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  • poor response

    hello and thank you for providing this forum!!

    i just completed my first IVF cycle, after being cancelled for poor response, and ultimately responding poorly on this cycle.

    my first attempt - bcp for a month, lupron, gonal-f, day 6 one lead follie, not much else - cancelled for oversuppression.

    failed cycle - bcp for a month, no lupron, gonal-f 225 AM/PM, luveris 75 AM/PM, ganrilex, 6 follies, 3 eggs, two fert, one compacted, one 6-celled at day 3 transfer. after transfer, i was on daily progesterone and twice weekly delestrogen.

    my details - i'm 40, FSH = 5.6, left tube blocked, and i'm clearly a "poor responder."

    i have one more shot at IVF (already paid for) and i'm worried that it will be the same result as the first try.

    i understand that quantity of eggs is not as important as quality. i'm worried that i don't have either.

    what can i ask my RE when i see him next?

    i feel like i'm out of time and money...its a tough place to be.

  • #2
    We have a specialized approach to stimulation that may improve the quality of your eggs. We call it agonist antagonist conversion with estrogen priming. If you contact me directly, I would be happy to speak with you about your case in more detail.

    Jeffrey Fisch
    jfisch@sherinstitute.com

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    • #3
      hm. i was hoping for a little more feeback. but it looks like that is the standard answer here. not sure what the purpose of the forum is, if the answer is always - "call me and i'll help you." looks like the only protocol recommended is the AACEP, as well.

      but thanks for taking time to reply, nevertheless.

      if this cycle doesn't work, i'll probably consult SIRM in los angeles.

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      • #4
        The purpose of this forum is to diseminate information to infertile couples. In a chat setting, we need to be general. In order to make specific recommendations for you, we would need to speak one on one. In reality, many women will do better on the AACEP than on the protocol you described.

        Once again, I am willing to speak with you about your case in more detail if you contact me directly. There is no cost, so you have nothing to lose.

        Jeffrey Fisch

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