Infertility

Confused - what protocol am I on? (saifw/paifw)

I just got the call that I'm going in tomorrow for a CD3 u/s (!!!).  Apparently, I will start aygestin 2x a day starting tomorrow.  Then, Lupron starts CD10.  Then, I'm supposed to get a "Lupron menses" and I am not sure what that means.  And around CD17 after that Lupron menses, I start stims. Projected ER on CD14.

I *thought* I was going to be on the long lupron protocol but this doesn't sound like it.  

Feedback please?  Thanks ladies!

11/10: IUI #1 =100mg Clomid CD4-8 + pregnyl trigger + IUI = chemical pregnancy
1/11: IUI #2 = 5mg Femara + trigger + IUI = BFN
2/11: IUI #3 = injectibles + trigger + IUI = BFN
IVF #1 April 2011 ER 4/23 w/16 eggs retrieved, 14 mature, 11 fert., 4 blasts to freeze, 5dt of 2 blasts on 4/28, beta #1 5/7 = 243... beta #2 5/9 = 491....beta #3 5/11 = 1113!!
my blog

2011-02-04_11-37-12_452
Pregnancy Ticker

Re: Confused - what protocol am I on? (saifw/paifw)

  • I'm not sure what aygestin is...aside from that, it sounds like long lupron.

    You get a lupron period on lupron, and when u get that...u have to go in for a vag cam date.

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  • Thanks V! (ps everytime I see your doggy's pic i want to steal him!)

    I thought long lupron started lupron suppression on CD21/7dpo?

    PS what is a lupron period?  

    11/10: IUI #1 =100mg Clomid CD4-8 + pregnyl trigger + IUI = chemical pregnancy
    1/11: IUI #2 = 5mg Femara + trigger + IUI = BFN
    2/11: IUI #3 = injectibles + trigger + IUI = BFN
    IVF #1 April 2011 ER 4/23 w/16 eggs retrieved, 14 mature, 11 fert., 4 blasts to freeze, 5dt of 2 blasts on 4/28, beta #1 5/7 = 243... beta #2 5/9 = 491....beta #3 5/11 = 1113!!
    my blog

    2011-02-04_11-37-12_452
    Pregnancy Ticker
  • imageOCW2010:

    Thanks V! (ps everytime I see your doggy's pic i want to steal him!)

    I thought long lupron started lupron suppression on CD21/7dpo?  Typically you would start Lupron on your last week of bcps...

    PS what is a lupron period?  your period while on Lupron 

    SAIFW
    TTC since 2008 dx PCOS & MFI
    Clomid/Femara no "O"
    IVF #1 BFN
    FET #1 cancelled for biopsy
    FET #1.2 c/p, July 2012 c/p
    IUI #1 & 1.2 canceled
    IVF #2 ER 12/1, Freeze all due to OHSS
    FET #2.1 cancelled due to DVT risk, FET #2.2 Jan 2013
    my blog
    image
  • Thanks Jlynn!

    I'm still confused.  I guess I should just wait for the RE to call me back.  But I'm not doing BCPs...

    11/10: IUI #1 =100mg Clomid CD4-8 + pregnyl trigger + IUI = chemical pregnancy
    1/11: IUI #2 = 5mg Femara + trigger + IUI = BFN
    2/11: IUI #3 = injectibles + trigger + IUI = BFN
    IVF #1 April 2011 ER 4/23 w/16 eggs retrieved, 14 mature, 11 fert., 4 blasts to freeze, 5dt of 2 blasts on 4/28, beta #1 5/7 = 243... beta #2 5/9 = 491....beta #3 5/11 = 1113!!
    my blog

    2011-02-04_11-37-12_452
    Pregnancy Ticker
  • imageOCW2010:

    PS what is a lupron period?  

     The period you get while on Lurpon!! My nurse always schedules mine in so I know it's coming!

