Good luck! 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 was 41 at SG and they also put me on BCPs and i knew it was going to oversupress me -- and it did. Is estrogen priming the same thing as using BCPs to suppress? Yes, we did the same thing. Now this is a guesstimated number. More than I wanted, I think! SG usually sticks to their protocol for the first round, then if it fails, they'll start customizing. 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. It is so hard to be hopeful after 3 failed attempts. On the other hand, the Long Agonist protocol cant use Lupron as the trigger because it already deploys Lupron elsewhere. Looking for info/success stories with Estrogen priming protocol with DOR. 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. TTC with DOR (Diminished Ovarian Reserve), the most helpful and trustworthy pregnancy and parenting information. 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. I am on my 4th now. As you may recall in the Revelli and Yousef studies, 150 IUs per day of gonadotropin were used, which is well higher than most things marketed as mini-stimulation approaches, and any natural (no gonadotropin) approach. Waft really helped was upping gonal f and removing menopur. 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). I might have ovulated rather than had empty follicles. 45 and over - who are trying to get pregnant. I am planning on doing 2-3 cycles with banking and then CCS testing due to previous miscarriages. Started doing the patches 10 days before my period was scheduled to start. I'm now 19 wks pregnant with #2 from embryo from same batch. TBD how many fertilize, etc. I did have a decent response on the MDL and 100% fertilization with two good 5 day blasts. 13 days stim. Estrogen Priming is completely different, so therefore without birth control pill.I would ask your doctor, but I guess you just do nothing while preparing for the cycle. These drugs signal to the brain not to instigate ovulation. 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. Went to retrieval anyway, did ICSI, but it didn't fertilize. What affect did the epp have on your follicles? I am curious what anyone's experience has been with EPP. AMH 28. - 1st follicle check u/s and b/w. Did not cover diagnostics like doppler test (40 copay but insurance might have covered this), communicable testing ($400 per person), and specialty meds . [lcurtis8] For my first IVF they had me on Lupron. Comparing the good cycle to the other 3, I see why. After my labs on CD6 they kept 300 Gonal F but upped Menopur to 300. Please specify a reason for deleting this reply from the community. Hello thanks for sharing. Transfer was canceled. I started the estrace (I am doing pills) 2mg 2x/day 7 days after a positive OPK, and then continuing throughout stims. 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. Check out this video to learn more about the. There are a number of drugs that can be tacked onto the beginning of a cycle that may increase the odds of success. That matters because fresh transfers take place only days after an egg retrieval. 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. This is my first time posting and was hoping for some other stories like mine. Long time reader, first time poster. my RE is going back to the drawing board for my final IVF. 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. The one thing I will say is that I am definitely stimming much longer than I did for my IVF #1 which did not have the esrogen. EPP results: 17 retrieved, 13 mature, 8 fertilized with PICSI, 2 hatching blasts on day 6 have been biopised. Confirms hormone levels are baseline and gets antral follicle count as a basis for cycle prognosis. (Not so) Short summary - DH and I have been ttc since May 2015, two early m/c. . 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. 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. You can be assured it is a good protocol. 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. Several functions may not work. Froze 3. me: 37 Some reproductive endocrinologists will change the treatment strategy based on the number of follicles available at the start of the cycle. This typically happens with conventional insemination where the egg and the sperm are placed in the same culture environment for fertilization Today, most IVF cycles use a frozen transfer whereby embryos are frozen and transferred at least a month after the retrieval. I did EPP with my 3rd cycle and it didn't help. 1) focus on the quality (not quantity) of eggs. I am about to start my 4th IVF cycle. 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. I never hoped so I never even asked that question. After you go off BCP theyll do a baseline bloodwork and ultrasound to see what your levels are without having drugs in your system. I think the stims usually last longer with EPP, but my quality was much better. DS was born June 22nd, 2007!!!!! Estrogen/androgen priming protocol improves egg quality and . Heres an example from the same study. 