Comments on: IVF Protocols – FAQ (Part 1) http://fertilityfile.com/2008/07/26/ivf-protocols-faq-part-1/ The inside view from a reproductive endocrinologist Tue, 27 Dec 2011 11:04:49 +0000 hourly 1 http://wordpress.org/?v=3.3 By: IVF-MD http://fertilityfile.com/2008/07/26/ivf-protocols-faq-part-1/comment-page-1/#comment-17940 IVF-MD Sun, 20 Dec 2009 01:21:07 +0000 http://fertilityfile.com/2008/07/26/ivf-protocols-faq-part-1/#comment-17940 Thanks, Emily. You are right. There is no one single universal protocol that works best for everyone. For someone's first cycle, I'll try what is universally PREFERRED given that patient's history and demographics. However, if the first cycle does not result in the outcome we want, we should at least give consideration to trying a different protocol. Thanks, Emily. You are right. There is no one single universal protocol that works best for everyone. For someone’s first cycle, I’ll try what is universally PREFERRED given that patient’s history and demographics. However, if the first cycle does not result in the outcome we want, we should at least give consideration to trying a different protocol.

]]> By: Emily http://fertilityfile.com/2008/07/26/ivf-protocols-faq-part-1/comment-page-1/#comment-17865 Emily Fri, 18 Dec 2009 23:07:19 +0000 http://fertilityfile.com/2008/07/26/ivf-protocols-faq-part-1/#comment-17865 Male factor low sperm count 100'000. Me 31 , luteal phase 11 days. Round 1 of IVF I had 34 follicles, was prescribed 75iu of gonal- F (pure fsh) for 7 days. 125iu for 2 days, then coasted for 2 days. I produced 13 eggs but only 3 fertilised of 5 cells grade 1, 4 cells grade 1, 4 cells grade 2. . Had a 2dt of 2 embryos. Got pregnant then miscarried. Dr denied it had anything to do with overstimlating and too quick. 2nd IVF another clinic willing to try another medication on 150iu of menopur (LH/fsh combi) for 14 days got 8 eggs all 8 fertilised 5 grade 1, 8 cells on day 3. Transferred 3. Pregnant with quads!! (not great I know) but they are all here and ok now...phew. So agree that protocol and fast overstimulation for that particular individual can result in poor fert rates and miscarriage. On various forums seen other women have up to 4 IVf's before changing clinic as their RE not up for trying a LH/FSH combo or a protocol better for them. A woman who had 4 IVF'S, lots of eggs poor fert rate and low doses of fsh gonal-f) went on to have twins when switching to menopur. ....... Just wanted to share some evidence backing up your fndings. Get a good and open minded RE. Male factor low sperm count 100’000. Me 31 , luteal phase 11 days. Round 1 of IVF I had 34 follicles, was prescribed 75iu of gonal- F (pure fsh) for 7 days. 125iu for 2 days, then coasted for 2 days. I produced 13 eggs but only 3 fertilised of 5 cells grade 1, 4 cells grade 1, 4 cells grade 2. . Had a 2dt of 2 embryos. Got pregnant then miscarried. Dr denied it had anything to do with overstimlating and too quick.

2nd IVF another clinic willing to try another medication on 150iu of menopur (LH/fsh combi) for 14 days got 8 eggs all 8 fertilised 5 grade 1, 8 cells on day 3. Transferred 3. Pregnant with quads!! (not great I know) but they are all here and ok now…phew.

So agree that protocol and fast overstimulation for that particular individual can result in poor fert rates and miscarriage. On various forums seen other women have up to 4 IVf’s before changing clinic as their RE not up for trying a LH/FSH combo or a protocol better for them. A woman who had 4 IVF’S, lots of eggs poor fert rate and low doses of fsh gonal-f) went on to have twins when switching to menopur. …….

Just wanted to share some evidence backing up your fndings. Get a good and open minded RE.

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