That matters because fresh transfers take place only days after an egg retrieval. 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. I'm now 19 wks pregnant with #2 from embryo from same batch. Time is of the essence and whatever information we have, we are happy to share to help you! Julie, will be KMFX for you and those embryos! We ended up refinancing our home and getting help from family. It's an estrogen priming protocol. FertilitySmarts is a part of Janalta Interactive. Long Lupron cycle: 15 retrieved, 10 mature, 7 embryos at day 3, 2 hatching blasts on Day 6 were bioposied. How did it go with the EPP? I just had a consultation with an RE he recommended a "estrogen priming micro-flare lupron" protocol. . 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. You are posting as a Guest without being logged in. . Please enable JavaScript in your browser to load the challenge. Ugh, that made me feel like I was hit by a truck. 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 would ask your doctor, but I guess you just do nothing while preparing for the cycle. 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. 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. Get Ready for a New Season of Gardening -Choose from Tomatoes, Peaches, Corn, Zinnias & More! Avery & Sydney born June 12/11 at 30w1d. I hav, My last ivf cycle was cancelled/converted to IUI due to being over suppressed by birth control pills. Find advice, support and good company (and some stuff just for fun). I started the estrace (I am doing pills) 2mg 2x/day 7 days after a positive OPK, and then continuing throughout stims. RE put me on Estrogen priming protocol, and I am on Lupron and Cetrotide as well.On Friday, (cycle day 6) the newer nurse thought she saw 11 follicles.. ranging from 5mm to 9mm.. now, Cycle day 9, the other nurse, who has been there forever, saw only 5 and she had a hard time locating my other ovary. He did say there are some studies that DHEA and CoQ10 could help, but the, Hi all. That could be why they are decreasing your Follistim too. I'm wondering if, 5/15 They are concerned about egg quality. Please re-enable javascript to access full functionality. Froze 3. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. We are going to bump up my gonal f too. It's not the same for everyone over 40. This website uses cookies for functionality, analytics and advertising purposes as described in our. I have seen a lot about EPP being used for poor responders (which I am not) and a little about it being used for egg quality. IVF #1, we did Follistim, Menopur, Cetrotide. I am about to start my 4th IVF cycle. You can see my sig. I had 5 follicles but only one matured so I was converted to IUI which failed. 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. Some people think having too much of the FSH meds is harmful for quality (and also so expensive of course). Hey Michelle, you should never feel bad to ask! Slightly higher doses of Follistim and Menopur to try to get a few more eggs. However, the data doesnt bare that out. Thanks for sharing your story. Clomid is cheap, easy to take (oral), drives less risk of OHSS, but is less effective. - Baseline u/s and b/w. After two failed IUI cycles, my RE decided to start me on an EPP to prep for next cycle. Again, gonadotropin is the injectable hormone that prompts a higher number of follicles, and thus eggs, to grow at any one time. 2nd IVF/ICSI age 42 : Menopur 425; 2 eggs; 2 fertislised; transfer day 5; BFN Typically, you also add other stims once you start your cycle, too (Menopur, GonalF), so those could be in high doses. There are 2 - 3 core protocols: the Long Agonist, Antagonist and Flare. you are not supposed to TTC on the cycle you will be doing the EPP because of the ganirelix. Sadly, both my hatching blasts were abnormal. Any 43+ Have Successful IVF with Own Egg? That could be bogus, but it makes sense, right? Hi @cmugnolo, you have a similar situation to mine perhaps. I imagine the Follistim is lowered partly to keep the egg number from increasing (had OHSS w/IVF #1). However, for poor responders many doctors worry such a long duration of suppression can hurt outcomes. 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. 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. Just curious to see if any out there have had any luck getting pregnant at age 43+ and produced a child through IVF. Estrogen/androgen priming protocol improves egg quality and . (Not so) Short summary - DH and I have been ttc since May 2015, two early m/c. My second included BCP before stimulating and I didnt stimulate well. Outdoor sports and activities of all types. 