Protocol Advice Requested

B • IVF Mama '22 🌈 | 3 rounds IVF | 5 embryo transfers 👼❌️❌️👶👶

First and foremost, I'd like to thank you ladies for helping keep me grounded these past few days!

Here's the background:

Clinic 1- Round 1 <a href="https://glowing.com/glow-fertility-program">IVF</a>: 27 yo Aug 2019

NO BCP. Started just Gonal F cd4. Started at 375/day. Had an increase to 450 later. Added Cetrotide later. Triggered with Lupron and HCG.

No Menopur that round. Had 10 retrieved, 9 mature, 9 fertilized, 4 untested 5 day blasts.

Clinic 2- Round 2: 28 yo Nov 2020

BCP 3 weeks, started Gonal and Menopur. Did 300 gonal/ day and 150/day Menopur. Added Ganirelix. Triggered with HCG.

Had 11 retrieved, 10 mature, 7 fertilized, and only 1 7-day blast being sent for PGS.

For those of you who have had multiple cycles, did a protocol change help with quality? I refuse to believe that my quality would suffer that much in a little over a year.

I am asking to either remove Menopur or go to every other day administration. I am also asking to do Lupron down regulation in place of BCP. (ENDO)

Has anyone used Menopur and had a bad outcome? I've read it can be hard on PCOS eggs.

Anything else I should be looking into?

TIA, ladies!