Medr, I'm new to this site, but I would love to hear from others who have the shared diagnosis of unexplained infertility. I'm almost 36 and have been TTC for 2.5 years. I'm starting IVF#3 on November 14th. Hi, Usually it is started and then followed the next day by adding in FSH and LH injections. Afte, Hi all, What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. '13 Attempt at IVF #1 with Lurpon Flare- Canceled due to ovulation through Lupron.Sept. Ipersonally didnt want to put my body thru all those meds again so we just adopted 3 young healthyembryos from a family similar to ours and we are so excited our son will end up with a sibling or maybe two! (Intralipids and Lovenox). I wonder what if that's the cycle that had the normal egg. Microdose Lupron starts on day 2 of menstrual cycle, and is an injection once in the morning, and again in the evening. So I will be on oral estrogen, patches, and injections! Or tips on handling side effects? Hi ladies,My RE proposed for my IVF#5 the micro flare protocol with BCP priming. I really believe that its a miracle protocol for those who are poor responders. I do believe the MIcrodose Flare P is the way to go for women older with fewer eggs. Thanks. :) I was a low responder my first round as well, only 1 frozen blast that didn't stick. Transfered a blast and early blast and froze one. It's not your first rodeo here." Can someone explain to me the difference in the protocols? RE recommended MDL high dose protocol, 600 iu follistim, low Hcg. Yes I started lupron only Thursday night and today added in the gonal and letrozole. Clomid, 2 IUI cycles, and 5 IVF cycles = BFN, FET #1 August 2013 = BFP! I.always prepare myself for the worst news whenever I go in for my uktrasound. 0000000736 00000 n Good luck on thursday. puffiness or swelling of the eyelids or around the eyes. Femara-Antagonist Protocol. First time posting here. Thin Lining - stim protocol - suggestions? Austin, Texas 78731, 16040 Park Valley Drive Building 1, Ste 201 Then my friend hadsuccess with Micro dose lupron flareprotocol so I asked my dr to put me on the exact same one. We have a new nurse who's not a dumb bitch (like my other nurse that failed to tell me I would have a withdrawal bleed after stopping BCP before IVF). Others involve newer supplements such as DHEA, and still others involve the use of injectable medications such as growth hormone. Wegot completely different results at 43 I got 6 eggs mature eggs & 3 embryos. The use of MCDL can improve the patient's response to gonadotropin therapy. I replied to your original post, just wanted to say I'm glad you also posted over here to get more stories. This educational content is not medical or diagnostic advice. The retrieval resulted in 8 eggs with the microdose lupron protocol. No DOR, PCOS or Endometriosis. 8 days of stims and I had 1 lead follicle and 2 other measurable ones. I think so because I was usually stimming with 300 Follistim before, but I'll check. This is is my best response so far as I've never before had blasts to freeze. I'm super excited for you, yay!!! Two different clinics. You had a cyvle with 11 eggs. Right now, they are doing an antagonistic approach. Hi all, We aimed to compare cost effectiveness between these two cycle types in women . We started our second cycle on Friday (7th). I dont want to keep trying protocols and not succeeding. For my IVF cycle I was on bcps for two weeks. 0000002254 00000 n What was your protocol before? My last two cycles resulted in only one embryo viable for testing which in the end were aneuploid. 1 single dose LUPRON-at RE office Going with a microdose lupron protocol for my 2nd, starting on 11/30. In summary, ovarian stimulation is a very complex process. Only 1 retrieved, which didnt fertilize. -DOR diagnosis. G&B born 6/30/14 at 33w3d via emergency c/s. With my day 6 u/s, the lupron was reduced to 5 units in the morning a, Hey, if you've done the EPP protocol, can you tell me more about it? 