Dr Frankfurter/GW vs Payson/CCRM for AMA?

[Anonymous]

Hello, I'm 41 and trying to decide between these two clinics. I did 1 IVF at SG with no luck (after a few IUIs) and ended up getting pregnant on our own at 39. Now at 41, have been trying for #2 with no luck and it's time to go back to IVF as I will be 42 in a few weeks. I've consults with both places but not sure who to go with. Dr F was super nice, and said he was concerned that I was a poor responder to meds and would likely try a lower dose protocol. Dr Payson was also super nice but said he would do a high stim protocol to try to maximize the number of eggs I get because I usually only get a handful. He also touted the CCRM lab, which I heard great things about as well. Of course both gave me the DE speech right away as well. Once I know more details I may post a more specific question about meds, but just trying to get some more feedback from anyone familiar with these drs/clinics and whether anyone has had success with either at my age? Thanks in advance-

[Anonymous]

I don’t have experience with CCRM but switched from SG to GW and am 9 weeks pregnant. I just turned 40. The low dose, no muscular injections, protocol was perfect for me. SG was unwilling to even consider non injection options when it was apparent I couldn’t handle their standard protocol. Dr F told me he doesn’t want to pump me full of drugs to get a ton of eggs that may not be good quality. He wants to get quality eggs (even if it’s not as many) and mimic my own bodies hormone levels. And it worked. I’m obviously very pleased. Good luck with your decision.

[Anonymous]

Anonymous wrote:I don’t have experience with CCRM but switched from SG to GW and am 9 weeks pregnant. I just turned 40. The low dose, no muscular injections, protocol was perfect for me. SG was unwilling to even consider non injection options when it was apparent I couldn’t handle their standard protocol. Dr F told me he doesn’t want to pump me full of drugs to get a ton of eggs that may not be good quality. He wants to get quality eggs (even if it’s not as many) and mimic my own bodies hormone levels. And it worked. I’m obviously very pleased. Good luck with your decision.

Can I ask what your AMH and FSH are? What meds are in your protocol?

[Anonymous]

I'm a patient of Dr. Payson's at CCRM and he's great. My first cycle was a bust with low response and he was quick to come up with a bunch of new ideas to try and so far it seems to be working much better. When I pushed back on using BCP again he was fine with it and switched to estrogen priming. I'm 33 but have DOR and am overall a very weird/complicated case with a known genetic disorder and I feel confident in his abilities. If you want low-stim though which is certainly another good way to go I think GWU would be a better option most likely from my own experiences. My first cycle I did a BCP start with 300 Menopur/300 gonal-f and this cycle is estrogen priming with HGH + micro-dose lupron 400 menopur/300 gonal-f. If you have any other questions let me know. I started at Shady Grove and am much happier with CCRM though I considered seeing Dr. F and would have had they been able to do transfers to surrogates.

[Anonymous]

Anonymous wrote:I don’t have experience with CCRM but switched from SG to GW and am 9 weeks pregnant. I just turned 40. The low dose, no muscular injections, protocol was perfect for me. SG was unwilling to even consider non injection options when it was apparent I couldn’t handle their standard protocol. Dr F told me he doesn’t want to pump me full of drugs to get a ton of eggs that may not be good quality. He wants to get quality eggs (even if it’s not as many) and mimic my own bodies hormone levels. And it worked. I’m obviously very pleased. Good luck with your decision.

What do you mean by no injections?

[Anonymous]

OP here I don't have my bloodwork results yet, but AFC was 7.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I don’t have experience with CCRM but switched from SG to GW and am 9 weeks pregnant. I just turned 40. The low dose, no muscular injections, protocol was perfect for me. SG was unwilling to even consider non injection options when it was apparent I couldn’t handle their standard protocol. Dr F told me he doesn’t want to pump me full of drugs to get a ton of eggs that may not be good quality. He wants to get quality eggs (even if it’s not as many) and mimic my own bodies hormone levels. And it worked. I’m obviously very pleased. Good luck with your decision.

What do you mean by no injections?

No intramuscular injections. The protocol at SG requires you to inject PIO(progesterone in oil) and another shot into your butt. It was very painful for me. At GW the only injection was subcutaneous and that’s not painful. It goes into your belly.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I don’t have experience with CCRM but switched from SG to GW and am 9 weeks pregnant. I just turned 40. The low dose, no muscular injections, protocol was perfect for me. SG was unwilling to even consider non injection options when it was apparent I couldn’t handle their standard protocol. Dr F told me he doesn’t want to pump me full of drugs to get a ton of eggs that may not be good quality. He wants to get quality eggs (even if it’s not as many) and mimic my own bodies hormone levels. And it worked. I’m obviously very pleased. Good luck with your decision.

Can I ask what your AMH and FSH are? What meds are in your protocol?

I forget what my AMH and FSH was but at GW I had subcutaneous injections, it also involves estrogen patches and progesterone capsules that you insert vaginally. If you get a positive test then you continue on the patches and capsules until you’re 10 weeks along.

[Anonymous]

I'm at shady grove and we are not doing PIO....they are letting me do progesterone suppositories....
I cannot handle the IM needle!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I don’t have experience with CCRM but switched from SG to GW and am 9 weeks pregnant. I just turned 40. The low dose, no muscular injections, protocol was perfect for me. SG was unwilling to even consider non injection options when it was apparent I couldn’t handle their standard protocol. Dr F told me he doesn’t want to pump me full of drugs to get a ton of eggs that may not be good quality. He wants to get quality eggs (even if it’s not as many) and mimic my own bodies hormone levels. And it worked. I’m obviously very pleased. Good luck with your decision.