3rd IVF age 42 : Short protocal Menopur 375; so far on Day 4 scan 2 focilles again and some very small ones Good luck! Hello thanks for sharing. The data supporting the use of growth hormone in poor responders leading up to gonadotropin use is more convincing. Many REs swear by this for DOR. I did EPP, using a climara patch every other day starting day 8 after ovulation until period came. The last cycle, I was able to produce 10 eggs but only 2 made it to transfer. How does a micro-flare protocol differ from mini IVF vs natural cycle? 45 and over - who are trying to get pregnant. I'm so shattered that so few fertilized turns out that we have an egg quality issue. Thanks! 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. 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. 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. But I am sure they know what they are doing at CCRM. Good luck. Yea, sometimes the smallest of tweaks can make such a big difference. All rights reserved. Right ovary has 2-4 follies<12mm. During cycle 1 you use OPKs to track your LH surge and ovulation. 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. Are you sure you want to block this member? I never hoped so I never even asked that question. Heres an example from the same study. 2 expanded blasts on Day 6 were not biospied. Experience with Estrogen Priming Protocol? Learn more about. For my cycle in July they are not giving me Lupron but are giving me Antagon. Estrogen Priming is completely different, so therefore without birth control pill. Estrogen priming attempt #1, late December 2019: during the luteal phase of that now IUI cycle, I took oral estrogen. Waiting for that call is sooo stressful! Thanks so much in advance! 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. Another set of investigators looked at a variation of the same question. I think you both are at Cornell (were) with this estrogen priming protocol will you try again with them, and request not to do estrogen priming? I wound up with 5 fertilized embryos; transferred two grade A on day 3--got my now 2yo daughter. This is done by administering estrogen, typically via an estrogen patch or an injection, sometimes along with additional Gonadotropin-releasing hormone. It seems less is more in my case!! 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. (Calendar not t, I'm confused by all the information out there for women over 40. My understanding is that most poor responders have egg quality issues and that's why they use it. 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. I went to a UK FSH friendly (thank you joy for the recommendation) clinic for a consultation. This comes from a 38,000 patient European registry. I did have a decent response on the MDL and 100% fertilization with two good 5 day blasts. After my labs on CD6 they kept 300 Gonal F but upped Menopur to 300. Wow that did make a huge difference for you! Our first cycles sound pretty similar. By clicking sign up, you agree to receive emails from FertilitySmarts and agree to our Terms of Use & Privacy Policy. DH: 36 Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. My skin looked pretty good for those priming weeks. ESTROGEN PRIMING ANTAGONIST IVF PROTOCOL 7,592 views Dec 27, 2020 Are you about to start IVF? The Finding a Resolution for Infertility Support Community connects patients, families, friends and caregivers for support and inspiration. 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. (This was to work with their schedule, because they are closed on the weekends.) 14 retrieved, The Antagonist protocol uses Lupron as its trigger, rather than hCG, and Luprons properties dramatically lower the risk a woman will hyperstimulate. 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 2005-2023Everyday Health, Inc., a Ziff Davis company. I was at the max stim dose to get the response I did. This hormone is injected by the patient and directly instigates the ovaries to grow more follicles. Take a look at the data below published on roughly 1,000 fresh transfers and 1,000 frozen transfers. Started doing the patches 10 days before my period was scheduled to start. Estrogen is administered during the luteal phase of the previous menstrual cycle to "prime" the FSH receptors which enhances the response to FSH. DOR women often get over suppressed by BCP; my doctor uses it as a rule for DOR. 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. 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 . IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. 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. 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 So it seems to me it's time to change the protocol, do another cycle and gather more inform, I am 36 years old. :) Keep us posted on your progress! Did they think estrogen helped with even follicle growth or egg quality? 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. It was my best in terms of numbers and success. I was on BCP for 15 years and when I went off them I never got my period. Then I started stims on a Friday. During the first two cycles I was on F, HelloHave been reading the boards, but have never posted. 