What is/was your follistim and menopur dosage?

nawlinsgrl

I just started stims for my first IVF yesterday, and I get the feeling I'm on a pretty entry level dosage for my meds.  I am taking 150 iu of follistim and two vials of menopur.  I was just curious how that compares to what others are taking, and what the rationale was for various doses.

 

Edwina.McDunnough

This is a complicated question because some protocols call for a specific cocktail and at different doses at different times. Some clinics have a step down approach, others stim steady. And then on top of all that, your meds can change according to your actual response. Some REs think the extra LH is helpful, others think it is not.

I am AMA. Details in my sig.

300/150 did fine, steady stim

450/150 max meds and got 2 lead follies, steady stim

450/150 w EP max meds, EP to prevent lead follies, steady stim

300/300 new clinic, step down, triggered earlier, best cycle ever

300/300 step down but actually stimmed steady, triggered earlier, worst cycle ever

UMichGirl

I am starting at 300iu follistim and 2 vials menopur.

DrRx

I was on Follistim 75 and 1 vial of Menopur for 9 days, stepped down to 50 Follistim and 1/2 vial of Menopur for 2 days, and then just Follistim 50 for 1 day, then triggered the next day. I started off kind of slow and then my numbers started taking off towards the end. I had a highish AFC, but I'm not sure what the number was, which is why they started me with just 1 vial of Menopur instead of 2.
Good luck with your cycle!

mtlaurel

450 follistim/150 menopur. DOR and AMA = high doses.

Mrs.McIrish

300/300 of both. AMA/dor too. I also did epp/ ganirelix in precycle before stims. Eta: i only got 3 follies...

Mrkyrain

300 of menopur (4 vials) and 300 of Gonal F (stims) with either Microdose Lupron (cycle 1) or Ganerelix (cycle 2).  I also did BCP (cycle 1) and an Estrogen Patch (cycle 2).  

However, I don't think you want to compare your dosage against other people.  More is not necessarily better, it is just different.  It really depends on your dx and body.  I would never want to see someone without a DOR diagnoses taking the dosage of injects that I have been on.

nawlinsgrl

Mrkyrain:

300 of menopur (4 vials) and 300 of Gonal F (stims) with either Microdose Lupron (cycle 1) or Ganerelix (cycle 2).  I also did BCP (cycle 1) and an Estrogen Patch (cycle 2).  

However, I don't think you want to compare your dosage against other people.  More is not necessarily better, it is just different.  It really depends on your dx and body.  I would never want to see someone without a DOR diagnoses taking the dosage of injects that I have been on.

I wasn't necessarily looking to take more, but did want to make sure I am taking enough (would definitely prefer, as would everyone, to only go through this once).  I was just curious to get an idea of how they determine which dosage to give people.   I find out tomorrow if they are going to adjust my dosage at all, so I know there is room for adjustment. Seeing people's dosages and explanations for it helps me understand why they started me where they did, and I feel more comfortable with it.  Thanks for sharing!

Edwina.McDunnough

nawlinsgrl:

Mrkyrain:

300 of menopur (4 vials) and 300 of Gonal F (stims) with either Microdose Lupron (cycle 1) or Ganerelix (cycle 2).  I also did BCP (cycle 1) and an Estrogen Patch (cycle 2).  

However, I don't think you want to compare your dosage against other people.  More is not necessarily better, it is just different.  It really depends on your dx and body.  I would never want to see someone without a DOR diagnoses taking the dosage of injects that I have been on.

I wasn't necessarily looking to take more, but did want to make sure I am taking enough (would definitely prefer, as would everyone, to only go through this once).  I was just curious to get an idea of how they determine which dosage to give people.   I find out tomorrow if they are going to adjust my dosage at all, so I know there is room for adjustment. Seeing people's dosages and explanations for it helps me understand why they started me where they did, and I feel more comfortable with it.  Thanks for sharing!

If you take too much you likely get lead follies that develop fast and hog all the meds so in the end you get fewer, possibly crappier, mature eggs.

They set your dose based on your hormone levels, your response to meds in the past, especially injectable medications. It can take several tries to come up with a protocol and dosing that is "best" for you if you are a tough case, and this is where experience and an individualized approach can make a difference.

AmberB75

The RE is choosing your meds based on many factors am it's impossible to really compare with others. I was only on 25 iui of Follistim for my last cycle. Good luck!

ellenchris0506

My first two cycles were the exact same dosages as you are on now!

I didn't respond very well (6 eggs first IVF and 4 eggs second IVF), so they upped my dosage this time.  I will start on 225 Units of follistim and 3 vials of menopur.

 

 

justlld

I know that everybody's doses are so individual, but I am really surprised.  Mine are super low relatively.  I'm on 150 Follistim and 75 menopur, but I'm only 26 and dx "unexplained,"  and this is my first IVF cycle.  I'm having an estradiol blood test on Friday, and a monitoring ultrasound on Sunday, so I know that my RE will adjust my dose if necessary. Hopefully there's a good response though, now I'm a little nervous...