Can I ask what your AMH and FSH are? What meds are in your protocol?

I forget what my AMH and FSH was but at GW I had subcutaneous injections, it also involves estrogen patches and progesterone capsules that you insert vaginally. If you get a positive test then you continue on the patches and capsules until you’re 10 weeks along.

How many eggs did you get retrieved? Do you have decreased ovarian reserve? I'm your age and met with GW recently, they told me I have less than a 10% chance of success with one round of IVF so I'm not sure I want to do it given the cost.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I don’t have experience with CCRM but switched from SG to GW and am 9 weeks pregnant. I just turned 40. The low dose, no muscular injections, protocol was perfect for me. SG was unwilling to even consider non injection options when it was apparent I couldn’t handle their standard protocol. Dr F told me he doesn’t want to pump me full of drugs to get a ton of eggs that may not be good quality. He wants to get quality eggs (even if it’s not as many) and mimic my own bodies hormone levels. And it worked. I’m obviously very pleased. Good luck with your decision.

What do you mean by no injections?

No intramuscular injections. The protocol at SG requires you to inject PIO(progesterone in oil) and another shot into your butt. It was very painful for me. At GW the only injection was subcutaneous and that’s not painful. It goes into your belly.

you can skip the injections. It's not like they know what you did.

[Anonymous]

Anonymous wrote:Hello, I'm 41 and trying to decide between these two clinics. I did 1 IVF at SG with no luck (after a few IUIs) and ended up getting pregnant on our own at 39. Now at 41, have been trying for #2 with no luck and it's time to go back to IVF as I will be 42 in a few weeks. I've consults with both places but not sure who to go with. Dr F was super nice, and said he was concerned that I was a poor responder to meds and would likely try a lower dose protocol. Dr Payson was also super nice but said he would do a high stim protocol to try to maximize the number of eggs I get because I usually only get a handful. He also touted the CCRM lab, which I heard great things about as well. Of course both gave me the DE speech right away as well. Once I know more details I may post a more specific question about meds, but just trying to get some more feedback from anyone familiar with these drs/clinics and whether anyone has had success with either at my age? Thanks in advance-

I would go with a low dose protocol.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I don’t have experience with CCRM but switched from SG to GW and am 9 weeks pregnant. I just turned 40. The low dose, no muscular injections, protocol was perfect for me. SG was unwilling to even consider non injection options when it was apparent I couldn’t handle their standard protocol. Dr F told me he doesn’t want to pump me full of drugs to get a ton of eggs that may not be good quality. He wants to get quality eggs (even if it’s not as many) and mimic my own bodies hormone levels. And it worked. I’m obviously very pleased. Good luck with your decision.

Can I ask what your AMH and FSH are? What meds are in your protocol?

I forget what my AMH and FSH was but at GW I had subcutaneous injections, it also involves estrogen patches and progesterone capsules that you insert vaginally. If you get a positive test then you continue on the patches and capsules until you’re 10 weeks along.

How many eggs did you get retrieved? Do you have decreased ovarian reserve? I'm your age and met with GW recently, they told me I have less than a 10% chance of success with one round of IVF so I'm not sure I want to do it given the cost.

I don’t have DOR. With my first retrieval at SG they retrieved 26 eggs, 18 were fertilized and 13 made it to blast. Of those 13, only 5 were PGS tested normal. With GW, they didn’t want to pump me full of drugs and they retrieved 18, fertilized 23, 7 made it to blast and only one tested normal. I don’t remember what they said my chances were but it was low. Definitely less than 30 I want to say.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I don’t have experience with CCRM but switched from SG to GW and am 9 weeks pregnant. I just turned 40. The low dose, no muscular injections, protocol was perfect for me. SG was unwilling to even consider non injection options when it was apparent I couldn’t handle their standard protocol. Dr F told me he doesn’t want to pump me full of drugs to get a ton of eggs that may not be good quality. He wants to get quality eggs (even if it’s not as many) and mimic my own bodies hormone levels. And it worked. I’m obviously very pleased. Good luck with your decision.

What do you mean by no injections?

No intramuscular injections. The protocol at SG requires you to inject PIO(progesterone in oil) and another shot into your butt. It was very painful for me. At GW the only injection was subcutaneous and that’s not painful. It goes into your belly.

you can skip the injections. It's not like they know what you did.

Skip the injections and do what? Who is going to give you the Rx for the suppositories? They’ll know if your progesterone levels are increasing as they are supposed to

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I don’t have experience with CCRM but switched from SG to GW and am 9 weeks pregnant. I just turned 40. The low dose, no muscular injections, protocol was perfect for me. SG was unwilling to even consider non injection options when it was apparent I couldn’t handle their standard protocol. Dr F told me he doesn’t want to pump me full of drugs to get a ton of eggs that may not be good quality. He wants to get quality eggs (even if it’s not as many) and mimic my own bodies hormone levels. And it worked. I’m obviously very pleased. Good luck with your decision.

What do you mean by no injections?

No intramuscular injections. The protocol at SG requires you to inject PIO(progesterone in oil) and another shot into your butt. It was very painful for me. At GW the only injection was subcutaneous and that’s not painful. It goes into your belly.

you can skip the injections. It's not like they know what you did.

Skip the injections and do what? Who is going to give you the Rx for the suppositories? They’ll know if your progesterone levels are increasing as they are supposed to

who cares? either you are pregnant or you are not.