    Renee- 37 DH - Chad - 39
    2/06 - surprise pregnancy - twins
    3/06 - m/c 1st baby at 6 weeks 
    5/06 -2nd baby had no heartbeat at 14 wks.
    D&E - Bled out. Blood transfusions. Week in ICU - Cheated Death!
    Diagnosis: Blood clotting and bleeding disorder, immune issues, & cervical stenosis
    5/10 - 1st IVF cycle - BFN
    FET - 10/12/10 - BFN
    1/11 - IVF with PGD - BFN
    IVF - May - BFN
    6/11 New RE - fingers crossed!
    9/11 - IVF - 4 transferred
    10/13 - BFP!!
    It's a boy! Clint Michael, Due in June!!!

    image
    Baby Birthday Ticker Ticker





  • STL34STL34 member
    imageOCW2010:

    Thanks Jlynn!

    I'm still confused.  I guess I should just wait for the RE to call me back.  But I'm not doing BCPs...

    Aygestin can be used in place of BCPs.  Are you stopping the Aygestin after starting Lupron?  Like with Provera, you usually get a withdrawal bleed so many days after stopping it.  This would be your Lupron period.

    It definitely sounds like long lupron to me.  I used estrace/provera instead of BCPs for my long lupron cycle.  They overlapped the estrace/provera with Lupron and then I stopped estrace/provera and had a withdrawal bleed (Lupron period).  Then I had a baseline u/s and then started stims! 

    Good luck, hon!

    imageimage


    ~SAIF/PAIF/Everyone Welcome~ 

    Me= 37 and DH = 41 

    Dx: DOR, Endo, APA+ (really high beta 2 glycoprotein antibody and high everything else tested), heterozygous MTHFR mutation, positive for lupus anticoagulant, high FSH, low AMH and both tubes blocked (per HSG on 3/8/11)

    IVF #1 - long lupron (with HGH, intralipids, lovenox and BA); 4 retrieved, 3 fertilized; ET 2 blasts and 1 frozen = BFN

    IVF #2 - a version of antagonist with EPP (with HGH, intralipids, lovenox and BA); 6 retrieved, 4 mature, 3 fertilized, 2 blasts and 1 frozen blast transferred on day 5 = BFN.

    IVF #3 April was postponed to May, May was canceled. June/July was canceled. Had a cyst aspiration and then began IVF #3 in August. ER on 8/22; ET on 8/24 with AH. +HPT on 9/5. Beta #1 (11dpo) = 3; Beta #2 (15dpo) = 29; Beta #3 (17dpo) = 60; Beta #4 (19 dpo) = 118. Heartbeat at 6 weeks 6 days =132.  Lil is here!

    TTC#2:  Trigger + TI = BFN; Clomid + Trigger + IUI = BFN.

    IVF #4:  BCP + MDLF + Lovenox = 7R, 1F = Transferred 1 6-cell embryo on day 3 = BFN

    IVF #5:  MDLF + Lovenox = 4R, 1F = Transferred 1 10-cell compacting embryo on day 3 = BFN

    IVF #6:  (New RE):  Long Antagonist November 2014 (transferred two 8 cell grade 1 embryos and froze one blast) = BFN

    FET#1:  BFN

  • It sounds like long lupron without bcp.  If you were on bcp, you'd start lupron later in your cycle. 

    Good luck!!

    IVF #3 = Feb 2012
    beta#1 3/21 (14dp3dt)=413, beta#2 3/23 (16dp3dt)=785, u/s 4/11
    EDD 11/25/12
    **SAIFW** Baby Birthday Ticker Ticker
  • imageSTL34:
    imageOCW2010:

    Thanks Jlynn!

    I'm still confused.  I guess I should just wait for the RE to call me back.  But I'm not doing BCPs...

    Aygestin can be used in place of BCPs.  Are you stopping the Aygestin after starting Lupron?  Like with Provera, you usually get a withdrawal bleed so many days after stopping it.  This would be your Lupron period.