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. So it's a low dose of Lupron, but not necessarily low doses of stims overall. All rights reserved. I was long Lupron and that one was cancelled because my precious RE only saw very few follies. I'm not doing IVF, however. They monitor the follicle size and u do the trigger still so the know when to retrieve. DH: 36 That matters because if ovulation occurs before the retrieval, eggs cant be retrieved and the cycle will be canceled. It will workjust have faith! Both were immature. Dont know what. The Ukrainian Tribute Growout is a great opportunity for tomato lovers to get their hands on some unique and delicious varieties. Clomid is cheap, easy to take (oral), drives less risk of OHSS, but is less effective. So I think I was on estrogen for about a couple weeks then started stimming (antagonist protocol). Also, your stims are actually a lot higher than most REs will do for DOR. 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. The dose of gonadotropin matters because, generally speaking, if too little is prescribed, too few eggs are retrieved, and IVF success rates go down. Did one cycle of IVf with 450 of gonal F and then cetrotide and ovidrel. Any success stories for low responders of Estrogen Priming cycle? you are not supposed to TTC on the cycle you will be doing the EPP because of the ganirelix. I have been diagnosed with low ovarian reserve. I am about to embark on my IVF#6 cycle (1st time at CCRM)- I've always done OCP/BCP before my IVF stim cycle(antagonist) and have produced between 15-19 eggs each time. You are posting as a Guest without being logged in. 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 As you can see below, amongst women with PCOS, the Antagonist protocol drives comparable success rates but with far lower risk of hyperstimulation. Do they use this protocol as sort of standard for someone who is starting? I also did ganirelix during this time. These drugs perform the opposite duty of suppression. Dr Sher says "oestrogen priming of FSH receptors has been reported to slow premature follicular development and to promote granulosa cell FSH receptor induction". I just had a consultation with an RE he recommended a "estrogen priming micro-flare lupron" protocol. 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 1st IVF/ICSI age 41 : Gonal F 300; 3 eggs; 2 fertilised; transfer day 5; BFN 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. Fingers crossed that your period waits for the right day. Thank you for subscribing to our newsletter! The combination and duration of drugs to stimulate, suppress, and incite ovulation taken together comprise a protocol. 225 Gonal f and 225 menopur for 4 days then menopur only (450) for the rest of my stims. Anyhow, do you know how what they wanted the priming to do? Estrogen priming is typically done for about seven days before the start of controlled ovarian stimulation (the IVF cycle). 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. It was my best in terms of numbers and success. He usually gives the BCP before overlapping with lupron as a way to lower FSH and LH. Mini IVF usually starts with clomid then switches to Gonal (or equivalent) and menopur in low doses until retrieval. Women with premature ovarian failure (POF) or diminished ovarian reserve (DOR) tend to have lower success rates with traditional IVF protocols. 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. It's not the same for everyone over 40. My clinic doesn't like it. Many customers have had positive experiences ordering from them, and their customer service has been praised for keeping buyers updated on order status. I dont know as much about micro flare. 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). I'm 40, doing IVFdue to age and a mc at 10 weeks due to Trisomy18. 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. Has anyone who makes a good amount of eggs used this protocol? BFN. Best of luck x Reply Quote I was on BCP for 15 years and when I went off them I never got my period. By continuing to browse our site you agree to our use of data and cookies. BabyCenter may earn a commission from shopping links. However, weve yet to see a large, rigorous, prospective, randomized trial on the subject. The first question is naturally, which protocol is more likely to deliver a baby, and when investigators looked at the two most popular strategies, Long Agonist and Antagonist, it became clear both were equally effective in the general IVF population. Estrogen Priming is completely different, so therefore without birth control pill. I'm feeling really low right now and can't shake the thought of trying IVF for the first time to attempt a bio child. The answer lies in the drug the protocol uses to trigger the eggs to mature so that they can be retrieved. It all depends on your tests and what specific information they have for you. I also did ganirelix during this time. Some clinics use EPP more than others. I am on my first round of IVF (hopefully last!). I was on the highest dosage of Gonal with that cycle. There are several methods of pre-treatment that involves using either a combined oral contraceptive pill, progestogen or estrogen. Only 2 drugs during stim and finally got one good pgs tested embryo!!! I have my appt in a few hours. So it seems to me it's time to change the protocol, do another cycle and gather more inform, I am 36 years old. . 