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My protocol has always been what is called an agonist/antagonist EPP protocol and I always start cetrotide/ganerilix on CD 1. SIRM believes that too much LH is an issue for many poor responders and older patients so they use it to suppress LH. When I did an IUI with Dr. T we used cetrotide when my largest follie was 17 to allow the other follies to catch up.
Like the previous poster...I'm confused as to how Ganerilix causes suppression.