Infertility

new protocol

So I was completely removed off from menopu, dropped to 75 of Gonal-F, and started cetrotide. Does this mean I am progressing too quickly? Should I be alarmed?Any insight? 
TC Since 2006
Me: 33
Dx: Hydrosalpinx
DH: 34
Dx: Perfect
IUI #1-4 = BFN
BCP Started 2/23/2014, Tubal ligation surgery 3/5/2014
1 Polyp removed, Tubes are bye bye.
IVF #1 - Gonal-F, Menopur, Cetrotide, Lupron, ER 4/14, Freeze All, OHSS
31R, 28M, 21 fertilized! 
FET#1 - 06/26/14 transferred 5 day blasts 2- 1 4AA and 1 3BB lining at 12 (PIO shots, Progesterone and Estradiol)
Beta 7/10/14 14dp5dt = BFFN
FET#2- 9/25 Transfer day 3, 2- 10 cell Lining at 12
10/2/15 - Progesterone Check 30
10/9/15 - 14dp3dt BFN
4/27/16 - Mock transfer protocol- Vit C, Vit D, DHEA, Prenatal, Lovenox, Estradiol, PIO
FET #3 - 5/18/16 - 





Re: new protocol

  • What stim day was today for you? What doses did you start out on?

    Me & DH (33), 3 Furbabies, TTC since October 2011
    Day 3 #’s (Dec 2012) FSH 9, AMH .77, LH 2.4, E2 31, AFC 9 

    DX: Me-DOR + No Tubes, DH-Fine

    Ectopic 2007; lost tube/2nd tube removed Dec 2011 (hydro)

    April 2012=IVF#1- EPP Antag+ICSI, 2R,0F (BFN), Now dx’d with DOR.

    June-July 2012=IVF#2- MDL+ICSI&AH, 8R,4M,3F (BFP 9dp3dt) Beta#1 at 11dp3dt=36, Beta#2 at 15dp3dt=156, Beta#3 at 19dp3dt=671, dx'd with SCH, no growth-m/c at 7wks/Lap Dec 2012 to remove small fibroid.

    Feb 2013=IVF#3-MDL, 2/1=baseline, started 10 units mdl, AFC-7, 2/3 start gonal f, self cxld cycle b/c of low e2.

    April 2013=IVF#3.5-(with new RE)AG/ANT Conv + ICSI. 4/10-4/23 bcp's, 4/20-4/27 lupron, 4/28-ganirelix until end of stimming, 5/2-600 gonal f, 5/4-add 1/2 vial menopur, 5/13-ER (9R,1M,1F), 5/17-ET, 1 beautiful 8 cell (please be my sticky baby!!!!) 5/28-BFFN.

    Oct 2013=IVF#4-LLP+ICSI &AH, 10/14 (6R, 2M, 2F), 10/17-ET, 1 seven cell & a six cell, BFP at 9dp3dt, 1st beta=56, 2nd beta=52, CP.

    Jan 2014=IVF #5-LLP, Cxld after 6 days of stims due to fast response and lead follicle. 

    March 2014=IVF 5.5-LLP, Lupron 3/10, BL 3/18, 11 days of stims, Trigger 3/29, ER 3/31. 7R, 2M, 2F. ET 4/3. Txfd one 5 cell & one 9 cell. BFP on hpt from 7dp3dt & on. Praise be to God. Beta #1 at 11dp3dt=106, #2 at 13dp3dt=239. First u/s 4/28, measuring on track & heartbeat seen. 5/5-2nd u/s, measuring on track with strong heartbeat. 5/12- 3rd u/s & released from RE. Grow baby grow, we love you! Baby G&T is a BOY! Born 12/2014 via c/s! 8lbs, 8oz & 21 inches.


