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IFer with IFV kind of question about IVF - Lupron trigger

Hello experienced ladies -

I posted on PAIF about success with an antagon protocol and many of the women mentioned that they triggered with Lupron and that Lupron, as opposed to HCG (Ovidrel or whatever), doesn't cause OHSS even if you have many follicles.

I think I will be triggering with Lupron this next cycle (in June) - my doc left me a message that triggering will be different this time. (We're meeting face to face next week for our WTF and I will ask then.)

Why doesn't Lupron cause OHSS?

Looking for a nerd-tactular answer here. Geeked

Thanks in advance, oh wise ones.

BzeetyD = 38, Mr. BzeetyD = 44 together 12/02 married 9/08
TTC #1 since 1/10
DX: Unexplained/??? MFI issues

Our lil' lost sparks:
5w3d loss 7/30/10 - EDD March 2011
8w loss 4/15/11 - EDD November 2011
8w3d loss 8/2/12 - EDD March 2013
4w c/p loss 10/29/12 - EDD July 2013

Long story: trying on our own + testing testing testing with 6 rounds of Clomid, more testing, injectables + TI, laparoscopy - one tube blocked, 2 IUIs with Follistim...BFNs.
RPL testing all normal, Karyotyping normal

Moving on to IVF.

IVF #1 April 2012 = BFN, IVF #2 June 2012 = BFP. U/S 7/23 = saw heartbeat but measuring behind. Follow up U/S on 7/30 - no heartbeat. D&C 8/2. Trisomy 12. IVF #3 Oct 2012 = Chemical Pregnancy

Phone consult with CCRM on 12/12/12 - ODWU 1/4/13 - both tubes clear(!) - AFC 24, AMH 3.2, FSH 9.6, LH 5.4, E2 25. DH has high frag rate but improved!
IVF #4 March 2013 CCRM. EP protocol w/ Menopur, Gonal-F & Dexamethasone. ER 3/29 & IMSI, PICSI. 43R 13M 10F 6blasts bio'd. CCS testing reveals 3 normals!!!
FET 5/31/13 of 1 4AA blast - thawed and expanded. 4dp5dt BFP.
Beta 9dp5dt = 181, 11dp5dt = 427. 1st u/s showed a healthy heartbeat! EDD 2/16/14

After 4 years of hoping and heartbreak, our sweet little bean was born on 2/19/14
We are so in love with her.

"I'm not telling you it's going to be easy, I'm telling you it's going to be worth it."

Everybody is welcome!!!

Re: IFer with IFV kind of question about IVF - Lupron trigger

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    It won't stop OHSS.  It just keeps ur E2 from getting as high as the other triggers do.

     

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    BzeetyDBzeetyD member
    imageEdwina.McDunnough:

    WOW Thanks! Exactly what I wanted to know. Very clear too. And I was hoping you'd comment as you're the resident expert here. 

    I'm a satisfied customer!

    BzeetyD = 38, Mr. BzeetyD = 44 together 12/02 married 9/08
    TTC #1 since 1/10
    DX: Unexplained/??? MFI issues

    Our lil' lost sparks:
    5w3d loss 7/30/10 - EDD March 2011
    8w loss 4/15/11 - EDD November 2011
    8w3d loss 8/2/12 - EDD March 2013
    4w c/p loss 10/29/12 - EDD July 2013

    Long story: trying on our own + testing testing testing with 6 rounds of Clomid, more testing, injectables + TI, laparoscopy - one tube blocked, 2 IUIs with Follistim...BFNs.
    RPL testing all normal, Karyotyping normal

    Moving on to IVF.

