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  1. #671
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    Anxious...love the bathtub protocol approach...lol... wow growth hormone so early... are you taking an entire ampule daily or have you split it... Im just working out what to do with my current protocol ... the saizen is so expensive..the cheapest I can get it is $135... ironically not through my fertility clinic whom charges $195...

    Fortitude.
    .. the gamete donation laws in NSW and QLD are very different... they allow material to be imported from overseas and egg donation from women whom have not had a family. By law they require a visit to a pychologist for both parties... and that is about it. A lot of people travel from victoria to have gamete donation.

    wanabeamum.
    .. you sound like me... I am on my last cycle as well.... and will do the kitchen sink...

    hopeful... lets hope that 2013 is your year... sounds like we will all be cycling together in the next few months

    Sunny...lets hope the weight loss goes well... Ive still got a few goodies..blame BFN pity party for that...unfortunately the only way to get rid of them seems to be my mouth at the moment..

    ok answers to protocol questions
    LONG DOWN REG... essentially works often best for older women. the idea is to shut down the ovaries into a menopause state for 14days. Then stimming begins with FSH and you get a more even follicle growth. There is some studies that show that going on the ocp prior to starting FSH can help as when you stop the ocp the pituitary can have a little FSH surge which can help recruit follicles.,
    It is a long cycle starting on day 21 or 7 days prior to AF.

    Antagonist cycle.. this starts on day 2 of cycle and relies on the bodies natural hormone levels to recruit follicles. The down side is that you can be prone to cysts (which will cancel a cycle) and often will get irregular follicle growth. the through behind this cycle is that it helps with women that get too oversuppressed on the long down reg.

    Agonist/ antagonist cycle ..... this is a blend of both protocols... a low dose lucrin prior to the cycle with a antagonist protocol... the idea is that when you stop the lucrin you get a large FSH flare which recruits follicles and the idea is that this works better with older women.

    after trying most of these cycles I have to say that the long down reg works best with me.
    Things to watch to ensure you have a good cycle....

    baseline.... estrogen <250 progesterone <2 (3 is allowable) LH >1

    monitoring...
    LH > 1 ... if LH drops below this level it has been associated with poor egg quality... adding LH can help (luveris)

    progesterone... a rise in progesterone levels indicate that the follicles are breaking down... ie 1--->3 if you get a large rise >6 it is an indication of premature luteinisation and is associated with poor outcome.

    Estrogen... associated with follicle growth and health of follicles... low estrogen with many follicles indicates that the granulosa cells around the follicle are not happy and not making much estrogen.. which leads to poor quality eggs...
    aproximately 1 mature follicle = 600-800
    an estrogen dip prior to trigger can also be associated with poor egg quality.

    drugs...
    gonal F - fsh synthetic
    luveris... synthetic LH
    Menopur.. FSH + LH (from urine menopausal women)
    pregnyl... HCG- natural
    ovudril.. synthetic HCG
    Saizen... Growth hormone
    Lucrin... supression injection
    syneral... supression.. nasal spray
    cetrotide. oragulan... suppression short acting.


    well I have the evil post ivf AF.. and i have been indulging in a bit of wine and coffee...and enjoying it sooooooo much. Im slowly sorting out my next cycle... protocol.. Im just going to write it out and see if my FS agrees... its pretty much the same as my prior one except Ill be back on gonalF and luveris as I think that it works better for me compared to menopur... my next decision is just the timing and how much I am willing to spend on saizen..
    started the DHEA and my vitamins today... and will go back on the pill on saturday... then it will only be about 2 weeks before Im injecting lucrin again... WOW... but I seem to go ok with back to back cycles so we will see.
    Last edited by micca; 03-01-2013 at 11:35.

  2. The Following 2 Users Say Thank You to micca For This Useful Post:

    MGC Bertie  (07-01-2013),wanabemum  (04-01-2013)

  3. #672
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    Default IVF over 40 #5

    Micca - sounds like a good plan, and glad you are getting straight back into another cycle. I regret that I didn't but hey, obviously needed to sort the head out. I am injecting 1 IU GH at night from day 21, I'm now day 7 bloods & US tomorrow.

