Reply to Suggestions for protocol for 39-year-old w/normal (not great) reserve?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I recently finished an IVF cycle with not great results and would love to get suggestions on a new protocol to try (I have consults set up with two new REs in the area in the next few weeks and would like to go armed with information). My current RE put me on a microdose lupron protocol, with about 10 days of BCP leading up to it. I was on fairly low doses of follistim (225 units) and menopur (2 vials) for 9 days and ended up four eggs retrieved and fertilized, three blasts sent off for PGS (awaiting results). I also added HGH the last five days of stims. Since it seems almost certain I will get 0 or 1 normal at my age, I'm planning for the next cycle with a new doctor. My AMH is 1.5, FSH 7.1 and AFC 17 (for the cycle that I just completed - had a CD2 u/s today and AFC is 15). I'm thinking about either natural start or estrogen priming protocol. Any other suggestions? Thanks in advance. [/quote]

4 eggs retrieved doesn't seem "normal" reserve. Did you have a follow up appointment? Did your Dr offer any explanation why out of AFC 17 you got only 4 eggs retrieved? What happened to the rest? Knowing that is the key for your next cycle.
Your FSH is on the high side too.  You could ask at your consults if estrogen priming without BCP is a good fit for you.

BTW, which clinic in this area uses HGH in protocols? [/quote]

OP here. I agree, four eggs does not seem normal at all. I had nine follicles of varying sizes the day before retrieval, with about six over 18mm. my WTF appointment hasn't happened yet. I don't tend to think of 7.1 FSH as on the high side - if anything it's probably my AMH not being as high as some others my age, though I have seen many people with similar or worse numbers do much better than I did.  Plus doesn't FSH reflect quality, not quantity? If anything, the few eggs that I did get seem to be of good quality since almost all reached Day 5. She said she drained all of the follicles and that was all they got. I'm not in DC - in California. I specifically asked for the HGH so she put it in and will continue to do so for next cycle(s). Even if it didn't help with quantity, I suspect it helped with getting as many embryos to blast as I got. [/quote]

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