Looking for Cooper's Injectibles protocol

Looking for Cooper's Injectibles protocol

KerriA
KerriA

June 23rd, 2011, 6:45 pm #1

Hi All,

I'm single and TTS with DS. I've been at this for awhile now. My last full injectible cycle was in January (75 iu menopur/75 iu gonal - f) - triggered with 2 follicles - BFN. I then tried to do another cycle with just menopur (which I have done in the past) and my ovaries shut down - all follicles disappeared. The same thing happened the next month. I've had lots of stressful things going on so I decided to do natural cycles for a few months while I was working a second job and to give my body a chance to practice ovulating on its own. I've saved up enough $ to do a couple more injectible IUI cycles before trying to figure out another way to become a Mom and was wondering if any of you Check ladies could share your injectible protocol with me as I would like to try to mimic the NJ Guru.

From what I gather:
1) your FSH and e2 are drawn on cd2 or 3
2) take estinyl, if necessary to lower FSH (what level is given estinyl and how far does FSH have to go down to proceed?)
3) injections - is there a certain day or e2 level that Check starts at? Does he start with Gonal-f (75 or 150 iu?)? At what point is menopur added?
4) trigger - does he wait to trigger when LH is naturally rising?
5) IUI 40 hrs later

thank you!
kerri

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Mrs. A
Mrs. A

June 23rd, 2011, 9:36 pm #2

I have info to share and will post it by tonight. On an IPad so not too convenient plus don't have my protocols handy.
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KerriA
KerriA

June 23rd, 2011, 10:28 pm #3

I look forward to it!
best,
kerri
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Joined: September 29th, 2010, 9:51 pm

June 24th, 2011, 12:41 am #4

I have info to share and will post it by tonight. On an IPad so not too convenient plus don't have my protocols handy.
I would definitely be interested as well! We haven't added anything to our natural cycles yet but plan to in the near future as a next step. (We've done 3 natural cycle's so far over the course of 9 mos). Thinking of scheduling a callback with Check when we start our 4th cycle.
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Mrs. A
Mrs. A

June 24th, 2011, 2:14 am #5

I have info to share and will post it by tonight. On an IPad so not too convenient plus don't have my protocols handy.
Didn't want you to be expecting this tonight. But for meantime, Check is normally a CD 2 guy. Also he starts with 75 or 150 of meds depending on the cd2 FSH value. I have to find my notes but he did give me a specific range. I know for one cycle my FSH was 11 so I started with 75 Gonal F. Another cycle I had FSH of 7 and his opinion was that I should do 150 to start. He starts the ganirelx once follie hits 14mm. And yes IUI done at 40 hrs. post trigger.

Can't speak to estinyl at all since I never used.
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KerriA
KerriA

June 24th, 2011, 12:39 pm #6

okay, thanks Mrs. A (n/t)
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Tanya
Tanya

June 24th, 2011, 3:27 pm #7

Hi All,

I'm single and TTS with DS. I've been at this for awhile now. My last full injectible cycle was in January (75 iu menopur/75 iu gonal - f) - triggered with 2 follicles - BFN. I then tried to do another cycle with just menopur (which I have done in the past) and my ovaries shut down - all follicles disappeared. The same thing happened the next month. I've had lots of stressful things going on so I decided to do natural cycles for a few months while I was working a second job and to give my body a chance to practice ovulating on its own. I've saved up enough $ to do a couple more injectible IUI cycles before trying to figure out another way to become a Mom and was wondering if any of you Check ladies could share your injectible protocol with me as I would like to try to mimic the NJ Guru.

