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Jess- here's my protocal with notes

July 2 2009 at 4:05 PM
Pam  (no login)


Response to Pam

I had to find this in my email files....I hope it makes sense but if you have questions, just email me or post. It sounds like you and I had very similar response to MDL. I also did BCPs that cycle and it seemed my biggest problem was that my eggs weren't growing evenly. Anyway, after that cycle, the RE decided to go back to antagonist with estrace this time and high stim. I had the highest number AFC that cycle and I wondered if it was because of perhaps leftover FSH in my system. Who knows. I know you are wondering whether to go back to back or not, my philosophy on that is to just go for it (it's easy for me to say that b/c I had insurance coverage so I can see being more cautious if this is all out of pocket). Anyway, here's the breakdown of what I did on my successful cycle:

CD22 - uterine biopsy for co-culture / confirmed ovulation and started 2mg estrace
CD22-CD25 and CD1-CD3 - 2mg estrace
CD4 - stop estrace and start low dose HCG 10ius in the am and 300ius Follistim in the am and pm
Cd4-CD15 - continue taking low dose HCG and follistim
CD11-CD14 - start Ganirelix in the pm
CD16 - retrieved 10 eggs and did ICSI along with co-culture / start medrol (steroid)
CD17 - 8 embryos fertilized with ICSI
CD18 - 5 embryos still around
CD19 - 5 embryos made it! took 1 valium and 1 Tylenol3 1 hour prior to transfer (I have a funky cervix so catheters really hurt me). Transfered 4 embryos (8-cell grade1, 7-cell grade1, 2 6-cell grade2) and started 1cc PIO.
During transfer a harpist played live music (I was in the study group of a Harp Study that my clinic was doing...something about the string vibrations, patient relaxation and pregnacy rates).
CD21 - 5th embryo (a 4-cell) arrested

Throughout the cycle I took 1 baby aspirin and a multivitamin high in folic acid. I had been going to acu since February 2008 but started going twice a week starting in August. Did acu the night before transfer and immediately after trasfer. Drank lots of water. Ate pineapple and pinapple core after transfer. Drank raspberry leaf tea in the beginning of the cycle (only a few cups because I ran out and the whole foods by me stopped carrying it).

My clinic doesn't routinely monitor FSH so I don't know what my FSH was for this cycle. I had 10 AFC and this was the highest number I have ever had. I wonder if the back to back cycles had an effect on my AFC (remaining FSH in my system?).

Of the 3 full IVFs I did, this had by far the best quality embryos and I think the co-culture really made the difference....or maybe I just finally got lucky.

 
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  1. hmmm.. - Jess on Jul 2, 4:50 PM
    1. Thanks Jess - Pam on Jul 2, 5:33 PM