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. Estrogen is administered during the luteal phase of the previous menstrual cycle to "prime" the FSH receptors which enhances the response to FSH. They are generally used for suppression in Long Lupron Protocols. 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. I am praying this makes a huge difference. I just had a consultation with an RE he recommended a "estrogen priming micro-flare lupron" protocol. IVF#3 September 2009 - cancelled - poor response We use data about you for a number of purposes explained in the links below. From what I've seen on the boards, ladies get a higher number and higher quality. 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). High FSH. I am interested in hearing from women who have never tried to get pregnant and therefore do not have any specific infertility issue per se, other than age. 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. Below is a meta-analysis of 17 (relatively small) studies that, taken together, show the strategies have nearly identical pregnancy rates. A fundamental question is whether protocols using a lower dose of gonadotropins do as well as those using a higher dose of gonadotropins. HI.. hope all is well. 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*. BFP oct 16th!!! Success depends on many factors, including the woman's age and the quality of the sperm. Of course, during a regular cycle most women naturally produce only a single mature egg. Note that once you confirm, this action cannot be undone. They are generally used for suppression in Long Lupron Protocols. Good luck! During cycle 1 you use OPKs to track your LH surge and ovulation. It's an estrogen priming protocol. DOR does suck, but you can still be successful! FSH 7.7 ( done 1 year ago ) First round , on bcp for 2.5 weeks. But I am sure they know what they are doing at CCRM. Good luck. Here's what you need to know about the project. Hi. :) Keep us posted on your progress! My doctor will add human growth hormone during stims. think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are used to stimulate the ovaries to recruit and develop more than one follicle. Thanks so much! | Contributor. They said that they look at FSH less now as they find it too unreliable. Avery & Sydney born June 12/11 at 30w1d. 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. - Baseline u/s and b/w. I'm struggling not to blame myself as my husband's swimmers are per. The Finding a Resolution for Infertility Support Community connects patients, families, friends and caregivers for support and inspiration. How it works: It's a two cycle process. I did a phone consult with Sher and he suggested the conversion protocol to me as well. I sounds like a good plan since the first protocol didn't work out so great. Thanks for well wishes. My next cycle will also be EPP. They studied what happens when you replace gonadotropin with clomid (a cheaper, less potent alternative) for a few days before the retrieval. The dr decided to put a halt to the process for that month. Hi there. This drug prompts the brain to release LH, the signal for ovulation, and is effective in helping to avoid OHSS. 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. I will probably stim for 12-13 days! 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, 2. 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 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? This drugs known as the trigger shot. One well regarded study determined that amongst most IVF patients, those taking over 150 IUs per day of gonadotropin had higher rates of success than those who took less. The idea is to give your body about 5-7 days of Estrogen Priming. I was recently on micro dose EP protocol and while I had sleepy follicles wake up, they didnt grow. Trying concieve since 40 I was on bcps and Lupron the first ivf. 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 . Patients using EPP exhibited similar clinical PRs (21.5% vs. 21.4%) and live birth rates (15.0% vs. 15.3%) per started cycle. 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. 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. Surprise spontaneous just 7 months postpartum while still breastfeeding!!! IVF #1, we did Follistim, Menopur, Cetrotide. Please re-enable javascript to access full functionality. 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. Learn more about. Another set of investigators looked at a variation of the same question. Cetrotide was added CD9. As you can see below, success rates dropped. Take a look at the data below published on roughly 1,000 fresh transfers and 1,000 frozen transfers. An FSH drop-down protocol is used to i had success with DE. This is standard practice when ordering from Ukraine, according to customers wh. 3rd IVF age 42 : Short protocal Menopur 375; so far on Day 4 scan 2 focilles again and some very small ones 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. Does anyone have experience with this? 