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Infertility Support and Discussion
Reply to "Your best tips and recommended protocols for DOR?"
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[quote=Anonymous][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] One more question. I thought you were the one who initially said you did "Minimal stimulation starting with a few days of Clomid and leading into injections not to exceed 150 or 175 IUs of Follistim a day + no more than one vial of Menopur." But in looking at this protocol more closely it doesn't seem like you did Clomid at all (or at least it's not listed in your rackup) and took higher levels of Follistim (250IUs) vs the 150-175IUs you mentioned initially. Or did I misunderstand and you are two different posters? I just want to make sure I understand as this is very helpful in figuring what I should do. Thanks so much!![/quote]
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