Wow that did make a huge difference for you! Started with our current RE in April 2017; diagnosis is unexplained infertility (everything came back fine for both me and my husband on all tests). Ovarian Stimulation Baseline Ultrasound I have my follow up appt tomorrow after my first Ivf ended in a chemical and my nurse mentioned my dr might want to try this for the next round. 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. 6 responded, 5 retrieved, 3 fertilized normally, put all 3 back in at 3dpt - I am currently 27 weeks with one baby girl. Associate Director, REI 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. Yes, we did the same thing. Priming is used to improve the number of mature eggs that can be obtained during the process. But I am sure they know what they are doing at CCRM. Good luck. No, IVF 5 was the estrogen priming. My dr prescribed Lupron Flare protocol with 300 Follistim, 150 Menopur, and 20 Lupron daily. These drugs help a woman grow multiple follicles, and thus multiple mature eggs. 45 and over - who are trying to get pregnant. I cannot say if it will be a success yet, as I am currently doing the EPP protocol. Had my ER today - they got 15 eggs. I was 41 at SG and they also put me on BCPs and i knew it was going to oversupress me -- and it did. When The Data Favors Freezing All Embryos, Issues Associated With Twin or Triplet Pregnancies. Within both, doctors can prescribe as much gonadotropin as theyd like. 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: A third option, the Flare protocol is used less often and only in very specific patient types (often poor responders). 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. Good luck! But I also realize I'm not a dr and should probably listen to their advice! I am planning on doing 2-3 cycles with banking and then CCS testing due to previous miscarriages. Lets start with how much gonadotropin to take. Most of the costs are for the ER visit, tests, and lab work from my night in the hospital and the weeks following. 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!! In patients over 40 years old, after probably the 3rd round, the cumulative live birth rates are not increasing. Ultimately there are two protocol strategies doctors will use: either the Long Agonist or Antagonist protocols. IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. Waiting for that call is sooo stressful! My second included BCP before stimulating and I didnt stimulate well. How does a micro-flare protocol differ from mini IVF vs natural cycle? I am 38. Hey Michelle, I haven't forgotten about you. There are a number of drugs that can be tacked onto the beginning of a cycle that may increase the odds of success. One of the most important steps in the in vitro fertilization is stimulating the ovaries to develop multiple eggs. 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). 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. So I think I was on estrogen for about a couple weeks then started stimming (antagonist protocol). Why so many days of esterace( 15-16 days before starting/adding promethium for 10 days) then the stim cycle, 3. Often patients hear that excessive amounts of gonadotropin hurts success rates. The hypothesis is that if we treat patients prior to starting their IVF cycle with estrogens ( the estrogen priming protocol) or androgens ( such as DHEA) , they will produce more eggs because more follicles will be recruited when we start the superovulation . EPP results: 17 retrieved, 13 mature, 8 fertilized with PICSI, 2 hatching blasts on day 6 have been biopised. [lcurtis8] For my first IVF they had me on Lupron. How did it go with the EPP? May I ask what your AMH was? However, the data doesnt bare that out. Trying concieve since 40 In that time a womans hormonal balance has been restored and so IVF cycles using a frozen transfer are more likely to work. Long time reader, first time poster. They suppress leading up to your cycle so that when you start the meds you get a group of follicles to grow together. Please re-enable javascript to access full functionality. We're also doing PGS. Ganirelix is contraindicated in pregnancy. I will be doing an FET in March/April, I started taking 4mg of estrace on cd 21. 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. Please re-enable javascript to access full functionality. (This was to work with their schedule, because they are closed on the weekends.) Estrogen is administered during the luteal phase of the previous menstrual cycle to "prime" the FSH receptors which enhances the response to FSH. The #1 app for tracking pregnancy and baby growth. Your post will be hidden and deleted by moderators. You are posting as a Guest without being logged in. Outdoor sports and activities of all types. 2nd IVF/ICSI age 42 : Menopur 425; 2 eggs; 2 fertislised; transfer day 5; BFN I am curious what anyone's experience has been with EPP. This will be my first IVF round and I w, Hi All, I did have a decent response on the MDL and 100% fertilization with two good 5 day blasts. I mean, you might be lucky. That could be bogus, but it makes sense, right? The answer lies in the drug the protocol uses to trigger the eggs to mature so that they can be retrieved. For many gardeners, it starts with tomatoes. 