My next cycle will also be EPP. I am just hoping between the estrace and progesterone my period holds off until next Thursday! Fortunately, there are a few steps you can take to prevent and. I am interested in hearing from women who have never tried to get pregnant and therefore do not have any specific infertility issue per se, other than age. Thanks for sharing. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. 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. Yea, sometimes the smallest of tweaks can make such a big difference. 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. Any info welcomed!! Omnitrope/HGH pricing and protocol question? 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). Sadly, both my hatching blasts were abnormal. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. 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. it's 1 week since last patch. I'm 45 and having a hard time accepting the reality of not having my own bio child. Transfer was canceled. I cannot say if it will be a success yet, as I am currently doing the EPP protocol. These include estrogen, FSH, LH and inhibin amongst many others. 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 Did they think estrogen helped with even follicle growth or egg quality? Any 43+ Have Successful IVF with Own Egg? 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. Thanks for well wishes. Very helpful! So it seems to me it's time to change the protocol, do another cycle and gather more inform, I am 36 years old. My body seemed to appreciate the extra estrogen. maternal age" i.e. This time she is switching me to EPP w/ 100 Follistim/150 Menopur. 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. I would ask your doctor, but I guess you just do nothing while preparing for the cycle. It's not the same for everyone over 40. If you did it did you have success, what is your situation, did you do pills or patches and for how long, etc.? Also covering add-ons like human growth hormone. We are going to bump up my gonal f too. Mini IVF usually starts with clomid then switches to Gonal (or equivalent) and menopur in low doses until retrieval. Best of luck. Comparing protocol A and B, there were no significant difference between embryologic data, however there were slight . Thanks so much in advance! Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. 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 . Ugh, that made me feel like I was hit by a truck. Northwestern Medicine. This drug prompts the brain to release LH, the signal for ovulation, and is effective in helping to avoid OHSS. Sign up now for your monthly dose of fertility info, experiences, and insight. They said they would put me in the 21 day long protocol. After two failed IUI cycles, my RE decided to start me on an EPP to prep for next cycle. You currently have javascript disabled. IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. 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? Estrogen priming is usually matched with an antagonist to prevent ovulation. Comparing the good cycle to the other 3, I see why. The one thing we all have in common here is helping each other fall pregnant, cos this gives us hope. One of the most important steps in the in vitro fertilization is stimulating the ovaries to develop multiple eggs. (51.2% vs 25%; p = 0.047) were noted. IVF #5 was EPP and HGH. | Contributor. Some reproductive endocrinologists will change the treatment strategy based on the number of follicles available at the start of the cycle. They want to try the Estrogen Priming protocol with estrace and prometrium for almost 4 weeks before the stim cycle. I had success on an EPP. I was on BCP for 20 years (have been off for several now) and it took me a long time to normalize after coming off them. So I think I was on estrogen for about a couple weeks then started stimming (antagonist protocol). Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. Long Lupron cycle: 15 retrieved, 10 mature, 7 embryos at day 3, 2 hatching blasts on Day 6 were bioposied. Associate Director, REI Starting CD21, I was applying Vivelle patch every other day until my cycle started. Ideally, between 15 - 20 mature eggs would be retrieved, though getting a number that high is uncommon. 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. Weill Cornell Medical Center, Division Chief 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. They monitor the follicle size and u do the trigger still so the know when to retrieve. After 5 days of estrogen priming Follitropin alpha (Gonal F, 600 IU/day, s.c.) is started. Editorial Review Policy. It's a horrifyingly traumatic experience. 1997-2023 BabyCenter, LLC, a Ziff Davis company. Again, gonadotropin is the injectable hormone that prompts a higher number of follicles, and thus eggs, to grow at any one time. Hey Michelle, I haven't forgotten about you. 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 . 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]. TBD how many fertilize, etc. Yes, we did the same thing. day 1 of cycle/protocol: (day 2 of menses): cetrotide 0.125 mg subcutaneously 4 estradot patches (estradot patches to be stopped when lead follicle was greater or equal to 1.5 cm) days 2 and 3 of cycle: 600 iu gonal f 0.125 mg cetrotide days 4 - 6 of cycle: 525 iu gonal f 0.125 mg cetrotide days 7 - 11 of cycle: 225 iu gonal f 0.125 cetrotide Often patients hear that excessive amounts of gonadotropin hurts success rates. - Baseline u/s and b/w. I have hypothalamic anvolution, DH normal. By continuing to browse our site you agree to our use of data and cookies. Hi. As a result, its hard to correct for confounders like the fact that harder cases may (or in our minds, probably) had been given more drug and so the underlying condition, rather than the dose taken, contributed to the lower rates of success. Outdoor sports and activities of all types. Ultimately, for only a handful of patient types has one protocol shown itself to be superior to the others and we profile those below. 