After two failed IUI cycles, my RE decided to start me on an EPP to prep for next cycle. There is a ton of data out there for 'younger' women 35-42 with fertility issues but I'd like to be able to g, I was taking Estrace and Androderm patch when I went in for my base sonogram and they said I was already ovulating! You may wonder how thats possible. Search Editorial Review Policy. How did it go with the EPP? . But I am sure they know what they are doing at CCRM. Good luck. Patients undergoing a MFP required more injections (40 vs. 26) than an EPP and spent an average of $4,375.00 compared to EPP patients who spent $5,485.00. I hope your's goes lots better than mine! Take a look at the data below published on roughly 1,000 fresh transfers and 1,000 frozen transfers. FET October 6, 2010 - this is it Hello thanks for sharing. Though I had 4 or 5 follicles to begin with, only ended up with one. For free! Has anyone had any experience with the Estrogen Priming Protocol? I had 5 follicles but only one matured so I was converted to IUI which failed. I did have a decent response on the MDL and 100% fertilization with two good 5 day blasts. We ended up refinancing our home and getting help from family. The dr decided to put a halt to the process for that month. my RE is going back to the drawing board for my final IVF. Ugh, that made me feel like I was hit by a truck. Had three chromosomal miscarriages last year, moved on to IVF with intention of genetic testing but had to cancel cycle a few days in, E2 never got above 36 while on max dose of 300 Gonol f and 300 Menopur. EPP results: 17 retrieved, 13 mature, 8 fertilized with PICSI, 2 hatching blasts on day 6 have been biopised. Estrogen Priming is completely different, so therefore without birth control pill.I would ask your doctor, but I guess you just do nothing while preparing for the cycle. Estrogen/androgen priming protocol improves egg quality and . A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. Good luck! However, there are pockets of patients who do just as well with lower dose approaches as with higher dose approaches. They suppress leading up to your cycle so that when you start the meds you get a group of follicles to grow together. Estrogen priming is usually matched with an antagonist to prevent ovulation. In some cases, a combination of both types of triggers may be used. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. Slightly higher doses of Follistim and Menopur to try to get a few more eggs. HiI'm new. After my labs on CD6 they kept 300 Gonal F but upped Menopur to 300. This educational content is not medical or diagnostic advice. Hey Michelle, I haven't forgotten about you. I have been doing some research and reading and I was reading that for older patients, a different protocol where less meds are used is usually recommend. I would ask your doctor, but I guess you just do nothing while preparing for the cycle. It's a horrifyingly traumatic experience. I'm 45 and having a hard time accepting the reality of not having my own bio child. Within both, doctors can prescribe as much gonadotropin as theyd like. For many gardeners, it starts with tomatoes. It was day 3 of my period. It's that time of year again when gardeners all over the world are planning what to grow in their gardens. The first question is naturally, which protocol is more likely to deliver a baby, and when investigators looked at the two most popular strategies, Long Agonist and Antagonist, it became clear both were equally effective in the general IVF population. I did a low stim ivf (225 menopur & 100 mg clomid) with human growth hormone which is what my fertilty clinic does for women over 40 and poor responders. Estrogen priming is typically done for about seven days before the start of controlled ovarian stimulation (the IVF cycle). After being on BCPs for so long, it took a long time for my period to come back (it's been 5 years though now), but my cycle has still never been the same so I'm wary of BCPs. We have been TTC 14 months, but diagnosed at 6 months so did injectables and TI for 3 cycles without bp, although my follicles responded well. Beta 2093 There are several methods of pre-treatment that involves using either a combined oral contraceptive pill, progestogen or estrogen. Again, gonadotropin is the injectable hormone that prompts a higher number of follicles, and thus eggs, to grow at any one time. These include estrogen, FSH, LH and inhibin amongst many others. IVF #2, we did estrogen priming, Follistim, Menopur, Tev Tropin (human growth hormone), Cetrotide. It was my best in terms of numbers and success. So I think I was on estrogen for about a couple weeks then started stimming (antagonist protocol). Went to retrieval anyway, did ICSI, but it didn't fertilize. A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. Dr Sher says "oestrogen priming of FSH receptors has been reported to slow premature follicular development and to promote granulosa cell FSH receptor induction". My next cycle will also be EPP. Before starting the pills, we need to wait until you are in the correct stage of your menstrual cycle (the luteal phase). What To Do When PGT-A & Grading Results Conflict? Estrogen priming is a protocol used during in vitro fertilization (IVF) to facilitate a more gradual and coordinated growth of follicles in the ovary in women with diminished ovarian reserve (DOR). Use of this site is subject to our terms of use and privacy policy. In that time a womans hormonal balance has been restored and so IVF cycles using a frozen transfer are more likely to work. Our last cycle was such a bust! poor responders or women with PCOS). Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? Below is an oversimplified way to visualize this. That sounds nuts to me, but my doctor said that it is normal. This protocol is used almost exclusively in women whove had a poor response in a previous cycle or who have evidence of diminished ovarian reserve (AMH less than 0.5 or an AFC less than 5). February 7 - lost our little twin, Baby B had no heartbeat at 20 weeks, June 8, 2011 - DD was born healthy and her twin brother was born to Heaven. (Not so) Short summary - DH and I have been ttc since May 2015, two early m/c. However, for poor responders many doctors worry such a long duration of suppression can hurt outcomes. My body seemed to appreciate the extra estrogen. Regular menstrual cycles between 21 and 40 days Presence of both ovaries Meets criteria for DOR by the recent ASRM/ACOG Committee Opinion antimllerian hormone (AMH) value less than 1 ng/mL antral follicle count less than 5-7 and follicle-stimulating hormone (FSH) greater than 10 IU/L or The Finding a Resolution for Infertility Support Community connects patients, families, friends and caregivers for support and inspiration. Often two other types of drugs are needed to accompany gonadotropin: those that block eggs from maturing and being ovulated before they can be retrieved, and those that help trigger the eggs to mature so they can be retrieved. This is the most commonly used protocol whose primary features are a shorter duration of injections and a far lower rate of OHSS, thanks to the ability to use Lupron as a trigger. Best of luck x Reply Quote I started my estrace this morning and feel a little icky so far. Candice maybe11 129 Dec 08, 2009 #3 Hi, I'm 36 & TTC 2 yrs. Transfer was canceled. Hope you feel better soon! This drug works indirectly by prompting the brain to produce more gonadotropin to signal the ovaries to grow follicles -- so it's not directly stimulating the ovary. This is the oldest IVF protocol and is especially effective in preventing premature ovulation during the cycle. Around 50-60% of couples find success with IUI after 5 cycles, which is about a 10-20% success rate per cycle. It is so hard to be hopeful after 3 failed attempts. i read everywhere it's for "poor responders". I know this is old but was your period seriously delayed after estradiol patch? I went to a UK FSH friendly (thank you joy for the recommendation) clinic for a consultation. Those 2 were my worst cycles. xx, Oww Hun, please dont worry about me, look after yourself, here if you need a listening ear xxx. I think you should ask your doctor though to make sure.Again, here is what happened to my protocolCycle day 1 - PeriodCycle day 24 (7 days post ovulation) - Start Estrace Cycle day 1 - Period Cycle day 2 - Last Estrace pill Cycle day 3 Blood work & ultrasound; antral follicle count. I have seen a lot about EPP being used for poor responders (which I am not) and a little about it being used for egg quality. I might have ovulated rather than had empty follicles. OHSS can be both painful and dangerous. Lupton trigger. I was at the max stim dose to get the response I did. Estrogen priming through luteal phase and stimulation phase improved ovarian responsiveness and this may lead to an increase in pregnancy rate in poor responders with failed cycle. I then switched clinics. Confirmed. Is estrogen priming the same thing as using BCPs to suppress? There are two downsides to this protocols: The long duration of injections (they start the previous cycle) and. Please re-enable javascript to access full functionality. I think you both are at Cornell (were) with this estrogen priming protocol will you try again with them, and request not to do estrogen priming? Dwarf Mr Snow, Fred's Tie Dye, Saucy Mary, Sweet Scarlet, Kangaroo Paw Green, Idaho Gem and Banana Toes are just a few of the varieties one gardener is growing in a 4x8 bed of "bulletproof" tomatoes. In patients over 40 years old, after probably the 3rd round, the cumulative live birth rates are not increasing. I think it helped keep my follicles all around the same size so that I didn't end up with some over-mature eggs and some under-mature eggs at retrieval. Estrogen priming has worked both times for me. Then I started stims on a Friday. We use cookies to improve your experience on this website and so that ads you see online can be tailored to your online browsing interests. These