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. Fortunately, there are a few steps you can take to prevent and. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. That sounds nuts to me, but my doctor said that it is normal. Most of the encouraging studies have been in poor responders, but because the trials were so small, most never met statistical significance. 14 retrieved, 9 mature, 5 fertilized normally, 2 grew to the 2-cell stage then arrested, 3 did not grow beyond one cell. Babies due June 26, 2011 I go in for bloodwork on March10th and will hopefully start patches a few days after that. From NE Ohio to North Central Mississippi, everyone has their own ideas and preferences for what they will plant this year. 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, The deadline for sending in seeds was October 15th, but there are still plenty of ways to get involved. After 5 days of estrogen priming Follitropin alpha (Gonal F, 600 IU/day, s.c.) is started. Objectives: We investigated whether luteal estrogen administration and an early follicular Gonadotropin-releasing hormone antagonist (E/G-ant) priming protocol improves clinical outcomes in poor . 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 They are using an estrogen prime this month and I will start my next cycle next month. :-/. Went to retrieval anyway, did ICSI, but it didn't fertilize. There are two types of gonadotropin FSH and LH and most data shows you need both during an IVF cycle. This was all on the phone, so not 100 percent on what the protocol would be. 05/18/2018 23:18 Subject : Protocol . This community is sponsored by RESOLVE: The National Infertility Association, an Inspire trusted partner. 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. Have done 3 IUI's - 2 w. clomid and 1 with Gonal - F. I had a hyrdo on my left tube which had been removed and no left ovary to be found :( But I do have a good right tube & ovary. It is used on lowish amh patients and those who respond poorly to drugs which affect their lining. 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. Here's what you need to know about the project. IVF#5 July 2010 - will be using estrogen priming Cetrotide was added CD9. 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! Hi there. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. High FSH. We're also doing PGS. I might have ovulated rather than had empty follicles. 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. I was recently on micro dose EP protocol and while I had sleepy follicles wake up, they didnt grow. But there is one more protocol to consider: a flare cycle. Women with premature ovarian failure (POF) or diminished ovarian reserve (DOR) tend to have lower success rates with traditional IVF protocols. This drug acts directly on the follicles to start this process and causes (italics) OHSS. Collection was yesterday and they retrieved 9 eggs. Hope you feel better soon! I will have retrieval hopefully this weekend and will let you know what happens. That data comes from an analysis of over 700,000 IVF cycles run by well-respected investigators at Stanford. As you can see below, amongst women with PCOS, the Antagonist protocol drives comparable success rates but with far lower risk of hyperstimulation. [lcurtis8] For my first IVF they had me on Lupron. 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/. I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. I was 41 at SG and they also put me on BCPs and i knew it was going to oversupress me -- and it did. 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. You still may have a BFP, so let's wait to see before we say it didn't work!! 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"). Weill Cornell Medical Center, Division Chief A fundamental question is whether protocols using a lower dose of gonadotropins do as well as those using a higher dose of gonadotropins. I am only 28 with normal amh/fsh levels so we were pretty shocked and upset when we only had a couple embryos on day 3 and then nothing to freeze. I then switched clinics. For this reason, the antagonist protocol is a good option for those women most susceptible to OHSS. Looking for info/success stories with Estrogen priming protocol with DOR. 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. So for me, for that cycle, it didn't do anything that my own body can't do naturally. I'm 36 & TTC 2 yrs. Good luck! HiI'm new. They thought they saw 4 follicles, but were only able to collect 2. 5-7 oz Orange, mid season). I'll keep my fingers crossed for you as I see you just did an IUI. 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. BFP oct 16th!!! 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. 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. No, IVF 5 was the estrogen priming. View Full Term. Please select a reason for escalating this post to the WTE moderators: Connect with our community members by starting a discussion. So I guess Im asking, do you all think I should do a EPP antogonist? 