immature eggs

[Sharon]

Good morning,

I'm 37 years of age. I've done 3 short protocols (antagonist for ICSI), each time the number of immature eggs increases. Third time time only one egg was mature and didn't get beyond fertilisation. I have an AMH of 6 (UK measurement).

My doctor now suggests I should move to the long protocol which includes down regulating and using menopur.

Do you agree or have any other suggestions?

Kind regards,

Sharon

[Scott Roseff MD]

Hi Sharon,

Something seems amiss here. There are only a few reasons for having mostly immature eggs, but it shouldn't happen 3 times. One possible reason is a doctor who is not stimulating the follicles to grow properly, so I HIGHLY recommend you seek a second opinion from another, different, board certified reproductive endocrinologist BEFORE undergoing another potentially disastrous cycle.

Hope this helps,
Dr. Roseff in FL, USA

[Sharon]

Dear Dr. Roseff,

Thank you for your prompt response.

I have just one further question. You say there are a few reasons for having mostly immature eggs; may I ask, what are these reasons?

Kind regards,

Sharon

[Scott Roseff MD]

Poor stimulation protocol by the RE;
Low potency hCG trigger injection (such as with generic drugs or Ovidrel);
Poor absorption of the hCG trigger injection (such as in obesity);

Hope this helps - Have you seen our world renowned IVF success rates???

[Sharon]

Dear Dr. Roseff,

Thank you for your detailed response. I think you are correct regarding the stimulation protocol.

Unfortunately, this side of the Atlantic it is difficult to find a clinic which provides a comprehensive personalised protocol. My husband and I may consider clinics abroad in the future.

Many thanks,

Sharon

[Scott Roseff MD]

You're welcome - Good luck, Sharon!
As an aside, I've had several patients visit from the UK and return home pregnant!

Dr. Roseff