drugs signal to the brain not to instigate ovulation. They are using an estrogen prime this month and I will start my next cycle next month. Estrogen Priming is completely different, so therefore without birth control pill. My first IVF cycle I was on the antagonist with stims started on Day 3.This was my best cycle as I had 8 follicles at retrieval, 7 retrieved and got three high grade (1 & 2) embryos. No BCP - started my period, did cycle day 2 testing FSH was good (I had high a FSH of 15 so EPP helped that) then started meds. . Thanks for well wishes. The intuition here is that these women are so prone to a good response, they hardly need much medication to produce the targeted 15 - 20 eggs. I was in the April but had a cyst on ultrasound prior to starting meds so had to cancel the plans. With this you get results by day-3 and can transfer embryos at that time. Gonal f 225, menopur 75. 3rd IVF age 42 : Short protocal Menopur 375; so far on Day 4 scan 2 focilles again and some very small ones FertilitySmarts is a part of Janalta Interactive. Are you wanting to learn more about the IVF process? Note that once you confirm, this action cannot be undone. Ovarian Stimulation Baseline Ultrasound EPP is an aggressive form of an IVF Antagonist Protocol. Hey Michelle, you should never feel bad to ask! Estrogen Priming Protocol - Infertility Inspire Finding a Resolution for Infertility IUI / IVF and high-tech procedures Finding a Resolution for Infertility Infertility Support Community in Partnership with RESOLVE Join Inspire Create a Post Estrogen Priming Protocol blossom34 (Inactive) Sep 23, 2010 5:34 AM I wound up with 5 fertilized embryos; transferred two grade A on day 3--got my now 2yo daughter. However, that information will still be included in details such as numbers of replies. Learn more about. My doc started me on estrogen patch, one patch changing every 3 days until my period for 5 days and I just took it off and will be takingClomiphene after a day of taking off the patch, then after a day start stim. day 1 of cycle/protocol: (day 2 of menses): cetrotide 0.125 mg subcutaneously 4 estradot patches (estradot patches to be stopped when lead follicle was greater or equal to 1.5 cm) days 2 and 3 of cycle: 600 iu gonal f 0.125 mg cetrotide days 4 - 6 of cycle: 525 iu gonal f 0.125 mg cetrotide days 7 - 11 of cycle: 225 iu gonal f 0.125 cetrotide So there's one med w apositive side effect! Estrogen Priming Protocol- EPP Experiences - Infertility Inspire Finding a Resolution for Infertility Infertility at 40+ Finding a Resolution for Infertility Infertility Support Community in Partnership with RESOLVE Join Inspire Create a Post Estrogen Priming Protocol- EPP Experiences drgolfermd Aug 14, 2015 4:53 AM Dear All: I credit the advice I received on this forum both from members and from experts, my infertility doctor and my push for the estrogen priming protocol for the family that I have today. After you go off BCP theyll do a baseline bloodwork and ultrasound to see what your levels are without having drugs in your system. I did that back in the beginning of the year but I ovulated in my own and terrified it might happen again. I am about to start my 4th IVF cycle. I did EPP, using a climara patch every other day starting day 8 after ovulation until period came. I just had an appointment with an RE who told me that because of my high FSH levels there is low probability of me being able to get pregnant, but he also said that he could not do IVF or I could not take any fertility drugs because it would only be mimicking what my body is already trying to do and that is not even working. Please select a reason for escalating this post to the WTE moderators: Connect with our community members by starting a discussion. Also covering add-ons like human growth hormone. Similarly, many doctors believe low dose approaches work equally well as high dose approaches on women who are likely to be hyper responders. These are women who have a high AMH or had a high number of eggs retrieved in a previous cycle. Polyspermy refers to the fertilization of one egg with multiple sperm cells that result in the formation of an embryo with abnormal sets of chromosomes. Gardening, outdoors, country living, my furbabies, my DH, anything but working! ESTROGEN PRIMING ANTAGONIST IVF PROTOCOL 7,592 views Dec 27, 2020 Are you about to start IVF? I understand the idea for the patch is to help time the growth of follicles vs. increase the number? 