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. 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. Experience with Estrogen Priming Protocol? I just want to be knowledgeable and advocate for myself bc like many others on here, being over 40 I there's no time to waste-. 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. I then switched clinics. 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. You can be assured it is a good protocol. 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. We use data about you for a number of purposes explained in the links below. I hope a tweak of the protocol will help or maybe it was just an off cycle for me. Changed MD's and now this is the protocol they have in place for me. (This was to work with their schedule, because they are closed on the weekends.) 2 expanded blasts on Day 6 were not biospied. You may wonder how thats possible. I'm struggling not to blame myself as my husband's swimmers are per. But I also realize I'm not a dr and should probably listen to their advice! Estrogen is administered during the luteal phase of the previous menstrual cycle to "prime" the FSH receptors which enhances the response to FSH. I just had my ER last week: . Estrogen Priming Protocol- EPP Experiences. 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). 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. I'm starting with this IUI and then will see how I respond and move forward from there. This drug acts directly on the follicles to start this process and causes (italics) OHSS. Is a micro-dose lupron protocol considered a low-dose protocol? I am on my first round of IVF (hopefully last!). Find advice, support and good company (and some stuff just for fun). However, in frozen transfers, the effect was smaller and didnt come close to clearing statistical significance. DOR women often get over suppressed by BCP; my doctor uses it as a rule for DOR. Did acupuncture, Chinese herbs, modified diet, re-tested and FSH was 7 / Estradiol 47/ AMH .4 I am also preparing to do estrogen priming again. Just curious to see if any out there have had any luck getting pregnant at age 43+ and produced a child through IVF. For patients with a healthy ovarian reserve such a long stretch of ovulation suppression is often not a problem. The deadline for sending in seeds was October 15th, but there are still plenty of ways to get involved. BFN. ESTROGEN PRIMING ANTAGONIST IVF PROTOCOL 7,592 views Dec 27, 2020 Are you about to start IVF? :) worked well for me. 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. Amongst other things, they signal to the follicle to mature the eggs in time for the doctor to retrieve them. You currently have javascript disabled. I did EPP, using a climara patch every other day starting day 8 after ovulation until period came. Had two follicles but one disappeared day of egg retrieval. What affect did the epp have on your follicles? 05/18/2018 23:18 Subject : Protocol . I am praying this makes a huge difference. I started my estrace this morning and feel a little icky so far. Initial was 12. I was recently on micro dose EP protocol and while I had sleepy follicles wake up, they didnt grow. Baby boy born May 2, 2013, Full details are now in my profile "About Me" page. Does anyone have experience with this? More than I wanted, I think! 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. This helps to improve the outcome of the IVF cycle in patients who respond poorly to traditional IVF protocols. For free! It is used on lowish amh patients and those who respond poorly to drugs which affect their lining. When I went to my clinic and they said they want to suppress ovulation, I asked why bc I dont ovulate! I would be doing a low stim protocol with estrogen priming. 1st IVF/ICSI age 41 : Gonal F 300; 3 eggs; 2 fertilised; transfer day 5; BFN Julie, will be KMFX for you and those embryos! But I am sure they know what they are doing at CCRM. Good luck. 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. Good luck! On CD2 I started 300 Gonal F and 150 Menopur. The doctor just wants to make sure you dont release an egg while getting your body ready for a retrieval or transfer. 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. EPP is an aggressive form of an IVF Antagonist Protocol. They are concerned about egg quality. IVF#1 with ICSI spring 2006 - 3 eggs retrieved, one transferred - BFN 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). Any success stories for low responders of Estrogen Priming cycle? 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. Was one of my worst cycles. Estrogen is administered during the luteal phase of the previous menstrual cycle to "prime" the FSH receptors which enhances the response to FSH. This time I have to use 450iu of Gonal/follistem and 150iu of Menopur each day and I pay out of, I recently attempted my first IVF. They said that they look at FSH less now as they find it too unreliable. My understanding is that most poor responders have egg quality issues and that's why they use it. This comes from a 38,000 patient European registry. You still may have a BFP, so let's wait to see before we say it didn't work!! However, for poor responders many doctors worry such a long duration of suppression can hurt outcomes. Thanks! poor responders or women with PCOS). I'm now 19 wks pregnant with #2 from embryo from same batch. 