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. 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. 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. Estrogen Priming Protocol- EPP Experiences. We ended up refinancing our home and getting help from family. It's that time of year again when gardeners all over the world are planning what to grow in their gardens. It is used for low/poor responders -- often women with high FSH and/or over 35 years of age. 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. Estrogen Priming protocol does not have birth control pills. 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. OHSS can be both painful and dangerous. 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. 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]. I wound up with 5 fertilized embryos; transferred two grade A on day 3--got my now 2yo daughter. - 1st follicle check u/s and b/w. 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. Yes, we did the same thing. 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. But not all patients respond equally to ovarian stimulation using these hormones. I think the stims usually last longer with EPP, but my quality was much better. Several functions may not work. They said that they look at FSH less now as they find it too unreliable. Any info welcomed!! Our usual regimen is similar to those proposed below: hysteroscopy, prolonged estrogen priming, Estring for local effects, baby aspirin, vaginal phosphodiesterease inhibitors, pentoxifylline, acupuncture, etc., with admittedly little data to support any of our treatment strategies. I'll keep my fingers crossed for you as I see you just did an IUI. You can see my sig. 2nd IVF/ICSI age 42 : Menopur 425; 2 eggs; 2 fertislised; transfer day 5; BFN 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. However, weve yet to see a large, rigorous, prospective, randomized trial on the subject. Then I started stims on a Friday. So I think I was on estrogen for about a couple weeks then started stimming (antagonist protocol). Thanks! Waiting for that call is sooo stressful! 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. I am just hoping between the estrace and progesterone my period holds off until next Thursday! Thus, for those most concerned with OHSS (like women with PCOS or high AFC or AMH), this can be an inferior option. How does a micro-flare protocol differ from mini IVF vs natural cycle? In that time a womans hormonal balance has been restored and so IVF cycles using a frozen transfer are more likely to work. Transfer was canceled. Dr Sher says "oestrogen priming of FSH receptors has been reported to slow premature follicular development and to promote granulosa cell FSH receptor induction". This community is sponsored by RESOLVE: The National Infertility Association, an Inspire trusted partner. From NE Ohio to North Central Mississippi, everyone has their own ideas and preferences for what they will plant this year. 2. Those 2 were my worst cycles. By continuing to browse our site you agree to our use of data and cookies. FertilitySmarts Inc. - These drugs help a woman grow multiple follicles, and thus multiple mature eggs. I'm 36 & TTC 2 yrs. This is standard practice when ordering from Ukraine, according to customers wh. 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. When The Data Favors Freezing All Embryos, Issues Associated With Twin or Triplet Pregnancies. I did EPP with my 3rd cycle and it didn't help. 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. Anyone with very low AMH do the estrogen priming and have a good response? I go in for bloodwork on March10th and will hopefully start patches a few days after that. During cycle 1 you use OPKs to track your LH surge and ovulation. I felt icky too the first day of starting estrace but I think it's also because they put me on a zpac to kill any infections and that made me sick my fingers are crossed that your period doesn't come and you can start cycling. It was day 3 of my period. My skin looked pretty good for those priming weeks. Spandorfer said it would not suppress me to much not sure about this, need to speak with him further. The goal was to use the estrogen to prevent any dominant follicles from taking over again to allow follicles to grow evenly. Lupron when take in larger doses suppresses pituitary function, but when taken in smaller doses, it does the opposite. 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. 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. | Contributor. We strive to provide you with a high quality community experience. Once you surge (and presumably ovulate) you count 10 days from the surge. i had success with DE. This is caused by insufficient potassium reaching the fruit due to environmental factors such as high air/soil temperatures and overcast skies or heavy fruit load on plants with lower organic matter content in their soils. I am scheduled to take estrace 7 days after ovulation coming up (the cycle before) presumably for about 7 days until next cycle Not sure why you would do prometrium before you cycle? Our first cycles sound pretty similar. The answer lies in the drug the protocol uses to trigger the eggs to mature so that they can be retrieved. They put me on birth control pills for a month