     *******Ticker Warning**********

     
    Lilypie First Birthday tickers

     
    "God's Delay is not God's Denial"
  • Today was day 7 of stims I started with 1/2 vial menopur and 150 gonal-f
    TC Since 2006
    Me: 33
    Dx: Hydrosalpinx
    DH: 34
    Dx: Perfect
    IUI #1-4 = BFN
    BCP Started 2/23/2014, Tubal ligation surgery 3/5/2014
    1 Polyp removed, Tubes are bye bye.
    IVF #1 - Gonal-F, Menopur, Cetrotide, Lupron, ER 4/14, Freeze All, OHSS
    31R, 28M, 21 fertilized! 
    FET#1 - 06/26/14 transferred 5 day blasts 2- 1 4AA and 1 3BB lining at 12 (PIO shots, Progesterone and Estradiol)
    Beta 7/10/14 14dp5dt = BFFN
    FET#2- 9/25 Transfer day 3, 2- 10 cell Lining at 12
    10/2/15 - Progesterone Check 30
    10/9/15 - 14dp3dt BFN
    4/27/16 - Mock transfer protocol- Vit C, Vit D, DHEA, Prenatal, Lovenox, Estradiol, PIO
    FET #3 - 5/18/16 - 





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  • I don't think starting cetrotide after 7 days is alarming. It's pretty normal to adjust stim dosages as you progress in your cycle. What's your E2 looking like? Do you know the last measurements of your follicles?

    Me & DH (33), 3 Furbabies, TTC since October 2011
    Day 3 #’s (Dec 2012) FSH 9, AMH .77, LH 2.4, E2 31, AFC 9 

    DX: Me-DOR + No Tubes, DH-Fine

    Ectopic 2007; lost tube/2nd tube removed Dec 2011 (hydro)

    April 2012=IVF#1- EPP Antag+ICSI, 2R,0F (BFN), Now dx’d with DOR.

    June-July 2012=IVF#2- MDL+ICSI&AH, 8R,4M,3F (BFP 9dp3dt) Beta#1 at 11dp3dt=36, Beta#2 at 15dp3dt=156, Beta#3 at 19dp3dt=671, dx'd with SCH, no growth-m/c at 7wks/Lap Dec 2012 to remove small fibroid.

    Feb 2013=IVF#3-MDL, 2/1=baseline, started 10 units mdl, AFC-7, 2/3 start gonal f, self cxld cycle b/c of low e2.

    April 2013=IVF#3.5-(with new RE)AG/ANT Conv + ICSI. 4/10-4/23 bcp's, 4/20-4/27 lupron, 4/28-ganirelix until end of stimming, 5/2-600 gonal f, 5/4-add 1/2 vial menopur, 5/13-ER (9R,1M,1F), 5/17-ET, 1 beautiful 8 cell (please be my sticky baby!!!!) 5/28-BFFN.

    Oct 2013=IVF#4-LLP+ICSI &AH, 10/14 (6R, 2M, 2F), 10/17-ET, 1 seven cell & a six cell, BFP at 9dp3dt, 1st beta=56, 2nd beta=52, CP.

    Jan 2014=IVF #5-LLP, Cxld after 6 days of stims due to fast response and lead follicle. 

    March 2014=IVF 5.5-LLP, Lupron 3/10, BL 3/18, 11 days of stims, Trigger 3/29, ER 3/31. 7R, 2M, 2F. ET 4/3. Txfd one 5 cell & one 9 cell. BFP on hpt from 7dp3dt & on. Praise be to God. Beta #1 at 11dp3dt=106, #2 at 13dp3dt=239. First u/s 4/28, measuring on track & heartbeat seen. 5/5-2nd u/s, measuring on track with strong heartbeat. 5/12- 3rd u/s & released from RE. Grow baby grow, we love you! Baby G&T is a BOY! Born 12/2014 via c/s! 8lbs, 8oz & 21 inches.