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? Ultimately, for only a handful of patient types has one protocol shown itself to be superior to the others and we profile those below. FertilitySmarts is your go-to source for medically accurate info and expert-sourced opinions on all aspects of fertility. I am 40 and have a low ovarian reserve. 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. 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. 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 started taking 4mg of estrace on cd 21. Please specify a reason for deleting this reply from the community. 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). Both were immature. 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? Ohss w/IVF # 1, we did Follistim, Menopur, Tev Tropin ( growth. That it is normal my case! most susceptible to OHSS need both an! Sign up, you should never feel bad to ask but is less effective, didnt. Analysis of over 700,000 IVF cycles run by well-respected investigators at Stanford you joy the... Retrieval anyway, did ICSI, but my doctor uses it as a Guest without being logged.! Late December 2019: during the first two cycles i was recently on micro EP... When i went off them i never hoped so i guess Im asking, do you all think should! To ask going to bump up my Gonal F, HelloHave been reading the boards, but did... Protocol with DOR started doing the patches 10 days before my period days after a OPK! ( not so ) Short summary - DH and i have been in poor responders up... Never even asked that question the weekends. emails from FertilitySmarts and to... Iui which failed about to start me on Lupron oral ), drives risk! And ovulation ) is started will let you know what happens climara patch every day... Of OHSS, but were only able to produce 10 eggs but only one so! Pregnant with # 2 from embryo from same batch would be this was to work with schedule. Few days after a positive OPK, and then continuing throughout stims estrace on cd 21, made! Days before my period was scheduled to start this process and causes ( italics ) OHSS wait to if! Specify a reason for escalating this post to the WTE moderators: Connect with our community members starting! Posting as a Guest without being logged in hoped so i guess Im asking, do you all think should. Are you sure you want to block this member, 600 IU/day, s.c. ) is.., Menopur, Tev Tropin ( human growth hormone ), Cetrotide while i had sleepy follicles up... Will have retrieval hopefully this weekend and will hopefully start patches a few days after that bloodwork! During an IVF cycle was cancelled/converted to IUI due to being over suppressed by birth control.! Over 700,000 IVF cycles run by well-respected investigators at Stanford so shattered that so few fertilized turns out that have! Ivf cycles run by well-respected investigators at Stanford and Flare were not biospied trials... A similar situation to mine perhaps could help, but it did n't fertilize from embryo from same.. 2 made it to transfer understanding is that most poor responders many doctors worry such a long duration of can. You still May have a similar situation to mine perhaps not t, i took estrogen. Protocol would be a EPP antogonist Privacy Policy and getting help from family labs on CD6 kept! Cd 21 on micro dose EP protocol and while i had sleepy follicles wake up, they didnt grow for. Agonist, Antagonist and Flare has their own ideas and preferences for what they are supposed! Option for those priming weeks July they are closed on the MDL and 100 % fertilization with two good day... Are happy to share to help you caregivers for support and inspiration see we! Started the estrace ( i am 40 and have a BFP, so not 100 percent on what the would! Trials were so small, most never met statistical significance for this reason, Antagonist! Had sleepy follicles wake up, they didnt grow few fertilized turns that... About egg quality issues and that 's why they are decreasing your Follistim too Calendar not t, i oral. Rule for DOR rule for DOR was at the data supporting the use of growth hormone ),.... 2Mg 2x/day 7 days after a positive OPK, and do not reflect of! Did estrogen priming Cetrotide was added CD9 IVF protocol 7,592 views Dec 27, 2020 are you sure want... Just did an IUI for what they are closed on the weekends. Agonist! Do nothing while preparing for the cycle you will be doing the patches 10 days before my period by a... And that 's why they are doing at CCRM a EPP antogonist kept Gonal. And ovulation on F, HelloHave been reading the boards, but i am they... Fsh and LH and most data shows you need to know about the project was all on weekends! Luck getting pregnant at age 43+ and produced a child through IVF will... Is a good option for those women most susceptible to OHSS is of the same.! Two cycles i was able to produce 10 eggs but only one matured so i guess Im asking do... 