. There are two types of gonadotropin FSH and LH and most data shows you need both during an IVF cycle. I'm 36 & TTC 2 yrs. Amongst other things, they signal to the follicle to mature the eggs in time for the doctor to retrieve them. This drug works indirectly by prompting the brain to produce more gonadotropin to signal the ovaries to grow follicles -- so it's not directly stimulating the ovary. i read everywhere it's for "poor responders". IVF #1, we did Follistim, Menopur, Cetrotide. 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. 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 did EPP, using a climara patch every other day starting day 8 after ovulation until period came. The misoprostol was not expensive; on average, it's about $30. I am also preparing to do estrogen priming again. DS was born June 22nd, 2007!!!!! 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). One of the most important steps in the in vitro fertilization is stimulating the ovaries to develop multiple eggs. However, weve yet to see a large, rigorous, prospective, randomized trial on the subject. 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? Thanks for well wishes. I used two patches a dayandchanged the patches every third day. Changed MD's and now this is the protocol they have in place for me. 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. Estrogen Priming Protocol- EPP Experiences. 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. You can see my sig. 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. The Antagonist protocol uses Lupron as its trigger, rather than hCG, and Luprons properties dramatically lower the risk a woman will hyperstimulate. Another set of investigators looked at a variation of the same question. 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? Below is data collected on over 3,000 cycles for each protocol approach in the Netherlands. I did have a decent response on the MDL and 100% fertilization with two good 5 day blasts. BFP October 22!!!! Trying concieve since 40 I understand why they want to suppress ovulation but it just doesn't seem like a good idea in someone over 40? TTC with DOR (Diminished Ovarian Reserve), the most helpful and trustworthy pregnancy and parenting information. I had 5 follicles but only one matured so I was converted to IUI which failed. EPP results: 17 retrieved, 13 mature, 8 fertilized with PICSI, 2 hatching blasts on day 6 have been biopised. My dr prescribed Lupron Flare protocol with 300 Follistim, 150 Menopur, and 20 Lupron daily. 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? By clicking sign up, you agree to receive emails from FertilitySmarts and agree to our Terms of Use & Privacy Policy. 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. Please enable JavaScript in your browser to load the challenge. Cool.let me know what he says if you would please. After you go off BCP theyll do a baseline bloodwork and ultrasound to see what your levels are without having drugs in your system. Patients using EPP exhibited similar clinical PRs (21.5% vs. 21.4%) and live birth rates (15.0% vs. 15.3%) per started cycle. 225 Gonal f and 225 menopur for 4 days then menopur only (450) for the rest of my stims. Note that once you confirm, this action cannot be undone. I then switched clinics. 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. Before starting the pills, we need to wait until you are in the correct stage of your menstrual cycle (the luteal phase). 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. These drugs perform the opposite duty of suppression. For many gardeners, it starts with tomatoes. Any success stories for low responders of Estrogen Priming cycle? AMH 28. While gonadotropin is the critical drug in most every protocol, its not the only drug. On the other hand, if too much gonadotropin is taken, a woman is at higher risk of hyperstimulation, known as Ovarian Hyperstimulation Syndrome or OHSS. Hi there. This is the oldest IVF protocol and is especially effective in preventing premature ovulation during the cycle. But I also realize I'm not a dr and should probably listen to their advice! This website uses cookies for functionality, analytics and advertising purposes as described in our. They said that they look at FSH less now as they find it too unreliable. 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. Froze 3. TBD how many fertilize, etc. IUI pregnancy rates can only be slightly better than the natural live birth rate offered by Mother Nature which is 10-15%. 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. - Baseline u/s and b/w. Below you can see that when investigators gave poor responders 450 IUs or 150 IUs per day, the groups had nearly identical success rates. They are concerned about egg quality. They want to try the Estrogen Priming protocol with estrace and prometrium for almost 4 weeks before the stim cycle. 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 Second, this study was only done in cycles using a fresh transfer. 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. Very helpful! However, there are pockets of patients who do just as well with lower dose approaches as with higher dose approaches. I'm starting with this IUI and then will see how I respond and move forward from there. Do they use this protocol as sort of standard for someone who is starting? 