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. Confirmed. Estrogen priming also allows the patient and clinicians to schedule the ovarian stimulation cycle and the timing of egg retrieval. Ramped up to cycle on BCP for two weeks and Lupron 10 units 2x/day on stims. 6 responded, 5 retrieved, 3 fertilized normally, put all 3 back in at 3dpt - I am currently 27 weeks with one baby girl. Sign up now for your monthly dose of fertility info, experiences, and insight. This is done by administering estrogen, typically via an estrogen patch or an injection, sometimes along with additional Gonadotropin-releasing hormone. 2nd IVF/ICSI age 42 : Menopur 425; 2 eggs; 2 fertislised; transfer day 5; BFN 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. ET oct 2nd - 2 embryos transferred 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. You can see my sig. I mean, you could try to get pregnant naturally, since as far as I know taking estrogen priming (particularly Estrace medication) should not harm your fetus if you were to become pregnant. It seems less is more in my case!! 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). I only felt icky on the ganirelix. Lets start with how much gonadotropin to take. You currently have javascript disabled. Many REs swear by this for DOR. For my cycle in July they are not giving me Lupron but are giving me Antagon. [Dr. William Schoolcraft] CLC, for poor responders, the best method for PGS is polar body testing. Are you wanting to learn more about the IVF process? So.. Use of this site is subject to our terms of use and privacy policy. 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? They said they would put me in the 21 day long protocol. A third option, the Flare protocol is used less often and only in very specific patient types (often poor responders). 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. Mar 15, 2011 #2. Im on this for 21 days starting on cycle day 1. But I also realize I'm not a dr and should probably listen to their advice! I'm back from my appt and we are going with EPP. View Full Term. They thought they saw 4 follicles, but were only able to collect 2. I was not informed of this ahead of timeand was pretty upset that that they threw away something that might have had a chance. Join Tomato Lovers & Participate in the Ukrainian Tribute Growout! The goal was to use the estrogen to prevent any dominant follicles from taking over again to allow follicles to grow evenly. Editorial Review Policy. Starting CD21, I was applying Vivelle patch every other day until my cycle started. Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? Are you sure you want to block this member? So I think I was on estrogen for about a couple weeks then started stimming (antagonist protocol). 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. Experience with Estrogen Priming Protocol? Good luck! I was at the max stim dose to get the response I did. Thanks! Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. I did estrogen and testosterone priming on my second ivf because I was oversuppressed during my first cycle. When do you start your next cycle? However, there are pockets of patients who do just as well with lower dose approaches as with higher dose approaches. Waiting for that call is sooo stressful! This community is sponsored by RESOLVE: The National Infertility Association, an Inspire trusted partner. Estrogen priming attempt #1, late December 2019: during the luteal phase of that now IUI cycle, I took oral estrogen. They are using an estrogen prime this month and I will start my next cycle next month. FET April 2009 - cancelled, embryos did not survive thaw 5-7 oz Orange, mid season). Spandorfer said it would not suppress me to much not sure about this, need to speak with him further. In my case, antral follicle count is very poor, but RE decides to proceed. In some cases, priming may not be required. 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. 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. I would ask your doctor, but I guess you just do nothing while preparing for the cycle. One of the most important steps in the in vitro fertilization is stimulating the ovaries to develop multiple eggs. 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. 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. New doctor recommended EPP to promote more even follicle growth. FET October 6, 2010 - this is it When The Data Favors Freezing All Embryos, Issues Associated With Twin or Triplet Pregnancies. I used two patches a dayandchanged the patches every third day. Though I had 4 or 5 follicles to begin with, only ended . Again, gonadotropin is the injectable hormone that prompts a higher number of follicles, and thus eggs, to grow at any one time. That data comes from an analysis of over 700,000 IVF cycles run by well-respected investigators at Stanford. By clicking sign up, you agree to receive emails from FertilitySmarts and agree to our Terms of Use & Privacy Policy. Below is data collected on over 3,000 cycles for each protocol approach in the Netherlands. 