Hello dear,

I am so confused mainly because my clinic screw me up 3 times. The first time and second time lupron for over 2 month for the donors for sure the first one. I don't want lupron that long. But cetrotide from my own experience I ovulated before retrieval. So I worry if that happens to them too. Did your cycle have lupron /cetrotide? Have you heard aDE cycle ovulation happen early before egg retrieval?


How I would approach my clinic, they don't coordinate the cycle they just say you should be fine start the estrace..... In previous clinic coordinating the cycle took enough effort and time, why not with this clinic. How I should tell them it must be changed and done the right way. I rarely slept these days saying how to talk to them. I explain to dh and he thinks it is useless to bring up things past. Just to talk what I want now, but if so they don't give me time. The coordinator I speak to she is usually on rush, and doesn't lesson. Like when I ask something and I am waiting the answer. She says "haha..." but I want an answers/ comment not noises. Honestly, I think I will explode about this. For sure I am thinking to talk to re. But please help me how should I be polite/mentioning my concerns and also not interrfering their professional/job. I don't want the coordinator to think anything else when/if I talk to the re. Not to offend her.

Anything you want me to know, please. I will mean alot help. Even if you write down for me what to say to them. I tried this one one time, it didn't help. But still I will try.

Thanks

But it's is HARD to ask questions and make suggestions and get answers.

But in my case...they make mistakes...this is what I discovered.

So you have to speak up.

I don't know the issue but essentially I would just be as persistent and polite as possible. If they say 'no' say that if there is no medical reason it threatens the health of the embryo or implantation then it would do something for your peace of mind.

I would emphasize it would help you to relax maybe and you wouldn't have to worry and this is a good reason?

I already told them no lupron, but also I don't want to be done carelessly as before and then say to me " you see. You chose this way, and this happen.." I want them to work with me and give me the best advise.
Thanks

You take Lupron on a daily basis before starting stimulation medicine. Cetrotide is started when the follicles start getting around 13 mm - normally day 5 or 6. It is a preloaded injection given every day from day 5/6 until day of trigger injection. Its normally used in a none down regulated cycle. We use it alot here.

about if the donor ovulate before the retrieval. It happens to me one time with OE. I think I prefer the lupron but not for so long time.

Thanks E&H, did you say you use the cetrotide alot? what can you say about it, comparing to lupron.

Thanks

As long as the donor starts cetrotide daily from the time her follicles are around 13 mm she won't ovulate. We have fabulous success with cetrotide cycles. My success with twins was on a cetrotide cycle and I use it whenever I can, it saves about 3 weeks of injections - only 12 days in all. In my opinion I'd do it any day. Here donors start pills for 21 days from day 2 of period, period will come on 4th or 5th day after stopping pills, start stimulation medicine on day 2 of that period - scan day 5, start cetrotide along with stims normally either day 5 or day 6 of stims. Total stims normally 10 days, trigger and ER 36 hours later - very easy and very quick.

your post means alot to me.

thanks