  4. #673
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    Micca - with your ever increasing knowledge, you may have a back up career as an ivf specialist! My GH costs around $180 a vial, it's certainly not cheap. I'm wondering if we can get it cheaper at the local gym....Or maybe I'll give Lance Armstrong a call!

    Anxious - Buying and selling a house while doing ivf is certainly a juggling act! Sometimes it's hard to delay all the other things that go on in life, particularly doing repeated cycles. Good luck with the US tomorrow.


    Good friend at work just told me she is pregnant. Happy for her yet bittersweet....sigh...so easy for some. Starting Gonal F and saizen tomorrow - doing a short antagonist protocol. Will see how we go. Best of luck to all.

  5. #674
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    You could maybe consider using your daughter as donor by going overseas - for example Thailand.

  6. #675
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    Micca Im also going to be doing a long down reg cycle in the next few months. I am having a chat to my doctor next Wednesday to book it in.

    Has anyone heard of stem cell treatment for ivf?

    I have been on Chinese herbs for a few months now. I have been taking them for fertility but I have found they have really increased my sense of wellbeing.

  7. #676
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    Wana - I think Leannep was on some kind of stem cell treatment as part of her last cycle, which got her a BFP. If your out there Leannep, drop us a line regarding your experience.

  8. The Following User Says Thank You to Sunny15 For This Useful Post:

    wanabemum  (09-01-2013)

  9. #677
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    Sunny lovely to hear from you. It has been a while since I have been on hb.

    Im happy to say that Leanne is pregnant - that is why I was wondering if anyone else out there has given it a go and what their experience was?

  10. #678
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    Default IVF over 40 #5

    Hi all

    Day 8 - US today 4 small follies but at least it's one up from my last cycle. Paid $300 for another vial of GH SciTropin today, by the look of what some gals are paying I might be paying too much, but what do you do...I will continue taking it until the night before egg transfer, skins looking great! Been feeling nauseous all day might be the estrogen pess... Next US Monday, hope the little gems grow together in unison!

    Hope everyone is travelling ok x

  11. #679
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    Anxious– Don’t despair…4 follies is great…quality over quantity. I was also paying $300 for my growth hormone. Good luck for Mondays scan….lets hope they grow ‘muscles’ over the weekend!

    Wana– Sounds like stem cell is worth exploring.

    Hopeful40– How is the injecting going?

    Micca– Enjoy those treats, as we all deserve them….Im trying to break my caffeine intake at the moment, but its not easy when a café has moved into the work building….they’re coffee is just devine! 2 weeks until injecting….wow, I wish I could hurry my process along!!

    AFM
    Back at work after 6 weeks on holidays….I think I was ready to go back, although Im not adverse to winning lotto!!!

    Im still trying to gather all our documentation to send to Capetown….our clinic has not copied a good ‘chunk’ of our file; eg none of my cycle protocols/scans/tests/results, my hyst and lap results, DPs tests.

    Saw my GP on Thursday and she is more than willing to assist me with Capetown if required….in fact, she seemed quite excited about the prospect.


    So things are moving along…albeit slowly, which doesn’t sit well with Ms Impatient here!!!

  12. #680
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    Anxious... hang in there I know that it is diappointing when there is not many there. I hope that these are top shelf quality and you have some good results.
    gosh that is a lot for your GH... Id phone around a few pharmacies and see if they can get it cheaper... I have one pharmacy that can do it near where I live for $135 a vial.

    Sunny... oh I am so glad you have found a great GP to support you... always easier when you dont have to deal with the FS,...which is your case sounds like a good thing... how frustrating on the notes...grrrrr....

    hopeful.. how is the injecting going.? at least with a short protocol time flies... wont be long before your first scan now.... its always hard when you hear of pregnancies... hang in there.

    having a quiet weekend..managed some exercise and a swim but it has been way too hot to venture outside today... slowly beginning to eat healthy again..


 

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