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Topic: Failed IVF Cycle: Help Dr. Jacobs (Read 523 times) |
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Bmorrison
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I am 37yo and hubby is 50. Male factor, had varicoele repair, IVF with ICSi still suggested by RE. My FSH 5.5 and Estradiol 27. Here is how my stim went: OCs 11/26-12/24/07. Started Bravelle and Menopure 150 IU x 7 days, Bravelle 112.5 and Menopure 75 IU x 1day, Bravelle and Menopure 75IU x 1day, Centrotide x 4days and triggered with Ovidrel 250mcg. Started Stim injections on 1-3-07. Had first u/s and blood on 1/8 (E2 level 1310 and 13 follicles) 2nd u/s and blood 1/10 (E2 2154 and 20 follicles) 3rd u/s and blood 1/11(E2 2763 and 25 follicles) 1/11 lead follicles 23, 10, 19x2, 18x2, 17x4, 16x3. Was never monitored again after 1/11. RE office called that day and said to trigger at 8pm on 1/12 with retrevial set for 7am on 1/14. At retrevial only 6 eggs were obtained, only 2 fertilized with ICSI. Had 3 day transfer with grade 1 -(7 cell) and grade 3-(6 cell). Failed IVF cycle. The real kicker is I had a 1 time only chance on my insurance. Any advice on what should have been done differently and what questions should I ask my RE? Why only 6 eggs? Do you think my E2 was too high? should they have monitored me after 1/11 and before 1/14?
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B. Jacobs, M. D.
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Re:Failed IVF Cycle: Help Dr. Jacobs
« Reply #1 on: 02/04/08, 16:38 » |
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The protocol you used is quite different from what i use for my patient who ate 37 or older. Each program has a set of protocols they are comfortable using. I use only FSH, and no the products like Menopure, which contain LH. I am in the minority in that regard. I do not use Cetrotide, but, instead use a microdose flare protocol. Also, please note that the stimulation protocol may not have been the problem. The fact that you are 37 and not 27 is very important.
Good luck.
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Bmorrison
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Re:Failed IVF Cycle: Help Dr. Jacobs
« Reply #2 on: 02/04/08, 18:23 » |
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Dr. Jacobs
Thank you for your quick reply. My question is this: How could I have had so many follicles, but so few eggs. Were my E2 levels rising too quickly? In my inital post I included my follicle sizes and E2 levels. Should I have been monitored after my last u/s on 1/11 before retrevial on the 1/14? According to my RE the problem was that I did respond like a 27 year old, not like a 37 year old. I am a nurse, and it just seems to me that I produced many follicles too quickly. The size range I included were from the last u/s taken the day before my trigger.
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B. Jacobs, M. D.
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Re:Failed IVF Cycle: Help Dr. Jacobs
« Reply #3 on: 02/04/08, 21:15 » |
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I really do not know why more eggs were not retrieved. The best person to try to answer that question is the RE of did the procedure.
Good luck.
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