What was your ivf protocol

This protocol may be used in younger patients or in patients who have poor embryo quality from other protocols. In some women who respond poorly to the short protocol e. Your doctor may advise using fertility pills, such as Clomid , or very low dosage medications, so that they can retrieve one or two eggs at a time.

The disadvantage is that it produces very few chromosomally normal eggs, and it takes many more egg retrievals to achieve a pregnancy. Contact your fertility doctor for information on additional protocols and to find out which protocol is right for you. Thank you, D. It is difficult to critique protocols and I generally do not. There are many different ways to accomplish the same thing so any one particular protocol may not be better than another.

I do not favor the long protocol, however, for two reasons. I think there is too much ovarian suppression at the beginning of the stimulation and you have to take many more injections.

For that reason I use the antagonist protocol, which usually only required injections. So, I would not go back to the long protocol. There is not question that the long protocol is the classic method, in fact, most REI's use this protocol because they are not familiar with the antagonist protocol. In terms of your stimulation, there can be significant differences from one cycle to the next.

For example, I have a patient who only produced one follicle in her first cycle with the maximum dosage of medication, yet in the second cycle, with a reduced protocol, she produced 8 follicles.

This shows that each cycle is unique and the ovaries will respond differently. You don't mention of these cycles were done back to back i. A stimulation of days is not unusual and sometimes preferable. Sometimes a short stimulation phase leads to less quality eggs. Also keep in mind that you were successful in the second cycle, which means that you can be successful again.

You have to be persistent. You are lucky that you are in an insurance mandated State for IVF. I would strongly recommend against the Micro-flare protocol. This has been shown to not be of any benefit. Finally, there are other reasons for failure of an IVF cycle.

You are young and had good empyos to transfer. So maybe it was something else? Implantation failure can occur if the transfer technique is not good by the Physician, as an example. Or you may need some additional meds to reduce your immune response or increase blood flow. We are not all the same and therefore pregnancy rates differ.

Thank you so much for your thorough response. I have a few more follow up questions if you do not mind What are your thoughts on the Estrogen Priming Protocol? I have read that adding Menopur in too soon can effect egg quality. The article that I read suggested adding it in after days of stims and then lowering the FSH dosage.

Any thoughts on this? My current RE had me starting Menopur on the 2nd day of stims. The main disadvantage of aggressive protocols is the high cost of medication. As you know, the cost of medication in the U. For this reason, women with very low ovarian reserve should think twice before starting IVF using their own eggs.

For women with fewer than seven antral follicles or AMH of 0. For example, if you have only three available eggs to use during a cycle, an aggressive stimulation protocol would result in three mature eggs, but no more. For women with very low ovarian reserve who still want to try using their own eggs, the Mini IVF protocol might be a better choice.

In the Mini IVF protocol, clomiphene, an inexpensive and safe medication, is used to release the natural hormones from the pituitary gland to help stimulate the ovaries in conjunction with a milder dose of stimulation medications. No IVF protocol is guaranteed to be successful, but individualized care can make a difference. Fortunately, many cases of male infertility can be addressed with simple lifestyle changes. Here are some things to try.

Pain, heavy periods, and uncomfortable sex are some of the classic signs of endometriosis, but is infertility one of them, too? Find out how this chronic condition may affect your ability to conceive. These drugs signal to the brain not to instigate ovulation. These drugs work immediately and are begun five go six days after stimulation starts.

These drugs perform the opposite duty of suppression. Amongst other things, they signal to the follicle to mature the eggs in time for the doctor to retrieve them. The combination and duration of drugs to stimulate, suppress, and incite ovulation taken together comprise a protocol. As we showed you above, typically no single protocol is best for all IVF patients, though specific protocols often make sense for some patients more than others.

This is the oldest IVF protocol and is especially effective in preventing premature ovulation during the cycle. There are two downsides to this protocols:. 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.

For this reason, the antagonist protocol is a good option for those women most susceptible to OHSS. There are a number of drugs that can be tacked onto the beginning of a cycle that may increase the odds of success. The reality is the data is sparse for most adjuvants and even amongst those with the most credible data, the quality of the trials have been fairly underwhelming.

Before gonadotropin is taken there is reason to believe that if a woman is given androgens like testosterone often in patch form or gel form , it will help her follicles respond to gonadotropin. Most of the encouraging studies have been in poor responders, but because the trials were so small, most never met statistical significance. The data supporting the use of growth hormone in poor responders leading up to gonadotropin use is more convincing. An analysis that combined six extremely small studies that in aggregate only included about patients show gains in live birth rates, as you can see below.

Close Course Syllabus. Lesson 1 10 min. In this lesson we'll cover:. Lesson 2 15 min. Lesson 3 5 min. Lesson 4 10 min. Lesson 5 5 min. Lesson 6 15 min. Lesson 7 10 min.