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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]OP here-

This cycle I am doing a different protocol (EPP) but compared to my last two fresh cycles (this year and both lupron stop) my Estrogen was comparable.

Cycle #1- After 5 days of stims- it was 222, but my RE bumped me up to 300 of Gonal F that night.

Cycle #2- After 5 days of stims- it was 217, stims stayed the same at 300 Gonal F & 150 Menopur

I guess that is why I am confused that he wanted to increase the Menopur to 225. Maybe to help recruit more follicles?[/quote]

On day 5 you're past recruitment. Even if you were to recruit more at this stage, they will never catch up to the ones that are already measurable.  Are you at SG OP?  If yes - I think it's a part of their cookie-cutter algorythm if below X on day Y, then up by Z.  It happened to me even after explicitly discussing with the RE that I am a slow grower based on the records from 4 fresh cycles. [/quote]

OP here- yes I am at SG. Well that makes me sad, so basically I will only get a handful of eggs this time? Maybe 7-8 if I am lucky.

PP, did you stay at the same dose even though you are a slow responder?[/quote]

yes, I stayed on the same dose. My estrogen started rising within 48 hrs of day 5, so in retrospect I was happy to have stayed the course. However, based on several studies, when your lead follicle reached 14mm you're supposed to add 75 units to stims (I did it as a one time thing on stimulation day 9).  Also if you need to go an extra day after at least 3 follicles are 17 mm (i.e. your RE doesn't trigger you) then you can coast a day - I did it at 200 units instead of 325.

Most likely you will have more follicles (given your good AMH), but some will be small/immature. I got consistently 7-8 mature out of 13-12 retreived.  [/quote]

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