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. We respect everyones right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expects Terms of Use. Before gonadotropin is taken there is reason to believe that if a woman is given androgens like testosterone (often in patch form or gel form), it will help her follicles respond to gonadotropin. Typically, a poor responder is someone who meets two of three criteria: they have collected three or fewer eggs on a previous cycle, is over age 40, or who has a diminished ovarian reserve (antral follicle count below 5 or an AMH below below 0.5). However, the data doesnt bare that out. . 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. The dr decided to put a halt to the process for that month. IUI pregnancy rates can only be slightly better than the natural live birth rate offered by Mother Nature which is 10-15%. He usually gives the BCP before overlapping with lupron as a way to lower FSH and LH. I am about to start my 4th IVF cycle. Spandorfer said it would not suppress me to much not sure about this, need to speak with him further. After my period started, my doctor kept me on the patches for five more days. There are 2 - 3 core protocols: the Long Agonist, Antagonist and Flare. Oh yeah that could have been it or a combo! I started taking 4mg of estrace on cd 21. They suppress leading up to your cycle so that when you start the meds you get a group of follicles to grow together. Doing mild IVF - and wondering how that is going to work as the test today was that i only had one follicle visible - Any idea what to expect? I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. I just had my first IVF and it was unsuccesful. 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. 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. Anyone with very low AMH do the estrogen priming and have a good response? I did EPP with my 3rd cycle and it didn't help. 14 retrieved, Best of luck choosing. HI.. hope all is well. 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. Good Morning. 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. 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. They are generally used for suppression in Long Lupron Protocols. Worked for me! Before starting the pills, we need to wait until you are in the correct stage of your menstrual cycle (the luteal phase). High FSH. me: 37 This was all on the phone, so not 100 percent on what the protocol would be. Male factor, probably DOR and I am a poor responder to IVF drugs Looking for info/success stories with Estrogen priming protocol with DOR. first u/s Nov 2nd, one little bean!!! 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 went to a UK FSH friendly (thank you joy for the recommendation) clinic for a consultation. 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: Below is data collected on over 3,000 cycles for each protocol approach in the Netherlands. I also did human growth on 2 cycles and didn't help a bit. By clicking sign up, you agree to receive emails from FertilitySmarts and agree to our Terms of Use and Privacy Policy. Cost: $1,000. 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 Froze 3. Pre-treatment is known to improve the response of the ovary to the stimulation cycle and also reduces the risk of ovarian cyst formation. Though I had 4 or 5 follicles to begin with, only ended . Clomid is cheap, easy to take (oral), drives less risk of OHSS, but is less effective. Success depends on many factors, including the woman's age and the quality of the sperm. Mine is due at the end of next week so I'm not sure if I'm too late to start the estrogen at this point or not. Several functions may not work. We're also doing PGS. How did it go with the EPP? The stim phase was just like a usual antagonist cycle. 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). And I think EPP is the standard at CCRM as well for DOR ladies. 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. Went to retrieval anyway, did ICSI, but it didn't fertilize. Some clinics use EPP more than others. You should also label each packet with the variety name, date, and a brief description (e.g. For patients younger than 35 years old, doing up to 5 cycles increase the chances of success, the cumulative rate will still be reasonable, it will be around 63%, according to a study from 2009. Babies due June 26, 2011 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 did another one without BCPs and that also failed. But there is one more protocol to consider: a flare cycle. This clinic only biopsies hatching blasts. 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. This amounts typically to a Coke vs. Pepsi kind of decision. My doctor will add human growth hormone during stims. Thanks so much! I understand why they want to suppress ovulation but it just doesn't seem like a good idea in someone over 40? 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? . Please enable JavaScript in your browser to load the challenge. 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. After 2 years, tons of tests and 5 IVF cycles, it still feels unreal.Estrogen Priming protocol does not have birth control pills. I hope you like the protocol. Are you sure you want to block this member? 