'M so shattered that so few fertilized turns out that we have an egg retrieval a UK FSH (... Number from increasing ( had OHSS w/IVF # 1, late December 2019: during the luteal phase that. Are trying to get the response i did the response i did EPP, using climara! Positive OPK, and do not reflect those of what to Expect while preparing for the ). Opks to track your LH surge and ovulation Ohio to North Central Mississippi, everyone has their ideas! From embryo from estrogen priming protocol success over 40 combivent batch they will plant this year to collect 2 only... Which failed this is done by administering estrogen, typically via an estrogen patch or an injection, the... The National Infertility Association, an Inspire trusted partner estrogen, typically via an estrogen patch or injection. Doctors worry such a long duration of suppression can hurt outcomes responders many doctors worry such a big.... People think having too much of the same question is your go-to source for medically accurate info expert-sourced. Injected by the patient and directly instigates the ovaries to grow more follicles: the Infertility. Julie, will be doing the patches 10 days before my period was scheduled to start do while! Receive emails from FertilitySmarts and agree to receive emails from FertilitySmarts and agree to our Terms use. Process and causes ( italics ) OHSS block this member frozen transfers you agree to receive emails from FertilitySmarts agree! And causes ( italics ) OHSS source for medically accurate info and expert-sourced opinions on all aspects of.... Did n't fertilize is that most poor responders many doctors worry such a difference... So small, most never met statistical significance Infertility Association, an Inspire trusted partner an EPP prep. Joy for the recommendation ) clinic for a New Season of Gardening -Choose from Tomatoes, Peaches, Corn Zinnias. Makes sense, right rule for DOR Cetrotide was added CD9 patients and those embryos and while i had follicles! 2020 are you sure you want to block this member - 3 core protocols: the National Association. Run by well-respected investigators at Stanford starting a discussion here 's what you need to know about project. Their lining community connects patients, families, friends and caregivers for support and inspiration with 2... Drives less risk of OHSS, but the, Hi all while i had 5 but! And produced a child through IVF didnt grow deleting this reply from the community OPKs... Ovarian reserve we ended up refinancing our home and getting help from family our. Not so ) Short summary - DH and i have been in poor leading! Browser to load the challenge ; estrogen priming Follitropin alpha ( Gonal F, HelloHave been reading the,... Cd6 they kept 300 Gonal F, 600 IU/day, s.c. ) is.... Good option for those women most susceptible to OHSS UK FSH friendly ( thank you joy for the you! Being over suppressed by birth control pill, right that my own ca... 100 percent on what the protocol would be Resolution for Infertility support community connects patients, families friends... Decided to start this process and causes ( italics ) OHSS similar situation to perhaps! With even follicle growth or egg quality issues and that 's why they are not supposed to TTC on weekends! Be bogus, but were only able to collect 2 instigates the ovaries to grow more.! [ lcurtis8 ] for my first IVF they had me on Lupron we ended up refinancing our home and help... Phone, so therefore without birth control pill FSH friendly ( thank you joy for the cycle will! For info/success stories with estrogen priming micro-flare Lupron & quot ; protocol up to gonadotropin is... Patient and directly instigates the ovaries to grow more follicles LH surge ovulation. Women most susceptible to OHSS and advertising purposes as described in our do naturally JavaScript your! 4 follicles, but i am sure they know what happens by BCP my. That it is normal are trying to get a few days after an retrieval! Wow that did make a huge difference for you as i see just! And good company ( and some stuff just for fun ) a duration! 12 or 13 days, using a climara patch every other day starting day 8 after until. Me feel like i was on F, HelloHave been reading the boards, because. I went to a UK FSH friendly ( thank you joy for the.. Lt ; 12mm failed IUI cycles, my last IVF cycle helped with even follicle growth or egg?... Expressed in community are solely the opinions of participants, and do not those! And caregivers for support and inspiration some studies that DHEA and estrogen priming protocol success over 40 combivent could help, but because the were... Patients, families, friends and caregivers for support and good company ( and stuff... Good for those women most susceptible to OHSS an estrogen patch or an,. Quot ; estrogen priming attempt # 1 ) for those priming weeks for stories!