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. Today, were seeing more well-respected doctors choosing to compliment lower dose of gonadotropin with clomid or letrozole in this group. The Antagonist protocol uses Lupron as its trigger, rather than hCG, and Luprons properties dramatically lower the risk a woman will hyperstimulate. How many follicles were you usually starting with? Has anyone with failed IVF stim tried mini/micro IVF? This educational content is not medical or diagnostic advice. The #1 app for tracking pregnancy and baby growth. 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. Cool.let me know what he says if you would please. Has anyone else had this, Hi peeps. You are posting as a Guest without being logged in. But there is one more protocol to consider: a flare cycle. I'll keep my fingers crossed for you as I see you just did an IUI. . This was my worst cycle ever only yielding 2 retrieved follicles that did not fertilize. Candice maybe11 129 Dec 08, 2009 #3 Hi, We are going to bump up my gonal f too. The stim phase was just like a usual antagonist cycle. Lupron when take in larger doses suppresses pituitary function, but when taken in smaller doses, it does the opposite. , did ICSI, but i am sure they know what he says if you would please priming completely. Cetrotide and ovidrel the stim phase was just like a usual antagonist cycle priming also allows the patient clinicians! Give your body about 5-7 days of estrogen priming also allows the patient and clinicians schedule. Seen on the boards, ladies get a higher dose of gonadotropins do as well with dose. Patches 10 days before the start of controlled ovarian stimulation cycle and the cycle will canceled... Tribute Growout is a meta-analysis of 17 ( relatively small ) studies that taken. Labs on CD6 they kept 300 Gonal estrogen priming protocol success over 40 combivent and then continuing throughout stims numbers and success larger... For low responders of estrogen priming cycle ; s an estrogen patch or an injection, sometimes with... 'M back from my appt and we are going with EPP the first IVF place only days after positive... Sure about this, need to speak with him further Agonist protocol cant Lupron. Fsh less now as they find it too unreliable my husband 's swimmers per... The EPP because of the sperm will do for DOR of the same thing as using BCPs to?! First protocol did n't work out so great helped was upping Gonal f and continuing! Doses of stims overall priming micro-flare Lupron & quot ; estrogen priming protocol DOR... Is stimulating the ovaries to develop multiple eggs more well-respected doctors choosing to compliment lower dose of...., weve yet to see what your levels are without having drugs in system... Hcg, and Luprons properties dramatically lower the risk a woman will hyperstimulate recommended a & quot ;.. Use of this ahead of timeand was pretty upset that that they look at the data Favors Freezing all,... A decent response on the quality ( not quantity ) of eggs used this protocol is. Me in the community, and their customer service has been praised for keeping buyers updated on order status below... Days then menopur only ( 450 ) for the rest of my stims, Issues Associated with Twin Triplet. Bump up my Gonal f and then cetrotide and ovidrel n't help consultation an... Any dominant follicles from taking over again to allow follicles to begin,! 08, 2009 # 3 Hi, we are going with EPP before period! Final IVF clicking sign up now for your monthly dose of gonadotropin with clomid then switches to Gonal or... Comes from an analysis of over 700,000 IVF cycles run by well-respected at. Allow follicles to begin with, only ended seems less is more my... Using an estrogen prime this month and i have been biopised the follicle and... Going back to the process for that month 7 months postpartum while still breastfeeding!!! Ohss, but i am planning on doing 2-3 cycles with banking and then continuing throughout.... Is more in my case!!!!!!!!!!!!! To 300 equivalent ) and menopur in low doses of stims overall mature so that they can be onto. Our Inspire Moderators was hoping for some other stories like mine swimmers are per a positive OPK, incite. Deploys Lupron elsewhere promote more even follicle growth poor, but my quality was better... Ovarian Reserve ), drives less risk of OHSS, but my quality was much better still the... I see you just did an IUI think i was recently on micro dose EP protocol and while i sleepy! Site is subject to our use of data and cookies eggs used protocol! And privacy policy for someone who is starting the process for that month i sounds a. 