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. Still seems to have had plenty of effect though. 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. In that time a womans hormonal balance has been restored and so IVF cycles using a frozen transfer are more likely to work. . The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. 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. DOR does suck, but you can still be successful! I also did ganirelix during this time. Ganirelix is contraindicated in pregnancy. 3rd IVF age 42 : Short protocal Menopur 375; so far on Day 4 scan 2 focilles again and some very small ones 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. After 2 years, tons of tests and 5 IVF cycles, it still feels unreal.Estrogen Priming protocol does not have birth control pills. Estrogen priming is typically done for about seven days before the start of controlled ovarian stimulation (the IVF cycle). IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. Fx! 05/18/2018 23:18 Subject : Protocol . Does anyone have experience with this? DOR women often get over suppressed by BCP; my doctor uses it as a rule for DOR. Learn more about. 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. That could be bogus, but it makes sense, right? Avery & Sydney born June 12/11 at 30w1d. Was wonderin, I just finished my 3rd failed IVF cycle using EPP. Johns Hopkins School of Medicine, Medical Director, REI Thus, the negative impact of taking a lot of gonadotropin may be minimized in a frozen transfer. Below you can see that when investigators gave poor responders 450 IUs or 150 IUs per day, the groups had nearly identical success rates. In some cases, a combination of both types of triggers may be used. I just had a consultation with an RE he recommended a "estrogen priming micro-flare lupron" protocol. So it seems to me it's time to change the protocol, do another cycle and gather more inform, I am 36 years old. Please enable JavaScript in your browser to load the challenge. Hey ladies, I am about to start my second IVF cycle and this time instead of priming with birth control I am doing estrogen tablets 2mg twice a day as well as a pump of androgel. The results are below and as you can see, success rates do seem to drop off after 300 IUs per day of gonadotropin. Babies due June 26, 2011 Some people think having too much of the FSH meds is harmful for quality (and also so expensive of course). - Apply first estrogen patch. Use of this site is subject to our terms of use and privacy policy. Changed MD's and now this is the protocol they have in place for me. Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? 10 retrieved, 6 mature, 6 fertilized (half with ICSI), transferred two 8-cell embryos on day three (both with moderate fragmentation, graded B and C-), the four remaining arrested by day 5. February 7 - lost our little twin, Baby B had no heartbeat at 20 weeks, June 8, 2011 - DD was born healthy and her twin brother was born to Heaven. ER sept 29th - 11 follicles, 9 eggs retrieved Terms of Use - DS was born June 22nd, 2007!!!!! Long time reader, first time poster. The Ukrainian Tribute Growout is a great opportunity for tomato lovers to get their hands on some unique and delicious varieties. 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. The dose of gonadotropin matters because, generally speaking, if too little is prescribed, too few eggs are retrieved, and IVF success rates go down. This drug acts directly on the follicles to start this process and causes (italics) OHSS. 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. 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. Collection was yesterday and they retrieved 9 eggs. I started epp with cetrotide x 3 days. It is so hard to be hopeful after 3 failed attempts. It will workjust have faith! Several functions may not work. Candice maybe11 129 Dec 08, 2009 #3 Hi, 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. By continuing to browse our site you agree to our use of data and cookies. Has anyone else had this, Hi peeps. Sign up now for your monthly dose of fertility info, experiences, and insight. However, sometimes when sliced open, white rings can appear in the flesh, a disorder known as "internal white tissue." When I went to my clinic and they said they want to suppress ovulation, I asked why bc I dont ovulate! Do they use this protocol as sort of standard for someone who is starting? Once multiple follicles start growing, its important that they are not ovulated before they can be collected in an egg retrieval. I'm back from my appt and we are going with EPP. 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. It all depends on your tests and what specific information they have for you. What To Do When PGT-A & Grading Results Conflict? Heres an example from the same study. 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 did EPP with my 3rd cycle and it didn't help. This community is sponsored by RESOLVE: The National Infertility Association, an Inspire trusted partner. However, there are pockets of patients who do just as well with lower dose approaches as with higher dose approaches. Estrogen priming refers to supplementing women with extra estrogen (estradiol) during the luteal phase - that's the last two weeks - of the prior menstrual cycle before beginning ovarian hyper-stimulation for IVF. (This was to work with their schedule, because they are closed on the weekends.) Again, gonadotropin is the injectable hormone that prompts a higher number of follicles, and thus eggs, to grow at any one time. I started the estrace (I am doing pills) 2mg 2x/day 7 days after a positive OPK, and then continuing throughout stims. Estrogen priming has worked both times for me. My doctor will add human growth hormone during stims. This will be my first IVF round and I w, Hi All, This is not recommended for shared computers. 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. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. xx, Oww Hun, please dont worry about me, look after yourself, here if you need a listening ear xxx. - Baseline u/s and b/w. As you can see below, amongst women with PCOS, the Antagonist protocol drives comparable success rates but with far lower risk of hyperstimulation. Note that once you confirm, this action cannot be undone. 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. Is estrogen priming the same thing as using BCPs to suppress? Initial was 12. I understand the idea for the patch is to help time the growth of follicles vs. increase the number? As we discussed there are drugs that stimulate follicles to grow, suppress the follicles ability to release their eggs, and then help catalyze the follicles to mature their eggs so they can be retrieved. I credit the advice I received on this forum both from members and from experts, my infertility doctor and my push for the estrogen priming protocol for the family that I have today. Lupton trigger. Your post will be hidden and deleted by moderators. Hi there. 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. Worked for me! Can you try to conceive the cycle that you estrogen prime? 2. Did acupuncture, Chinese herbs, modified diet, re-tested and FSH was 7 / Estradiol 47/ AMH .4 By clicking sign up, you agree to receive emails from FertilitySmarts and agree to our Terms of Use and Privacy Policy. My second included BCP before stimulating and I didnt stimulate well. 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. It's easiest to create a Word docume, Prevent & Address Internal White Tissue in Tomatoes | How to Maximize Potassium Uptake and Reduce Fungal Diseases, Tomatoes are a popular and nutritious vegetable that can be grown in gardens around the world. We are going to bump up my gonal f too. Northwestern Medicine. IVF #5 was EPP and HGH. I cannot say if it will be a success yet, as I am currently doing the EPP protocol. This is done by administering estrogen, typically via an estrogen patch or an injection, sometimes along with additional Gonadotropin-releasing hormone. When do you start your next cycle? IUI pregnancy rates can only be slightly better than the natural live birth rate offered by Mother Nature which is 10-15%. Patients using EPP exhibited similar clinical PRs (21.5% vs. 21.4%) and live birth rates (15.0% vs. 15.3%) per started cycle. To help time the growth of follicles vs. increase the number are solely opinions! Delicious varieties for review, but it makes sense, right & quot ; estrogen micro-flare. Our site you agree to our use of this site is subject to our use of this site subject. To browse our site you agree to our use of data and cookies now this is not for... Agree to our terms of use and privacy policy transfer are more likely to with! 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