What's your protocol?

KirstenCas · September 2016

I'm always interested in seeing what protocols other people are doing. I've even used this info to ask questions to my RE (i.e. What about estrogen priming?) I was thinking it might be cool for people to post their protocols in one place.

This is my 4th (I guess) IVF session and I'm now doing a microdose lupron flare protocol with a twist (my name not RE's

) So 40 mg of lupron in the am and pm throughout my stim cycle, added 400 mg of Clomid for 5 days on 2nd day, will add 100 mg follistim and 75 menopur on 3rd day, then (fx) trigger with pregnyl.

omarismyhomeboy · September 2016

I had an antagonist protocol. Not quite sure why! I had no Lupron, just started with Gonal-F.

225 Gonal-F for 4 days, then added
.25 mg Certotide on day 4 through retrieval

Triggered with Ovidrel!

Monica54321 · September 2016

Non-OCP Luprolide Protocol...
-20mg Lupron daily, starting week before expected period, continuing through stims
-Stims to start somewhere on cd 2-4, pending cycle onset ultrasound
-225 IU follistim for 3 days before ultrasound to check progress
-adjust follistim and add menopur as needed

wifeinraleigh28 · September 2016

I think I had your typical antagonist protocol with 4 weeks of BCPs prior to stims (would have been 3 weeks, but a cyst delayed us a week). I stimmed with 225 iu follistim and 75 iu menopur. On day 5 or 6 I believe we began adding in ganirelix. And I triggered with lupron and HCG to avoid OHSS.

Hoping4Success · September 2016

I had 2 weeks of bcp 225 iu of follistim 75 iu menapur and ganaraliz with pragnyl trigger and somewhere before my er i will be on antibiotics as well as my husband

ddvj79 · September 2016

3weeks of BCP
Starting CD2:

16 days of 450IU Follistim/Gonal-F + mini HcG
Ganirelix for 5 days + HcG trigger (no mini HcG on trigger day)
Lots of electrolytes starting 2 days before ER. I did Nuun

marissy8 · September 2016

3 weeks of bcp
Stim Day:
1-3 = 125 folistim and 75 menopur
4= 100 folistim and 75 menopur
5-7 = 150 follistim and 150 menopur
Triggered day 8 with HCG

bpfeiff1984 · September 2016

Here's my detailed calendar - hope it goes through! Sorry just realized it had all my info on it. I'll edit the photo and then repost

bpfeiff1984 · September 2016

Here's my calendar/protocol

Zoey1019 · September 2016

marissy8 said:

3 weeks of bcp
Stim Day:
1-3 = 125 folistim and 75 menopur
4= 100 folistim and 75 menopur
5-7 = 150 follistim and 150 menopur
Triggered day 8 with HCG

Do you mind me asking when you start the BCP? Did it matter? Or did it have to be on like CD 5 or 21...

omarismyhomeboy · September 2016

@Zoey1019 I know you didnt technically ask me (ha) but my clinic starts BCP from CD 1-5.

wifeinraleigh28 · September 2016

@Zoey1019 My clinic had me start BCP in my luteal phase before I started my stim cycle. My RE actually said it didn't matter when I started it. After my retrieval and before FET, they had me start on CD 1-3 (I started CD 1 because I was impatient to get things moving).

Zoey1019 · September 2016

@omarismyhomeboy @wifeinraleigh28 Thanks ladies! I hate feeling like I have no timeline in my brain...but that is probably something I should get used to with this whole process. I will know more this Friday I hope!

PurplePumpernickel · September 2016

This is my very first round of IVF. I did maybe 6 weeks of BCP? They kept me on there longer because I had low TSH levels after my first work-up. So:

- Levothyroxone since July 17
- Gonal-F 375 IU, 8/27-8/29, 300 IU 8/30-now (PM)
- Menopur 150 IU 8/31 - now (AM)
- Cetrotide .25 mg 9/3 - now (AM)

I just had my latest bloodwork and u/s this morning, and am still waiting for my next set of orders. I'm worried, though, because I need to order new medicine, but don't want to do it until I know how much I'll need!

JamieH2000 · September 2016

@kirstencas- I have been following your journey on the other boards and I just wanted to share my latest protocol in case its something you want to discuss with you RE since, according to my RE, its the most aggressive protocol they have for low responders (and of course now I am terrified if this doesn't work for me I'm screwed ) but anyways, not sure what your plans are for another cycle, but just wanted to share in case you wanted to bring it up to your RE.

I'm doing an estrogen priming protocol (my clinic called it the Schoyer protocol). I track my ovulation on OPKs and then after that I begin estrogen patches and ganirelax during the luteal phase. After my period I start stims with follistim and we are adding in Omnitrope too (which is a human growth hormone). My nurse said they have seen this be the difference between success and failure for low responders. Its not yet approved by the FDA for infertility, so my insurance won't cover it and it costs $1200. I think we are going to give it a try despite the cost. They also want me to take 100mg of COq10 twice per day and DHEA 25mg three times per day starting now. I was already on COQ10, but wasn't sure about DHEA since I have read mixed things. I have heard for DOR, it can really help so I'm going to give it a try.

Hope this helps!

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