Yesterday, we had a face to face appointment with our RE to discuss our first IVF and the protocol for the 2nd.
After having a few weeks to reflect, I cannot honestly say my first IVF cycle was a complete bust. Based on my age, and my baseline numbers, we (and the doctor) expected to end up with 3-4 blasts.. And while we only ended up with 1, it was a high rated, chromosomally normal blast.
While these results aren’t ideal, they are also not a bust.
Nonetheless, 7 of my embryos looked fine on day 3-4, and died before day 5. Those embryos did not have have a lot of fragmentation or clouding, so that’s worrisome. She said my ovaries acted like that of a 38 year old woman. I am 36. That was (and is) difficult to swallow.
So we need a new plan moving foward, and that is the Microdose Lupron Flare protocol. Change is important here. I see no point in following the exact same steps as my first IVF when it did not yeild ideal results. My doctor said there are a small percentage of women who do not respond well to the antagonist medications. I know so much of this is trial and error, so I hope I was having an off month the first time and didn’t respond well to the antagonist (Ganirelix).
I discussed my concerns about the Microdose Lupron Flare Protocol with my doctor, specifically about the additional LH from the Menopur. She acknowledged that during a flare cycle your body does “flare it’s own LH.” She told me that Dr. Schoolcraft at CCRM uses the MDL and even though it seems like a pure FSH protocol would yield better results, all their numbers indicate that a LH/FSH mix works better for 95% of their patients. I asked if they would monitor my LH throughout my IVF and she said yes. I had monitoring and bloodwork 6 out of 10 days of my last cycle, so as long as they are monitoring my LH levels, I am OK trying the MDL.