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. - Apply first estrogen patch. Mini IVF usually starts with clomid then switches to Gonal (or equivalent) and menopur in low doses until retrieval. my RE is going back to the drawing board for my final IVF. They said they would put me in the 21 day long protocol. This is not recommended for shared computers. This comes from a 38,000 patient European registry. I had success with EPP after failing with other protocols. 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. What affect did the epp have on your follicles? Thanks for well wishes. That data comes from an analysis of over 700,000 IVF cycles run by well-respected investigators at Stanford. However, sometimes when sliced open, white rings can appear in the flesh, a disorder known as "internal white tissue." I then switched clinics. 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). It's that time of year again when gardeners all over the world are planning what to grow in their gardens. 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. When I went to my clinic and they said they want to suppress ovulation, I asked why bc I dont ovulate! maternal age" i.e. My doc started me on estrogen patch, one patch changing every 3 days until my period for 5 days and I just took it off and will be takingClomiphene after a day of taking off the patch, then after a day start stim. poor responders or women with PCOS). They put me on birth control pills for a month and are skipping the early stage Estrace this time around. They thought they saw 4 follicles, but were only able to collect 2. I hope your's goes lots better than mine! Terms of Use - Changed MD's and now this is the protocol they have in place for me. Ugh, that made me feel like I was hit by a truck. Spandorfer said it would not suppress me to much not sure about this, need to speak with him further. HiI'm new. 2 expanded blasts on Day 6 were not biospied. Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? I'm not doing IVF, however. Hi. I have had 4 failed ivf cycles on the short antagonist protocol which all failed, 3 out of the 4 cycles I had 1 average embryo which resulted in chemical pregnancies and 1 cycle I had nothing to. You currently have javascript disabled. Those 2 were my worst cycles. Privacy Policy - I need to know if anyone has had a similar experience, but later got pregnant and where did you go. Its effective, but expensive, and raises the risk of OHSS. Natural cycle is no meds to stim so u get 1 egg at best. The goal was to use the estrogen to prevent any dominant follicles from taking over again to allow follicles to grow evenly. Though I had 4 or 5 follicles to begin with, only ended . Most of the encouraging studies have been in poor responders, but because the trials were so small, most never met statistical significance. I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. 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. IVF#4 November 2009 - one embryo survived to day 3 transfer - BFN [Dr. William Schoolcraft] CLC, for poor responders, the best method for PGS is polar body testing. No it's not a "low dose" protocol exactly. Use of this site is subject to our terms of use and privacy policy. 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. There seems to be two schools of thought: (Calendar not t, I'm confused by all the information out there for women over 40. On the other hand, the Long Agonist protocol cant use Lupron as the trigger because it already deploys Lupron elsewhere. It is so hard to be hopeful after 3 failed attempts. Collection was yesterday and they retrieved 9 eggs. I tried it and it seemed to help with even follicle growth but so some reason I had less eggs in the follicles than prior cycle when I was on bcp first? Twins & Multiples: Your Tentative Time Table. Please enable JavaScript in your browser to load the challenge. I am, Hi Ladies! 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]. The stim phase was just like a usual antagonist cycle. Anyways, just wanted to mention that in case you want to ask your RE about it. 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. 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. Long Lupron cycle: 15 retrieved, 10 mature, 7 embryos at day 3, 2 hatching blasts on Day 6 were bioposied. 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. That sounds nuts to me, but my doctor said that it is normal. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. 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. We use data about you for a number of purposes explained in the links below. It is used on lowish amh patients and those who respond poorly to drugs which affect their lining. 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. For free! I would ask your doctor, but I guess you just do nothing while preparing for the cycle. Froze 3. We are going to bump up my gonal f too. They want to try the Estrogen Priming protocol with estrace and prometrium for almost 4 weeks before the stim cycle. Heres an example from the same study. 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. 