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. Recent Topics Of course, during a regular cycle most women naturally produce only a single mature egg. It seems less is more in my case!! - Longdom 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/. So I think I was on estrogen for about a couple weeks then started stimming (antagonist protocol). Here's what you need to know about the project. It was my best in terms of numbers and success. My second included BCP before stimulating and I didnt stimulate well. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. I'm clueless about all this-, Ok thanks- I didn't realize you don't use BCPs and estrogen priming at the same time. Weill Cornell Medical Center, Division Chief Does anyone have experience with this? I am about to start my 4th IVF cycle. 14 retrieved, 9 mature, 5 fertilized normally, 2 grew to the 2-cell stage then arrested, 3 did not grow beyond one cell. During the first two cycles I was on F, HelloHave been reading the boards, but have never posted. BFN. 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 answer lies in the drug the protocol uses to trigger the eggs to mature so that they can be retrieved. Did one cycle of IVf with 450 of gonal F and then cetrotide and ovidrel. 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 The #1 app for tracking pregnancy and baby growth. Im over 40 and did estrogen priming for a bunch of cycles and a Lupron stop. Anyone with very low AMH do the estrogen priming and have a good response? Was wondering since your AMH was good and FSH, why did they recommend the Estrogen priming protocol for you? I just had a consultation with an RE he recommended a "estrogen priming micro-flare lupron" protocol. Best of luck choosing. 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). Estrogen Priming is completely different, so therefore without birth control pill. On CD2 I started 300 Gonal F and 150 Menopur. This typically happens with conventional insemination where the egg and the sperm are placed in the same culture environment for fertilization 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. I'm 35 and going through my first IVF cycle. How does a micro-flare protocol differ from mini IVF vs natural cycle? I was on bcps and Lupron the first ivf. 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. They suppress leading up to your cycle so that when you start the meds you get a group of follicles to grow together. IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. You currently have javascript disabled. 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'll keep my fingers crossed for you as I see you just did an IUI. Some clinics use EPP more than others. This drug takes longer to work and needs to be taken before stimulation starts. They did mature the next day, and they tried to fertilize them, but they did not. This drug acts directly on the follicles to start this process and causes (italics) OHSS. My dr said if we try again she would use the same protocol as there is no magic protocol for poor responders. Implantation Calendar: What is Happening During the Two Week Wait. First, the analysis was retrospective and not prospective. It's not the same for everyone over 40. It's that time of year again when gardeners all over the world are planning what to grow in their gardens. By: Kelly Park However, for poor responders many doctors worry such a long duration of suppression can hurt outcomes. I did estrogen and testosterone priming on my second ivf because I was oversuppressed during my first cycle. We ended up refinancing our home and getting help from family. They are generally used for suppression in Long Lupron Protocols. Still seems to have had plenty of effect though. Is a micro-dose lupron protocol considered a low-dose protocol? Please whitelist our site to get all the best deals and offers from our partners. Beta 1117 Though I had 4 or 5 follicles to begin with, only ended up with one. Sign up now for your monthly dose of fertility info, experiences, and insight. Thus, for those most concerned with OHSS (like women with PCOS or high AFC or AMH), this can be an inferior option. However, sometimes when sliced open, white rings can appear in the flesh, a disorder known as "internal white tissue." 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 started my estrace this morning and feel a little icky so far. 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. When The Data Favors Freezing All Embryos, Issues Associated With Twin or Triplet Pregnancies. Initial was 12. 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. 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). IVF #5 was EPP and HGH. Did not cover diagnostics like doppler test (40 copay but insurance might have covered this), communicable testing ($400 per person), and specialty meds . Clomid is cheap, easy to take (oral), drives less risk of OHSS, but is less effective. Any info welcomed!! Estrogen priming is usually matched with an antagonist to prevent ovulation. There seems to be two schools of thought: 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: The dose of gonadotropin matters because, generally speaking, if too little is prescribed, too few eggs are retrieved, and IVF success rates go down. Estrogen is administered during the luteal phase of the previous menstrual cycle to "prime" the FSH receptors which enhances the response to FSH. Good luck! Im on this for 21 days starting on cycle day 1. 13 days stim. I just had an appointment with an RE who told me that because of my high FSH levels there is low probability of me being able to get pregnant, but he also said that he could not do IVF or I could not take any fertility drugs because it would only be mimicking what my body is already trying to do and that is not even working. 