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On or off the BCP?

B&C03B&C03
in Success after IF
I currently have an RE but going for a second opinion because I am not happy with my follicle results and want to make sure that this Dr. is doing everything they can. Had a second consult with another Dr.who mentioned not doing the BCP because when I do take them they might be suppressing my ovaries? I produce about 7/8 follicles but felt I should produce more. My FSH is 6 and age is 40 - no other issues except DH morph and motility issue. Oh, I was on 450 Gonal f and 75 Menopaur and Ginirelex last time.
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Re: On or off the BCP?

  • naflmjnaflmj member
    I have a very "active" ovary so BCP is essential to calm them down a bit before stimming. However, I know that there are certainly cases where BCP can oversupress someone and an RE wouldn't recommend them. I think if you are unhappy withj current RE and feel more comfortable with the change in plans of the new on, there is certainly no harm in switching.
    "Normal day, let me be aware of the treasured day you are. Let me learn from you, love you, bless you before you depart...let me hold you while I may."

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    TTC #1- unexplained...lost left ovary 4/07 IUI #1 2/10/09-BFN IUI #2 3/5/09-BFN IVF # 1-BFP

    TTC#2- FET 4/7/11 BFP, Natural mc 5/5/11 IVF#2 ER 9/13/11, ET 9/16/11, Beta #1 9/27/11 BFP 254 Beta #2 9/30/11 793 -Twins!

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  • DavezWifeDavezWife member

    there is an element to the BCP prior to IVF that actually "helps" the ovaries... I want to say the testosterone effect from them??? So I was told that I had to take them, at least to just downregulate things for a few. (I shouldn't be on them d/t blood issues. And I hate them. lol)

    Two things, though... at age 40, that's kinda what I would expect your oves to produce. It doesn't surprise me THAT much. (I say that b/c I'm old too)

    However, I will say, that my best stim out of 3 fresh IVF's was the one where we did VERY minimal lupron and BCP... I want to say just shy of 2 weeks? And I had a few more retrieved, and 100% fert rate. So I'm a fan of "just a nip" prior to stimming.  (FWIW, I was on 450 follistim, 150 meno and lupron to hold me back. This was "hard and fast" compared to what I usually did, pretty much shoving the "low and simmer" theory out the window for me!)

     

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  • artygirlartygirl member

    I have done 3 IVFs with 3 different protocols and have always used BC. 

    IVF #1:  Lupron 1 week prior to stims and 1 week into stims (Follistim & Menopur).  Result:  4 eggs retrieved, 2 embryos remaining at day 3, and a BFP.

    IVF #2:  Bravelle & Menopur with 5 doses of Ganerelix.  4 eggs retrieved, 2wo embryos remaining at day 3, and a BFN.

    IVF #3:  Microdose lupron (10 units) once a day and Bravelle & Menopur.  9 eggs retrieved, 7 blasts remaining at day 5, and a BFP.

    I was 35 for #1 and was 37 for  #2 and #3.  I have PCOS.  For me microdose lupron was the key to my most successful cycle. 

    ETA:  I know I didn't answer your question, but I guess my main point is that there are other protocol changes other than BCP that might be a factor, and that quantity isn't everything!
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  • B&C03B&C03
    Yes, you were helpful . I have two other second opinions to get and waiting for the other one to get back to me because some of my records from my second IVF were missing.
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