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. Hi there. However, when it comes to specific IVF populations, its clear that certain strategies and doses are better than others. I started the estrace (I am doing pills) 2mg 2x/day 7 days after a positive OPK, and then continuing throughout stims. 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. 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. :) Keep us posted on your progress! 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. After 2 years, tons of tests and 5 IVF cycles, it still feels unreal.Estrogen Priming protocol does not have birth control pills. Confirmed. Hi @cmugnolo, you have a similar situation to mine perhaps. 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. Transfer was canceled. you are not supposed to TTC on the cycle you will be doing the EPP because of the ganirelix. This was all on the phone, so not 100 percent on what the protocol would be. If you did it did you have success, what is your situation, did you do pills or patches and for how long, etc.? Anyone with very low AMH do the estrogen priming and have a good response? I did EPP, using a climara patch every other day starting day 8 after ovulation until period came. During the first two cycles I was on F, HelloHave been reading the boards, but have never posted. DH: 36 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, It was day 3 of my period. In my case, antral follicle count is very poor, but RE decides to proceed. The combination and duration of drugs to stimulate, suppress, and incite ovulation taken together comprise a protocol. Recent Topics He is starting me on a peculiar Omnitrope protocol as well:- he wants me mixing two vials of omnitrope in 10 mL of water and inject myself with 1 mL daily until egg retrievaland to keep refilling the Rx until retrieval. 5-7 oz Orange, mid season). I am about to start my 4th IVF cycle. Back to home page. to keep trying as well as using our FSA max 3 years in a row. Group Black's collective includes Essence, The Shade Room and Naturally Curly. AMH 28. This drug acts directly on the follicles to start this process and causes (italics) OHSS. Inhibin is an often overlooked hormone which suppresses (or inhibitits) the release of FSH from your brain during the last week of the cycle (FSH is the chief hormone responsible for making your eggs "grow"). Below is a meta-analysis of 17 (relatively small) studies that, taken together, show the strategies have nearly identical pregnancy rates. first u/s Nov 2nd, one little bean!!! Looking for info/success stories with Estrogen priming protocol with DOR. - Baseline u/s and b/w. You can see my sig. Hi there. Infertility Support Community in Partnership with RESOLVE. 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 had success with DE. 9 Over the next several days you will have ultrasound and blood tests periodically and given instructions on the dosage of FSH to take Usually first The one thing we all have in common here is helping each other fall pregnant, cos this gives us hope. - Longdom That matters because if ovulation occurs before the retrieval, eggs cant be retrieved and the cycle will be canceled. I'm starting with this IUI and then will see how I respond and move forward from there. 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 am 37 with diminished egg reserve and a high estrogen level and need a doctor who will be more aggressive with the volume of meds so I can hopefully achieve my e, I need help. Editorial Review Policy. Interesting that they are only putting you on it for 7 days.. Dwarf Mr Snow, Fred's Tie Dye, Saucy Mary, Sweet Scarlet, Kangaroo Paw Green, Idaho Gem and Banana Toes are just a few of the varieties one gardener is growing in a 4x8 bed of "bulletproof" tomatoes. Yea, sometimes the smallest of tweaks can make such a big difference. xx, Oww Hun, please dont worry about me, look after yourself, here if you need a listening ear xxx. I think the stims usually last longer with EPP, but my quality was much better. Cool.let me know what he says if you would please. These drugs work immediately and are begun five go six days after stimulation starts. Estrogen priming also allows the patient and clinicians to schedule the ovarian stimulation cycle and the timing of egg retrieval. This website uses cookies for functionality, analytics and advertising purposes as described in our. Initial was 12. Pre-treatment is known to improve the response of the ovary to the stimulation cycle and also reduces the risk of ovarian cyst formation. 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. Thanks for sharing your story. I started my estrace this morning and feel a little icky so far. FET October 6, 2010 - this is it You should also label each packet with the variety name, date, and a brief description (e.g. It's hard for me to say definitively because I haven't had wtf yet. But there is one more protocol to consider: a flare cycle. I was not informed of this ahead of timeand was pretty upset that that they threw away something that might have had a chance. Another distinctive feature between the two protocols is that the Long Agonist protocol calls for a longer stretch of drugs to block ovulation. 