What’s your protocol?

Question

Hi ladies, good to share your protocols... I get asked by many so thought perhaps share various ways that consultants go about it.
My diagnosis is diminishing ovarian reserve or  extremely low ovarian reserve. At age 35 my amh was almost non existent. So I panicked and thought it means no eggs! Seeing a specialist I was told that it’s borderline and I need to act quickly.
I had 5 follicles in August when they tested amh so it was a positive sign.
After seeing a specialist in London he prescribed testosterone as my preparation. It will be almost a month on it by the time I get to first scan.
No side effects! Maybe just a bit more feisty and doing pretty good in the gym 🤫... after all it’s doping..
He prescribed a mild menopur cycle to see what happens. Prognosis is 20% chance of live birth!!! 
We going straight to ivf but may consider icsi on a day dependent on the sperms....
Anyway, that’s me! I think now I am about 2 weeks from next period at which point I need to go to clinic for first scan. 
Baby dust to you all xx

Answer

Hi there. Figured I'd chime in and share. I'm 31 with high fsh, low amh, and suspected endo. I have poor egg quality (abnormal oocyte morphology) that more than likely is from endo (no other explanation). This is our 3rd retrieval. My first cycle was a bust. I have 3 frozen untested embryos from my last retrieval, but after our loss we decided to do another and bank them for the future before my levels and egg quality get worse. We hope to have more than 1 child.
I have been on birth control for a couple weeks and I'm currently 1 week into a 2 week daily lupron kit. I'll take my last BC pill on Monday, finish lupron Thursday, and start stimming on Friday. Retrieval should be between Nov 4-7. I'm a poor responder and take a high dose of menopur 2x daily. Hcg trigger. The plan is to do a transfer on day 5 with 2 of our frozen embryos (5AA & 5BB).
We did the same protocol in July which yielded 10 eggs and 5 of those made it to blast (transferred 2, got pregnant with 1, froze the remaining 3). Hoping for similar or better results. We will be pgs testing the new embryos for added precaution even though our recent loss was a genetically normal girl (tested post d&c). Our clinic will do ICSI if needed.  It's more of a game time decision if they think it's necessary and they don't charge extra. 
Wishing you ladies the best of luck during this time. I'm (unfortunately) very familiar with this whole process and know it can be filled with the highest highs and lowest lows. I'm here to answer any questions &/or to provide support if needed. Take care of yourselves and stay positive.

Answer

I’m 32 with undiagnosed infertility. We’ve been on this journey for 3.5 years. We had two failed ovulation induction cycles and have started our first IVF cycle. I’ve finished my two weeks of birth control and will start my stim cycle of Menopur and follistim aq today. Have a follow up appointment on Sunday. Hoping for retrieval and transfer before thanksgiving.

Answer

I’m 34, with Male Factor Infertility. We’ve had multiple failed IUI’s. I am on week 4 of birth control, preparing for Mini IVF. I have Follistim (1) and Follistim Aq (2)?, and Ganirelix (8). We received the huge box of meds, and it requires only the Follistim to go in the fridge (is that normal?) we’re nervous and excited. I’m really nervous about getting the injections wrong.

Answer

Hey!! We have male factor infertility primarily. We’ve tried for well over a year with multiple failed IUI cycles. At our last one our doctor recommended we move onto ivf based off his numbers. We started birth control the beginning of October. We are currently on cycle day 5 and day two of injections. 
The protocol our doctor put us on: 
150 gonal f and one vial of menopur daily.
We will add in certotide when appropriate and then ovidrel to trigger! 
After our doctors prefer progesterone suppositories over progesterone in oil injections. 
Retrieval will most likely be Halloween or around there!

Answer

Hey!  I am 32 and have a partially blocked tube.  We had our first retrieval in September resulting in 39 eggs, 24 fertilized, 11 made it to day 5/6 and we sent for PGS testing with 9 coming back normal, 1 abnormal and 1 mosaic.  We took a month off bc I had mild ohss and wanted to allow my body to reset and reset.  My second period after retrieval came a bit later than normal, but we got started with our protocol on day 2 with doxycycline and estrace.  On day 12 we went in for our lining check and I was confirmed to start pio shots on 10/27 and progesterone applicators on 10/28.  I am starting methylprednisolone on 10/29 and taking through day of transfer and taking last doxycycline morning of transfer.  I have one more monitoring on 10/30 to check my progesterone levels and my transfer will be 11/1!  Sending good vibes out to the group!

Answer

Good luck to you! I am 30 with stage 4 endo. Although my tubes were clear the doctor thinks that they aren’t functional. Amh keeps dropping, was 4.12 one year ago and is 1.01 now. My husband has borderline counts and 2% morphology. We are starting our first round of ivf in a few weeks and we’re told we will need ICSI. I am on the antagonist protocol.

What’s your protocol?

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