From what I gather:
1) your FSH and e2 are drawn on cd2 or 3
2) take estinyl, if necessary to lower FSH (what level is given estinyl and how far does FSH have to go down to proceed?)
3) injections - is there a certain day or e2 level that Check starts at? Does he start with Gonal-f (75 or 150 iu?)? At what point is menopur added?
4) trigger - does he wait to trigger when LH is naturally rising?
5) IUI 40 hrs later

thank you!
kerri
This is my protocol for my natural BFP cycle


"Started 1x per day Estinyl (Ethyinl Estradiol) .02 MG on 4/19 (after negative Beta)
e2 FSH 10"
CD3

E2 59
LH 4
FSH 9
P4 1.6
Follicle: 1 right, 1 left
Continue Estinyl (Ethyinl Estradiol)
CD 8

E2 130
LH 4.9
FSH 6.3
P4 2.2
Follicle: 1 right, 1 left (11.5)
Stop Estinyl (Ethyinl Estradiol)
CD 10

E2 130
LH 4.9
FSH 6.3
P4 2.2
Follicle: 1 right, 1 left (11.5)
Stop Estinyl (Ethyinl Estradiol)
CD12

E2 353
LH 6.1
FSH 7.4
P4 2
Follicle: 1 right, 1 left (16.5)
Stop Estinyl (Ethyinl Estradiol)
75 Menopur
Relations
CD14

E2 353
LH 6.1
FSH 7.4
P4 2
Follicle: 1 right, 1 left (16.5)
Stop Estinyl (Ethyinl Estradiol)
75 Menopur
Relations
CD15

Trigger
Relations
CD16

Confirmed released
P4 3.5
Estrace 1x per day
P4 2x per day
Confirm lining converted
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Tanya
Tanya

June 24th, 2011, 3:30 pm #8

Hi All,

I'm single and TTS with DS. I've been at this for awhile now. My last full injectible cycle was in January (75 iu menopur/75 iu gonal - f) - triggered with 2 follicles - BFN. I then tried to do another cycle with just menopur (which I have done in the past) and my ovaries shut down - all follicles disappeared. The same thing happened the next month. I've had lots of stressful things going on so I decided to do natural cycles for a few months while I was working a second job and to give my body a chance to practice ovulating on its own. I've saved up enough $ to do a couple more injectible IUI cycles before trying to figure out another way to become a Mom and was wondering if any of you Check ladies could share your injectible protocol with me as I would like to try to mimic the NJ Guru.

From what I gather:
1) your FSH and e2 are drawn on cd2 or 3
2) take estinyl, if necessary to lower FSH (what level is given estinyl and how far does FSH have to go down to proceed?)
3) injections - is there a certain day or e2 level that Check starts at? Does he start with Gonal-f (75 or 150 iu?)? At what point is menopur added?
4) trigger - does he wait to trigger when LH is naturally rising?
5) IUI 40 hrs later

thank you!
kerri
E2 @ 31,
P4 @ 2.2,
Lh @ 8,
FSH @ 22
TAKE ESYTINAL
CD2

E2 @ 61.4,
P4 @ 1.9
Lh @ 3.3
FSH @ 8.6
Follicles: 12.5 right, 10, 8 on left
75 follistim
Esytinal
CD5

STOP Estyinal
150 Follistim
75 Menopur
CD6

STOP Estyinal
150 Follistim
75 Menopur
CD7

E2 @ 290
P4 @ 2.4
Lh @ 5.9
FSH @ 14.7
150 Follistim PM
75 Menopur
Ganilrex
CD8

E2 @ 331
P4 @ 2.0
Lh @ 1.7
FSH @ 14.6
150 Follistim PM
75 Menopur
Ganilrex
CD9

E2 @ 337
P4 @ 3.4
Lh @ 1.0
FSH @ 15.7
150 Follistim PM
150 Menopur
Ganilrex
CD10

E2 @ 549
P4 @ 2.4
Lh @ .8
FSH @ 17
150 Follistim PM
Ganilrex
Trigger
CD11

Egg Retrieval
CD13
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Mrs. A
Mrs. A

June 24th, 2011, 8:34 pm #9

okay, thanks Mrs. A (n/t)
I copied this from a post I had a bit ago for BabyDance.
________________________________

So Check's protocol for me wasn't a "protocol" per se. Meaning there's no defined set of meds ratio. My experience was that every med adjustment came as a result of that day's b/w and u/s results.