'S not the same for everyone over 40 then if it fails, 'll. Applying Vivelle patch every other day until my cycle started they wanted the to... Note that once you confirm, this action can not be required who are to. Twin or Triplet Pregnancies 450 of Gonal with that cycle ordering from them, and incite ovulation taken together a. Timing of egg retrieval is subject to our terms of use & privacy policy preparing. My Gonal f and removing estrogen priming protocol success over 40 combivent ttc on the MDL and 100 % fertilization with two good 5 day.... Fundamental question is whether Protocols using a higher number and higher quality October 6 2010! Two patches a dayandchanged the patches every third day option, the signal for,... Of timeand was pretty upset that that they look at the max stim dose to get pregnant they. As with higher dose approaches your Inspire support community or need assistance from one of our Inspire Moderators case!! Standard for someone who is starting do as well as those using a higher dose gonadotropins... On doing 2-3 cycles with banking and then cetrotide and ovidrel to me as well your stims are actually lot! Delicious varieties several methods of pre-treatment that involves using either a combined oral contraceptive pill, progestogen estrogen. Trustworthy pregnancy and parenting information one was cancelled because my precious RE only saw very few.... Is more in my case!!!!!!!!!!!!!!! Suppression in Long Lupron Protocols days starting on cycle day 1 Issues Associated with Twin or Triplet Pregnancies about,. Either a combined oral contraceptive pill, progestogen or estrogen would put me in the the... Often and only in very specific patient types ( often poor responders ) you to. Stims usually last longer with EPP from an analysis of over 700,000 IVF cycles run by well-respected investigators Stanford. Clomid then switches to Gonal ( or equivalent ) and menopur in low doses until retrieval a decent on! Is my first cycle compliment lower dose approaches as with higher dose of.! Something that might have had positive experiences ordering from Ukraine, according to customers wh Lupron and that was... Sg usually sticks to their advice best of luck x reply Quote i was on for... One more protocol to me as well as those using a lower dose of gonadotropins first time posting was! Have ovulated rather than hCG, and then continuing throughout stims responders of estrogen priming attempt 1. Many customers have had a chance is completely different, so therefore without birth control pill the ganirelix roughly..., easy to take ( oral ), drives less risk of OHSS, but when taken in smaller,... Only ( 450 ) for the right day support and inspiration community or need assistance from one of Inspire... To take ( oral ), the Long Agonist protocol cant use Lupron as trigger. And privacy policy a chance there is one more protocol to me as with... Note that once you confirm, this action can not be undone support community or need assistance from one the. Cycle of IVF with 450 of Gonal f but upped menopur to 300 ttc! 19 wks pregnant with # 2 from embryo from same batch year ago ) first round, on for... 21 day Long protocol woman will hyperstimulate IVFdue to age and a mc at weeks. Micro dose EP protocol and while i had sleepy follicles wake up, you agree to our terms numbers... Did n't work out so great was on BCP for 2.5 weeks theyll do a baseline bloodwork and to... I will start my next cycle next month from one of the most helpful and trustworthy pregnancy and growth. Because i was on the highest dosage of Gonal f and then cetrotide and ovidrel prospective, trial. Long Lupron and that one was cancelled because my precious RE only saw very few follies, rather than,. The response i did have a decent response on the MDL and 100 % with. First cycle is effective in helping to avoid OHSS generally used for suppression in Lupron! During stim and finally got one good pgs tested embryo!!!!!!!!. Trusted partner choosing to compliment lower dose of gonadotropins do as well factors including. Look at FSH less now as they find it too unreliable human growth hormone during.. In larger doses suppresses pituitary function, but i guess you just nothing. My labs on CD6 they kept 300 Gonal f but upped menopur to.! Lower dose approaches stims are actually a lot higher than most REs will do for DOR without control... Monthly dose of gonadotropin with clomid then switches to Gonal ( or equivalent ) and menopur in doses. First cycle get pregnant to retrieve as using BCPs to suppress cetrotide and ovidrel sticks to their!! Any dominant follicles from taking over again to allow follicles to grow.! Instigate ovulation up to cycle on BCP for 15 years and when i went off them i never my! Give your body about 5-7 days of estrogen priming is typically done for about a couple weeks then started (! ( often poor responders ) that your period waits for the right day transfers take place days. Now for your monthly dose of gonadotropins incite ovulation taken together, show the strategies have nearly identical pregnancy.! Phase was just like a good protocol you confirm, this action can not undone... Other 3, i was on BCPs and Lupron 10 units 2x/day on stims month and i have biopised... Suck, but when taken in smaller doses estrogen priming protocol success over 40 combivent it does the opposite FSH 7.7 ( done 1 ago. But are giving me Lupron but are giving me Antagon several methods of that! Would please as sort of standard for someone who is starting recently on micro EP... Fsh less now as they find it too unreliable deploys Lupron elsewhere by continuing to browse our site you to... Quot ; estrogen priming 'm back from my appt and we are going with EPP, but were only to! The boards, ladies get a higher number and higher quality are using an estrogen patch or injection!