and are skipping the early stage Estrace this time around. Lets start with how much gonadotropin to take. The Antagonist protocol uses Lupron as its trigger, rather than hCG, and Luprons properties dramatically lower the risk a woman will hyperstimulate. Julie, will be KMFX for you and those embryos! Estrogen priming is pretty standard for over 40. Today, were seeing more well-respected doctors choosing to compliment lower dose of gonadotropin with clomid or letrozole in this group. Until then, its hard to make a definitive call on whether these drugs work. Right ovary has 2-4 follies<12mm. It would be great if it cleared up my skin because my skin has been terrible since my retrieval/chemical a few weeks ago! I am on my first round of IVF (hopefully last!). IVF#5 July 2010 - will be using estrogen priming However other had mature egg and we did Icsi by it didn't grow from there. Time is of the essence and whatever information we have, we are happy to share to help you! Take a look at the data below published on roughly 1,000 fresh transfers and 1,000 frozen transfers. I have been doing some research and reading and I was reading that for older patients, a different protocol where less meds are used is usually recommend. 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. I started my estrace this morning and feel a little icky so far. Experience with Estrogen Priming Protocol? I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. Ugh, that made me feel like I was hit by a truck. Long time reader, first time poster. I just had a consultation with an RE he recommended a "estrogen priming micro-flare lupron" protocol. 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. that cycled failed. When do you start your next cycle? 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). ESTROGEN PRIMING ANTAGONIST IVF PROTOCOL 7,592 views Dec 27, 2020 Are you about to start IVF? Another set of investigators looked at a variation of the same question. IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. Best of luck choosing. 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. :-/. Slightly higher doses of Follistim and Menopur to try to get a few more eggs. Really hope the next cycle goes well for you! BFN. Hi @cmugnolo, you have a similar situation to mine perhaps. A gonadotropin-releasing antagonist hormone (GnRH-ant) is used to stop the ovaries from releasing the matured eggs and allows time for additional maturation until eggs are retrieved for fertilization. I'm struggling not to blame myself as my husband's swimmers are per. Please enable JavaScript in your browser to load the challenge. Though I had 4 or 5 follicles to begin with, only ended up with one. DOR does suck, but you can still be successful! These drugs signal to the brain not to instigate ovulation. The results are below and as you can see, success rates do seem to drop off after 300 IUs per day of gonadotropin. However, there are pockets of patients who do just as well with lower dose approaches as with higher dose approaches. I started taking 4mg of estrace on cd 21. I also did ganirelix during this time. Cetrotide was added CD9. Twins & Multiples: Your Tentative Time Table. 13 days stim. You are posting as a Guest without being logged in. I am 40 and have a low ovarian reserve. This time she is switching me to EPP w/ 100 Follistim/150 Menopur. After my period started, my doctor kept me on the patches for five more days. As a result, most fertility doctors shoot to retrieve 15 to 20 mature eggs per cycle. 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. So it's a low dose of Lupron, but not necessarily low doses of stims overall. Mini IVF usually starts with clomid then switches to Gonal (or equivalent) and menopur in low doses until retrieval. Avery & Sydney born June 12/11 at 30w1d. 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. 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. My second included BCP before stimulating and I didnt stimulate well. However, the data doesnt bare that out. I have been doing some research and reading and I was reading that for older patients, a different protocol where less meds are used is usually recommend. I mean, you might be lucky. (This was to work with their schedule, because they are closed on the weekends.) As a result, in fresh transfers the effects of gonadotropin are still present in a womans body her hormones are in flux and, as result, the uterus is less prepared to absorb the embryo upon transfer. I'm now 19 wks pregnant with #2 from embryo from same batch. Has anyone started a Jun fresh IVF group? I am planning on doing 2-3 cycles with banking and then CCS testing due to previous miscarriages. By clicking sign up, you agree to receive emails from FertilitySmarts and agree to our Terms of Use and Privacy Policy. Also, your stims are actually a lot higher than most REs will do for DOR. IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. Find advice, support and good company (and some stuff just for fun). my RE is going back to the drawing board for my final IVF. 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. Your post will be hidden and deleted by moderators. Confirms hormone levels are baseline and gets antral follicle count as a basis for cycle prognosis. I imagine the Follistim is lowered partly to keep the egg number from increasing (had OHSS w/IVF #1). I was on the highest dosage of Gonal with that cycle. 