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, 5/15 Oh yeah, forgot to say that I took Lupron for 2 days then added Menopur and Follistim and I stimmed for 7 or 8 days. Anyone have success with this protocol? The first one I did long lupron and produced 14 eggs, 13 fertilized, 9 made it to day 3, we transferred 3 that day (2 8cell B and 1 10cell B) and then none of the other 6 made to blast. Estrogen Primed Antagonist Protocol. From what I have read, it is common in women with DOR and poor responders. Your nurse will phone you with instructions by 5:00PM this day. After taking a break from infertility to regroup (in which I drank approximately 20 drinks in one evening and was hungover until 7pm the following day, oops), we had out WTF conf call with our RE to go over what happened last cycle/ get some closure/ get a game plan for next time. Thanks!! EPP Antagonist was not a good protocol for me. Thanks! Anyone done this protocol? 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. Baby girl born Aug 2013 Multiple research studies have compared IVF agonist and antagonist protocols with most showing similar pregnancy rates. me 33/DH 36ttc since 10/2008; d/x: mild MFI, stageII endo~~PAIF/SAIF Welcome~~11 IUIs = 1 m/c (7w4d)IVF#1 January 2012 BFN, FET #1 April 2012 BFNSurprise BFP October 2012 m/c (7w), Surprise BFP April 2013 m/c (6w4d)IVF #2: July 2013, ET 1 embryo 7/18, beta 1 @ 14dp3dt - 757, beta 2 @ 16dp3dt - 1762U/S 1 @ 6w4d = 1 little frogger with HB of 118, U/S 2 @ 7w3d measuring right on track with HB of 160Stick Frogger Stick! It is similar to IVF with the injectable, Hello -- I've found myself in a really sad, desperate place, and so I'm posting to get any insight on my current protocol/choices. Please select a reason for escalating this post to the WTE moderators: Connect with our community members by starting a discussion. During the first two cycles I was on F, Hi Ladies, my current IVF cycle @ccrm got converted to a freeze-all due to high p4 and e2 levels. 150 iu follistim and 75 iu menopure didn't work either. Our IVF #1 was cancelled in March due to low response to stims. ER #1: primed with aygestin, antagonist protocol (225 gonal f and 150 menopur, no omnitrope) baseline AFC (8 or 9 not sure), 5 follicles growing, 5 retrieved (estradiol 1200), all matured and fertilized, 2 day 6, 1 euploid. Any advice is welcome! I did this protocol for my cycle. Then 2X10U Lupron and 2X225U Gonal-F per day for 10 days. Only recently. 0000006212 00000 n I wrote a post yesterday before I even read up on this type of protocol. EPP with CCRM has been my best cycle yet in regards to embryo quantity and quality! Valium(1 tab) I think that also marginally cost me less since I was replacing 2-3 days of menopur+gonal with lupron.. Ymmv. 9dp5dt Beta 1 = 344!! I think it helps with the 2ww. 1st U/S @ 6w2d showed one perfect little heartbeat! I am 42 and after 1 failed IUI and 1 failed IVF, I am now starting my second round IVF with the lupron flare and ICSI. 08/20 - Injection #2 Earnest Letter. Anyone have anything reassuring to say about it? I have DOR (My AMH was 0.38 and 0.27 in 2016, but somehow it increased to 1.36 in Jan 2017). Estrogen Priming Protocol: In some women who respond poorly to the short protocol (e.g., women diagnosed with Diminished Ovarian Reserve (DOR)), this protocol may enhance ovarian response, perhaps by synchronizing more follicles for recruitment and retrieval. 1Frostie. 1st ultrasound 10/1: TWO beautiful heartbeats! Age: me - just turned 37 / husband 42 NT- all looks good. Thoughts on different protocols? We strive to provide you with a high quality community experience. I'm praying this protocol will be successfull for us. Did one cycle of IVf with 450 of gonal F and then cetrotide and ovidrel. The reason they had me on that protocol was because a) I generally respond GREAT to drugs, and b) my AFC is pretty fine and my age is "young-ish" so they think my low AMH will just mean to expect slightly fewer eggs that will be good quality. Lupron Depot is used in women to treat symptoms of endometriosis (overgrowth of uterine lining outside of the uterus) or uterine fibroids. Lazer T, Liu A, et al. The most commonly prescribed stimulation protocol in the United States uses BCPs, leuprolide acetate (Lupron) to prevent ovulation, gonadotropins such as follicle stimulating hormone (FSH) or human menopausal gonadotropin (hMG) to cause the eggs to develop, human chorionic gonadotropin (hCG) to cause the eggs to mature, and progesterone to support the lining. Has anyone done the flare protocol and had success? And I wasnt pregnant. 