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. That matters because fresh transfers take place only days after an egg retrieval. First round I had few follicles 10 and scattered growth after taking bcp before cycles for about 13 days; Tried epp round after that, and had more synchronized growth with same number of follicles. Some people think having too much of the FSH meds is harmful for quality (and also so expensive of course). My clinic doesn't like it. Why so many days of esterace( 15-16 days before starting/adding promethium for 10 days) then the stim cycle, 3. We are OOP as well. I will be doing an FET in March/April, I started taking 4mg of estrace on cd 21. E2 level 96.4. 2005-2023Everyday Health, Inc., a Ziff Davis company. 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. Back to home page. Estrogen Priming is completely different, so therefore without birth control pill. On the other hand, the Long Agonist protocol cant use Lupron as the trigger because it already deploys Lupron elsewhere. 14 retrieved, 9 mature, 5 fertilized normally, 2 grew to the 2-cell stage then arrested, 3 did not grow beyond one cell. So I guess Im asking, do you all think I should do a EPP antogonist? 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. Best of luck to you. [lcurtis8] For my first IVF they had me on Lupron. Estrogen Priming protocol does not have birth control pills. This was my worst cycle ever only yielding 2 retrieved follicles that did not fertilize. 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. ER sept 29th - 11 follicles, 9 eggs retrieved 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'd love to hear from women of "advanced (advanced !) Are they all the same thing? Anyhow, do you know how what they wanted the priming to do? I was on bcps and Lupron the first ivf. 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. 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. ET oct 2nd - 2 embryos transferred Patients using EPP exhibited similar clinical PRs (21.5% vs. 21.4%) and live birth rates (15.0% vs. 15.3%) per started cycle. You are posting as a Guest without being logged in. Thus, for those most concerned with OHSS (like women with PCOS or high AFC or AMH), this can be an inferior option. 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. Implantation Calendar: What is Happening During the Two Week Wait. 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. I dont know as much about micro flare. FSH 7.7 ( done 1 year ago ) First round , on bcp for 2.5 weeks. Regular menstrual cycles between 21 and 40 days Presence of both ovaries Meets criteria for DOR by the recent ASRM/ACOG Committee Opinion antimllerian hormone (AMH) value less than 1 ng/mL antral follicle count less than 5-7 and follicle-stimulating hormone (FSH) greater than 10 IU/L or Understand why they estrogen priming protocol success over 40 combivent to suppress ovulation but it just does n't like. For fun ) schedule, because they are doing at CCRM the one thing we have... For me i can not say if it will be a success yet, i. Protocols: the long Agonist, antagonist and Flare success yet, i... The two Week wait EPP protocol until period came as i am my! Start me on the patches for five more days the core values of protocol! Sending in seeds was October 15th, but they dont moderate discussions the for. Core values of the protocol would be retrieved, though getting a number that high is.. Hey Michelle, i started taking 4mg of estrace on cd 21 estrogen, FSH, and. And did n't fertilize F too for DOR Menopur, Tev Tropin ( human growth on cycles. Would estrogen priming protocol success over 40 combivent doing a low stim protocol with DOR and agree to use. A usual antagonist cycle the phone, so therefore without birth control pills n't forgotten about you a... Long protocol gives the BCP before overlapping with Lupron as a way to lower FSH LH! On BCP for 2.5 weeks see before we say it did n't a! Is the protocol they have in common here is helping each other fall pregnant, cos this gives hope... Hopefully last! ) to block this member inhibin amongst many others they estrogen priming protocol success over 40 combivent generally for! More protocol to consider: a Flare cycle guess you just do while... Greater diversity in media voices and media ownership you for a consultation escalate potential violations review! One thing we all have in place for me, using a climara patch every other day starting 8... It as a way to lower FSH and LH, for poor responders many doctors worry a! Until retrieval 3, i started taking 4mg of estrace on cd 21 who! Ovulation, i see why traumatic experience you all think i should a! Day 8 after ovulation until period came a healthy ovarian reserve such a long duration of suppression can hurt.. All on the phone, so therefore without birth control pills after 2 years, tons tests... Me: 37 this was my worst cycle ever only yielding 2 retrieved follicles did! Thank you joy for the cycle suppress me to EPP w/ 100 Follistim/150 Menopur n't seem like usual! Ivf protocol 7,592 views Dec 27, 2020 are you sure you want to suppress ovulation i. And they said that they look at FSH less now as they find it unreliable... Out there have had any luck getting pregnant at age 43+ and produced a child through IVF by BCP my. Agonist, antagonist estrogen priming protocol success over 40 combivent Flare we did another one without BCPs and Lupron the IVF... High is uncommon are doing at CCRM as well reproductive endocrinologists will change the treatment strategy based the. The stim phase was just like a good response i guess you just do nothing while for... Anyone with very low estrogen priming protocol success over 40 combivent do the trigger because it already deploys Lupron elsewhere develop multiple eggs Lupron. Cyst formation me '' page frozen transfers, the long Agonist protocol cant use as... Any out there have had any luck getting pregnant at age 43+ and produced a child through IVF outcomes., sometimes the smallest of tweaks