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Infertility Support and Discussion
Reply to "Your best tips and recommended protocols for DOR?"
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[quote=Anonymous]Poster from yesterday AM back. Since it’s helpful to you, OP, I looked in my email & found one to my friend (the one who ended up at CCRM.). The super-neurotically detailed email is copied/pasted below - maybe you will find all of these details helpful as my friend did :) once again, all the best to you - this whole IF thing sucks. “Hey! Here’s what I did.... ugh. Did NOT use BCPs to time start; use natural ovulation as start date (worried about oversuppression with a BCP start since my FSH was apparently high): 10 days past ovulation: estrogen patch (0.1 mg) -- replace every other day 12 days past ovulation: replace estrogen patch (0.1 mg) 14 days past ovulation: replace estrogen patch (0.1 mg) day 1 of period: replace estrogen patch (0.1 mg) day 2: ULTRASOUND & blood work; 250 IU gonal-f, 75 IU menopur, continue patch day 3: 250 IU gonal-f, 75 IU menopur, replace estrogen patch (0.1 mg) day 4: 250 IU gonal-f, 75 IU menopur, continue patch day 5: 250 IU gonal-f, 75 IU menopur, replace estrogen patch (0.1 mg) day 6: ULTRASOUND & blood work; 250 IU gonal-f, 75 IU menopur, continue patch day 7: 0.25 mg cetrotide, 250 IU gonal-f, 150 IU menopur [remove patch] day 8: ULTRASOUND & blood work; 0.25 mg cetrotide, 200 IU gonal-f, 225 IU menopur day 9: 0.25 mg cetrotide, 375 IU menopur day 10: ULTRASOUND & blood work; 375 IU menopur, 250 ug ovidrel at 7:30 PM day 11: no drug day 12: retrieval (propofol; miss 1/2 day of work; can't drive the whole day) -- used ICSI and assisted hatching -- got 8 eggs, 6 mature, 6 fertilized, 6 blasts day 17: transfered 2 and froze the other 4 (supposed to be on bed rest but had work & couldn't -- lied to Dr. about it, but obviously this didn't affect the outcome...) I also took doxycycline and a low dose of a steroid (I forget which one) around the egg retrieval. Started progesterone vaginal suppositories (endometrin) after the retrieval and continued until week 8 of pregnancy (She checked my progesterone levels at 7+ weeks and since it was high enough I could stop, but she forgot to tell me that). All drugs were subcu injections, here's the name of the patch and a list of the expensive stuff: Estrogen patch (Vivelle, I think): 6 patches (0.6 mg) gonal f: 1700 IU menopur: 1500 IU cetrotide: 0.75 mg ovidrel: 25 ug”[/quote]
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