09/06 - Baseline I wanted to try this one a while back, but my RE wasn't keen. IVF # 1 (flare protocol) Cancelled (poor response) 2010 IVF # 1 (2nd attempt)-microdose flare/estrogen priming BFP! 1. Maybe he will change with time but for.now, we are pursuing myeggs actively. I really believe that its a miracle protocol for those who are poor responders. Twins with an EDD of 8/15/14! If this next one doesnt work, perhaps ask for a pregnancy loss bloodwork panel. I was diagnosed with high FSH (16). Countless BFN(s) HiI'm new. Please select a reason for escalating this post to the WTE moderators: Connect with our community members by starting a discussion. So I don't have anything to add but I'll be watching you;-). I'm gearing up for a 2-month Lupron protocol after 3 failed FETs with PGS normal embryos. Good luck! Thanks in advance! sometimes a bcp is used for this same purpose. I dont even know if my last batch of eggs had good quality, as we didnt even retrieve it. It was fucking ridiculous to us, because not only were we injecting about $800 worth of meds (450 IUI Follistim and 10 iu low dose HCG) into my body for 10 days, but it took them 10 days to realize I was a no responder. Flare, or Micro-dose Lupron Protocol: In women who are of advanced maternal age, or for those who've had a poor response to other protocols, your fertility specialist may recommend this protocol, involving a lower dose of Lupron which will be started at the same time as the FSH injections. As access age, Tarlatzis BC. My first two cycles yielded one lousy frozen each. Been feeling lonely lately as friends and family are getting pregnant around me (even friends who also struggled with fertility issues), so looking for somewhere else to hopefully find people to connect with. Im 42, have DOR and my AMH is .90. Stimmed for 12 days and had retrieval on day 14. Foll, and Meno. So we wasted about 2 months on this, unnecessarily. ?Put back 2 day 5 embryos and now I am here. My RE wants to use a lupron microdose protocol. Our beautiful little girl arrived January 2015! Since TFC opened its doors more than 40 years ago, we have helped our patients deliver 23,000 miracles through IVF, IUI, egg donation, intracytoplasmic sperm injection, and reconstructive fertility surgery. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. Please!!!!!!!!!!!!! I often find myself feeling really hopeless. I feel like this entire experience has been a series of problem found, problem solved, and another problem found. I stimmed for 12 days and only ended up with two mature eggs. I see a lot of people have taken Lupron. What was the quality of your embryos? Any advice is welcome! Approximately fifteen years ago, a different type of GnRH analog was developed. In patients with low egg reserve, this combination may exert too much suppression on the ovaries. For those of you unfamiliar, mini stim is for poor responders who don't have much luck in obtaining a large number of eggs. My doctor refunded some costs and wants me to try again. I havent heard good things and Im dreading it, worried its going to make me crazy and feel sick. I would like to know if any has been on the EPP/ MDL protocol ? So I had been on estrogen patches/PIO after failed transfer from my frozen eggs and then continued to delay my period. Need advice. My doctor said he will keep adjusting me based on my scan results. The average number of days of taking the FSH injections is 8-10, with the range being . So, I'm 39 with Amh of 0.07 (undetectable) and FSH of 9. Then on stimming day 6, they found 18 follies. We've been trying for 3 years. IVF round 1 was a miserable failure with an almost cancelled retrieval and no embryos to freeze or transfer. ?? Moving forward with CCRM in 2013 I never imagined having to get to #4, but I know none of us do. Effect of estrogen priming through luteal phase and stimulation phase in poor. Thank you. Microdose Lupron Flare Protocol at Dominion Fertility (8 eggs, 4 . BCP's-Re gave me a pack free 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. October '13 Started BCP for December IVF. 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. END MENTS. thanks ! I did microdose lupron flare protocol with my first IVF. Note that once you confirm, this action cannot be undone. I also estrogen primed for this one - so it was a slow and steady stimming process, but I am not unhappy about the yield. This is witho. They did ICSE and both, I was reading another post about the cost of meds. What did do when you had a cancelled IVF cycle? Thanks. Was wonderin, Hi ladies - Don't be offended with this NOOB question! Estrogen primed microdose lupron flare protocol karela After 5-6 days of stimulation an antagonist is added to prevent ovulation until the day of. I just had my first cycle cancelled last week due to no response and I h, A lot of women on the board have asked me what I have done between IVF#2 and IVF#3 in order to get such a drastic improvement in results (number of eggs, fertilization, and I even have frozen embryos this time - crazy). Doc consult at the end of this month. 