Starting first cycle - concerned dr is too conservative w/ meds.

iVillage Member
Registered: 07-02-2007
Starting first cycle - concerned dr is too conservative w/ meds.
4
Sun, 10-02-2011 - 1:27pm

Hi all,

I'm starting my first IVF cycle later this month.

- Sandy (44) DS (natural) born just before my 41st birthday. TTC#2. Only issue: egg/embryo quality due to age. Clomid & multiple IUIs w/follistim &menopur = BFN. IVF#1 (Nov 2011) = 12 eggs, 9 mature & fertilized. Transferred 3 embryos (1-3BB, 2-3
iVillage Member
Registered: 08-08-2011

I did my first IVF at 37 and my second at 39. My protocol was 225iu of Follistim with one 75 vial of menupur each night. When we did our UIU's YEARS ago.....we used 150 of Follistim.

I agree...I think your doctor is NOT on the right track...but he has the medical license...not me. I am not sure why you are starting on such a low dose, and Not using Menopur or Gona-f as a "supplement" WITH your follistim. I yielded 17 eggs each cycle..the first cycle only THREE were exceptional to transfer...and the second cycle only TWO made it.....

iVillage Member
Registered: 10-05-2006

Hi. Welcome aboard!

I am also new to IVF and will be doing my first cycle at the beginning of November. I still have tons of questions myself so I won't be of much help. My RE is starting me at 225 of Follistim and I really don't know the reason behind it. I did a bunch (6) IUIs and I only took Femera so this will be my first time of taking Follistim.

I would ask your RE what is the reasoning behind it. Is there another RE in your clinic that you can ask for a 2nd opinion? I am finding that each doctor does things differently (from the posts that I've read) and it doesn't necessarily mean it is bad. I am NO doctor but I find it interesting that you only had one mature follicle at the dose of 125 and they want to start you out at 150. You might want to do some research yourself so you can ask him pointed questions. When I went on Femara for my IUIs, my DH literally had 2 typed pages of questions for the doctor and wanted answers to each one before I started the meds. He hasn't done that yet for my IVF meds but I'm sure he will.

What others meds will you be on? Was that in your packet?

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iVillage Member
Registered: 05-16-2009
There can actually be a lot of harm done in starting your meds too high, starting them low and then increasing is easier to correct if needed. My worst cycle was the one in which my meds were started too high, even in a shorter amount of stimming days it was enough to make my eggs too done for lack of a better word.
Not sure how this changes in someone older, but that has been my experience.
Sarah, 25 *IVF*First Cycle Canceled. Second Cycle Chemical Pregnancy. *Third Cycle Successful 3 weeks hospital for Pre-E. E&E born July 2010 via emergency cesarean at 34 weeks. NICU for a month. Now home & healthy. *FET with embies from cycle 3- BFN
iVillage Member
Registered: 07-02-2007

I thought I should add my FSH (done in Aug.) was 9.61 and my Estradiol was 70.

- Sandy (44) DS (natural) born just before my 41st birthday. TTC#2. Only issue: egg/embryo quality due to age. Clomid & multiple IUIs w/follistim &menopur = BFN. IVF#1 (Nov 2011) = 12 eggs, 9 mature & fertilized. Transferred 3 embryos (1-3BB, 2-3