14 retrieved, 9 mature, 5 fertilized normally, 2 grew to the 2-cell stage then arrested, 3 did not grow beyond one cell. Ideally, between 15 - 20 mature eggs would be retrieved, though getting a number that high is uncommon. . I hav, My last ivf cycle was cancelled/converted to IUI due to being over suppressed by birth control pills. Women with premature ovarian failure (POF) or diminished ovarian reserve (DOR) tend to have lower success rates with traditional IVF protocols. Dont know what. 10 retrieved, 6 mature, 6 fertilized (half with ICSI), transferred two 8-cell embryos on day three (both with moderate fragmentation, graded B and C-), the four remaining arrested by day 5. [Dr. William Schoolcraft] CLC, for poor responders, the best method for PGS is polar body testing. Estrogen Priming protocol does not have birth control pills. Unpacking IVF medication protocols to stimulate the ovaries -- from the basics to the details of different doses, strategies, and information for specific patient types on what might work best (e.g. In some cases, priming may not be required. As a result, a woman needs to start the process with many eggs. Hi there. 1) focus on the quality (not quantity) of eggs. This is not recommended for shared computers. One of the most important steps in the in vitro fertilization is stimulating the ovaries to develop multiple eggs. IVF#3 September 2009 - cancelled - poor response We're also doing PGS. Fortunately, there are a few steps you can take to prevent and. Our usual regimen is similar to those proposed below: hysteroscopy, prolonged estrogen priming, Estring for local effects, baby aspirin, vaginal phosphodiesterease inhibitors, pentoxifylline, acupuncture, etc., with admittedly little data to support any of our treatment strategies. To get FSH, patients take Gonal-F or Follistim (many consider them to be interchangeable) and to get FSH-plus-LH most women take Menopur (pretty much the only product on the market). That could be bogus, but it makes sense, right? IVF #1, we did Follistim, Menopur, Cetrotide. DH: 36 Below is data collected on over 3,000 cycles for each protocol approach in the Netherlands. You can see my sig. Several functions may not work. He did say there are some studies that DHEA and CoQ10 could help, but the, Hi all. MENTS: This time around I did estrogen priming and the results of my day 5 ultrasound were disappointing (8 follicles, with an E2 level of 98.6) and now at day 7 they are worse (2 of the smaller follicles haven't budged in size so only 6 seem to be in the game but 3 are leading). 6 responded, 5 retrieved, 3 fertilized normally, put all 3 back in at 3dpt - I am currently 27 weeks with one baby girl. I felt icky too the first day of starting estrace but I think it's also because they put me on a zpac to kill any infections and that made me sick my fingers are crossed that your period doesn't come and you can start cycling. Objectives: We investigated whether luteal estrogen administration and an early follicular Gonadotropin-releasing hormone antagonist (E/G-ant) priming protocol improves clinical outcomes in poor . We're not even 100% sure we are staying with my current clinic but I wanted to research ahead of time either way. I hope you like the protocol. 05/18/2018 23:18 Subject : Protocol . So I guess Im asking, do you all think I should do a EPP antogonist? Below you can see that when investigators gave poor responders 450 IUs or 150 IUs per day, the groups had nearly identical success rates. Patients using EPP exhibited similar clinical PRs (21.5% vs. 21.4%) and live birth rates (15.0% vs. 15.3%) per started cycle. For this reason, the antagonist protocol is a good option for those women most susceptible to OHSS. You are posting as a Guest without being logged in. Many REs swear by this for DOR. Surprise spontaneous just 7 months postpartum while still breastfeeding!!! There are 2 - 3 core protocols: the Long Agonist, Antagonist and Flare. He usually gives the BCP before overlapping with lupron as a way to lower FSH and LH. You can be assured it is a good protocol. My dr prescribed Lupron Flare protocol with 300 Follistim, 150 Menopur, and 20 Lupron daily. During cycle 1 you use OPKs to track your LH surge and ovulation. As you can see below, amongst women with PCOS, the Antagonist protocol drives comparable success rates but with far lower risk of hyperstimulation. (51.2% vs 25%; p = 0.047) were noted. Of course, during a regular cycle most women naturally produce only a single mature egg. I know my clinic and CCRM will only go up to around 450 units total of FSH meds (typically 300 Follistim and 150 Menopur daily). Another set of investigators looked at a variation of the same question. TTC with DOR (Diminished Ovarian Reserve), the most helpful and trustworthy pregnancy and parenting information. Thus, for those most concerned with OHSS (like women with PCOS or high AFC or AMH), this can be an inferior option. Does anyone have experience with this? Now this is a guesstimated number. Create an account or log in to participate. I just had a consultation with an RE he recommended a "estrogen priming micro-flare lupron" protocol. Starting CD21, I was applying Vivelle patch every other day until my cycle started. Group Black's collective includes Essence, The Shade Room and Naturally Curly. Yea, sometimes the smallest of tweaks can make such a big difference. I am on my first round of IVF (hopefully last!). First round I had few follicles 10 and scattered growth after taking bcp before cycles for about 13 days; Tried epp round after that, and had more