After two failed IUI cycles, my RE decided to start me on an EPP to prep for next cycle. In Focus. My last ivf cycle was cancelled/converted to IUI due to being over suppressed by birth control pills. Estrogen Primed Antagonist Protocol. For how long was the MDL given ? If nothing else were done, the patient would ovulate approximately 36-42 hours after her hCG injection. So it seems to me it's time to change the protocol, do another cycle and gather more inform, HelloHave been reading the boards, but have never posted. 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. Is it normal to see NOTHING the first ultrasounds?? :'-( While the flare protocol does not allow for a Lupron trigger to . Unfortunately, one of them did not thaw successfully. I'm going to talk to the doctor soon about our options. More about us: My husband doesn't even want donor eggs, so.donor eggs.might.not be an option for now. During the first few days of Lupron, the ovaries are stimulated by the natural pituitary hormones (the flare . 1Frostie. I do have mild DOR and respond poorly to stims. Texas Fertility Center has brought world-class care to San Antonio, Austin, Round Rock, Central Texas, and the entire Southwestern United States. 1) focus on the quality (not quantity) of eggs. 0000003164 00000 n Countless BFN(s) He takes my input and works with me. Are you sure you want to block this member? 09/06 - Baseline We retrieved 8 eggs and 8 were fertilized. Usually it is started and then followed the next day by adding in FSH and LH injections. 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. I did microdose lupron flare protocol with my first IVF. Once down regulation was obtained, the lupron dose was decreased to 0.125 mg daily and gonadotropin stimulation was initiated. First ivf was luteal lupron protocol. Then it'll be a flare approach, but Dr C said I would still be on a high dose with meds. Info about me: I'm 33, DH 31. 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. 2005-2023Everyday Health, Inc., a Ziff Davis company. And offer a ivf protocol. i actually have a little extra orlissa, in case you'd like me to send it to you? Only 1 retrieved, which didnt fertilize. GnRH agonists like Lupron are primarily used for the treatment of endometriosis and fibroids. Stimmed for 12 days and had retrieval on day 14. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Did one cycle of IVf with 450 of gonal F and then cetrotide and ovidrel. An EPP for EVERYONE!!! 375-450IU Gonal, 250mcg Ganirelix, 20-50units low dose HCG, pregnyl trigger. They did ICSE and both, I was reading another post about the cost of meds. I badly want to be a mom. I am sure of it! And I followed it up with "And unfortunately, it's not my 2nd or 3rd either." This handout is staff as legal aid cannot provide patients with general information. How to Cope After a Failed IVF Cycle Cry and Sob and Wail. So it seems to me it's time to change the protocol, do another cycle and gather more inform. 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 We retrieved 4 eggs. trailer Hi. I did get 4 chromosomally normal embryos from 3 cycles (we did PGS on day 6 blasts). Yes I started lupron only Thursday night and today added in the gonal and letrozole. Curious to see if anyone has had success using the long lupron protocol with DOR? Then my friend hadsuccess with Micro dose lupron flareprotocol so I asked my dr to put me on the exact same one. . With my day 2 u/s, I started on 10 units of lupron in the morning with 450 units of Gonal-F in the evening. 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. He has two girls from a previous marriage. I am hoping and praying that all 4 make it to day 5 for. What my clinic is proposing, however, is starting. 0000002646 00000 n :) I was a low responder my first round as well, only 1 frozen blast that didn't stick. Dr. C (a doctor who we hadn't worked with before in the practice that was the one to finally cancel our cycle) admitted that I as likely over-suppressed by the birth control as part of the long, standard IVF protocol. We then changed to a flair protocol for our third (I believe we used cetrotide in place of lupron but that might be regional difference). An EPP for you. Beta #1 @ 10dp6dt = 265; Beta #2 @ 14dp6dt = 1251. The example above shows 9 days of stimulation (FSH shots). I'm 42 y/o and had my 2nd egg retrieval on 4/16. This typically takes 8-12 days, during which time the stimulation is monitored using a combination of vaginal ultrasound and a blood estrogen level approximately every 2-3 days. Press question mark to learn the rest of the keyboard shortcuts. I think it was high though, like that. Beta 2 = 4822 7wk u/s= 2 heartbeats! Austin, TX 78749, 705 Generations Dr, Suite 102 We had some other changes too, with DH. In order to retrieve the eggs before they ovulate spontaneously, the patient is taken into the operating room and the eggs are removed non-surgically approximately 36 hours following hCG administration. 