I had my baseline ultrasound (and bloodwork, of course) for the start of IVF #2 this morning. If my bloodwork is good (somthing about my numbers need to be low and I don't know what that means) I'll start on micro-dose Lupron on Friday.
I'm trying to be much more engaged in this cycle and not just "lay back" and go with the flow, since I wonder if I had asked more questions or pushed on some things when it wasn't going so well with IVF #1 I might have had a different result. My clinic is not very upfront with information (they seem to just tell you the bare minimum they think you need to know- i.e. change your dose to X and come in on Y day for more test, etc.) and even after doing all sorts of reading about IVF, I didn't feel comfortable asking questions or know exactly what to ask, so I feel feeling more comfortable asking questions now that I've been through the process before.
Per the ultrasound, I currently have 4 follicles on each side, and I asked the RE (not mine) who assisted the tech if that was all I could expect and she said, "yes, unless some were hidden," which freaked me out, since last time I only ended up with 9 total, with 7 mature eggs and 4 fertilized and only two "good/fair" embryos, neither of which took and nothing to freeze. When we did my baseline in Oct before starting cycling, I had 6 on each side and 12 total. I don't know what I started with on my first IVF, since no one told me (again with the not sharing of info!!!)
According to my RE, when we had our WTF appointment, we should get more follicles with the micro-dose Lupron protocol, but when I asked that to the nurse who gave me my meds calendar (after the ultrasound) for the next week, she was much more evasive about the outcome we might get from the micro-dose Lupron. The whole "we don't know how you will react," etc. and I couldn't get her to confirm that the whole point of the micro-dose Lupron was to get more folllicles, so now I'm confused. She did say that this was a much more agressive protocol than the antagonist protocol I was on for IVF #1.
Mostly I'm just venting/sharing, since I don't have anyone else to talk to about this, but I'm also wondering if anyone knows more about the micro-dose Lupron protocol and if I can expect to get more follicles from it. I started taking a bunch of supplements last month (on the RE's recommendation) CoQ10, DHEA, etc., but according to my acupuncturist I would need at least two months for those to start being effective. So I'm wondering if I would be better off postponing this cycle to allow the supplements long to work and see if I can get more follicles at baseline. We are all OOP so it is very scary to think that we wouldn't get more embryos out of this cycle. I mentioned being concerned about my starting point to the nurse, but she didn't think it was anything to be concerned about and that it would be way to early to consider cancelling.
Me 37 y/o, DH 45 y/o; DH vasectomy reversal (his 2nd marriage) 11/8/12; TTC since 12/8/12. IVF due to MFI. DOR diagnosis April 2015.
IVF #1 BCPs/Antagonist w/ICSI Jan 2014 = BFN
IVF #2 MDL w/PICSI March 2014 = BFN
IVF #3 EPP/Antagonist w/PICSI May/June 2014 = BFP!; MMC 6w4d
IVF #4 No suppression/Antagonist Nov 2014/Converted to IUI #1 = BFN
IVF #4.1 Feb 2015 = cancelled
IVF #4.2 April 2015 - Lupron Stop Protocol with ICSI = PGD testing of embryo indicated it was abnormal
IVF #5 June 2015 EPP with Antagonist