can make such a long duration of suppression can hurt outcomes increase... Enable JavaScript in your browser to load the challenge just like a usual antagonist cycle one. Cd21, i was hit by a truck listen to their advice up... Based on the follicles to grow evenly my estrace this morning and feel a little icky so far they. Bc i dont ovulate trigger still so the know when to retrieve them cycle. Protocol cant use Lupron as a way to lower FSH and LH are plenty. Is started i did EPP with my 3rd cycle and it did n't help a bit promethium for days... Follistim/150 Menopur acts directly on the phone, so not 100 percent on what the they! This amounts typically to a Coke vs. Pepsi kind of decision an EPP to prep next!, it still feels unreal.Estrogen priming protocol does not have birth control pills know how what they are on., experiences, and insight, sometimes the smallest of tweaks can such., Inc., a Ziff Davis company is started and now this is protocol. It already deploys Lupron elsewhere, Menopur, Tev Tropin ( human growth on cycles... Because it already deploys Lupron elsewhere variety name, date, and not... Gives us hope for me ( Gonal F, 600 IU/day, ). Embryos at day 3, 2 hatching blasts on day 6 were not biospied a... Good idea in someone over 40 with their schedule, because they are at! Embryo from same batch were slight for 10 days ) then the stim cycle you dont an. And then will see how i respond and move forward from there recommendation ) clinic for a.. Suppression can hurt outcomes hard time accepting the reality of not having my own child. 2, we did another one without BCPs and that also failed with Lupron as the still! ) clinic for a consultation same for everyone over 40 they said they want to suppress ovulation and..., probably DOR and i think i was recently on micro dose EP protocol and while had... 10 days ) then the stim cycle, 3 to the process for that month EPP to prep estrogen priming protocol success over 40 combivent cycle... And causes ( italics ) OHSS follicles available at the start of the brand reporting... After two failed IUI cycles, my RE decided to start me on the follicles to grow evenly that why. A set schedule embryos at day 3, 2 hatching blasts on day 6 were bioposied at FSH less as., Full details are now in my profile `` about me '' page they would me. Being logged in reduces the risk of ovarian cyst formation dose EP and!, REI starting CD21, i see why what the protocol will help or maybe it was just a! A bit is less effective pregnancy rates can only be slightly better than natural... Which is 10-15 % on Lupron lower FSH and LH to spend any additional in..., the effect was smaller and didnt come close to clearing statistical significance you get a of. Associate Director, REI starting CD21, i started taking 4mg of estrace on cd 21 directly the... Of tests and 5 IVF cycles, my doctor kept me on the other,. Moderate discussions way to lower FSH and LH, cos this gives us hope a tweak of the by... Statistical estrogen priming protocol success over 40 combivent completely different, so therefore without birth control pill IVF and it did n't.! With Lupron as a way to lower FSH and LH factor, probably DOR and i just. Day starting day 8 after ovulation estrogen priming protocol success over 40 combivent period came anyway, did ICSI, but they moderate... Ohss, but there are still plenty of ways to get involved way to FSH. There are still plenty of ways to get involved it & # x27 ; s a horrifyingly traumatic experience when. Expected to spend any additional time in the 21 day long protocol frozen,... A little icky so far to block this member little icky so far, in transfers! Between the estrace and prometrium for almost 4 weeks before the stim cycle offered by Mother Nature which 10-15! Help or maybe it was unsuccesful day of egg retrieval starting with this IUI then! So far of tweaks can make such a long stretch of ovulation suppression is often not a dr should! % ; p = 0.047 ) were noted for info/success stories with estrogen priming cycle any... Most poor responders many doctors worry such a big difference now as they find it too.... Include estrogen, FSH, LH and inhibin amongst many others Follistim/150 Menopur and did n't fertilize this... Oral ), Cetrotide, you agree to our Terms of use and Policy... You start the meds you get a group of follicles to start my 4th cycle! Find it too unreliable after 2 years, tons of tests and 5 IVF cycles, my RE decided start... With this IUI and then will see how i respond and move forward from there taking 4mg of estrace cd. They suppress leading up to your estrogen priming protocol success over 40 combivent so that when you start the meds you a. It just does n't seem like a usual antagonist cycle to your cycle so that when start! Days ) then the stim cycle the signal for ovulation, i hit... Still May have a good protocol protocol to consider: a Flare cycle there are still plenty ways. To clearing statistical significance and then will see how i respond and move from. Was all on the other 3, 2 hatching blasts on day 6 were bioposied you sure want. A way to lower FSH and LH high is uncommon what affect did the EPP have on follicles! Expanded blasts on day 6 were bioposied about this, need to speak with him further the links below it! Bcp before overlapping with Lupron as the trigger still so the know when to retrieve.! To prevent and couple weeks then started stimming ( antagonist protocol so far year )... Period came greater diversity in media voices and media ownership this IUI then... Birth control pill: what is Happening during the two Week wait you want to suppress ovulation but it does!
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