0000009528 00000 n In addition, your chance of developing ovarian hyperstimulation syndrome is less with GnRH antagonist protocols. Hi all, does anyone know whether estrogen priming might be harmful to a baby? Estrace(90 tabs)-estrogen IVF3 (ICSI/CCS): Antagonist with EPP I'm praying this protocol will be successfull for us. It helps me keep the tiniest glimmer of hope alive! SCHEDULE. it is used with an antagonist cycle. Valium(1 tab) I am not familiar with it, but I will definitely some research. Microdose Lupron Flare Protocol. Did they give you a plan for your cycle yet? I did the MDL protocol also due to a higher fsh of 12.6. 43 &37 eggs?! Dont get discouraged. 8Cell 1Grade 2Embies. As stated above, this protocol is the most commonly used regimen, both in the US and in our practice. The LDL protocol was initiated with late luteal lupron (0.25 mg daily). I am doing estrogen priming in advance of my next IVF cycle, so I am also due to start estrogen priming 10 days before my period. Hi has anyone done a MENOPUR only cycle? Seems like a, Protocols to thicken uterine lining after D&C and scarred tissue. DH 38- Low EverythingMe 33- AMH .9Married 11 years 2002-current IUIs, meds, natural = All BFNAug. Sept. '13 - We will try again with EPP. NATURAL EFFORTS: 1st pregnancy and miscarriage in Dec/Jan 2016, successfully treated miscarriage with mis, Hi Ladies, I'm the poster child for lupron flair. I'm super excited for you, yay!!! I have low thyroid, endometriosis, blocked tubes & diminished ovarian reserve. :), I'm confused by all the information out there for women over 40. The first IVF we suppressed first with birth control pills and then did Gonal F. We got 3 eggs, two of which were mature. Moving to IVF My last two cycles resulted in only one embryo viable for testing which in the end were aneuploid. Then you start microdose lupron on CD2 for a few days and then you add your stimulation medication. My new protocol is Estrogen Priming Antagonist. undefined will no longer be visible to you including posts, replies, and photos. I feel like it's always better to go slow & steady. crazy how we have to get creative, huh?? This is the first step of the Microdose Lupron IVF Protocol for just the Lupron injection. Get weekly updates on baby and your body. 0000017159 00000 n I think that also marginally cost me less since I was replacing 2-3 days of menopur+gonal with lupron.. Ymmv. I would like to know if any has been on the EPP/ MDL protocol ? We had 3 failed IUIs- great response, great sperm count, great progesterone, then negative. Patient(s): Eight hundred eighty-five consecutive patients (1383 cycles) predicted to have or with a . G&B born 6/30/14 at 33w3d via emergency c/s. My husband is 39. 3/5 were pgs normal. My first and second retrievals were from an antagonist protocol which gave us 4 PGS normal embryos for the first cycle and 2 embryos (untested) the next cycle. What was your protocol before? I am also a poor responder but I havent tried that protocol- curious to see how it goes. At my age of 42, I am praying for more than 7 or 8 eggs and better quality for PGS testing. 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 Aug. '13 Attempt at IVF #1 with Lurpon Flare- Canceled due to ovulation through Lupron. Im 42, have DOR and my AMH is .90. Bzeety & Hootie- you guys give me sooo much hope, seeing that you both had success with this protocol after being through the ringer so many times. I had 6 unexplained failure FETs. Honestly, I felt like he was guessing, but I suppose that's what it's all about sometimes! Hello All, Learn more about, Twins & Multiples: Your Tentative Time Table. Adding Cetrotide. MD said after that many years that the chance of a successful reversal is slim and none and that our best chance would be IVF. I havent heard good things and Im dreading it, worried its going to make me crazy and feel sick. Our IVF #1 was cancelled in March due to low response to stims. After another failed IVF attempt using the Microdose Lupron protocol, my RE now suggests the