    It definitely sounds like long lupron to me.  I used estrace/provera instead of BCPs for my long lupron cycle.  They overlapped the estrace/provera with Lupron and then I stopped estrace/provera and had a withdrawal bleed (Lupron period).  Then I had a baseline u/s and then started stims! 

    Good luck, hon!

    Thanks ST!

    Yes, I stop Aygestin 3 days or so after starting Lupron.  Does it matter that I am starting Aygestin on CD3, and Lupron on CD10?  That would make my Lupron period come around CD16 or so.  Is it normal to have a non-normal cycle length the cycle before my IVF cycle?

    11/10: IUI #1 =100mg Clomid CD4-8 + pregnyl trigger + IUI = chemical pregnancy
    1/11: IUI #2 = 5mg Femara + trigger + IUI = BFN
    2/11: IUI #3 = injectibles + trigger + IUI = BFN
    IVF #1 April 2011 ER 4/23 w/16 eggs retrieved, 14 mature, 11 fert., 4 blasts to freeze, 5dt of 2 blasts on 4/28, beta #1 5/7 = 243... beta #2 5/9 = 491....beta #3 5/11 = 1113!!
    my blog

    2011-02-04_11-37-12_452
    Pregnancy Ticker
  • imageFaith722:

    It sounds like long lupron without bcp.  If you were on bcp, you'd start lupron later in your cycle. 

    Good luck!!

    I think my little dim light bulb just went off.

    This is making sense to me now.

    And kimarino, thank you for talking me through my hysterics on gchat.  lol

    Love you girls!!

    11/10: IUI #1 =100mg Clomid CD4-8 + pregnyl trigger + IUI = chemical pregnancy
    1/11: IUI #2 = 5mg Femara + trigger + IUI = BFN
    2/11: IUI #3 = injectibles + trigger + IUI = BFN
    IVF #1 April 2011 ER 4/23 w/16 eggs retrieved, 14 mature, 11 fert., 4 blasts to freeze, 5dt of 2 blasts on 4/28, beta #1 5/7 = 243... beta #2 5/9 = 491....beta #3 5/11 = 1113!!
    my blog

    2011-02-04_11-37-12_452
    Pregnancy Ticker
  • STL34STL34 member
    imageOCW2010:
    imageSTL34:
    imageOCW2010:

    Thanks Jlynn!

    I'm still confused.  I guess I should just wait for the RE to call me back.  But I'm not doing BCPs...

    Aygestin can be used in place of BCPs.  Are you stopping the Aygestin after starting Lupron?  Like with Provera, you usually get a withdrawal bleed so many days after stopping it.  This would be your Lupron period.

    It definitely sounds like long lupron to me.  I used estrace/provera instead of BCPs for my long lupron cycle.  They overlapped the estrace/provera with Lupron and then I stopped estrace/provera and had a withdrawal bleed (Lupron period).  Then I had a baseline u/s and then started stims! 

    Good luck, hon!

    Thanks ST!

    Yes, I stop Aygestin 3 days or so after starting Lupron.  Does it matter that I am starting Aygestin on CD3, and Lupron on CD10?  That would make my Lupron period come around CD16 or so.  Is it normal to have a non-normal cycle length the cycle before my IVF cycle?

    Some REs have you on BCPs/or alternatives to make your cycle longer, some make it shorter and some actually go with your cycle length.  It all depends on your RE.  I had one cyle that was extended (my normal cycle is usually 28-30 days long they made if 41 or so days long) and one that was shortened (it was only about 10 days long).  In my case, my clinic has actual start dates.  So they adjust your cycle so that you can make a start date.  Some REs have other reasons!

