This protocol resulted in my now 18-month-old daughter. My first medicated FET failed. I was 31 with PCOS.

— Took Letrozole (CD 3-7)
— Ovidrel trigger shot one week before transfer (CD 11)
— Start taking progesterone suppositories 3 days after trigger (CD 14)
—Transfer on CD 18. My lining was at least 9.7 mm (likely thicker because it was so squished due to a very full bladder)
— Positive beta CD 27 (86)
— Positive beta CD 29 (256)

I did a modified natural cycle. More appointments for bloodwork/monitoring prior to the transfer than a medicated transfer, progesterone suppositories twice a day for 10 weeks, 1 lupron trigger shot.

Anonymous wrote:I did a natural cycle IVF. I only took progesterone vaginal inserts through 10 weeks gestation. They had me purchase to have on hand gonal, cetro, and a trigger. I didn’t use them in the end.

I also did Nc IVF. I did the progesterone. I think I might have done a trigger shot. Also babypbasprin and estradiol. No other shots.

PP. I was wrong. Not sure why you would want to skip out on the estrace and progesterone? You somehow have a frozen embryo? I have type 1 diabetes and I did these which messes with my glucose a lot and a major issue for control but am pregnant now and will do for my future transfers.

Hormonal Support and Natural FET-IVF Cycles
There are two kinds of FET-IVF cycles: Hormonal support cycles and natural cycles.

Hormonally supported FET cycles are more popular with couples because estrogen and progesterone are administered to mimic the body’s cycle and thicken your endometrium. Clinics and labs typically prefer this FET cycle because the day of the frozen embryo transfer is easy to control and hormonal support is available for ovulatory problems.

In Natural FET-IVF cycles, the timing of your frozen embryo transfer is determined when you ovulate naturally. However, an hCG shot is typically given to ensure ovulation occurs and progesterone will be used for luteal phase support after ovulation and transfer.

https://www.pfcla.com/blog/frozen-embryo-transfer-tips#:~:text=In%20Natural%20FET%2DIVF%20cycles,support%20after%20ovulation%20and%20transfer.

There is no trigger shot with a FET.

For a FET I think that you would have a trigger shot and some progesterone. The progesterone isn’t strictly necessary as you have a corpus lutuem to secrete progesterone since you ovulated.

I’ve heard it explained that some ovulations the corpus luteum is “juicier” than others. Also, with a FET your embryo is a precious and finite resource, so most doctors will supplement with a bit of progesterone. It’s not incorrect not to, but with progesterone more is more. Stacking the deck in your favor with some progesterone would be my vote.

I did a natural cycle IVF. I only took progesterone vaginal inserts through 10 weeks gestation. They had me purchase to have on hand gonal, cetro, and a trigger. I didn’t use them in the end.

Are you talking about a natural frozen embryo transfer? Never heard of this.

Or are you talking about Natural Cycle IVF? I did one cycle and the egg released before they could retrieve and then Dominion stopped doing them. I am not aware of other practices that do them in the DMV. They will recommend estrace based on your uterine lining and maybe progesterone, but that is it. Regular IVF does the stimming.

What medications, if any, were recommended as part of your natural FET. I will do a trigger shot but I’m not sure what else beyond that. Trying to minimize hormonal meds.