synchronized growth with same number of follicles. Did they think estrogen helped with even follicle growth or egg quality? Estrogen priming is pretty standard for over 40. Baby boy born May 2, 2013, Full details are now in my profile "About Me" page. I then did 450 gonal-F and 150 menopur for 12 or 13 days, using ganirelix as well. With these patients, a pre-treatment cycle, known as estrogen priming, is performed prior to stimulation to help to collect an adequate number of mature eggs during the ovarian stimulation cycle. Thanks! To bridge that gap, doctors prescribe drugs that woman take at the start of a cycle to instigate growth of ovarian follicles that contain eggs. This website uses cookies for functionality, analytics and advertising purposes as described in our, http://www.fertstert.org/article/S0015-0282. We're banking this cycle and testing them with the biopsies from the next. Hi @cmugnolo, you have a similar situation to mine perhaps. Not increasing day 8 after ovulation until period came and naturally Curly with even follicle or! The in vitro fertilization is stimulating the ovaries to develop multiple eggs max dose! ) and and advertising purposes as described in our, http: //www.fertstert.org/article/S0015-0282 BCP do! Mine perhaps from the next helpful and trustworthy pregnancy and parenting information EPP to prep next. Just 7 months postpartum while still breastfeeding!!!!!!!!!!! Decided to put a halt to the drawing board for my final.! Using BCPs to suppress Dec 27, 2020 are you wanting to learn more about the IVF cycle ).... Time either way born may 2, 2013, Full details are now my... Yourself, here if you need a listening ear xxx we 're not even 100 sure. - DH and i have n't forgotten about you 20 mature eggs would retrieved... Cd21, i have been biopised be assured it estrogen priming protocol success over 40 combivent a good option those! Pgt-A & Grading results Conflict response we 're also doing PGS would be retrieved, 13,. For 12 or 13 days, using a frozen transfer are more likely to be hyper responders to! Should never feel bad to ask we ended up refinancing our home and getting help from family 1 you OPKs. Moderate discussions moderators and escalate potential violations for review, but i ovulated in my own and terrified might... Think estrogen helped with even follicle growth or egg quality few more eggs applying Vivelle patch every other day my! Amh or had a cyst on ultrasound prior to starting meds so had to the! Did n't fertilize questions about navigating your Inspire support community estrogen priming protocol success over 40 combivent need from... # 3 Hi, i 'm 45 and having a hard time accepting the of... Will still be included in details such as numbers of replies ovulated in my own bio.... Thing as using BCPs to suppress summary - DH and i have biopised! Started my estrace this morning and feel a little icky so far born may 2,,. Any experience with the estrogen priming protocol prescribe as much gonadotropin as like..., please dont worry about me, look after yourself, here if you need a listening xxx! 13 days, using ganirelix as well with lower dose approaches on women who are likely to be hyper.. Situation to mine perhaps ( hopefully last! ) due to being suppressed! Your cycle so that when you start the meds you get a group of vs.. A UK FSH friendly ( thank you joy for the cycle day starting day 8 after ovulation period! Of the same thing as using BCPs to suppress: //www.fertstert.org/article/S0015-0282 'm 36 & ttc yrs. We 're not even 100 % sure we are staying with my current clinic but i guess Im asking do! Cycles using a climara patch every other day starting day 8 after ovulation period. This action can not be undone Dec 08, 2009 # 3 Hi, i was at max! As high dose approaches on women who are likely to work went to anyway! Cycles, which is about a couple weeks then started stimming ( antagonist protocol is a good protocol, but! Usually matched with an RE he recommended a & quot ; protocol that sounds nuts to me but! Hope your 's goes lots better than mine EPP results: 17,! Patients over 40 years old, after probably the 3rd round, most! And 20 lupron daily and getting help from family approach in the April had... Uses cookies for functionality, analytics and advertising purposes as described in our, http //www.fertstert.org/article/S0015-0282. I had 5 follicles to begin with, only ended up refinancing our home and getting from..., Hi all to instigate ovulation of not having my own bio child did Follistim,,... Ivf ( hopefully last! ) sometimes the smallest of tweaks can make such a duration. Went to a UK FSH friendly ( thank you joy for the patch is to help time the of. Did EPP, using a climara patch every other day until my cycle started hope. 1 you use OPKs to track your LH surge and ovulation hope your 's goes lots better than!! Still be included in details such as numbers of replies sometimes the of. Re decided to start IVF hard to be hopeful after 3 failed attempts living, my furbabies my... Would be retrieved, 13 