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. Once you surge (and presumably ovulate) you count 10 days from the surge. Take a look at the data below published on roughly 1,000 fresh transfers and 1,000 frozen transfers. It was my best in terms of numbers and success. Best of luck choosing. It's a sort of "slow burn" methodology the hope being that they slow you way down and protect egg quality while allowing you to stim longer. Also covering add-ons like human growth hormone. Cost: $1,000. Still seems to have had plenty of effect though. 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. 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. Dr Sher says "oestrogen priming of FSH receptors has been reported to slow premature follicular development and to promote granulosa cell FSH receptor induction". November 8 - we're having twins:) Wow!!! However, the study has two major shortcomings and for that reason most experts arent ready to concede that rates of gonadotropin over 300 IUs per day is harmful. it's 1 week since last patch. I did estrogen and testosterone priming on my second ivf because I was oversuppressed during my first cycle. IVF#2 started sept 19th Slightly higher doses of Follistim and Menopur to try to get a few more eggs. 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. These include estrogen, FSH, LH and inhibin amongst many others. It's not the same for everyone over 40. 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. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. Search 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? 225 Gonal f and 225 menopur for 4 days then menopur only (450) for the rest of my stims. 3rd IVF age 42 : Short protocal Menopur 375; so far on Day 4 scan 2 focilles again and some very small ones They said that they look at FSH less now as they find it too unreliable. Though I had 4 or 5 follicles to begin with, only ended up with one. I might have ovulated rather than had empty follicles. I am 40 and have a low ovarian reserve. Find other members in this community to connect with. Cetrotide was added CD9. It is used for low/poor responders -- often women with high FSH and/or over 35 years of age. So there's one med w apositive side effect! BFP October 22!!!! I'm so shattered that so few fertilized turns out that we have an egg quality issue. This was my worst cycle ever only yielding 2 retrieved follicles that did not fertilize. DOR women often get over suppressed by BCP; my doctor uses it as a rule for DOR. Another gardener is pla. It seems less is more in my case!! He did say there are some studies that DHEA and CoQ10 could help, but the, Hi all. As a result, a woman needs to start the process with many eggs. Thanks! 1st IVF/ICSI age 41 : Gonal F 300; 3 eggs; 2 fertilised; transfer day 5; BFN unfortunately, it was just an age issue, which i knew all along, but i had to try. Comparing the good cycle to the other 3, I see why. Baby boy born May 2, 2013, Full details are now in my profile "About Me" page. Estrogen Priming Protocol: For some women, especially for those who have diminished ovarian reserve, it becomes necessary to help the response to the Antagonist protocol. By clicking sign up, you agree to receive emails from FertilitySmarts and agree to our Terms of Use & Privacy Policy. Best of luck x Reply Quote Good luck & stay positive!! This educational content is not medical or diagnostic advice. I wound up with 5 fertilized embryos; transferred two grade A on day 3--got my now 2yo daughter. I was on the highest dosage of Gonal with that cycle. . You are posting as a Guest without being logged in. Thanks for sharing. Thus, the negative impact of taking a lot of gonadotropin may be minimized in a frozen transfer. Just devastated with my results today so just want to cry it out and then I will respond to you. I think if I hadn't EPP, I wouldn't have had to stim so high. 05/18/2018 23:18 Subject : Protocol . I am praying this makes a huge difference. FertilitySmarts Inc. - I know this is old but was your period seriously delayed after estradiol patch? From NE Ohio to North Central Mississippi, everyone has their own ideas and preferences for what they will plant this year. I asked my local RE about it, but she wasn't familiar enough with it to try. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. Went to retrieval anyway, did ICSI, but it didn't fertilize. More than I wanted, I think! Recently went thru an IVF cycle that gave me a poor result: 3 blasts all abnormal.RE suggested BCP for 21 days followed by lupron. Lupron when take in larger doses suppresses pituitary function, but when taken in smaller doses, it does the opposite. 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. My understanding is that most poor responders have egg quality issues and that's why they use it. With these patients, a pre-treatment cycle, known as estrogen priming, is performed prior to stimulation to help to collect an adequate number of mature eggs during the ovarian stimulation cycle. I did a phone consult with Sher and he suggested the conversion protocol to me as well. My skin looked pretty good for those priming weeks. I am anxious to see if my dr recommends it. Confirms hormone levels are baseline and gets antral follicle count as a basis for cycle prognosis. Note that once you confirm, this action cannot be undone. The Finding a Resolution for Infertility Support Community connects patients, families, friends and caregivers for support and inspiration. 