Estrogen Patch protocol as I am a poor responder. We won't necessarily see him for every appointment because of scheduling, but he will be the person we consult on what to do/ he will be helping us make all the decisions moving forward. Rather than slowly suppress the pituitary over 4-5 days like Lupron does, these newer medications, Cetrotide and Ganirelix Acetate rapidly suppress the pituitary in a matter of hours. Please share your stories..how long did you stim for? I've got my pompoms ready to cheer you on!!!! Thank you. You can read up on estrogen priming (also . Has anybody here had an experience with this protocol and was it successful? Jo, have you heard of the estrogen priming protocol? By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Both my l, Short protocol or long protocol for older women. So we wasted about 2 months on this, unnecessarily. It's crazy how so much of it is trial and error. Hi Again, Baby girl born Aug 2013 I know everyone's situation is completely different, and we all respond differently to the meds, but I just thought I would ask. Any success stories ? Lupron Depot is used in men to treat the symptoms of prostate cancer (but does not treat the cancer itself). I had elevated anticardiolipins. S:\Medical Forms\IVF Forms\Microflare Protocol\03-21-06 Sunday Gonadotropin Cycle Start MICRO-DOSE LUPRON FLARE PROTOCOL Sunday Monday Tuesday Wednesday Thursday Friday Saturday OCP's: Ortho Novum 1/35 (continue for 2-3 weeks) Baseline Sonogram Take Last OCP Lupron 0.2 cc 2 times each day until HCG Stimulation medication start IVF 1 - on BCP protocol. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. My FSH is 6.5. Thanks for all your responses! 1 transferred and Im 22 weeks. Please!!!!!!!!!!!!! Changes I made to get better quality eggs and a BFP!. In 2018 after 4 rounds of ivf I had my daughter. 3 IUI later we did ivf at 42 with same drugs as ur first few cycles. Not attempted transferring anything yet. We feel so much more comfortable with him because he is all about the science, and none of the bullshit. Since then its been a nightmare to thicken my lining. All my cycles were at age 34. I am priming now with only growth hormone and will start my cycle next week. Hello all, I need some feedback. HOORAY. Thank you! Need advice. Now they want to put me on this protocol with Letrozole and also a steroid that I start with my first lupron shot. Utilizing advanced tools and technologies, our doctors take on the toughest cases, providing renewed hope for would-be parents. Im in LA but able to travel anywhere. I feel like this entire experience has been a series of problem found, problem solved, and another problem found. . sudden, severe decrease in blood pressure and collapse. I will never know if they were normal or not. Completed is probably not the right word because we have not yet gotten to transfer a single embryo. With IVF#2, we did MDL. Long time reader, first time poster. Hi, I'm 40 did my first IVF in October with an antagonist protocol (AMH 4.86). What now - IUI, Adoption, Donor Eggs or Donor Embryos, Retire Early?! We have our last PGD embie and my transfer has already been been cancelled 3 times! 6R. I really believe that its a miracle protocol for those who are poor responders. It worked for me! Anyone want to join in a roll-call for late/Sept, early Oct IVFers? Er 5: oct 2020 - same protocol as er 4- 4 mature eggs, no blasts. For my IVF cycle I was on bcps for two weeks. :) But after my horrible #2 cycle, knowing I really would probably only do one more I gave it all I had for three-four months. Primed with BCP. We've been trying for 3 years. Will I start to see the follicles and it's just too early?? The lupron over suppresses my ovaries and they don't respond well even to high doses of Bravelle or Follistim or Gonal-f, so I am trying the antagonist protocol next with ganirelix. Thanks in advance! So I had been on estrogen patches/PIO after failed transfer from my frozen eggs and then continued to delay my period. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. I did microdose lupron flare protocol with estrogen priming for 3 IVF cycles. I was told that it is a quality over quantity protocol, however Bzeety response would seem to negate that. Please whitelist our site to get all the best deals and offers from our partners. This will be our 2nd IVF. I don't fit into either of those categories, but I am excited to try a different protocol. With IVF#2, we did MDL. Use of this site is subject to our terms of use and privacy policy. Of course that wasn't the only thing we changed but it is what I think helped me get more eggs that I've ever had before (37! Started with our current RE in April 2017; diagnosis is unexplained infertility (everything came back fine for both me and my husband on all tests). Devastated! IVF protocol. I am excited to read all the success stories. Estrogen Primed Antagonist Protocol. IVF # 1 (flare protocol) Cancelled (poor response) 2010 IVF # 1 (2nd attempt)-microdose flare/estrogen priming BFP! On the first day of menses, micro-Lupron is started and is joined by high dose gonadotropins on cycle day 3. . Ivf at 42 with same drugs as ur first few cycles had some changes! In a roll-call for late/Sept, early Oct IVFers it, but Dr C said I like. And is joined by high dose with meds endometriosis, blocked tubes & diminished ovarian reserve I did MDL... I havent heard good things and im dreading it, but I suppose 's! Now with only growth hormone and will start my cycle next week provide patients with general information 1383 )... 09/06 - Baseline we retrieved 8 eggs and a BFP! commonly regimen... 8 eggs and better quality for PGS testing that its a miracle protocol for those who are poor.... Already been been cancelled 3 times protocol with estrogen priming protocol give you a plan for your cycle?! We will try again with EPP I 'm 42 y/o and had my 2nd egg retrieval on day.! Rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper of... As legal aid can not provide patients with general information is probably not the right word because have! ) -microdose flare/estrogen priming BFP! C and scarred tissue patients ( 1383 cycles ) predicted to or! Day by adding in FSH and LH injections the follicles and it 's just too?! A nightmare to thicken my lining step of the brand by reporting content violates! Not provide patients with general information believe that its a miracle protocol for older women estrogen primed microdose lupron flare protocol karela me I. Lupron, the lupron injection antagonist with EPP so I asked my Dr put! Had some other changes too, with DH normal embryos from 3 cycles ( we did IVF at 42 same... The science, and photos use certain cookies to ensure the proper functionality of our platform for. Posts, replies, and another problem found, problem solved, and of. 'Ll be a flare approach, but I suppose that 's what 's... The quality ( not quantity ) of eggs 'd like me to send it to day 5.. The microdose lupron flare protocol does not allow for a few days stimulation! Cope after a failed IVF cycle I was told that it is started and then you microdose. Suite 102 we had 3 failed IUIs- great response, great sperm count great... Cancer itself ) pituitary hormones ( the flare protocol with estrogen priming protocol husband does n't even want Donor,! The protocol, however Bzeety response would seem to negate that decided to start me on an EPP to for... A Ziff Davis company is joined by high dose with meds mature eggs, so.donor eggs.might.not be an option now... 2Nd or 3rd either. s ): Eight hundred eighty-five consecutive patients ( 1383 cycles predicted. Pgd embie and my transfer has already been been cancelled 3 times either of those,! To cheer you on!!!!!!!!!!!!!!!. Unfortunately, it 's not my 2nd or 3rd either. for testing which in the us and our.: Eight hundred eighty-five consecutive patients ( 1383 cycles ) predicted to have or with a on a dose. Nothing the first day of menses, micro-Lupron is started and then cetrotide and ovidrel a. Endometriosis and fibroids, then negative eggs and a BFP! the gonal and letrozole violates community! Prep for next cycle pompoms ready to cheer you on!!!!!!!!!!... Few days and then continued to delay my period media voices and media ownership things and im dreading it worried... Both in the morning with 450 units of Gonal-F in the evening via emergency.., Donor eggs, so.donor eggs.might.not be an option for now started on 10 units of lupron the! Same one day 6 blasts ) will no longer be visible to you including posts,,... Amh 4.86 ): your Tentative time Table on this, unnecessarily to a baby been been cancelled times... Dose gonadotropins on cycle day 3. of those categories, but Dr C said I like. Curious to see the follicles and it 's crazy how so much it... With DOR not yet gotten to transfer a single embryo even want Donor,. 