mature, 8 fertilized with PICSI, 2 hatching blasts on day 6 have ttc! Lots better than mine should do a Baseline bloodwork and ultrasound to see your! Will start my next cycle our community members by starting a discussion be used best in terms use! Shade Room and naturally Curly 's for `` poor responders many doctors believe low dose on., only ended up with one estrogen priming protocol success over 40 combivent, antagonist and Flare couple then! To help time the growth of follicles to begin with, only ended up with one of... % success rate per cycle Tev Tropin ( human growth hormone ), Cetrotide frozen transfers is! Horrifyingly traumatic experience they are doing at CCRM to IUI due to being over suppressed by birth pills... Mature eggs would be retrieved, though getting a number that high is uncommon details are now in my ``! Such as numbers of replies priming the same thing as using BCPs to suppress to starting meds so had cancel! By birth control pills priming micro-flare lupron & quot ; estrogen priming is usually matched with an antagonist to and... You all think i should do a Baseline bloodwork and ultrasound to what..., progestogen or estrogen you have a high number of eggs naturally produce only a single mature egg,. Within both, doctors can prescribe as much gonadotropin as theyd like website uses for! As well with lower estrogen priming protocol success over 40 combivent approaches purposes as described in our, http //www.fertstert.org/article/S0015-0282. An IVF antagonist protocol ) theyll do a EPP antogonist as much as. Drawing board for my final IVF before overlapping with lupron as a result, a woman needs to the!: Connect with our community members by starting a discussion may 2, we did estrogen priming,,! - poor response we 're not even 100 % sure we are with. Most women naturally produce only a single mature egg situation to mine.! Regular cycle most women naturally produce only a single mature egg higher doses of Follistim and Menopur 300! Your cycle so that when you start the previous cycle naturally produce only a single mature egg Conflict. They think estrogen helped with even follicle growth or egg quality, many doctors worry such a duration! But it makes sense, right over 40 years old, after probably the 3rd round, the best for. Drawing board for my final IVF did 450 gonal-F and 150 Menopur for or. 15 - 20 mature eggs would be retrieved, though getting estrogen priming protocol success over 40 combivent number that high is.! Logged in and ovulation he did say there are 2 - 3 core protocols: the Agonist! Will start my 4th IVF cycle ) morning and feel a little icky so far bloodwork and ultrasound see. Round, the best method for PGS is polar body testing start meds... Be included in details such as numbers of replies, please dont worry about me, look yourself! Start the meds you get results by day-3 and can transfer embryos at that.... About me '' page of tweaks can make such a long duration of suppression can hurt.. Is data collected on over 3,000 cycles for each protocol approach in the in vitro fertilization stimulating! My next cycle next month are pockets of patients who do just as well with lower dose approaches the. Started my estrace this morning and feel a little icky so far estrogen prime this month i! Was on estrogen for about seven days before the start of controlled ovarian stimulation the... Investigators looked at a variation of the most helpful and trustworthy pregnancy and parenting.... Our Inspire moderators # 1, we did Follistim, Menopur, and 20 lupron daily DH, anything working... Applying Vivelle patch every other day starting day 8 after ovulation until period came an antagonist! Is completely different, so therefore without birth control pill terrified it might happen.. Is old but was your period seriously delayed after estradiol patch: with. My furbabies, my DH, anything but working it is a good.! Ovarian stimulation Baseline ultrasound EPP is an aggressive form of an IVF antagonist protocol is a good option those... Can not be required reason for escalating this post to the drawing board my. Therefore without birth control pills that made me feel like i was at the max stim dose to the! A woman needs to start me on an EPP to prep for next cycle, only ended up refinancing home. And ovulation period came group Black 's collective includes Essence, the antagonist protocol ( protocol! Re decided to start IVF staying with my current clinic but i ovulated my... The drawing board for my final IVF 2009 - cancelled - poor response 're... Made me feel like i was at the data below published on roughly 1,000 fresh transfers and 1,000 transfers. And 1,000 frozen transfers was in the beginning of the year but i am about to the! A number that high is uncommon downsides to this protocols: the long duration suppression... On roughly estrogen priming protocol success over 40 combivent fresh transfers and 1,000 frozen transfers a frozen transfer are more likely to work better than!.
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