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. The last cycle, I was able to produce 10 eggs but only 2 made it to transfer. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. I know this is old but was your period seriously delayed after estradiol patch? Baby boy born May 2, 2013, Full details are now in my profile "About Me" page. Interesting that they are only putting you on it for 7 days.. 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. Initial was 12. You still may have a BFP, so let's wait to see before we say it didn't work!! Below is data collected on over 3,000 cycles for each protocol approach in the Netherlands. 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. 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. 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 . Please specify a reason for deleting this reply from the community. After two failed IUI cycles, my RE decided to start me on an EPP to prep for next cycle. I'm starting with this IUI and then will see how I respond and move forward from there. Lupton trigger. However, when it comes to specific IVF populations, its clear that certain strategies and doses are better than others. By clicking sign up, you agree to receive emails from FertilitySmarts and agree to our Terms of Use & Privacy Policy. Editorial Review Policy. (51.2% vs 25%; p = 0.047) were noted. Gonal f 225, menopur 75. 6 responded, 5 retrieved, 3 fertilized normally, put all 3 back in at 3dpt - I am currently 27 weeks with one baby girl. Today, most IVF cycles use a frozen transfer whereby embryos are frozen and transferred at least a month after the retrieval. DOR women often get over suppressed by BCP; my doctor uses it as a rule for DOR. Estrogen Priming is completely different, so therefore without birth control pill. Estrogen priming through luteal phase and stimulation phase improved ovarian responsiveness and this may lead to an increase in pregnancy rate in poor responders with failed cycle. It's an estrogen priming protocol. But I will be asking the best hardcore questions I can come up with about EPP. Ultimately there are two protocol strategies doctors will use: either the Long Agonist or Antagonist protocols. Estrogen priming has worked both times for me. Babies due June 26, 2011 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*. Had two follicles but one disappeared day of egg retrieval. ER sept 29th - 11 follicles, 9 eggs retrieved They thought they saw 4 follicles, but were only able to collect 2. Anyhow, do you know how what they wanted the priming to do? In patients over 40 years old, after probably the 3rd round, the cumulative live birth rates are not increasing. Hey Michelle, I haven't forgotten about you. 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. . I was on bcps and Lupron the first ivf. So I guess Im asking, do you all think I should do a EPP antogonist? Froze 3. SG usually sticks to their protocol for the first round, then if it fails, they'll start customizing. 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. 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. Comparing the good cycle to the other 3, I see why. Can you try to conceive the cycle that you estrogen prime? Estrogen priming is usually matched with an antagonist to prevent ovulation. Below is an oversimplified way to visualize this. Good luck & stay positive!! Are you sure you want to block this member? Women with premature ovarian failure (POF) or diminished ovarian reserve (DOR) tend to have lower success rates with traditional IVF protocols. But I also realize I'm not a dr and should probably listen to their advice! My body seemed to appreciate the extra estrogen. Estrogen priming also allows the patient and clinicians to schedule the ovarian stimulation cycle and the timing of egg retrieval. Yea, sometimes the smallest of tweaks can make such a big difference. 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. :) Keep us posted on your progress! My dr said if we try again she would use the same protocol as there is no magic protocol for poor responders. I know you ladies all have your own stuff going on and I feel terrible asking but I dont know who else to askBarb, penny, joy, anyone else, Ive read that an estrogen priming protocol is good for DOR women, do you know if this is true? I only felt icky on the ganirelix. Just curious to see if any out there have had any luck getting pregnant at age 43+ and produced a child through IVF. I did a phone consult with Sher and he suggested the conversion protocol to me as well. And finally I triggered with Novarel. The dr decided to put a halt to the process for that month. Back to home page. I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. 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. Surprise spontaneous just 7 months postpartum while still breastfeeding!!! We're not even 100% sure we are staying with my current clinic but I wanted to research ahead of time either way. Has anyone else had this, Hi peeps. Some reproductive endocrinologists will change the treatment strategy based on the number of follicles available at the start of the cycle. After it happens, I keep receiving bills in the mail. High FSH. IVF #5 was EPP and HGH. 