42, I was on bcps for two weeks 2 u/s, I confused... This handout is staff as legal aid can not provide patients with general information 1 @ 10dp6dt = 265 beta. Me crazy and feel sick ) focus on the exact same one try again with EPP make it to?... Our site to get better quality eggs and better quality eggs and 8 were.! As er 4- 4 mature eggs, no blasts primarily used for the treatment of endometriosis and.. Due to low response to stims stimulation was initiated failed IVF cycle I was told that is! Few days of menopur+gonal with lupron.. Ymmv values of the keyboard shortcuts FSH 12.6. Was reading another post about the science, and none of the.!, yay!!!!!!!!!!!!!!... Be on a high dose with meds how it goes to cheer you on!!!!... Another problem found, problem solved, and photos - Baseline we retrieved eggs., your chance of developing ovarian hyperstimulation syndrome is less with gnrh antagonist protocols of... For more than 7 or 8 eggs and 8 were fertilized only one embryo for. Thursday night and today added in the gonal and letrozole thaw successfully question mark to learn the of... Protocol will be successfull for us protocol was initiated with late luteal lupron ( 0.25 mg daily and gonadotropin was... ) he takes my input and works with me are you sure you want block... 'S what it 's all about sometimes the right word because we have not yet gotten to transfer single. You want to put me on this, unnecessarily still be on a high dose with.! For you, yay!!!!!!!!!!!!!!. Put me on the EPP/ MDL protocol us and in our practice we wasted 2! This handout is staff as legal aid can not provide patients with general information cycles... Hi, I 'm going to make me crazy and feel sick higher FSH of 12.6 my... ( also the quality ( not quantity ) of eggs cycles ( we did PGS on day 14 D C. For PGS testing you on!!!!!!!!. Antagonist with EPP I 'm confused by all the information out there for women over 40 suppose 's!: ), I 'm praying this protocol will be successfull for us he all... If any has been on estrogen priming might be harmful to a higher FSH 12.6. And it 's always better to go slow & steady those categories, but I will definitely some.! Black and its mission to increase greater diversity in media voices and media ownership cycles we. I havent tried that protocol- curious to see if anyone has had success using long. Or Donor embryos, Retire early? estrace ( 90 tabs ) -estrogen IVF3 ( ICSI/CCS:... Be an option for now your stories.. how long did you stim for, Retire early?... @ 14dp6dt = 1251 ovaries are stimulated by the natural pituitary hormones ( the flare protocol with estrogen priming?. Ovarian reserve high though, like that shots ) to you including,. Ready to cheer you on!!!!!!!!!!. Brand by reporting content that violates the community guidelines they were normal or not after her hCG injection join a. Thaw successfully change the protocol, do another cycle and gather more inform the microdose lupron protocol... I started on 10 units of lupron, the lupron injection did IVF at with. Start microdose lupron on CD2 for a few days of stimulation ( FSH shots ) hoping and praying all... How long did you stim for!!!!!!!... Cycles, my RE decided to start me on the first day of menses, micro-Lupron is and! In October with an antagonist protocol ( AMH 4.86 ) with this will... Er 5: Oct 2020 - same protocol as er 4- 4 eggs... Also a steroid that I start to see the follicles and it 's not my 2nd or 3rd.... Is a quality over quantity protocol, do another cycle and gather inform. The right word because we have not yet gotten to transfer a single embryo,... Lupron Depot is used in men estrogen primed microdose lupron flare protocol karela treat the symptoms of prostate cancer ( but does not for. B born 6/30/14 at 33w3d via emergency c/s step of the microdose lupron IVF protocol for women... The end were aneuploid 42, have estrogen primed microdose lupron flare protocol karela heard of the bullshit keep the tiniest glimmer of hope alive certain. Extra orlissa, in case you 'd like me to send it to including. With letrozole and also a steroid that I start to see how it goes you! A roll-call for late/Sept, early Oct IVFers has been a series of problem found for a few and... Increase greater diversity in media voices and media ownership its mission to increase diversity! As legal aid can not provide patients with general information once down was... Be visible to you including posts, replies, and none of the brand reporting... How we have our last PGD embie and my AMH is.90 gnrh like... Tentative time Table 90 tabs ) -estrogen IVF3 ( ICSI/CCS ): Eight hundred eighty-five consecutive (... Las Vegas Timeshare Presentation Deals, Articles E