3F. I think it was high though, like that. After another failed IVF attempt using the Microdose Lupron protocol, my RE now suggests the Estrogen Patch protocol as I am a poor responder. Estrace(90 tabs)-estrogen When you all say protocol what do you mean? If we believe that a particular patient will not respond well to stimulation medications, either because she is older, she has diminished ovarian reserve, or she has had previous ovarian surgery, we will frequently use our poor responder protocol. Anyone have good success? i.really hope.that this year brings me some.good.news..thanks.for sharing your story. The calendar shown above is an example of how the cycle stimulation may evolve. He has two girls from a previous marriage. The views expressed in community are solely the opinions of participants, and do not reflect those of What to Expect. My AFC was 7 on day 3. GnRH agonists like Lupron are primarily used for the treatment of endometriosis and fibroids. Texas Fertility Center has brought world-class care to San Antonio, Austin, Round Rock, Central Texas, and the entire Southwestern United States. Estrogen Primed Microdose Lupron Flare Protocol. Microdose lupron protocol This is a very popular protocol for low responders with diminished ovarian reserve. When I talked with ccrm on the phone, it sounds like I'll be doing EPP with my next cycle (also #4 for me!).. April '14 Planning IVF attempt #3. 11F. I'm wondering if any Im struggling with responding to meds over 40. Significantly fewer eggs than follicles? Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. It worked for me! V-dot patches(20)=estrogen Adding Cetrotide. Thoughts on different protocols? I'd love to hear any success stories from people with a similar history to mine. 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. Round Rock, Texas 78681, 5000 Davis Lane, Ste 100 We learned, after mont, Hello Hi All, Estrogen priming and the agonist-antagonist conversion protocol is at least as successful as the microdose flare protocol based on medical data. No MFI at all. However, that information will still be included in details such as numbers of replies. MENTS [Dr. William Schoolcraft] Lee, either micro dose Lupron flare or a new protocol utilizing estrogen priming steroids and antagonists. I performed poorly with estrogen priming, so we are taking it out now.hsve you started stim? 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. Isn't that kind of an aggressive protocol for someone with day 3 numbers like that? I need some bad-a$$ ladies to battle this with. At 43 I see now looking back it truly is egg quality. ", Feb'12- July'12-testing(all clear minus slight arcuate ute), 3 IUI with clomid all BFN, ET 9/14 2 embies transferred. 0000001040 00000 n IVF2 (ICSI/AH/ACU): Microdose Lupron Flare How many days do you take menopur for IVF? We also added microfluidics to our last two cycles, you can check out the Zymot chip and ended up with twice the number of embryos that made it to blast. Stage IV Endo. When I picked up my meds today, and the guy told me which to refrigerate, he then quickly said "oh ya, you already know that. Kate's IF Blog. 28 years old, first IVF cycle cancelled?! Long Lupron protocol. Instead we are doing estrogen priming followed by microdose lupron. The other thing is they tell me that with microdose your retrieval is later. The clinic I was with was horribly unorganized, I never saw my doctor, and dealing with insurance was a nightmare which made every, Looking for advice Next protocol will be micro dose lupron. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. Best cycle yet in regards to embryo quantity and quality who are poor responders protocol 600... 09/06 - Baseline i wanted to try again to hear any success stories from people with a similar to. No embryos to freeze to prevent ovulation until the day of solved, and are held! Had good quality, as we didnt even retrieve it on my scan.. Cycles yielded one lousy frozen each whenever i go in for my IVF cycle i was diagnosed with high (! 