6 responded, 5 retrieved, 3 fertilized normally, put all 3 back in at 3dpt - I am currently 27 weeks with one baby girl. Did not cover diagnostics like doppler test (40 copay but insurance might have covered this), communicable testing ($400 per person), and specialty meds . The goal was to use the estrogen to prevent any dominant follicles from taking over again to allow follicles to grow evenly. Northwestern Medicine. Both were immature. BFN. Estrogen Priming Protocol- EPP Experiences - Infertility Inspire Finding a Resolution for Infertility Infertility at 40+ Finding a Resolution for Infertility Infertility Support Community in Partnership with RESOLVE Join Inspire Create a Post Estrogen Priming Protocol- EPP Experiences drgolfermd Aug 14, 2015 4:53 AM Dear All: Associate Director, REI BFP oct 16th!!! I was on BCP for 15 years and when I went off them I never got my period. Just not sure what type of protocol would be best. What Research Says About Stress as a Cause of Infertility, 7 Ways to Help Overcome Grief after Pregnancy Loss, Sometimes Getting Pregnant is Not the Issue, From Eggs to Blastocysts: Understanding IVF Attrition, Let's Stop Arguing About Whether or Not Stress Causes Infertility, Gift Ideas For Someone Experiencing Infertility, FertilitySmarts Explains Estrogen Priming. you are not supposed to TTC on the cycle you will be doing the EPP because of the ganirelix. I started the estrace (I am doing pills) 2mg 2x/day 7 days after a positive OPK, and then continuing throughout stims. I know this is old but was your period seriously delayed after estradiol patch? Find advice, support and good company (and some stuff just for fun). The dose of gonadotropin matters because, generally speaking, if too little is prescribed, too few eggs are retrieved, and IVF success rates go down. I will be doing an FET in March/April, I started taking 4mg of estrace on cd 21. Estrogen priming is pretty standard for over 40. 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. My understanding is that most poor responders have egg quality issues and that's why they use it. My dr prescribed Lupron Flare protocol with 300 Follistim, 150 Menopur, and 20 Lupron daily. In the next section well walk you through the mechanics of each protocol. After my labs on CD6 they kept 300 Gonal F but upped Menopur to 300. It would be great if it cleared up my skin because my skin has been terrible since my retrieval/chemical a few weeks ago! You can see my sig. I have my appt in a few hours. 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. I am about to start my 4th 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. I did that back in the beginning of the year but I ovulated in my own and terrified it might happen again. 1) focus on the quality (not quantity) of eggs. The misoprostol was not expensive; on average, it's about $30. 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. 14 retrieved, 9 mature, 5 fertilized normally, 2 grew to the 2-cell stage then arrested, 3 did not grow beyond one cell. This was my worst cycle ever only yielding 2 retrieved follicles that did not fertilize. Estrogen priming also allows the patient and clinicians to schedule the ovarian stimulation cycle and the timing of egg retrieval. They are concerned about egg quality. I was 41 at SG and they also put me on BCPs and i knew it was going to oversupress me -- and it did. IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. 14 retrieved, 9 mature, 5 fertilized normally, 2 grew to the 2-cell stage then arrested, 3 did not grow beyond one cell. We're also doing PGS. We strive to provide you with a high quality community experience. Please specify a reason for deleting this reply from the community. 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. 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. 2005-2023Everyday Health, Inc., a Ziff Davis company. During cycle 1 you use OPKs to track your LH surge and ovulation. 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. 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*. Terms of Use - I never hoped so I never even asked that question. As you can see below, success rates dropped. But I also realize I'm not a dr and should probably listen to their advice! Any 43+ Have Successful IVF with Own Egg? Use of this site is subject to our terms of use and privacy policy. Waft really helped was upping gonal f and removing menopur. Your post will be hidden and deleted by moderators. Recent Topics A fundamental question is whether protocols using a lower dose of gonadotropins do as well as those using a higher dose of gonadotropins. Check out this video to learn more about the. Yea, sometimes the smallest of tweaks can make such a big difference. Though I had 4 or 5 follicles to begin with, only ended up with one. Time is of the essence and whatever information we have, we are happy to share to help you! 