    IVF #1 April 2012 = BFN, IVF #2 June 2012 = BFP. U/S 7/23 = saw heartbeat but measuring behind. Follow up U/S on 7/30 - no heartbeat. D&C 8/2. Trisomy 12. IVF #3 Oct 2012 = Chemical Pregnancy

    Phone consult with CCRM on 12/12/12 - ODWU 1/4/13 - both tubes clear(!) - AFC 24, AMH 3.2, FSH 9.6, LH 5.4, E2 25. DH has high frag rate but improved!
    IVF #4 March 2013 CCRM. EP protocol w/ Menopur, Gonal-F & Dexamethasone. ER 3/29 & IMSI, PICSI. 43R 13M 10F 6blasts bio'd. CCS testing reveals 3 normals!!!
    FET 5/31/13 of 1 4AA blast - thawed and expanded. 4dp5dt BFP.
    Beta 9dp5dt = 181, 11dp5dt = 427. 1st u/s showed a healthy heartbeat! EDD 2/16/14

    After 4 years of hoping and heartbreak, our sweet little bean was born on 2/19/14
    We are so in love with her.

    "I'm not telling you it's going to be easy, I'm telling you it's going to be worth it."

    Everybody is welcome!!!
  • Options

    No problem. Here is a list of board links that may be helpful to you. It's hidden on request, but if you have the direct link it's accessible. BTW that's the first site Google presents if you search for "lupron trigger", though the blog itself is worth putting on your reader. Dr L identified my arrhythmia and I thought he was very professional and informative. GL.

    https://infertility-veterans.blogspot.com/p/links.html 

    +++
  • Options
    BzeetyDBzeetyD member
    imageEdwina.McDunnough:

    No problem. Here is a list of board links that may be helpful to you. It's hidden on request, but if you have the direct link it's accessible. BTW that's the first site Google presents if you search for "lupron trigger", though the blog itself is worth putting on your reader. Dr L identified my arrhythmia and I thought he was very professional and informative. GL.

    https://infertility-veterans.blogspot.com/p/links.html 

    You know, I was poking around the IFV site trying to find something like this but I thought I was crazy and didn't know where to look.

    Bookmarked for future reference.

    I did do some googling but I was looking for "antagon vs Lupron" and things like that so I never saw a good medical answer to my question.

    Thanks again.

     

    BzeetyD = 38, Mr. BzeetyD = 44 together 12/02 married 9/08
    TTC #1 since 1/10
    DX: Unexplained/??? MFI issues

    Our lil' lost sparks:
    5w3d loss 7/30/10 - EDD March 2011
    8w loss 4/15/11 - EDD November 2011
    8w3d loss 8/2/12 - EDD March 2013
    4w c/p loss 10/29/12 - EDD July 2013

    Long story: trying on our own + testing testing testing with 6 rounds of Clomid, more testing, injectables + TI, laparoscopy - one tube blocked, 2 IUIs with Follistim...BFNs.
    RPL testing all normal, Karyotyping normal

    Moving on to IVF.

    IVF #1 April 2012 = BFN, IVF #2 June 2012 = BFP. U/S 7/23 = saw heartbeat but measuring behind. Follow up U/S on 7/30 - no heartbeat. D&C 8/2. Trisomy 12. IVF #3 Oct 2012 = Chemical Pregnancy

    Phone consult with CCRM on 12/12/12 - ODWU 1/4/13 - both tubes clear(!) - AFC 24, AMH 3.2, FSH 9.6, LH 5.4, E2 25. DH has high frag rate but improved!
    IVF #4 March 2013 CCRM. EP protocol w/ Menopur, Gonal-F & Dexamethasone. ER 3/29 & IMSI, PICSI. 43R 13M 10F 6blasts bio'd. CCS testing reveals 3 normals!!!
    FET 5/31/13 of 1 4AA blast - thawed and expanded. 4dp5dt BFP.
    Beta 9dp5dt = 181, 11dp5dt = 427. 1st u/s showed a healthy heartbeat! EDD 2/16/14

    After 4 years of hoping and heartbreak, our sweet little bean was born on 2/19/14
    We are so in love with her.

    "I'm not telling you it's going to be easy, I'm telling you it's going to be worth it."

    Everybody is welcome!!!
  • Options

    I don't understand your Q on PAIF. You're looking for success stories from those who have had success with antagonist after a failed agonist cycle?

    Lupron is used a couple of ways, for high responders and for low responders, so just saying Lupron users is not very clear. It's also used for suppression in DE or FET cycles. The short of it is, you can only use a Lupron trigger with an antagonist protocol.

