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   Author  Topic: what to do  (Read 405 times)
Sarah81
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what to do
« on: 07/28/05, 16:20 »
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Hello,

I'm 24 years old and have had two failed IUI's using 5mg of Letrozole. Dr. believes  I am pco because of a constant high LH, however all other tests ex insulin resistance ultrasounds etc.. have come back normal. This cycle will be my third IUI using the same protocol. In general how long do you continue with the same protocol before trying something else? My RE does not want to use injectable because as she puts it she fears I will sky rocket because of my age and they would have to cancel the cycle. However I feel my chances would be better with at least one injectable instead of just letrozole which only stimulates one follicle. What do you think?

Thank you

Sarah
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Barry Jacobs, M. D.
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« Reply #1 on: 07/28/05, 18:13 »
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All of the published datashow that you reach the point odiminishing returns at 3 to 4 cycles of any protocol.  I have seen no data regarding letrozole and IUI.  Letrozol, alone, looks very promising for just ovulation iduction.  It still may be necessary to use an FSH product tostimulate your ovaries.
Good luck.
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