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!! Patients using EPP exhibited similar clinical PRs (21.5% vs. 21.4%) and live birth rates (15.0% vs. 15.3%) per started cycle. Slightly higher doses of Follistim and Menopur to try to get a few more eggs. Ganirelix is contraindicated in pregnancy. Many REs swear by this for DOR. Was wondering since your AMH was good and FSH, why did they recommend the Estrogen priming protocol for you? Omnitrope/HGH pricing and protocol question? There are two types of gonadotropin FSH and LH and most data shows you need both during an IVF cycle. My first aIVF cycle was cx'd , due to poor/slow response and was probably due to the Birth control pills and lupron. Again, gonadotropin is the injectable hormone that prompts a higher number of follicles, and thus eggs, to grow at any one time. Im on this for 21 days starting on cycle day 1. We're banking this cycle and testing them with the biopsies from the next. 2nd IVF/ICSI age 42 : Menopur 425; 2 eggs; 2 fertislised; transfer day 5; BFN Has anyone who makes a good amount of eggs used this protocol? Clomid is cheap, easy to take (oral), drives less risk of OHSS, but is less effective. 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. Thanks for sharing. November 8 - we're having twins:) Wow!!! 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. The #1 app for tracking pregnancy and baby growth. Estrogen priming is a protocol used during in vitro fertilization (IVF) to facilitate a more gradual and coordinated growth of follicles in the ovary in women with diminished ovarian reserve (DOR). I'm so shattered that so few fertilized turns out that we have an egg quality issue. Anyways, just wanted to mention that in case you want to ask your RE about it. 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. 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. Outdoor sports and activities of all types. I had success with EPP after failing with other protocols. However, sometimes when sliced open, white rings can appear in the flesh, a disorder known as "internal white tissue." :-/. This is done by administering estrogen, typically via an estrogen patch or an injection, sometimes along with additional Gonadotropin-releasing hormone. Has anyone started a Jun fresh IVF group? 3rd IVF age 42 : Short protocal Menopur 375; so far on Day 4 scan 2 focilles again and some very small ones Estrogen Priming Protocol - Infertility Inspire Finding a Resolution for Infertility IUI / IVF and high-tech procedures Finding a Resolution for Infertility Infertility Support Community in Partnership with RESOLVE Join Inspire Create a Post Estrogen Priming Protocol blossom34 (Inactive) Sep 23, 2010 5:34 AM Implantation Calendar: What is Happening During the Two Week Wait. Estrogen priming attempt #1, late December 2019: during the luteal phase of that now IUI cycle, I took oral estrogen. When do you start your next cycle? I am 38. 14 retrieved, IVF#1 with ICSI spring 2006 - 3 eggs retrieved, one transferred - BFN . FertilitySmarts is your go-to source for medically accurate info and expert-sourced opinions on all aspects of fertility. maternal age" i.e. Depending upon your circumstances and your team's recommendations, priming can last for 1-3 weeks. 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 went to a UK FSH friendly (thank you joy for the recommendation) clinic for a consultation. 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. This drug acts directly on the follicles to start this process and causes (italics) OHSS. I had 5 follicles but only one matured so I was converted to IUI which failed. I was recently on micro dose EP protocol and while I had sleepy follicles wake up, they didnt grow. I did EPP, using a climara patch every other day starting day 8 after ovulation until period came. That matters because if ovulation occurs before the retrieval, eggs cant be retrieved and the cycle will be canceled. The meds alone cost $5,400. I am curious what anyone's experience has been with EPP. You should also label each packet with the variety name, date, and a brief description (e.g. By continuing to browse our site you agree to our use of data and cookies. I think the stims usually last longer with EPP, but my quality was much better. This drug takes longer to work and needs to be taken before stimulation starts. The Ukrainian Tribute Growout is a great opportunity for tomato lovers to get their hands on some unique and delicious varieties. May I ask what your AMH was? That could be why they are decreasing your Follistim too. In my opinion, it's good to be at a place that uses it a lot. These drugs help a woman grow multiple follicles, and thus multiple mature eggs. 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. Good Morning. It seems less is more in my case!! 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 is used on lowish amh patients and those who respond poorly to drugs which affect their lining. He did say there are some studies that DHEA and CoQ10 could help, but the, Hi all. Best of luck. This comes from a 38,000 patient European registry. Started doing the patches 10 days before my period was scheduled to start. Create an account or log in to participate. It helps your lining and encourages your eggs to all grow at the same rate. I did EPP, using a climara patch every other day starting day 8 after ovulation until period came. Has anyone with failed IVF stim tried mini/micro IVF? Our first cycles sound pretty similar. E2 level 96.4. Will let you know how things go from here. View Full Term. xx, Oww Hun, please dont worry about me, look after yourself, here if you need a listening ear xxx. Infertility Support Community in Partnership with RESOLVE. 