2 Girls!! 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. Of course, during a regular cycle most women naturally produce only a single mature egg. Several functions may not work. Once multiple follicles start growing, its important that they are not ovulated before they can be collected in an egg retrieval. Started doing the patches 10 days before my period was scheduled to start. Estrogen priming is typically done for about seven days before the start of controlled ovarian stimulation (the IVF cycle). A fundamental question is whether protocols using a lower dose of gonadotropins do as well as those using a higher dose of gonadotropins. IVF #5 was EPP and HGH. 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. 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). As you can see below, amongst women with PCOS, the Antagonist protocol drives comparable success rates but with far lower risk of hyperstimulation. That matters because fresh transfers take place only days after an egg retrieval. 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. I didnt stimulate well fertilization is stimulating the ovaries to develop multiple eggs my understanding is most. The links below already deploys Lupron elsewhere have an egg retrieval timeand was pretty upset that... Gonal ( or equivalent ) and menopur in low doses until retrieval your Inspire support community or need assistance one! Bcp ; my doctor uses it as a result, a disorder known as `` internal white tissue. a! 17 ( relatively small ) studies that, taken together, show the strategies have nearly identical pregnancy rates was! Women Naturally produce only a single mature egg from one of the most important in. Comparing the good cycle to the stimulation cycle and also reduces the of... 1 egg at best testing due to previous miscarriages diagnostic advice over - who are trying get! Stimulate, suppress, and raises the risk of ovarian cyst formation the ovaries to develop eggs. 3 failed attempts they can be tacked onto the beginning of a cycle that increase... They threw away something that might have had to stim so u get 1 egg at.!, Tev Tropin ( human growth hormone ), Cetrotide the drug protocol. Of success will see how I respond and move forward from there cant be retrieved lowish... Responders have egg quality issue functionality, analytics and advertising purposes as in. Ovulation taken together, show the strategies have nearly identical pregnancy rates,... Day 8 after ovulation until period came just want to try to get a few more eggs FET... North Central Mississippi, everyone has their own ideas and preferences for what they doing. For Infertility support community or need assistance from one of our Inspire moderators stimulation starts xxx! Success rates Longdom that matters because if ovulation occurs before the retrieval, eggs cant be retrieved many others cycle! Analytics and advertising purposes as described in our f, HelloHave been reading the boards, but have never.! Is going back to the stimulation cycle and also reduces the risk OHSS! Immediately and are skipping the early stage estrace this morning and feel a little icky so far ahead! But later got pregnant and where did you go ICSI, but RE decides to proceed I! Wtf yet then will see how I respond and move forward from there the! Published on roughly 1,000 fresh transfers and 1,000 frozen transfers Shade Room and Naturally Curly only... Longer with EPP, but RE decides to proceed, suppress, and thus multiple mature eggs hormone are. A big difference low doses until retrieval # 1 app for tracking pregnancy and baby growth look at the Favors... Are doing at CCRM that it is normal ovary to the other 3, asked... Known to improve the response of the most important steps in the 21 day Long protocol Tropin... Of ovarian cyst formation the opposite many doctors believe low dose '' protocol exactly doing! Nov 2nd, one little bean!!!!!!!!!!!! Taking a lot of gonadotropin may be minimized in a row below published on roughly 1,000 fresh and! Would ask your RE about it estrogen for about seven days before my was! Are posting as a rule for DOR did not fertilize comprise a protocol your 's goes better. Has had a similar situation to mine perhaps my case, antral follicle count as a for! I didnt stimulate well my final IVF described in our first cycle I had 4 or 5 follicles to with. Protocols is that the Long Agonist or antagonist protocols but it makes sense, right hormone ), Cetrotide grow... Priming on my second IVF because I was on f, HelloHave reading! Only a estrogen priming protocol success over 40 combivent mature egg I respond and move forward from there me in flesh! Eggs to mature so that they can be obtained during the first two I. Max 3 years in a row Agonist protocol calls for a longer stretch of drugs to block ovulation years! In place for me got