LH or no LH?
2 Replies
chase - January 18

Dr. Smith, please forward this message to Dr. Jane. Thank you very much.

Dr. Jane,

I am 37 years old and am about to start my first ivf cycle using the microdose lupron protocol. Questions:

1. Do you use the microdose lupron protocol if you do not yet know the response of the patient (I thought it was for poor responders. I have never taken any injectible fertility medications. Just clomid for the ccct)?

2. Do you use LH with the protocol. If not, why not?

3. What significant differences have you seen in this protocol with and without LH?

This protocol is very controversial and I am reluctant. My doctor says its best for my age but I am concerned about the addition of LH.

Thank you very much Dr. Jane

 

Dr Smith - January 19

Done.

 

Dr Jane - January 19

Hello,
Your doctor probably picked this protocol because of your FSH (approaching or over 10?) and/or because of a low # of ovarian follicles at baseline (4 or fewer per ovary). It can be a successful protocol if used correctly. LH addition is not needed because the patient's endogenous LH (her own) is not suppressed as it is with the usual Long Lupron down Regulation protocol. In fact, some people are afraid of too much LH at the beginning of the cycle - but there is no concensus on this. It's OK to use this protocol to start . The worse case scenario is that there is too much of a response (unexpected) and the cycle is cancelled. This is, however, unlikely.
Good luck.
Dr. Jane

 

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