Spoke to Dr. Ch eck again- what kind of protocol is this??

Spoke to Dr. Ch eck again- what kind of protocol is this??

Jess
Jess

August 3rd, 2012, 5:42 pm #1

Hi everyone

I spoke with Dr. C again last night. He believes my cysts that were seen at baseline are non-functional, so we are able to start the cycle (yay?).

Not sure if you remember, but I was super-confused about Dr. Ch.oe instructing me to take Lupron 20iu for 4 days during my luteal phase 2 weeks ago. I was supposed to be getting suppressed for this cycle (since last cycle was cancelled due to lead follicle that esentially went from 0 to 60 in 2 days) and I did not understand how only 4 days of Lupron was going to suppress me. I called the nurses FOUR times to confirm this and they kept assuring me that that was the correct dose. Anyway, when Dr. Ch.eck looked at my chart, he said he has "no idea" what Dr. Ch.oe was thinking and I basically took those 4 shots for nothing. It did not suppress me and now Dr. Ch.eck came up with a "damage control" (my words) protocol I guess.
Here it is: I started Lupron 15iu last night and will be taking it tonight and Sat night (and that's it for the Lupron). Start Gonal-F (75) on Sat night as well and go back for monitoring on Monday. I have no idea what kind of protocol this is! Dr. C just kept saying I'm "weird" and "tricky" and that I have to keep reminding the nurses that no other doctors can make a decision bc he needs to be involved. Last cycle, I did not have any suppression and took Gonal-F (75) and Menopur (75). This time, he said that's too much meds and is dropping the Menopur (for now, anyway). I've never heard of an IVF with just Gonal-F at 75iu, but I do trust that Dr. Ch.eck comes up with the best personalized protocols. And maybe it's different with mini-IVF...?

Anyone ever been on a protocol similar to this?

Thanks for all your support!!
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Jess
Jess

August 6th, 2012, 11:51 pm #2

Got my callback today and nurse said to continue taking the Lupron along with the Gonal-F. Continuing to take the Lupron definitely makes more sense, right? I have a strong feeling I was never meant to stop taking it (they originally told me to take it Thurs, Fri, Sat (and not Sunday) and go back for monitoring this morning)). Hopefully missing the one day yesterday won't mess me up.

Nurse told me to go back Wednesday morning. I am really, really praying that the Lupron works and it won't be a repeat of every other cycle I've taken stims (without any suppression). All those other times, the follies measured around 10-12mm and two days later, either a few (but usually, just one) has jumped to 22mm). When it happened with my 2 IUIs, it was so early in my cycle (cd6), I just didn't have a chance. When it happened with our first IVF (last month), Dr. Ch.eck said it "wasn't worth" doing a retrieval with just 1 egg. However, when I spoke to him a few days ago, he said if 1 jumped out again, we could think abt going ahead with just the 1. I'm 28 (almost 29), normal FSH, low AMH (.6)
No other known issues besides low progesterone that Dr. Ch.eck just discovered and believes is the main reason we have not yet been successful (we are TTC #2). He suggested IVF bc of my low AMH #, and the fact that I have off in the summer and we can have abt 3 fully-covered IVF cycles. If this cycle doesn't work out, we will be doing TI with progesterone support.

Would you do IVF with just 1 egg?
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Nancy
Nancy

August 7th, 2012, 3:02 am #3

I think it's a personal decision to make based on your circumstances. For instance in my case, I have never made more than 1 or 2eggs. The first IVF I did I only had one egg and it wouldn't release, so there was nothing to take out (this is not very common). So definitely one egg is a risk. Of course the more eggs you have the better your chances of having more viable eggs. You are young and have more time to try than me, so if your financial resources allow you to maybe wait? In my case i will turn 40 soon and in my head that is my cutoff...so in my case i am willing to do another ivf with just one egg, even if it means I risk the empty follicle again. If i were younger maybe I wouldn't do it with one except that i know i respond poorly. I am surprised dr Ch said it wasn't worth it, is it maybe your age? He never said anything like that to me with one egg. He wasn't phased in the least nor was dr Cohen.


You are young and age is a good indicator of your potential for success, so you never know if the lone egg is the golden egg. But yes its a gamble. I hope you are able to come to a decision , keep us posted!! Good luck:)

Nancy
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