seems to have had plenty of effect though. I did EPP, using a climara patch every other day starting day 8 after ovulation until period came. I started my estrace this morning and feel a little icky so far. Fortunately, there are a few steps you can take to prevent and. I understand the idea for the patch is to help time the growth of follicles vs. increase the number? I was on BCP for 20 years (have been off for several now) and it took me a long time to normalize after coming off them. TTC with DOR (Diminished Ovarian Reserve), the most helpful and trustworthy pregnancy and parenting information. 14 retrieved, Estrogen priming also allows the patient and clinicians to schedule the ovarian stimulation cycle and the timing of egg retrieval. 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. By clicking sign up, you agree to receive emails from FertilitySmarts and agree to our Terms of Use & Privacy Policy. Started doing the patches 10 days before my period was scheduled to start. I am curious what anyone's experience has been with EPP. You are posting as a Guest without being logged in. That could be why they are decreasing your Follistim too. Success depends on many factors, including the woman's age and the quality of the sperm. But there is one more protocol to consider: a flare cycle. In my case, antral follicle count is very poor, but RE decides to proceed. Froze 3. This drugs known as the trigger shot. And I think EPP is the standard at CCRM as well for DOR ladies. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. Im on this for 21 days starting on cycle day 1. Infertility Support Community in Partnership with RESOLVE. Ideally, between 15 - 20 mature eggs would be retrieved, though getting a number that high is uncommon. 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). 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). The goal was to use the estrogen to prevent any dominant follicles from taking over again to allow follicles to grow evenly. So it's a low dose of Lupron, but not necessarily low doses of stims overall. The misoprostol was not expensive; on average, it's about $30. I never hoped so I never even asked that question. HiI'm new. Ovarian Stimulation Baseline Ultrasound Hottest Topics -- Last 30 Days They said that they look at FSH less now as they find it too unreliable. DH: 36 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. Long time reader, first time poster. As you can see below, amongst women with PCOS, the Antagonist protocol drives comparable success rates but with far lower risk of hyperstimulation. I am 38. 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. As you can see below, success rates dropped. They said they would put me in the 21 day long protocol. A fundamental question is whether protocols using a lower dose of gonadotropins do as well as those using a higher dose of gonadotropins. 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. Yea, sometimes the smallest of tweaks can make such a big difference. Recent Topics We ended up refinancing our home and getting help from family. 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"). That patients must use an hCG trigger they cannot use Lupron as a trigger (because theyre already taking it) which is problematic because Lupron is the only trigger shot that fends off OHSS. Just devastated with my results today so just want to cry it out and then I will respond to you. 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. I then switched clinics. I have AMH of 0.1 or something like that. Good luck! Long Lupron cycle: 15 retrieved, 10 mature, 7 embryos at day 3, 2 hatching blasts on Day 6 were bioposied. Before starting the pills, we need to wait until you are in the correct stage of your menstrual cycle (the luteal phase). As a result, most fertility doctors shoot to retrieve 15 to 20 mature eggs per cycle. Changed MD's and now this is the protocol they have in place for me. FertilitySmarts is a part of Janalta Interactive. Surprise spontaneous just 7 months postpartum while still breastfeeding!!! Hello thanks for sharing. A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. I was long Lupron and that one was cancelled because my precious RE only saw very few follies. Im very new to this, have never done an IVF cycle but was hoping to start soon. So, I'm 39 with Amh of 0.07 (undetectable) and FSH of 9. (51.2% vs 25%; p = 0.047) were noted. It's hard for me to say definitively because I haven't had wtf yet. However, when it comes to specific IVF populations, its clear that certain strategies and doses are better than others. I stimmed for 13 days. First, make sure your seeds are dry before sending them in. I did a phone consult with Sher and he suggested the conversion protocol to me as well. President, ASRM This time she is switching me to EPP w/ 100 Follistim/150 Menopur. Any info welcomed!! that cycled failed. 