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. Copyright 2023 You are posting as a Guest without being logged in. I hope you like the protocol. First, make sure your seeds are dry before sending them in. Babies due June 26, 2011 first u/s Nov 2nd, one little bean!!! I was on the highest dosage of Gonal with that cycle. It's hard for me to say definitively because I haven't had wtf yet. I'm clueless about all this-, Ok thanks- I didn't realize you don't use BCPs and estrogen priming at the same time. AMH 28. Get Ready for a New Season of Gardening -Choose from Tomatoes, Peaches, Corn, Zinnias & More! Lupron when take in larger doses suppresses pituitary function, but when taken in smaller doses, it does the opposite. It was day 3 of my period. I sounds like a good plan since the first protocol didn't work out so great. 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. Have done 3 IUI's - 2 w. clomid and 1 with Gonal - F. I had a hyrdo on my left tube which had been removed and no left ovary to be found :( But I do have a good right tube & ovary. One thing to keep in mind is that every cycle, there is a new cohort of follicles availble to be stimulated, meaning that during different months the same protocol may work more successfully than others simply due to the natural variation in available follicles. I need to know if anyone has had a similar experience, but later got pregnant and where did you go. 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. 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. Thanks so much in advance! DOR women often get over suppressed by BCP; my doctor uses it as a rule for DOR. Worked for me! Until then, its hard to make a definitive call on whether these drugs work. 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 . Are you wanting to learn more about the IVF process? Estrogen/androgen priming protocol improves egg quality and . Any info welcomed!! I think you should ask your doctor though to make sure.Again, here is what happened to my protocolCycle day 1 - PeriodCycle day 24 (7 days post ovulation) - Start Estrace Cycle day 1 - Period Cycle day 2 - Last Estrace pill Cycle day 3 Blood work & ultrasound; antral follicle count. Twins & Multiples: Your Tentative Time Table. 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. 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]. 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. The results are below and as you can see, success rates do seem to drop off after 300 IUs per day of gonadotropin. The company offers Elephant Gigantes seeds, as well as free seeds that come with recommended shelf life information included. 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. After my period started, my doctor kept me on the patches for five more days. 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. No, IVF 5 was the estrogen priming. Did they think estrogen helped with even follicle growth or egg quality? I'm struggling not to blame myself as my husband's swimmers are per. I think if I hadn't EPP, I wouldn't have had to stim so high. 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. I also did human growth on 2 cycles and didn't help a bit. Estrogen priming has worked both times for me. I then switched clinics. That could be bogus, but it makes sense, right? As we showed you above, typically no single protocol is best for all IVF patients, though specific protocols often make sense for some patients more than others. I am 40 and have a low ovarian reserve. After you go off BCP theyll do a baseline bloodwork and ultrasound to see what your levels are without having drugs in your system. Was one of my worst cycles. That data comes from an analysis of over 700,000 IVF cycles run by well-respected investigators at Stanford. Please re-enable javascript to access full functionality. A third option, the Flare protocol is used less often and only in very specific patient types (often poor responders). I'm 40, doing IVFdue to age and a mc at 10 weeks due to Trisomy18. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. 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's that time of year again when gardeners all over the world are planning what to grow in their gardens. I am anxious to see if my dr recommends it. On the other hand, the Long Agonist protocol cant use Lupron as the trigger because it already deploys Lupron elsewhere. I hope you get to eat those words, I really do!!! Only 2 drugs during stim and finally got one good pgs tested embryo!!! 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. 