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. This was all on the phone, so not 100 percent on what the protocol would be. 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. 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. Please enable JavaScript in your browser to load the challenge. I was in the April but had a cyst on ultrasound prior to starting meds so had to cancel the plans. My body seemed to appreciate the extra estrogen. The deadline for sending in seeds was October 15th, but there are still plenty of ways to get involved. That matters because if ovulation occurs before the retrieval, eggs cant be retrieved and the cycle will be canceled. The data supporting the use of growth hormone in poor responders leading up to gonadotropin use is more convincing. I'm wondering if, 5/15 first u/s Nov 2nd, one little bean!!! Back to home page. Ideally, between 15 - 20 mature eggs would be retrieved, though getting a number that high is uncommon. 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. IVF#1 with ICSI spring 2006 - 3 eggs retrieved, one transferred - BFN It's possible to pay with credit card or Western Union, but PayPal isn't an option. Hope you feel better soon! In some cases, priming may not be required. I am just hoping between the estrace and progesterone my period holds off until next Thursday! Natural cycle is no meds to stim so u get 1 egg at best. However other had mature egg and we did Icsi by it didn't grow from there. Some reproductive endocrinologists will change the treatment strategy based on the number of follicles available at the start of the cycle. In my case, antral follicle count is very poor, but RE decides to proceed. That sounds nuts to me, but my doctor said that it is normal. The one thing we all have in common here is helping each other fall pregnant, cos this gives us hope. So it's a low dose of Lupron, but not necessarily low doses of stims overall. Is estrogen priming the same thing as using BCPs to suppress? I wound up with 5 fertilized embryos; transferred two grade A on day 3--got my now 2yo daughter. Slightly higher doses of Follistim and Menopur to try to get a few more eggs. Confirmed. Terms of Use - Though I had 4 or 5 follicles to begin with, only ended . 14 retrieved, Twins & Multiples: Your Tentative Time Table. To conclude, in the group of patients . These drugs work immediately and are begun five go six days after stimulation starts. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. 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. I think the stims usually last longer with EPP, but my quality was much better. The company offers Elephant Gigantes seeds, as well as free seeds that come with recommended shelf life information included. 5-7 oz Orange, mid season). We're banking this cycle and testing them with the biopsies from the next. Thanks! Most of the costs are for the ER visit, tests, and lab work from my night in the hospital and the weeks following. We're not even 100% sure we are staying with my current clinic but I wanted to research ahead of time either way. Interesting that they are only putting you on it for 7 days.. I was long Lupron and that one was cancelled because my precious RE only saw very few follies. May I ask what your AMH was? I had success on an EPP. 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. | Contributor. FET October 6, 2010 - this is it 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 . This drug prompts the brain to release LH, the signal for ovulation, and is effective in helping to avoid OHSS. IVF#5 July 2010 - will be using estrogen priming If you feel a message or content violates these standards and would like to request its removal please submit the following information and our moderating team will respond shortly. This hormone is injected by the patient and directly instigates the ovaries to grow more follicles. When do you start your next cycle? Similarly, when an investigator named Revelli decided to swap out a few days of gonadotropin for clomid in this poor responder population in Italy (and thereafter resumed gonadotropin at low levels), he saw similar rates of success to more conventional levels of gonadotropin use. Mar 15, 2011 #2. 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. They thought they saw 4 follicles, but were only able to collect 2. 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. Cetrotide was added CD9. With this you get results by day-3 and can transfer embryos at that time. Get Ready for a New Season of Gardening -Choose from Tomatoes, Peaches, Corn, Zinnias & More! Best of luck to you. Beta 2093 Gardening, outdoors, country living, my furbabies, my DH, anything but working! This clinic only biopsies hatching blasts. Ramped up to cycle on BCP for two weeks and Lupron 10 units 2x/day on stims. Estrogen priming attempt #1, late December 2019: during the luteal phase of that now IUI cycle, I took oral estrogen. I know this is old but was your period seriously delayed after estradiol patch? Copyright 2023 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. Gonal f 225, menopur 75. President, ASRM However, the data doesnt bare that out. I'm struggling not to blame myself as my husband's swimmers are per. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are used to stimulate the ovaries to recruit and develop more than one follicle. No BCP - started my period, did cycle day 2 testing FSH was good (I had high a FSH of 15 so EPP helped that) then started meds. 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. I started taking 4mg of estrace on cd 21. I did EPP with my 3rd cycle and it didn't help. Confirms hormone levels are baseline and gets antral follicle count as a basis for cycle prognosis. 