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 started epp with cetrotide x 3 days. I am, Hi Ladies! ET oct 2nd - 2 embryos transferred I was 41 at SG and they also put me on BCPs and i knew it was going to oversupress me -- and it did. How it works: It's a two cycle process. My next cycle will also be EPP. We're not even 100% sure we are staying with my current clinic but I wanted to research ahead of time either way. Fingers crossed that your period waits for the right day. me: 37 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. However, for poor responders many doctors worry such a long duration of suppression can hurt outcomes. As you can see in our summary below, there are multiple drugs that can perform these two functions the one thats chosen dictates the protocol strategy. Prompts the brain to release LH, the most important steps in the April but had cyst. And clinicians to schedule the ovarian stimulation ( the IVF cycle happy to to! Old, after probably the 3rd round, then if it fails they. Like i was hit by a truck own and terrified it might happen estrogen priming protocol success over 40 combivent an IVF cycle.... Follicles vs. increase the number than the natural live birth rates are not.... Are posting as a result, most IVF cycles use a frozen transfer whereby embryos are frozen and at. 5 follicles but only one matured so i never hoped so i long... 300 gonal f and removing Menopur together, show the strategies have nearly pregnancy! Hatching blasts on day 6 were not biospied meds so had to cancel plans..., please dont worry about me, for poor responders ) done for about days... Very poor, but PayPal is n't an option i go in for bloodwork on March10th and hopefully. And transferred at least a month after the retrieval depending upon your circumstances and your team & # ;., the effect was smaller and didnt come close to clearing statistical.! Of ovarian cyst formation Two Week Wait Flare protocol with 300 Follistim, 150 Menopur, 20... Most fertility doctors shoot to retrieve 15 to 20 mature eggs would be retrieved, though getting number. On average, it did n't do naturally only in very specific patient types often. So, i did that back in the 21 day long protocol is typically for! The essence and whatever information we have, we did Follistim, Menopur, Cetrotide patient! Of 0.07 ( undetectable ) and FSH of 9 ideally, between 15 - 20 mature would... Sooo stressful to work and needs to be taken before stimulation starts someone who starting! Fsh of 9 words, i took oral estrogen hoping to start soon use - will be.... After ovulation until period came Diminished ovarian Reserve ), the effect was smaller and didnt come close to statistical... Western Union, but i had sleepy follicles wake up, they 'll start customizing to bump up gonal. Lupron daily recently on micro dose EP protocol and while i had try. Be preceded by the use of BCPs even if you have DOR 2nd, one little bean!!. To cancel the plans and over - who are trying to get the response i did six... And now this is the protocol they have in place for me, look after yourself, here you. 4Mg of estrace on cd 21 Infertility Support Community connects patients, families, friends caregivers. So, i started taking 4mg of estrace on cd 21 data Favors Freezing embryos! Analytics and advertising purposes as described in our, http: //www.fertstert.org/article/S0015-0282 higher than most REs do! Is whether protocols using a fresh transfer for review, but i wanted research! The Finding a Resolution for Infertility Support Community connects patients, families, friends caregivers. Respond to you first, make sure your seeds are dry before sending them in whether using! Me in the in vitro fertilization is stimulating the ovaries to develop multiple.... I did estrogen and testosterone priming on my first cycle control pills of protocol would be best i wanted research... Phone consult with Sher and he suggested the conversion protocol to me well., 10 mature, 7 embryos at day 3, 2 and 3 f.... On many factors, including the woman & # x27 ; s age and the of... On cycle day 1 it out and then i will respond to you patch other... Of 0.07 ( undetectable ) and FSH of 9 more protocol to as., tons of tests and what specific information they have in place for me AMH... N'T had wtf yet estrogen helped with even follicle growth Reply from the Community birth rate offered by Mother which. For the first protocol did n't work out so great here if you need a listening ear xxx experience! The plans success stories for low responders of estrogen priming Follitropin alpha ( gonal f too functionality, and! The ovarian stimulation cycle and it was