Cooper IVF #1
CD 2 - b/w: E2 24, FSH 11, LH 2, P4 .5
CD 3-5 - 75 Gonal F
CD 6 - b/w: E2 95.8, FSH 8, LH 1.2, P4 0.2; u/s: 15 MM on left, minor activity on right; up Gonal F to 150
CD 7 - start Ganirelix (given the 15 MM lead) and continue 150 Gonal F
CD 8 - b/w: E2 145, FSH 9.9, LH 0.4, P4 0.3; u/s: 13 MM, 10 MM, 9MM on left, two 10 MM and one 9 MM on right (SEE HOW THE GANIRELIX CONTROLLED THE LEAD BUT THE UPPING OF THE GONAL F SPROUTED SOME FOLLIES ON THE RIGHT?) Gonal F remained at 150
CD 9 - Introduce 150 Menopur in the morning and continue 150 Gonal F in the evening
CD 10 - b/w: E2 171, FSH 16, LH 0.8, P4 0.3; u/s: 2 on left; 3 on right (didn't write down the exact measurements this day); continued 150 Menopur but Gonal F was upped to 225.
CD 11 - b/w: E2 345, FSH 20.5, LH 0.786, P4 0.342; u/s: 16.5 MM, 15 MM on left, 15.2 MM, 13 MM, 12.5 MM on right; lining is 10 MM (FOLLIES ARE REALLY TAKING OFF NOW WITH THE UPPING OF THE MEDS)
CD 12 - Continue with 150 Menopur in the morning and 225 Gonal F in the evening
CD 13 - b/w: E2 522, FSH 22, LH 1.7, P4 .5; u/s: 2 on left; 3 on right (didn't write down the exact measurements this day); had already taken my 150 Menopur in the a.m. and after b/w came in was told to take reduce Gonal F to 150 and take it early in the afternoon at 4pm (vs. evening) and trigger that night.
CD 14 - pre-ER monitoring show b/w: E2 675, LH 8.0, P4 2.0; u/s: 21 MM, two 19 MM, a 17 MM and a 14 MM
CD 15 - day of ER; 6 follies, 5 eggs retreived, all fertilized naturally

Transferred 4 cell, 5 cell, 6 cell; not transferred: a multi-nucleated and an arrested 3 cell

Cycle resulted in a BFP (YEA!!! ) but ended in a chemical (BOO!!! ).
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Joined: March 25th, 2004, 5:09 pm

June 24th, 2011, 8:34 pm #10

Hi All,

I'm single and TTS with DS. I've been at this for awhile now. My last full injectible cycle was in January (75 iu menopur/75 iu gonal - f) - triggered with 2 follicles - BFN. I then tried to do another cycle with just menopur (which I have done in the past) and my ovaries shut down - all follicles disappeared. The same thing happened the next month. I've had lots of stressful things going on so I decided to do natural cycles for a few months while I was working a second job and to give my body a chance to practice ovulating on its own. I've saved up enough $ to do a couple more injectible IUI cycles before trying to figure out another way to become a Mom and was wondering if any of you Check ladies could share your injectible protocol with me as I would like to try to mimic the NJ Guru.

From what I gather:
1) your FSH and e2 are drawn on cd2 or 3
2) take estinyl, if necessary to lower FSH (what level is given estinyl and how far does FSH have to go down to proceed?)
3) injections - is there a certain day or e2 level that Check starts at? Does he start with Gonal-f (75 or 150 iu?)? At what point is menopur added?
4) trigger - does he wait to trigger when LH is naturally rising?
5) IUI 40 hrs later

thank you!
kerri
http://www.ccivf.com/ivfprotocols.htm

I think a couple of their links don't work, but most do.
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