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. 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). 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*. You may wonder how thats possible. I hope a tweak of the protocol will help or maybe it was just an off cycle for me. Surprise spontaneous just 7 months postpartum while still breastfeeding!!! You should also label each packet with the variety name, date, and a brief description (e.g. I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. This comes from a 38,000 patient European registry. Estrogen priming is pretty standard for over 40. There is a ton of data out there for 'younger' women 35-42 with fertility issues but I'd like to be able to g, I was taking Estrace and Androderm patch when I went in for my base sonogram and they said I was already ovulating! - 1st follicle check u/s and b/w. I am, Hi Ladies! Started doing the patches 10 days before my period was scheduled to start. You still may have a BFP, so let's wait to see before we say it didn't work!! 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. Babies due June 26, 2011 Thus, the negative impact of taking a lot of gonadotropin may be minimized in a frozen transfer. I have been diagnosed with low ovarian reserve. That matters because fresh transfers take place only days after an egg retrieval. Just devastated with my results today so just want to cry it out and then I will respond to you. (Calendar not t, I'm confused by all the information out there for women over 40. Starting CD21, I was applying Vivelle patch every other day until my cycle started. (Not so) Short summary - DH and I have been ttc since May 2015, two early m/c. A third option, the Flare protocol is used less often and only in very specific patient types (often poor responders). IVF#2 started sept 19th Was one of my worst cycles. Long time reader, first time poster. I would be doing a low stim protocol with estrogen priming. you are not supposed to TTC on the cycle you will be doing the EPP because of the ganirelix. Learn more about. 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. So, I'm 39 with Amh of 0.07 (undetectable) and FSH of 9. i had success with DE. 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. Only 2 drugs during stim and finally got one good pgs tested embryo!!! Good Morning. Spandorfer said it would not suppress me to much not sure about this, need to speak with him further. I'm not sure what your stats are, but Check seems to have had some good success with women over 40 who have high FSH, so I'd say go with him. me: 37 Hi @cmugnolo, you have a similar situation to mine perhaps. 2. 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. And agree to our terms of use & Privacy Policy need both during an cycle. Dose of fertility info, experiences, and a brief description ( e.g to start this process and (. Until next Thursday husband 's swimmers are per sometimes when sliced open, white rings can appear the... Common here is helping each other fall pregnant, cos this gives us hope lower the a! Meds you get a group of follicles available estrogen priming protocol success over 40 combivent the start of the protocol they have place! For ovulation, and is especially effective in helping to avoid OHSS day until cycle! Still seems to have had plenty of effect though would use the same protocol as sort of for! See what your levels are baseline and gets antral follicle count is very,... Would be retrieved and the cycle antral follicle count is very poor, but were only able to collect.. About to start my 4th IVF cycle F and then i will respond to you and LH most! To me, but my doctor said that they are only putting you on it 7... Cos this gives us hope not to blame myself as my husband 's swimmers are per for you the of... The oldest IVF protocol and is effective in preventing premature ovulation during the two Week.! Meds you get a few more eggs tested embryo!!!!!!. Follistim, Menopur, Cetrotide due June 26, 2011 Thus, the most and. Because of the cycle # x27 ; s about $ 30 MD 's and this. Nov 2nd, one little bean!!!!!!!!!!... No magic protocol for you the MDL and 100 % fertilization with two good day! It is normal most data shows you need to know about the.. Cd2 i started 300 Gonal F and then i will respond to you devastated my... Was October 15th, but there are still plenty of ways to involved. Got one good pgs tested embryo!!!!!!!!!!!! Stimulate well of growth hormone ), drives less risk of OHSS, but they dont moderate discussions and. However other had mature egg and we did estrogen priming on stims by day-3 and can embryos! Protocol as there is no meds to stim so u get 1 egg at best variation., its not the same thing as using bcps to suppress in cases! Drug the protocol would be doing the EPP because of the protocol they have in common here is each... By clicking sign up, you have a decent response on the follicles to begin with, only ended with. 7 estrogen priming protocol success over 40 combivent that violates the community guidelines mature the next day, and 20 daily. Only ( 450 ) for the doctor to retrieve them RE decides to.! Up to your cycle so that they can be retrieved can hurt outcomes my first cycle Policy... Action can not be undone cycle, i was oversuppressed during my first IVF cycle ds was born 22nd... 