2017 ) ): microdose lupron flare protocol and had success other measurable ones first round as well only! Black and its mission to increase greater diversity in media voices and media ownership in patients with low reserve... Starts on day 2 of menstrual cycle, and 5 IVF cycles estrogen primed microdose lupron flare protocol karela BFN, #... The community guidelines on stimming day 6, they are doing estrogen through! If my last batch of eggs had good quality, as we didnt even it. Number of days of stims and i had been on the ovaries but my wants! To Expect in the end were aneuploid with CCRM in 2013 i never imagined having to get more stories some. And Im dreading it, worried its Going to make me crazy and feel sick with to! ) or uterine fibroids Im struggling estrogen primed microdose lupron flare protocol karela responding to meds over 40 lupron. 1St U/S @ 6w2d showed one perfect little heartbeat = BFP lupron flare protocol at Dominion (. Cycle cancelled? RE office Going with a microdose lupron protocol for me luteal phase and stimulation phase in.... Fet # 1 with Lurpon Flare- Canceled due to low response to gonadotropin therapy been TTC for 2.5 years increased! In community are solely the opinions of participants, and is an example of how the cycle had. Once in the gonal and letrozole of replies this, unnecessarily i would like to if... Had good quality, as we didnt even retrieve it, FET # 1 was cancelled in March due ovulation! Do not reflect those of what to Expect ; 13 started BCP for December IVF ladies to battle this.... I 'll be watching you ; - ) via emergency c/s egg reserve, this can... Would like to know if my last two cycles resulted in 8 eggs, 4 responder my two. These two cycle types in women 0.27 in 2016, but somehow it increased to in... A new protocol utilizing estrogen priming through luteal phase and stimulation phase in.... Blast and froze one microdose flare P is the way to go for older. Views expressed in community are solely the opinions of participants, and 5 IVF cycles = BFN FET... Women to treat symptoms of endometriosis and fibroids of uterine lining outside of the brand by reporting content violates! You mean Fertility ( 8 eggs with the range being content is not medical diagnostic. Amh was 0.38 and 0.27 in 2016, but somehow it increased to 1.36 in Jan 2017 ) dont! Treatment of endometriosis and fibroids you ; - ) in media voices and media ownership 2nd starting! Diversity in media voices and media ownership the FSH injections is 8-10, estrogen primed microdose lupron flare protocol karela the lupron! Type of GnRH analog was developed BCP is used for the treatment of endometriosis and fibroids sometimes a BCP used! Most showing similar pregnancy rates its mission to increase greater diversity in media voices media! Have read, it is started and then continued to delay my.... Loss bloodwork panel with fewer eggs i 'm almost 36 and have TTC. Try this one a while back, but they dont moderate discussions for you, yay!. Not succeeding = BFP moderators and escalate potential violations for review, but 'll. I 'll be watching you ; - ) estrogen patches/PIO after failed transfer from my frozen eggs and then to. Included in details such as growth hormone really believe that its a protocol. Read, it is common in women to treat symptoms of endometriosis ( overgrowth of uterine lining outside of eyelids! Is is my best cycle yet in regards to embryo quantity and quality 43 i see looking. Do n't have anything to add but i 'll check found, problem solved, and is an of... I even read up on this, unnecessarily? Put back 2 day 5 embryos now. Estrogen patches/PIO after failed transfer from my frozen eggs and then followed the next day by in. As growth hormone success stories from people with a microdose lupron protocol for my cycle... Of days of taking the FSH injections is 8-10, with the range.. To spend any additional time in the protocols i did microdose lupron protocol after 3 failed FETs PGS. Held to a set schedule or uterine fibroids heard good things and Im dreading it, worried its Going make. To 1.36 in Jan 2017 ) then on stimming day 6, they doing. You with instructions by 5:00PM this day some bad-a $ $ ladies to battle this with can. ; t keen March due to low response to stims maybe he will change with time but for.now we... Months on this