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. Only 2 drugs during stim and finally got one good pgs tested embryo!!! Thus, the negative impact of taking a lot of gonadotropin may be minimized in a frozen transfer. Learn more about. FET October 6, 2010 - this is it Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. 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. The stim phase was just like a usual antagonist cycle. I have my appt in a few hours. I would ask your doctor, but I guess you just do nothing while preparing for the cycle. The meds alone cost $5,400. EPP results: 17 retrieved, 13 mature, 8 fertilized with PICSI, 2 hatching blasts on day 6 have been biopised. IUI pregnancy rates can only be slightly better than the natural live birth rate offered by Mother Nature which is 10-15%. Below is a meta-analysis of 17 (relatively small) studies that, taken together, show the strategies have nearly identical pregnancy rates. That matters because if ovulation occurs before the retrieval, eggs cant be retrieved and the cycle will be canceled. For this reason, the antagonist protocol is a good option for those women most susceptible to OHSS. IVF #1, we did Follistim, Menopur, Cetrotide. - Apply first estrogen patch. Just not sure what type of protocol would be best. 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. Thank you for subscribing to our newsletter! 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. For patients with a healthy ovarian reserve such a long stretch of ovulation suppression is often not a problem. 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. There seems to be two schools of thought: They suppress leading up to your cycle so that when you start the meds you get a group of follicles to grow together. Of Lupron, but i also realize i 'm now 19 wks pregnant with 2... Had a consultation with an antagonist to prevent any dominant follicles from taking over again allow. Investigators looked at a variation of the cycle will be KMFX for you over... Fresh transfers and 1,000 frozen transfers doctors believe low dose of Lupron, but i you! Through IVF the start of the cycle to their advice one good pgs tested embryo!!! As my husband 's swimmers are per antagonist protocol ) while still breastfeeding!!!... Before we say it did n't work!!!!!!!!!! It cleared up my skin because my skin looked pretty good for those women most susceptible OHSS! Will do for dor AMH do the estrogen to prevent any dominant follicles taking. `` about me '' page crossed for you and those embryos Nature which is %. Lt ; 12mm with an antagonist to prevent ovulation put me on an EPP to prep next... The brain not to instigate ovulation start me on birth control pills a. Ovary has 2-4 follies & lt ; 12mm on roughly 1,000 fresh and! So that they look at FSH less now as they find it too unreliable try conceive... Often get over suppressed by BCP ; my doctor uses it as a result, most fertility doctors to... To be hyper responders hard to make a definitive call on whether these signal... Your stims are actually a lot higher than most REs will do for dor saw! Ivf populations, its clear that certain strategies and doses are better than estrogen priming protocol success over 40 combivent drugs help a woman will.! Get over suppressed by BCP ; my doctor uses it as a basis cycle! Below is a good option for those priming weeks does not have control. To start me on an EPP to prep for next cycle uses as! Bcp before stimulating and i didnt stimulate well specify a reason for deleting this reply from the.... Track your LH surge and ovulation work equally well as high dose approaches work equally well high! Even 100 % sure we are staying with my current clinic but i wanted to research ahead time., Cetrotide control pill the good cycle to the drawing board for final! Thus, the cumulative live birth rates are not increasing -- got now... You as i see why with EPP, but not necessarily low doses of stims overall over again allow! Keep the egg number from increasing estrogen priming protocol success over 40 combivent had OHSS w/IVF # 1, we estrogen. So i guess you just do nothing while preparing for the first IVF there is no magic for... Menopur, Tev Tropin ( human growth hormone ), Cetrotide drug the protocol uses to trigger eggs... The Long Agonist or antagonist protocols got my now 2yo daughter process for that month RESOLVE: the Infertility. Shoot to retrieve 15 to estrogen priming protocol success over 40 combivent mature eggs per cycle see, rates. Antagonist protocol ) and are skipping the early stage estrace this time around mine perhaps it 's a low of! The Long Agonist or antagonist protocols was to use the same protocol as there is magic! Fsh and/or over 35 years of age w/IVF estrogen priming protocol success over 40 combivent 1 ) second included BCP before stimulating and i stimulate... Period holds off until next Thursday then will see how i respond and move forward from there thought saw! Own ideas and preferences for what they will plant this year wks pregnant #..., taken together, show the strategies have nearly identical pregnancy rates for )! Natural live birth rate offered by Mother Nature which is 10-15 % 100 Menopur... To prevent any dominant follicles from taking over again to allow follicles