     *******Ticker Warning**********

     
    Lilypie First Birthday tickers

     
    "God's Delay is not God's Denial"
  • They didn't tell me where my E2 was at but I have 13 follies on my right measuring 14-16mm and 11 on the left measuring the same. Lining was at 10
    TC Since 2006
    Me: 33
    Dx: Hydrosalpinx
    DH: 34
    Dx: Perfect
    IUI #1-4 = BFN
    BCP Started 2/23/2014, Tubal ligation surgery 3/5/2014
    1 Polyp removed, Tubes are bye bye.
    IVF #1 - Gonal-F, Menopur, Cetrotide, Lupron, ER 4/14, Freeze All, OHSS
    31R, 28M, 21 fertilized! 
    FET#1 - 06/26/14 transferred 5 day blasts 2- 1 4AA and 1 3BB lining at 12 (PIO shots, Progesterone and Estradiol)
    Beta 7/10/14 14dp5dt = BFFN
    FET#2- 9/25 Transfer day 3, 2- 10 cell Lining at 12
    10/2/15 - Progesterone Check 30
    10/9/15 - 14dp3dt BFN
    4/27/16 - Mock transfer protocol- Vit C, Vit D, DHEA, Prenatal, Lovenox, Estradiol, PIO
    FET #3 - 5/18/16 - 





  • It could just be that your E2 was rising faster than they wanted and they are changing it up to help prevent OHSS.  I wouldn't be worried, but I'd definitely ask why and what your E2 numbers are, just to know.


    Me 33, DH 37 -- TTC since Jan'12 -- Low AMH (0.78) & endo, SA w/ low motility
    IUI's 1-3 = BFN, IVF converted to IUI 4/13 = BFN
    IVF 1.2: 8R 6M 4F -- 2 blastocysts frozen, FET 8/15 = BFP!!
    Beta #s = 445;1,098; 9,545  -- EDD 5/2 -- Team Pink!
    Camila Josephine arrived 4/30 :)
  • I definitely will ask what my E2 is at. Is there anything else I should ask? Sorry first IVF have no idea what to expect and it seems odd they have slowed down so much in just 1 week
    TC Since 2006
    Me: 33
    Dx: Hydrosalpinx
    DH: 34
    Dx: Perfect
    IUI #1-4 = BFN
    BCP Started 2/23/2014, Tubal ligation surgery 3/5/2014
    1 Polyp removed, Tubes are bye bye.
    IVF #1 - Gonal-F, Menopur, Cetrotide, Lupron, ER 4/14, Freeze All, OHSS
    31R, 28M, 21 fertilized! 
    FET#1 - 06/26/14 transferred 5 day blasts 2- 1 4AA and 1 3BB lining at 12 (PIO shots, Progesterone and Estradiol)
    Beta 7/10/14 14dp5dt = BFFN
    FET#2- 9/25 Transfer day 3, 2- 10 cell Lining at 12
    10/2/15 - Progesterone Check 30
    10/9/15 - 14dp3dt BFN
    4/27/16 - Mock transfer protocol- Vit C, Vit D, DHEA, Prenatal, Lovenox, Estradiol, PIO
    FET #3 - 5/18/16 - 





  • Everything sounds good. They probably just don't want your e2 to skyrocket at the end so they are scaling your meds back a bit. Totally normal. As the pp mentioned, it's always good to know your e2. You sound like you are right on track. Good luck with the remainder of your cycle!

    Me & DH (33), 3 Furbabies, TTC since October 2011
    Day 3 #’s (Dec 2012) FSH 9, AMH .77, LH 2.4, E2 31, AFC 9 

    DX: Me-DOR + No Tubes, DH-Fine

    Ectopic 2007; lost tube/2nd tube removed Dec 2011 (hydro)

    April 2012=IVF#1- EPP Antag+ICSI, 2R,0F (BFN), Now dx’d with DOR.

    June-July 2012=IVF#2- MDL+ICSI&AH, 8R,4M,3F (BFP 9dp3dt) Beta#1 at 11dp3dt=36, Beta#2 at 15dp3dt=156, Beta#3 at 19dp3dt=671, dx'd with SCH, no growth-m/c at 7wks/Lap Dec 2012 to remove small fibroid.

    Feb 2013=IVF#3-MDL, 2/1=baseline, started 10 units mdl, AFC-7, 2/3 start gonal f, self cxld cycle b/c of low e2.

