Re: Confused about trying for 2nd mini-IVFAugust 30 2012 at 8:18 AM
|Tripplebe (Login Tripplebe)|
Response to Confused about trying for 2nd mini-IVF
I'm currently in the 2ww with ivf #5. This is my second cycle at Coo.per, both were low stim. I am 42 and TTC #1.
I can't really comment on your situation, just haven't been in that scenario. Despite having HSH Ithink my stimming this time was pretty optimal (other then it got cut short from bad OOT monitoring).
With this IVF my CD2 fsh was 14, E2=32. I showed three follicles a 9,4 & 3mm. I was instructed to go back in for bw and ultrasound on cd 5. My follicles were 10, 6, two 5's, and a 3, Fsh=10.8, E2=89. I was instructed to start meds the next day. I stimmed for 8 days starting at 75ui and then went up to 225 when Ganirelix & Menopur was added. Retrievel was on CD 14. On the day of ER it was discovered that my follicles were a lot smaller then my monitor clinic stated. I strongly recommend if you are using OOT monitoring and at a ultrasound other then an RE's office, to go to Coo.per for an ultrasound around the time you are getting close to triggering. I most likely would have gotten four eggs if we had done that.
My AFC is always in the 2-3 range. This is the first IVF I didn't 4 eggs (only 3), but we did put back and 8 & 5 cell.
With your AFC being so low early in the cycle it's hard to tell if starting on Day 10 is the right thing. Sounds like things really start to take off when they do? Maybe you can ask to do a bw run on cd 8? Maybe that way you'd still have time to capture more then one? Can you request a callback from a Dr? A lot of times I think the nurses make the call on these things and it seems the answers can change drastically depending on who you talk with.
I do think that E2 dropping during stimming is a reason for concern. I had on a high stim ivf and my eggs were all immature even though size wise they appeared to ready for ER. That's when I decided I was through with high stim.
My first low-stim my fsh was 8 on cd 2. I started stims on cd 4. I didn't have as good of results as this time. I know Coo.per likes your fsh to be below 10 to start meds, but that not a show stopper. I think they just work with your natural fsh and then add in stims when your natural starts to drop off. I really think that approach helped with my egg quality. Plus waiting to add in Menopur late in the cycle.
Do you have a copy of the Minimal Stim protocol pdf from Coo.per? I can send you copy.
- Thanks! - Emiley on Aug 30, 9:14 AM