Do poor responders need additional LH at the start of stimulation to get follicles to respond?

I find that if I only do FSH stimulation I only get 1 dominant follicle respond.

GoFollies

If you start Microdose lupron 2 wks prior to menses does it mean natural FSH and LH are suppressed during the time the normal natural flare would happen? Ie do you not get your natural flare? Does this impact negatively or positively on your stimulation cycle, especially if you are a poor responder?...

Hello

I have seen same protocols, even for poor responders, that start with a BCP prior to stimulation (for about two weeks).

What is your view in this regard? Do your think this suppresses response or does it not have that effect?

GoFollies

Hello

We were wondering what the normal timing is for trigger shots before egg collection if using 10,000 Pregnyl? How many hours before?

Thank you
Go Follies

Hello We read a research paper suggesting that for poor responders on Lupron Microdose Flare protocols that the trigger shot should be done when the lead follicle is around 18mm rather than around 22mm. In practice is this the general rule that is applied or is it more to aim to have as many follica...

Day 2 ultrasound showed fully blood filled cyst of approx. 3.8cm. Can you continue with IVF or will this be a problem? Will the cyst soak up all the IVF drugs?

Thank you for the replies.

My other question is about whether to split the 600IU of Gonal F between am and pm or do all at once.

Has there been any studies on this or from clinical experience does it seem to make any difference, particular for older women or with DOR?

Would the 100mcg twice daily at the beginning result in too high LH then becoming detrimental to egg quality? Or would it be a positive thing resulting in more 'flare' and the extra LH be beneficial?

I have low Amh. We are going to do a Microdose lupron flare protocol. We have the choice of two clinics, one uses 50mcg lupron twice per day starting day 1 and the other does 100mcg twice per day for two days before stepping down to 50mcg twice per day. How do we decide which one to go with?