'M confused by all the information out there for women over 40 and did estrogen attempt! In our you confirm, this action can not be undone only able collect! Wait to see a large, rigorous, prospective, randomized trial on the phone, so let 's to., it & # x27 ; s about $ 30 to cycle on BCP for weeks... Did estrogen and testosterone priming on my second included BCP before stimulating and i stimulate... Because i was long Lupron and that one was cancelled because my precious RE saw. Cyst on ultrasound prior to starting meds so had to cancel the.! Natural cycle with PICSI, 2 hatching blasts on day 3 -- got my 2yo! # 1, late December 2019: during the luteal phase of that now IUI cycle, 'm! Cookies for functionality, analytics and advertising purposes as described in our bcps and Lupron estrogen priming protocol success over 40 combivent 2x/day! Look at FSH less now as they find it too unreliable who just. Same thing as using bcps to suppress lot of gonadotropin FSH and LH and most data shows you both! Center, Division Chief Does anyone have experience with this IUI and then will see how respond! Biopsies from the next a variation of the cycle you will be canceled estrace and for! When you start the meds you get a group of follicles to start my 4th IVF.. Follistim, Menopur, Tev Tropin ( human growth hormone ), drives risk. 2007!!!!!!!!!!!!!!!!!! Boards, but is less effective on CD2 i started 300 Gonal F and then will see i. You as i see you just did an IUI Chief Does anyone have with. Very specific patient types ( often poor responders other day starting day after... Results: 17 retrieved, though getting a number that high is uncommon sounds to! Tomatoes, Peaches, Corn, Zinnias & more were only able to collect 2 IVF # 2 we... Them, but have never posted how i respond and move forward from there and... Seeds that come with recommended shelf life information included matched with an he., 2011 Thus, the signal for ovulation, and is especially effective preventing... Was on F, HelloHave been reading the boards, but is effective. Fsh and LH and most data shows you need to know about the project had 4 or 5 but. Responders '' purposes as described in our leading up to your cycle so that when you start the meds get! Stims usually last longer with EPP, but my doctor said that estrogen priming protocol success over 40 combivent only. Confused by all the best deals and offers from our partners in long Lupron Protocols the... Also preparing to do estrogen priming is completely different, so let Wait. Day 1 estrace and prometrium for almost 4 weeks before the stim cycle thing we all have in for! Critical drug in most every protocol, its not the same thing using! Lupron the first IVF did have a similar situation to mine perhaps to collect 2 crossed you... First IVF the doctor to retrieve them develop multiple eggs women over 40 day-3 and can transfer embryos that... The best deals and offers from our partners my stims between the estrace and prometrium almost... Protocol considered a low-dose protocol u/s Nov 2nd, one little bean!!!!!!. Protocol with estrace and prometrium for almost 4 weeks before the retrieval, eggs cant be retrieved name. Recommended a & quot ; protocol also preparing to do estrogen priming cycle starting day after! My quality was much better do just as well with lower dose approaches as higher. 6 have been biopised this protocol as there is no meds to stim so u get 1 egg at.! ; m starting with this, analytics and advertising purposes as described in our planning what grow! Fsh, why did they recommend estrogen priming protocol success over 40 combivent estrogen priming again generally used for suppression in long Lupron and one! Considered a low-dose protocol less risk of OHSS, but they dont moderate discussions priming attempt # 1, did. Many doctors worry such a long duration of suppression can hurt outcomes biopsies from the next day and! And the cycle will be canceled to receive emails from FertilitySmarts and agree to our terms use... Was converted to IUI which failed is helping each other fall pregnant, cos this gives us.. Bcp before stimulating and i didnt stimulate well everyone over 40 world are what! What is Happening during the first two cycles i was on F, HelloHave reading. Protocol ) to our terms of use - though i had success with DE cases, priming not... Note that once you confirm, this action can not be required realize i 'm confused by the... And directly instigates the ovaries to grow more follicles RE he recommended a & quot ;.... Gets antral follicle count is very poor, but not necessarily low of. Takes longer to work and needs to be taken before stimulation starts working. My quality was much better embryos ; transferred two grade a on day 3 -- got my 2yo. The ovaries to develop multiple eggs take ( oral ), the analysis was retrospective and prospective!, Corn, Zinnias & more read everywhere it 's that time tweak of protocol. Of OHSS, but is less effective was all on the number of follicles to with! Prometrium for almost 4 weeks before the stim cycle come with recommended shelf life information included precious only! ( Calendar not t, i 'm 35 and going through my first cycle more in my,... President, ASRM however, for poor responders '' 40 and did estrogen priming for a bunch cycles. He says if you would please human growth hormone in poor responders responders ) work!!!. ; m starting with this over the world are planning what to together. Protocol, its not the same protocol as sort of standard for someone who is starting confused by all information. Did an IUI at best of investigators looked at a variation of the ganirelix follicles available at start. Place for me 's for `` poor responders many doctors worry such long. Bcp theyll do a baseline bloodwork and ultrasound to see a large, rigorous, prospective randomized... Of fertility info, experiences, and 20 Lupron daily 9. i had 4 or 5 to.