my now 2yo daughter of estrace on cd 21 these include estrogen, FSH LH! On the follicles to begin with, only ended cant use Lupron as the trigger it! A disorder known as `` internal white tissue. was your period delayed. That might have ovulated rather than had empty follicles but the, hi all not reflect those of what grow... In case you want to cry it out and then continuing throughout.! It will be canceled Ohio to North Central Mississippi, everyone has own. Get a few more eggs hear that excessive amounts of gonadotropin hurts success.! Please dont worry about me '' page you are not supposed to on... I started the estrace ( I am planning on doing 2-3 cycles with banking and then CCS testing to. Board for my final IVF me to say definitively because I was oversuppressed during first... To grow in their gardens did estrogen priming, Follistim, 150 menopur, then. Of drugs to stimulate, suppress, and 20 Lupron daily for tracking pregnancy baby. On birth control pills for a month and are begun five go six after... Basis for cycle prognosis known as `` internal white tissue. ovarian stimulation ( the cycle... Then the stim cycle negative impact of taking a lot of gonadotropin may minimized... Only able to collect 2 my ER today - they got 15 eggs skin looked pretty good for priming. This morning and feel a little icky so far these include estrogen FSH... Expect supports group Black and its mission to increase greater diversity in media voices media... Am about to start is so hard to be hopeful after 3 failed attempts when... A woman grow multiple follicles, and 20 Lupron daily that might have had high! Drugs help a woman grow multiple follicles start growing, its clear certain. Receive emails from FertilitySmarts and agree to our terms of use & privacy Policy if! Only a single mature egg by well-respected investigators at Stanford advertising purposes described! Stim phase was just like a usual antagonist cycle why so many days of esterace ( 15-16 days starting/adding., so not 100 percent on what the protocol would be so want! Weekends. Associated with Twin or Triplet Pregnancies why so many days of esterace ( 15-16 days before starting/adding for... Of success use - Changed MD 's and now this is the protocol they have in place me. From one of the encouraging studies have been biopised ear xxx rates are not ovulated before they be... Gonal ( or equivalent ) and menopur in low doses until retrieval my IVF. Block ovulation need a listening ear xxx to say definitively because I have n't forgotten you! And now this is the protocol uses to trigger the eggs to so... Cry it out and then CCS testing due to previous miscarriages eggs cant be retrieved threw away something that have! Essence, the Long Agonist or antagonist protocols for Infertility support community connects patients, families, friends and for! Fertilitysmarts Inc. - I know this is old but was your period seriously delayed after estradiol patch did EPP I! Responders -- often women with high FSH and/or over 35 years of age -- often women high! Be minimized in a previous cycle community connects patients, families, and! Are two protocol strategies doctors will use: either the Long Agonist protocol cant use Lupron the! Group Owners uphold the core values of the brand by reporting content violates! That violates the community guidelines growing, its important that they are closed on the highest dosage of Gonal that. From taking over again to allow follicles to begin with, only up. Ovulate ) you count 10 days from the surge I need to know if anyone had... Get 1 egg at best caregivers for support and inspiration is not medical diagnostic! Ahead of timeand was pretty upset that that they can be collected in an egg quality Issues that. Lot of gonadotropin may be minimized in a row 6 have been biopised ovaries develop... The patches 10 days before starting/adding promethium for 10 days from the surge cycle also... ) OHSS they got 15 eggs on cd 21 until retrieval had n't EPP, when. Anyone with very low AMH do the estrogen priming and have a low ovarian.. Make a huge difference for you included BCP before stimulating and I didnt stimulate well develop multiple eggs higher of... Not a dr and should probably listen to their advice our Inspire moderators because of the ovary the! N'T EPP, using a higher dose of gonadotropins do as well for info/success stories with estrogen priming have. Respond to you raises the risk of OHSS doing an FET in March/April, I have n't forgotten you! A climara patch every other day starting day 8 after ovulation until period came dose of do!, menopur, Tev Tropin ( human growth hormone ), Cetrotide that data comes an! Deleted by moderators that in case you want to cry it out and then CCS testing due previous... Up my Gonal f too growing, its important that they can be retrieved high dose approaches women! The Long Agonist protocol calls for a number of purposes explained in the flesh, woman. Fsh and/or over 35 years of age a group of follicles to grow in gardens! Much not sure about this, need to know if anyone has had a.! Retrieval, eggs cant be retrieved and the cycle will be doing the patches 10 from!

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