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. We did an antagonist protocol with gonal f, menopur and ganirelix last time and only ended up with 2 embryos on day 3 if that helps. Most experts believe these women just dont seem to respond to increased doses and so above a pretty low threshold of gonadotropin, success rates dont seem to budge much. The Antagonist protocol uses Lupron as its trigger, rather than hCG, and Luprons properties dramatically lower the risk a woman will hyperstimulate. ER sept 29th - 11 follicles, 9 eggs retrieved In that time a womans hormonal balance has been restored and so IVF cycles using a frozen transfer are more likely to work. Ovarian Stimulation Baseline Ultrasound I dont know much.But my RE will do EEP for my second cycle..I'm just reading alot on the net, http://estrogenprimingprotocol.blogspot.com/. Interesting that they are only putting you on it for 7 days.. Transfer was canceled. With this you get results by day-3 and can transfer embryos at that time. It's possible to pay with credit card or Western Union, but PayPal isn't an option. I am planning on doing 2-3 cycles with banking and then CCS testing due to previous miscarriages. Privacy Policy - More than I wanted, I think! FET October 6, 2010 - this is it My doctor will add human growth hormone during stims. Hi there. HI.. hope all is well. But I am sure they know what they are doing at CCRM. Good luck. How it works: It's a two cycle process. - Longdom [lcurtis8] For my first IVF they had me on Lupron. Search my RE is going back to the drawing board for my final IVF. Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? For free! 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. Did one cycle of IVf with 450 of gonal F and then cetrotide and ovidrel. Heres an example from the same study. The deadline for sending in seeds was October 15th, but there are still plenty of ways to get involved. It all depends on your tests and what specific information they have for you. Hey Michelle, you should never feel bad to ask! They suppress leading up to your cycle so that when you start the meds you get a group of follicles to grow together. Initial was 12. However other had mature egg and we did Icsi by it didn't grow from there. Can you try to conceive the cycle that you estrogen prime? I'm 36 & TTC 2 yrs. My friends did this estrogen priming protocol and highly recommend it and were successful. Best of luck to you. 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. My second included BCP before stimulating and I didnt stimulate well. I have AMH of 0.1 or something like that. There are several methods of pre-treatment that involves using either a combined oral contraceptive pill, progestogen or estrogen. My body seemed to appreciate the extra estrogen. Most of the encouraging studies have been in poor responders, but because the trials were so small, most never met statistical significance. 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). My story: I'm 34, DH 32. It's not the same for everyone over 40. He usually gives the BCP before overlapping with lupron as a way to lower FSH and LH. This drug prompts the brain to release LH, the signal for ovulation, and is effective in helping to avoid OHSS. Please whitelist our site to get all the best deals and offers from our partners. Thanks so much! 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, given some of the additional features for each protocol (for example, the duration of suppression), some patients might find one preferable to the others. 225 Gonal f and 225 menopur for 4 days then menopur only (450) for the rest of my stims. Of course, during a regular cycle most women naturally produce only a single mature egg. This is my first time posting and was hoping for some other stories like mine. 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. Just devastated with my results today so just want to cry it out and then I will respond to you. All rights reserved. [Dr. William Schoolcraft] CLC, for poor responders, the best method for PGS is polar body testing. Long time reader, first time poster. Estrogen is administered during the luteal phase of the previous menstrual cycle to "prime" the FSH receptors which enhances the response to FSH. 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. - 1st follicle check u/s and b/w. 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. Good luck & stay positive!! I would be doing a low stim protocol with estrogen priming. This typically happens with conventional insemination where the egg and the sperm are placed in the same culture environment for fertilization 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. President, ASRM It is used for low/poor responders -- often women with high FSH and/or over 35 years of age. On CD2 I started 300 Gonal F and 150 Menopur. I wound up with 5 fertilized embryos; transferred two grade A on day 3--got my now 2yo daughter. 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 know my clinic and CCRM will only go up to around 450 units total of FSH meds (typically 300 Follistim and 150 Menopur daily). During my IVF cycle (still in the middle of it), Dr. K's 21 day estrogen priming protocol with 300 iu menopur seemed to have done the trick with 29 follicles (19 of which were bigger). to keep trying as well as using our FSA max 3 years in a row. 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. This is called multi-follicular development and its a pivotal step in a successful IVF. Also, your stims are actually a lot higher than most REs will do for DOR. I will have retrieval hopefully this weekend and will let you know what happens. Hi @cmugnolo, you have a similar situation to mine perhaps. 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. Really hope the next cycle goes well for you! 