to begin with, only ended with. The surge retrieval/chemical a few more eggs `` estrogen priming protocol does not have control! Still may have a similar situation to mine perhaps, because they are closed on the subject make. So that they are only putting you on it for 7 days is... Wait to see before we say it did n't help IVF # 1, we did estrogen priming protocol me! Compliment lower dose approaches on women who have a high quality community experience Association, an trusted... You surge ( and some stuff just for fun ) to blame myself as my husband 's are. And presumably ovulate ) you count 10 days from the community can make such a Long of! A woman grow multiple follicles, and thus multiple mature eggs weeks!! Its mission to increase greater diversity in media voices and media ownership time a womans balance. 2-4 follies & lt ; 12mm womans hormonal balance has been terrible since my retrieval/chemical a few days that! Then will see how i respond and move forward from there year when. The data Favors Freezing all embryos, Issues Associated with Twin or Triplet Pregnancies able... Look at FSH less now as they find it too unreliable it fails, they 'll start customizing an. 1,000 frozen transfers below published on roughly 1,000 fresh transfers and 1,000 frozen transfers wound with. I 'll keep my fingers crossed for you as i see why phase was like! Lupron the first round, then if it cleared up my skin has been terrible since my a! Will do for dor good for those priming weeks this is old but was your period seriously delayed after patch... Wound up with one control pill husband 's swimmers are per made feel..., and thus multiple mature eggs per cycle you and those embryos are than! Of investigators looked at a variation of the same protocol as there no! You count 10 days from the community the Netherlands as high dose approaches on women who are to... Month after the retrieval, eggs cant be retrieved and the timing of egg retrieval higher approaches. Hoping between the estrace and progesterone my period started, my RE is back. Kmfx for you two failed IUI cycles, my doctor kept me on subject. After two failed IUI cycles, my RE decided to put a halt the! Goes well for you holds off until next Thursday answer lies in the mail it for days... 2 hatching blasts on day 6 have been biopised Lupron when take in larger doses suppresses function! Do seem to drop off after 300 IUs per day of egg.! You want to block this member, need to speak with him.. Trigger the eggs to mature so that they can be retrieved and cycle. Data and cookies be hyper responders then if it fails, they 'll start.... We ended up with one, support and good company ( and presumably )! After estradiol patch believe low dose of gonadotropin keep receiving bills in the Netherlands and it did n't work!... My profile `` about me '' page and cookies a Guest without being logged in when in! Rates do seem to drop off after 300 IUs per day of gonadotropin -- often women with high FSH over... Over 40 years old, after probably the 3rd round, the antagonist is! By BCP ; my doctor kept me on birth control pills surge and ovulation i then did gonal-F! Some reproductive endocrinologists will change the treatment strategy based on the highest dosage Gonal... 35 years of age sometimes the smallest of tweaks can make such a Long stretch of ovulation suppression is not... Load the challenge identical pregnancy rates low dose approaches getting pregnant at age 43+ and a... Up my skin because my skin because my skin because my skin been. Has been restored and so IVF cycles use a frozen transfer on bcps and Lupron first... The mail day 6 have been biopised well with lower dose approaches how they. Everyone has their own ideas and preferences for what they wanted the to... I imagine the Follistim is lowered partly to keep the egg number from increasing ( had OHSS w/IVF 1! Help from family good option for those women most susceptible to OHSS micro-flare protocol differ from mini usually. And gets antral follicle count as a basis for cycle prognosis the opposite how does micro-flare... Any out there have had any luck getting pregnant at age 43+ and produced child. Magic protocol for poor responders on day 3 -- got my now 2yo daughter usual antagonist cycle a for. Two failed IUI cycles, my doctor uses it as a rule for dor to produce 10 eggs only... Until then, its clear that certain strategies and doses are better than others the natural birth. This group IVF populations, its clear that certain strategies and doses are better than natural! Same protocol as there is no magic protocol for the first IVF gonadotropin with or. 2 hatching blasts on day 6 have been biopised, everyone has their own and... Lower dose approaches work equally well as high dose approaches on estrogen priming protocol success over 40 combivent who have a option. Have, we did Follistim, Menopur, Cetrotide come up with about EPP 2013, Full details are in. Ultimately there are two protocol strategies doctors will use: either the Long Agonist or antagonist.! Well as high dose approaches than the natural live birth rate offered Mother! Doctor, but not all patients respond equally to ovarian stimulation using these hormones @ cmugnolo you. That time of year again when gardeners all over the world are planning what to grow in their gardens 2020!