IVF – Help/Question Please

posted 2 years ago in TTC
Post # 2
Member
1218 posts
Bumble bee
  • Wedding: October 2016

mama2bee71 :  I have no answers for you, but try not to get too anxious about anything until they call.  Maybe your follicles are just being slow to respond.  I’m sorry the doc was short with you, but hopefully you’ll get answers tomorrow.  FWIW, I expect to be in a similar position tomorrow when i have my first monitoring appointment.  

Post # 3
Member
9173 posts
Buzzing Beekeeper
  • Wedding: October 2013

i saved my protocols.  and just looked it up. my first round of IVF i did 225 Gonal F, 150 Menopur. i recall the amounts were adjusted through the cycle as they saw the follicle growth, if i was fast or slow to respond.

for IVF#2, i did a different protocol.

they also gave a range for trigger and retrieval because they didn’t know how i would respond.

i doubt you are doing anything wrong.  just wait until you talk to the nurse this afternoon. and ask all the questions you want.  don’t be shy, your nurse is there for you.

 

Post # 4
Member
2419 posts
Buzzing bee
  • Wedding: April 2014

mama2bee71 :  There is nothing you have done wrong. The thing with IVF protocols is they are largely based on your AMH/LH/AFC to begin with. Once you start stims and have your first ultrasound/labwork done, they are able to tell if you are responding to the medication and adjust your doses as needed. 

I know I mentioned to you before that I was on 450 Gonal and 150 Menopur – my RE said that 600 units of FSH is the highest she would go, due to studies done that say anything above that is ineffective. You have a lot of room to wiggle with still, but I would also wait to see what your estrogen levels come back as. I have pretty terrible DOR, and we got 5 eggs (4 mature/fertilized and 1 embryo) and 6 eggs (5 mature/fertilized and 2 embryos) respectively. I am living proof that all you need is one – our first transfer failed with one of the embryos from our second cycle, but I am literally going in for induction tonight after a healthy, full term pregnancy with our one embryo from cycle 1.

It’s possible you will stim longer than the “average” IVF cycle with your same doses and reassess at your next monitoring, it’s possible they will cancel and start over with a new protocol. The good news is, even if they increasee your menopur, the amount of fluid will likely remain 1cc (just adding an extra vial of powder) so the shot pain will not change. Things are tricky in terms of figuring out what will work best for everyone.

Post # 5
Member
14940 posts
Honey Beekeeper
  • Wedding: June 2011

When I asked my RE about Menopur, he said it was the same as using low dose HCG which I was already using and that Menopur is a pre mix of the low dose and FSH.  Maybe you can ask about that if Menopur is an issue for you? 

Post # 7
Member
2419 posts
Buzzing bee
  • Wedding: April 2014

mama2bee71 :  Estrogen rises appropriately when your follicles begin to mature/develop. When you have a mature follicle that will release an egg, it generally raises your estrogen levels to between 150-300 per mature follicle. In my stim cycles, my estrogen got above 3,000 but as you can see, it did not equate to that many mature follicles (common with DOR).

The menopur shouldn’t burn any more than it already does, espeically since I assume you are still going to mix the two vials with 1cc of water?

My RE would not let my FSH (from menopur and gonal-f) exceed 600iu each day.

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