    +++
  • Options
    BzeetyDBzeetyD member
    imageEdwina.McDunnough:

    I don't understand your Q on PAIF. You're looking for success stories from those who have had success with antagonist after a failed agonist cycle?

    Lupron is used a couple of ways, for high responders and for low responders, so just saying Lupron users is not very clear. It's also used for suppression in DE or FET cycles. The short of it is, you can only use a Lupron trigger with an antagonist protocol.

    Yes, you're correct in understanding my question. And I got the answers I was looking for.

    I know Lupron could be used in a variety of ways. I used it this last cycle but not as a trigger. 


    BzeetyD = 38, Mr. BzeetyD = 44 together 12/02 married 9/08
    TTC #1 since 1/10
    DX: Unexplained/??? MFI issues

    Our lil' lost sparks:
    5w3d loss 7/30/10 - EDD March 2011
    8w loss 4/15/11 - EDD November 2011
    8w3d loss 8/2/12 - EDD March 2013
    4w c/p loss 10/29/12 - EDD July 2013

    Long story: trying on our own + testing testing testing with 6 rounds of Clomid, more testing, injectables + TI, laparoscopy - one tube blocked, 2 IUIs with Follistim...BFNs.
    RPL testing all normal, Karyotyping normal

    Moving on to IVF.

    IVF #1 April 2012 = BFN, IVF #2 June 2012 = BFP. U/S 7/23 = saw heartbeat but measuring behind. Follow up U/S on 7/30 - no heartbeat. D&C 8/2. Trisomy 12. IVF #3 Oct 2012 = Chemical Pregnancy

    Phone consult with CCRM on 12/12/12 - ODWU 1/4/13 - both tubes clear(!) - AFC 24, AMH 3.2, FSH 9.6, LH 5.4, E2 25. DH has high frag rate but improved!
    IVF #4 March 2013 CCRM. EP protocol w/ Menopur, Gonal-F & Dexamethasone. ER 3/29 & IMSI, PICSI. 43R 13M 10F 6blasts bio'd. CCS testing reveals 3 normals!!!
    FET 5/31/13 of 1 4AA blast - thawed and expanded. 4dp5dt BFP.
    Beta 9dp5dt = 181, 11dp5dt = 427. 1st u/s showed a healthy heartbeat! EDD 2/16/14

    After 4 years of hoping and heartbreak, our sweet little bean was born on 2/19/14
    We are so in love with her.

    "I'm not telling you it's going to be easy, I'm telling you it's going to be worth it."

    Everybody is welcome!!!
  • Options
    I used it for IVF2 when my estrogen was like at 7000. I only had 6 eggs too:< But it did help not make it jump too much higer.
    PAIF and SAIF Always Welcome!
    TTC since 2007
    6 IUIs, 3 IVFs, and 2 m/c :< PCOS, Blood Clotting Disorder & MFI
    IVF #2 Aug 2011 is a BFN:<
    IVF #3 March 2012 is a BFN
    Not sure what to do now. Sad and lost.
    Lilypie Angel and Memorial tickers Lilypie Angel and Memorial tickers
  • Options
    i triggered with lupron with my last IVF where i had 30 eggs retrieved...it was the only cycle that i did not get a form of OHSS.  Before I triggered with ovidrel, HCG is linked to the flare of OHSS symptoms.  The docs would NOT let me use ovidrel w/ my last cycle even though I swore I would NEVER, EVER put that demon drug in my body again.  I'm glad I did because I felt wonderful afterwards.  Other times I felt like my belly skin was going to rip apart!
    S/PAIFW
    Tara & Dave - TTC since September 2006
    PCOS - dx 1999 (amenorrhea) | freakishly long fallopian tubes
    Hypoglycemic | thyroid issues | severely anemic
    Multiple Clomid cycles of 50, 100, 150 - absolutely no response
    Follistim 50/100 | Follistim 75/125 | Follistim 100/150 IUI - all BFNs
    Converted IVF - BFP - m/c | FET - BFN | IVF #2 = BFN
    IVF #3
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