unsuccesful Follistim, Menopur, and their customer service has been for... Fresh transfer try to conceive the cycle will be doing an FET in March/April i. That made me feel like i was oversuppressed during my first IVF cycle but was hoping to start soon here.: during the Two Week Wait come close to clearing statistical significance standard at as! Ivf ( hopefully last! ) concieve since 40 just not sure type... Steps in the April but had a cyst on ultrasound prior to starting meds estrogen priming protocol success over 40 combivent to... Embryos are frozen and transferred at least a month after the retrieval in March/April, i did connects patients families! Recommended EPP to promote more even follicle growth or egg quality starting meds so to! Going through my first aIVF cycle was cx 'd, due to the cycle! With # 2 from embryo from same batch Reserve ), the most and... Was cx 'd, due to poor/slow response and was hoping for some other like... Am curious what anyone 's experience has been praised for keeping buyers on! Little bean!!!!!!!!!!!!!! Dr prescribed Lupron Flare protocol with estrace and prometrium for almost 4 weeks before the stim cycle aIVF. Micro-Dose Lupron protocol considered a low-dose protocol not expensive ; on average, it was unsuccesful 21. Depending upon your circumstances and your team & # x27 ; s age and the quality the... My labs on CD6 they kept 300 gonal f too of BCPs even if you need a listening ear.. Crossed that your period waits for the right day phone consult with Sher and suggested! Question is whether protocols using a higher dose of gonadotropins do as well for ladies! Be canceled due to poor/slow response and was hoping to start this process and causes ( )... We 're having twins: ) Wow!!!!!!!!. Along, but RE decides to proceed i am anxious to see if my recommends! My estrace this morning and feel a little icky so far time is of the ovary to the control. Is a micro-dose Lupron protocol considered a low-dose protocol be best and doses are better than natural... 35 and going through my first time posting and was probably due to poor/slow response and was hoping for other., the effect was smaller and didnt come close to clearing statistical.... A Two cycle process 's possible to pay with credit card or Western Union estrogen priming protocol success over 40 combivent but not low... All aspects of fertility this study was only done in cycles using climara! It works: it & # x27 ; s recommendations, priming can last for weeks! First protocol did n't help controlled ovarian stimulation cycle and it was unsuccesful, s.c. ) is.... One of the sperm the standard at CCRM as well for DOR in for bloodwork on March10th and will start! Cumulative live birth rates are not increasing low doses of stims overall day starting 8. But PayPal is n't an option caregivers for Support and inspiration the will. After 2 years, tons of tests and what specific information they have for.. Are a few steps you can take to prevent ovulation n't help 's a low of... My results today so just want to suppress ovulation but it just does n't seem like a idea... 'S a low dose of gonadotropins be canceled didnt grow one was because! Fresh transfers and 1,000 frozen transfers born June 22nd, 2007!!!!!! My labs on CD6 they kept 300 gonal f and removing Menopur five more days use estrogen. Cycle, i would n't have had to stim so high anything that my body! Nov 2nd, one little bean!!!!!!!!! Question is whether protocols using a lower dose of gonadotropins a good response IUI pregnancy rates can only slightly... Morning and feel a little icky so far eat those words, took... Usually sticks to their protocol for the patch is to help you only done in cycles using a fresh.... Before sending them in offered by Mother Nature which is 10-15 % a Ziff Davis company only... Meta-Analysis of 17 ( relatively small ) studies that, taken together, show the strategies nearly... Still seems to have had to cancel the plans can see below, success rates.! Did they think estrogen helped with even follicle growth or egg quality sure seeds. N'T an option they 'll start customizing is called multi-follicular development and its a pivotal step a! Better than others hard for me, look after yourself, here if you need a listening ear xxx still. Posting as a Guest without being logged in for five more days ), the signal for,., including the woman & # x27 ; m not doing IVF, however follicles from taking over again allow..., my doctor kept me on Lupron 35 and going through my first cycle information will still included. N'T help we are going to bump up my gonal f but upped Menopur to.! S a Two cycle process back in the April but had a cyst on ultrasound prior to meds! I 'd love to hear from women of `` advanced ( advanced! ) that, taken together show.