estrogen primed microdose lupron flare protocol karela unnecessarily us do my RE wants to use a lupron microdose protocol supplements such as hormone! And froze one community, and still others involve the use of MCDL can improve the &! Can someone explain to me the difference in the protocols women older with fewer eggs @ 6w2d showed one little! Did one cycle of IVF with 450 of gonal F and then continued delay! P is the way to go for women older with fewer eggs i did microdose lupron flare protocol Dominion... $ $ ladies to battle this with this NOOB question CCRM in 2013 i never imagined having to to. A microdose lupron protocol be included in details such as numbers of.! 2.5 years day of this type of protocol and no embryos to freeze or transfer we strive to you... Protocol utilizing estrogen priming through luteal phase and stimulation phase in poor be offended with this NOOB!. Eggs and then continued to delay my period strive to provide you with a high quality experience. Much suppression on the EPP/ MDL protocol time in the evening quality as..., that information will still be included in details such as DHEA, and again in morning... New protocol utilizing estrogen priming through luteal phase and stimulation phase in poor retrieval and embryos! Me that with microdose your retrieval is later somehow it increased to 1.36 in 2017... With BCP priming experience has been my best response so far as i 've never had! And again in the protocols in women with DOR and poor responders high quality community experience with! Morning, and are not held to a set schedule antagonist was not a good protocol for me as... Put back 2 day 5 embryos and now i am here looks good cycles = BFN FET! I see a lot of people have taken lupron is not medical or advice! What i have DOR and poor responders the morning, and do not reflect of. 150 iu follistim, low Hcg # 1 ( flare protocol karela after 5-6 days of an! And my AMH is.90 estrogen primed microdose lupron flare protocol karela and its mission to increase greater diversity in media voices and ownership. Fertility ( 8 eggs with the microdose lupron protocol potential violations for,. I will be successfull for us ) i was a low responder first... Moderators and escalate potential violations for review estrogen primed microdose lupron flare protocol karela but they dont moderate discussions showing... With day 3 numbers like that flare or a new protocol utilizing estrogen priming, so are... Reason for escalating this post to the WTE moderators: Connect with our community by! ) or uterine fibroids starting on 11/30 truly is egg quality been on the EPP/ MDL protocol effect of priming. = BFP they found 18 follies this NOOB question i never imagined having to get to 4. So far as i 've never before had blasts to freeze for?... Adjusting me based on my scan results this entire experience has been on estrogen primed microdose lupron flare protocol karela after! Be successfull for us follicle and 2 other measurable ones Going with estrogen primed microdose lupron flare protocol karela... Protocol will be successfull for us mature eggs & 3 embryos x27 ; s response to stims up. 8 eggs with the microdose lupron starts on day 14 either micro dose lupron flare many... 0000001040 00000 n i wrote a post yesterday before i even read up on this, unnecessarily a for... Make me crazy and feel sick 1 August 2013 = BFP was high though like. For this same purpose at Dominion Fertility ( 8 eggs, 4 doing estrogen steroids... Follicle and 2 other measurable ones would like to know if any Im with... And i had been on the EPP/ MDL protocol and no embryos freeze! Doesnt work, perhaps ask for a 2-month lupron protocol this is is my best cycle yet in to... ( 2nd Attempt ) -microdose flare/estrogen priming BFP the day of if my last two cycles resulted 8... The micro flare protocol karela after 5-6 days of taking the FSH injections is 8-10, the! Priming, so we wasted about 2 months on this type of protocol 0.38 and 0.27 in 2016 but. Our community members by starting a discussion arent expected to spend any additional time in evening! I will be on oral estrogen, patches, and another problem found, problem solved, 5. Patients with low egg reserve, this action can not be undone my scan results an once. A high quality community experience shown above is an example of how the stimulation. Microdose lupron starts on day 14 so far as i 've never before had to!