    Good luck!

    imageimage


    ~SAIF/PAIF/Everyone Welcome~ 

    Me= 37 and DH = 41 

    Dx: DOR, Endo, APA+ (really high beta 2 glycoprotein antibody and high everything else tested), heterozygous MTHFR mutation, positive for lupus anticoagulant, high FSH, low AMH and both tubes blocked (per HSG on 3/8/11)

    IVF #1 - long lupron (with HGH, intralipids, lovenox and BA); 4 retrieved, 3 fertilized; ET 2 blasts and 1 frozen = BFN

    IVF #2 - a version of antagonist with EPP (with HGH, intralipids, lovenox and BA); 6 retrieved, 4 mature, 3 fertilized, 2 blasts and 1 frozen blast transferred on day 5 = BFN.

    IVF #3 April was postponed to May, May was canceled. June/July was canceled. Had a cyst aspiration and then began IVF #3 in August. ER on 8/22; ET on 8/24 with AH. +HPT on 9/5. Beta #1 (11dpo) = 3; Beta #2 (15dpo) = 29; Beta #3 (17dpo) = 60; Beta #4 (19 dpo) = 118. Heartbeat at 6 weeks 6 days =132.  Lil is here!

    TTC#2:  Trigger + TI = BFN; Clomid + Trigger + IUI = BFN.

    IVF #4:  BCP + MDLF + Lovenox = 7R, 1F = Transferred 1 6-cell embryo on day 3 = BFN

    IVF #5:  MDLF + Lovenox = 4R, 1F = Transferred 1 10-cell compacting embryo on day 3 = BFN

    IVF #6:  (New RE):  Long Antagonist November 2014 (transferred two 8 cell grade 1 embryos and froze one blast) = BFN

    FET#1:  BFN

  • imageSTL34:
    imageOCW2010:
    imageSTL34:
    imageOCW2010:

    Thanks Jlynn!

    I'm still confused.  I guess I should just wait for the RE to call me back.  But I'm not doing BCPs...

    Aygestin can be used in place of BCPs.  Are you stopping the Aygestin after starting Lupron?  Like with Provera, you usually get a withdrawal bleed so many days after stopping it.  This would be your Lupron period.

    It definitely sounds like long lupron to me.  I used estrace/provera instead of BCPs for my long lupron cycle.  They overlapped the estrace/provera with Lupron and then I stopped estrace/provera and had a withdrawal bleed (Lupron period).  Then I had a baseline u/s and then started stims! 

    Good luck, hon!

    Thanks ST!

    Yes, I stop Aygestin 3 days or so after starting Lupron.  Does it matter that I am starting Aygestin on CD3, and Lupron on CD10?  That would make my Lupron period come around CD16 or so.  Is it normal to have a non-normal cycle length the cycle before my IVF cycle?

    Some REs have you on BCPs/or alternatives to make your cycle longer, some make it shorter and some actually go with your cycle length.  It all depends on your RE.  I had one cyle that was extended (my normal cycle is usually 28-30 days long they made if 41 or so days long) and one that was shortened (it was only about 10 days long).  In my case, my clinic has actual start dates.  So they adjust your cycle so that you can make a start date.  Some REs have other reasons!

    Good luck!

    Gotcha, thanks so much ST!  And yes, it looks like what they are doing is shortening my cycle.  And apparently they call it the long lupron protocol.  Also, the nurse said the most common protocol in their office is to use lupron in conjunction with Aygestin, rather than start lupron on CD21/dpo. 

    11/10: IUI #1 =100mg Clomid CD4-8 + pregnyl trigger + IUI = chemical pregnancy
    1/11: IUI #2 = 5mg Femara + trigger + IUI = BFN
    2/11: IUI #3 = injectibles + trigger + IUI = BFN
    IVF #1 April 2011 ER 4/23 w/16 eggs retrieved, 14 mature, 11 fert., 4 blasts to freeze, 5dt of 2 blasts on 4/28, beta #1 5/7 = 243... beta #2 5/9 = 491....beta #3 5/11 = 1113!!
    my blog

    2011-02-04_11-37-12_452
    Pregnancy Ticker
  • No advice but yippeee to the start of your cycle!!
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