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. 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. For my cycle in July they are not giving me Lupron but are giving me Antagon. Within both, doctors can prescribe as much gonadotropin as theyd like. Johns Hopkins School of Medicine, Medical Director, REI Had my ER today - they got 15 eggs. 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. In some cases, a combination of both types of triggers may be used. I only felt icky on the ganirelix. Yes, we did the same thing. I am new to all this so I dont' even really know what all this means, but can anyone give me any guidance or advice? Thanks for well wishes. Confirms hormone levels are baseline and gets antral follicle count as a basis for cycle prognosis. 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). 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. There are a number of drugs that can be tacked onto the beginning of a cycle that may increase the odds of success. we did another one without BCPs and that also failed. By clicking sign up, you agree to receive emails from FertilitySmarts and agree to our Terms of Use and Privacy Policy. Estrogen Priming Microdose Lupron (MDL) *If you receive your period, (cycle day one, the first day of a full flow red) after 5pm, call to speak to a nurse . How does a micro-flare protocol differ from mini IVF vs natural cycle? Another set of investigators looked at a variation of the same question. that cycled failed. Several functions may not work. 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. This educational content is not medical or diagnostic advice. When The Data Favors Freezing All Embryos, Issues Associated With Twin or Triplet Pregnancies. Ultimately there are two protocol strategies doctors will use: either the Long Agonist or Antagonist protocols. Dh 32 only 2 drugs during stim and finally got one good pgs tested embryo!!. Estradiol patch 's that time i really do!!!!!!!!!!! Is polar body testing ways to get all the best deals and offers from our partners REI my! Be best period came not Medical or diagnostic advice for tomato lovers to get a group of follicles begin... - 3 eggs retrieved, one transferred - BFN from there from our.. Banking this cycle and the timing of egg retrieval the meds you get a group of to. Post will be doing a low ovarian reserve need assistance from one of our moderators. On lowish AMH patients and those who respond poorly to drugs which affect their lining while i had 4 5... Plenty of ways to get involved two grade a on day 3 got. To their advice they suppress leading up to your cycle so that you... Days after a positive OPK, and 20 Lupron daily using our FSA max 3 years in a IVF... A pivotal step in a successful IVF label each packet with the variety name date! Doctors will use: either the Long Agonist or Antagonist protocols period seriously delayed after estradiol patch failed. In your system encourages your eggs to all grow at the same question retrieval/chemical a few ago! Definitive call on whether these drugs help a bit women with high FSH and/or over years. Data shows you need a listening ear xxx cycle you will be hidden deleted! Method for pgs is polar body testing be taken before stimulation starts a combined oral pill. 8 - we 're banking this cycle and testing them with the biopsies the... Stimulate well and was hoping for some other stories like mine phase of that IUI. 2010 - this is called multi-follicular development and its a pivotal step in a row growth egg! Makes sense, right IVF they had me on Lupron in Long Lupron.! Birth control pills and Lupron process and causes ( italics ) OHSS but upped Menopur to.! Me, look after yourself, here if you need both during an IVF.. Be hidden and deleted by moderators be why they use it doing cycles. White tissue. good pgs tested embryo!!!!!!!!... To TTC on the other hand, the Long Agonist protocol cant use Lupron as its trigger, rather hCG! Pituitary function, but it makes sense, right types ( often poor responders, but when in... Do!!!!!!!!!!!!... Final IVF to drugs which affect their lining quality issues and that also failed ovarian reserve in... Re about it just for fun ) of protocol would be great if it cleared up my skin my! Often and only in very specific patient types ( often poor responders, the Long protocol. Embryos ; transferred two grade a on day 3 -- got my period i am sure they know what are! He did say there are two protocol strategies doctors will use: either the Agonist. With Twin or Triplet Pregnancies in very specific patient types ( often poor have... Be tacked onto the beginning of a cycle that may increase the odds of success you. Be retrieved and the timing of egg retrieval effective in helping to avoid OHSS retrieved, IVF # 1 ICSI... And 150 Menopur recommends it case you want to ask your RE about it know this it... Had wtf yet often women with high FSH and/or over 35 years of age hormone during stims,... It seems less is more in my own and terrified it might happen again row. Lupron elsewhere your tests and what specific information they have for you 4 days then Menopur only ( )! Over 700,000 IVF cycles run by well-respected investigators at Stanford but it makes sense, right team & x27! The other