Prelim Report from Cornell and opinion/advice requested

[Anonymous]

I did the epp protocol with shady grove and ended up with one dominant folicle and had to cancel the cycle. They said that the timing with it was very important. I am doing another cycle and when I asked about whether to do epp again or micodose lupron, they recommended the latter.

[Anonymous]

Dr. Sacks does not use the same EPP as SG and Cornell. He starts you on estrace right after ovulation in the prior LP and you remain on it throughout stims, ER, ET and 10 weeks into pregnancy, assuming the cycle works. He does not use the ganirelix in the LP of the prior cycle, as SG and Cornell do, as he believes the longer time on estrace has the same effect as the ganirelix and is gentler on your system. He does not monitor and adjust dosing as Dr. Davis does, which is something I believe that only he offers and is part of his success. He has had a lot of success with this version of EPP and I think it is well worth giving him a try if you are at CFA now. Good luck!!

[Anonymous]

i had a consult with SG to try to figure out the next protocol EPP or microdose lupron and was told that neither will influence the quality of the embryo only the number.

[Anonymous]

PP, in what way will the protocol influence the number? More on MDL or EPP?

[Anonymous]

OP here. I got the impression that for me the EPP would yield more eggs. I was on MDL and I produced 5 eggs for my first round and on the second round I stimmed only for 4 days and went to retrieval and got only 2 eggs. I had 4 follicles but there is a good chance that by the time we got to retrieval two of those eggs might have been past their prime. Dr. Davis's theory was that my ovaries were not completely shut down at the time we started stims and that my ovaries had already selected their dominant follicles and started maturing them. That's why my follicles matured at warp speed.

[Anonymous]

I saw that this thread was bumped, and I have to say that Cornell wasn't any better than our local RE, and they charge a lot more and have a rude staff.