So my RE called today with the conclusion they came up with yesterday in regards to my cycle and what to do different. Before she called I made a list of what I would like to see done differently.
I believe I stimmed fine, despite being a bit long, but I had good follicle number and estrogen at trigger.
I believe everything went down hill there. Yes there was probably some poor quality going on as showing by my poor fertilization report, but I believe if we would have got more eggs we would have had a few good ones to transfer.
So what I wanted was the following:
1. double trigger dose
2. trigger with lupron as wells as hcg
3. test lh and hcg day after trigger
4. give hcg IM instead of SQ
These 4 things I believe would help prevent me from experiencing empty follicles again.
I also had a request to hold off introducing menopur until day 5 and increasing gonal-f originally since there is a theory that LH at the start of a cycle can negatively affect egg quality.
Well things didn't go so well when the doctor called. She says they think it is best to change my protocol from the antgonist to the micro flare. I couldn't believe. I can understand changing the protocol if I didn't respond to the antagonist, but I did. I had 11 follicles and 1425 estrogen. Yes I wasn't the best stimming, but I really don't feel like that is why the cycle failed.
When I told her that I believe the problem was the trigger she didn't want to believe me saying that I had a normal amount of hcg in my blood. THEN WHY DID I ONLY GET 4 EGGS! I asked if I can just double the dose for next time and she said no because 10 thousand is plenty and I had a normal amount. I then asked if I can trigger with something else, but this was thrown out since she is changing my proctocol. You can only trigger with lupron if doing an anatgonist protocol. Great, another reason why I am pissed with changing the proctocol.
I told her that I am scared that this will happen again and I don't want it to happen again. She said the same, not like it matters much to her. If our ER fails again we waste another few months as well us tons of money.
When the conversation ended I wasn't very happy. She did call me back a little while later and said that I can give the trigger IM instead of SQ next time and ER can be done at 37 hours instead of the normal 36 in case the trigger needed a little bit longer to work. Guess someone did a little bit of research after our first conversation.
Anyways I really don't know what to think. I have been googling about the MDL proctocol all afternoon and there seems to be mixed emotions on it. It is designed for poor responders (of course that is poor responders to the long lupron protocol, not sure how it compares to the anatgonist) and though some people responded great on it other people had their worst cycle ever with it. I just feel like this is a big risk this clinic is taking with changing my protocol and I don't like taking risks.
I also don't have all the time in the world to be a guinea pig to try different meds on to see which one works the best.
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