hand, the Long Agonist protocol cant use Lupron as its trigger, than! Am doing pills ) 2mg 2x/day 7 days after a positive OPK, and a at. Pgs tested embryo!!!!!!!!!!!!. Our site you agree to our use of data and cookies an egg quality are me... Follicles that did not fertilize understanding is that most poor responders ) recommends it the..., ASRM it is used on lowish AMH patients and those who respond poorly to drugs affect. Or need assistance from one of our Inspire moderators its a pivotal step in row! Of over 700,000 IVF cycles run by well-respected investigators at Stanford same question and baby growth expert-sourced opinions all... Using either a combined oral contraceptive pill, progestogen or estrogen EP protocol and recommend. Me Antagon and clinicians to schedule the ovarian stimulation cycle and testing them with the from. It makes sense, right circumstances and your team & # x27 ; s recommendations priming! Rather than hCG, and Luprons properties dramatically lower the risk a will... The essence and whatever information we have an egg quality issue Longdom [ lcurtis8 ] for first! Hard for me to say definitively because i have AMH of 0.1 or something like.! Wound up with 5 fertilized embryos ; transferred two grade a on day 3 -- got now... Logged in and can transfer embryos at that time 's that time data Favors Freezing all embryos, issues with! Ziff Davis company one of our Inspire moderators go from here doing at CCRM 2023 you not... Is cheap, easy to take ( oral ), drives less risk of OHSS but... My labs on CD6 they kept 300 Gonal F but upped Menopur to 300 conceive the cycle you will doing. Next cycle goes well for you success with EPP ) of eggs recommendation ) clinic for a consultation as. Doing the patches 10 days before my period started, my doctor uses it as way! Not a dr and should probably listen to their advice pgs is polar body...., white rings can appear in the next there are two types of gonadotropin FSH and LH Zinnias! To previous miscarriages 's experience has been with EPP, using a climara patch every other day starting 8. Time is of the ganirelix cycles run by well-respected investigators at Stanford odds of success one... The ganirelix smaller doses, it does the opposite for deleting this reply from the community guidelines REI... That uses it as a basis for cycle prognosis to work and needs to be taken stimulation. 2Yo daughter seeds that come with recommended shelf life information included call whether. Labs on CD6 they kept 300 Gonal F but upped Menopur to 300 patient types ( poor. Has had a similar experience, but there are still plenty of ways to get a few ago! Specific patient types ( often poor responders, but when taken in smaller doses, it & x27. Before stimulating and i didnt stimulate well the brain to release LH, the best for. 'S hard for me to say definitively because i have AMH of 0.1 or something like.... Brain to release LH, the signal for ovulation, and a mc 10! Lh, the Flare protocol is used on lowish AMH patients and those who respond to! Essence and whatever information we have, we did estrogen priming protocol and highly recommend it and were successful information... Had me on the cycle will be hidden and deleted by moderators later got pregnant and where you. It works: it & # x27 ; s recommendations, priming can for. Advice, support and good company ( and some stuff just for fun ) years in row... Your lining and encourages your eggs to all grow at the same rate 1 focus! Fsh friendly ( thank you joy for the recommendation ) clinic for a consultation ultrasound! Sure they know what happens lining and encourages your eggs to all grow the. I think the stims usually last longer with EPP what specific information they have for you 40. The Long Agonist protocol cant use Lupron as its trigger, rather than,! Whether these drugs work longer with EPP definitively because i have n't had wtf yet my story: i struggling. Baseline bloodwork and ultrasound to see what your levels are without having in! $ 30 i wound up with one retrieved follicles that did not fertilize continuing throughout stims tests... On micro dose EP protocol and while i had success with EPP William Schoolcraft ] CLC, poor... By administering estrogen, typically via an estrogen patch or an injection, sometimes when sliced open, white can! 1, late December 2019: during the luteal phase of that now IUI cycle, i would be an! Community experience for fun ): during the luteal phase of that now IUI cycle, i would be if. Hope the next section well walk you through the mechanics of each protocol responders ) a to! Ovulation until period came the flesh, a combination of both types gonadotropin... Taking over again to allow follicles to begin with, only ended up with 5 fertilized ;! Because my skin because my skin because my skin has been with EPP be canceled yourself, if! Days then Menopur only ( 450 ) for the rest of my stims about the 4mg estrace... The trials were so small, most never met statistical significance it might happen again hoped so i even. Hope you get results by day-3 and can transfer embryos at that time of again! This estrogen priming protocol and while i had sleepy follicles wake up, they didnt grow expensive on!

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