    April 2013=IVF#3.5-(with new RE)AG/ANT Conv + ICSI. 4/10-4/23 bcp's, 4/20-4/27 lupron, 4/28-ganirelix until end of stimming, 5/2-600 gonal f, 5/4-add 1/2 vial menopur, 5/13-ER (9R,1M,1F), 5/17-ET, 1 beautiful 8 cell (please be my sticky baby!!!!) 5/28-BFFN.

    Oct 2013=IVF#4-LLP+ICSI &AH, 10/14 (6R, 2M, 2F), 10/17-ET, 1 seven cell & a six cell, BFP at 9dp3dt, 1st beta=56, 2nd beta=52, CP.

    Jan 2014=IVF #5-LLP, Cxld after 6 days of stims due to fast response and lead follicle. 

    March 2014=IVF 5.5-LLP, Lupron 3/10, BL 3/18, 11 days of stims, Trigger 3/29, ER 3/31. 7R, 2M, 2F. ET 4/3. Txfd one 5 cell & one 9 cell. BFP on hpt from 7dp3dt & on. Praise be to God. Beta #1 at 11dp3dt=106, #2 at 13dp3dt=239. First u/s 4/28, measuring on track & heartbeat seen. 5/5-2nd u/s, measuring on track with strong heartbeat. 5/12- 3rd u/s & released from RE. Grow baby grow, we love you! Baby G&T is a BOY! Born 12/2014 via c/s! 8lbs, 8oz & 21 inches.


     *******Ticker Warning**********

     
    Lilypie First Birthday tickers

     
    "God's Delay is not God's Denial"
  • They didn't change your protocol, just adjusted the dosage of meds. Don't worry. I started Ganirelix (same function as Ceterotide) after 6 days of stims last time. Sounds like you're on track and have some good follies developing!
    *** TW ***
    2013: BFP #1 - M/C 3/13
    2014: IVF #1-4 = BFFN
    2015: Dance break = got healthy
    7/2016: IVF #5 = BFP!!!
    Babysizer Cravings Pregnancy Tracker
  • cls78cls78 member
    Yesterday was my fourth day on stims and they already cut me back some. I went down from 2 Bravelle to 1 and a 1/2 Bravelle. Tonight I add the Granirelix injection.

    GL to you!
    TTC since May/June 2012 
    Sept 2013 testing:
    SA #1 Low motility (17%) 
    SA #2 Lower sperm count, but much higher motility
    CD 3 Bloodwork and ultrasound - Normal HSG - Clear tubes 
    Oct/Nov 2013 Cycle 1 with RE 50 mg Clomid + Ovidrel + IUI BFN  
    Nov/Dec 2013 Cycle 2 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    Jan/Feb 2014 Cycle 3 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    2/20/14 Follow up consult RE recommends IVF with ICSI 
    3/10/14 New patient consult with RMA NJ 
    3/11/14 AMH and other Bloodwork to prep for IVF with ICSI at RMA NJ
    3/28/14 Saline Sonogram - All good
    March/April 2014 IVF #1 Antagonist Protocol
    BCP/Bravelle/Menopur/Ganirelix
    4/16/14 ER 26 Retrieved!!!
    4/17/14 Fert Report 22 Mature 21 Fertilized w/ ICSI
    4/22/14 Report #2 15 BLASTS
    5/24/14 FET!!!  (Transferring 2 snowflakes)
    6/2/14 Beta #1 575!!! :)
    6/4/14 Beta #2 2060!!! :)
    6/11/14 1st Ultrasound...Saw 2 Gestational Sacs!!  Beta #3 34,312!!! 
    6/18/14 2nd Ultrasound...Heartbeats!! Baby A 112bpm Baby B 117bmp <3 Beta #4 172,080!!!
    6/25/14 3rd Ultrasound...Heartbeats!! Baby A 150bpm Baby B 158bpm <3 Beta #5 232,134!!! 
    7/3/14 4th Ultrasound...Heartbeats!! Baby A 173bpm Baby B 162bpm <3 Beta #6 269,228!!!
    Graduated from RMA!!  First appt with OB 7/8/14

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