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]

FSH is not on the high side assuminf e2 is not masking it. four eggs is poor response but 3 blasts is decent response.

OP I had good FSH but low 39-40 and had poor response in terms of number of eggs. I had most eggs with natural start protocol but none of the three cycles actually work. I was eventually successful naturally. [/quote]

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