[sooze]

Hi Peter

I wonder if you can help me.

Quick history.
Endometriosis. 2 laser laps to remove it. Clear tubes.
FSH ranging from 12.8 - 19.9.
First IVF attempt failed due to poor of response (3/4 follicles). Tried IUI - failed. Used Menagon.
Second IVF attempt, as above, poor response resulting to IUI. Used Menpur.

I have just had a cycle cancelled due to poor response again, only 2 follicles which are not growing, so they are not even bothering with IUI. Used Gonal F.

I am devasted as my consultant says that my chances are very low as i'm not responding. When I ask to try other drugs he says we can but they are all the same, they all do the same job, so theres not much point but we can try.

He says my best chances are with doner eggs.

I'm going to test again next month to see what my FSH is but am I wasting my time. Are all drugs the same? Do you think its worth trying again?

Thanks for your time, its much appreciated.

Sooze

 

[peter]

Hi Peter

I wonder if you can help me.

Quick history.
Endometriosis. 2 laser laps to remove it.

That's good

Clear tubes.

So is this

FSH ranging from 12.8 - 19.9.

This is on the high side

First IVF attempt failed due to poor of response (3/4 follicles). Tried IUI - failed. Used Menagon.
Second IVF attempt, as above, poor response resulting to IUI. Used Menpur.

I do not understand why clinics repeat treatments which have been shown not to work in a given patient. Your FSH would indicate the use of recombinant FSH.

I have just had a cycle cancelled due to poor response again, only 2 follicles which are not growing, so they are not even bothering with IUI. Used Gonal F.

This is better, did you start on a high dose e.g. 450 IU per day?

I am devasted as my consultant says that my chances are very low as i'm not responding. When I ask to try other drugs he says we can but they are all the same, they all do the same job, so theres not much point but we can try.

Gonal F is the best around but it needs to be used aggresively when your FSH is high. If it was used at high dose then they tried their best. It would be interesting to try other combinations of drugs if high dose Gonal F failed to work.

He says my best chances are with doner eggs.

Possibly although I think it is a bit early to be thinking about that

I'm going to test again next month to see what my FSH is but am I wasting my time.

No, especially if your FSH comes down or is at least about the same

Are all drugs the same?

No, see above

Do you think its worth trying again?

Yes

Good luck!

Peter

Thanks for your time, its much appreciated.

Sooze

 

[Flo]

Peter,
Just being nosey here, but when you mention recombinant fsh - is that what is used in the short protocol? In other words is that what Certrotide/Ganerelix are?

Flo

 

[peter]

Peter,
Just being nosey here, but when you mention recombinant fsh - is that what is used in the short protocol? In other words is that what Certrotide/Ganerelix are?

Flo

The trade name I know for recombinant FSH is Gonal F

Peter

 

[peter]

can i butt in here please? . I had two icsi abandoned due to poor response--can't for the life of me remember what drugs they were. I was told to lose weight which I did and they changed the drugs to gonal f and it was a high dosage. I got 17 eggs with them, 14 fertilized . Sadly for us i m/c twice but the point is surely they should try you on different drugs to see which ones get a response.
I would not consider donor eggs until you get some answers as to why you are responding.
sorry for putting my twopence worth in !!

I agree entirely, some clinics are just too keen on the wrong sort of treatment.

Peter

I'll go now
love
woppa
xxxxxxxxx

 

[sooze]

Hi Peter

Thanks so much for your speedy response, it has given me more courage and hope.

I was on 4 amps of Gonal F a day, sorry don't know what dosage that is. We only used Gonal F because I asked and pushed for it, as I said he was reluctant to use it.

I have been told to try the same protocol next month (although they are not hopeful). Do you think I should ask for a different drug protocol?

Is it possible that I just have a low number of eggs or that they are of poor quality? Or is it possible that I just do not respond to the drugs for some unknown reason?

My last period was a week earlier and not a usual type as I didn't have the same feelings also dark and very clotted. Could this be the reason for my poor response? Could time be running out for me as my response is getting worse? My consultant can not say why this is happening, he says that the endo may have damaged my ovaries.

So many questions!!

Thanks so much for your time, it really is invaluable to us.

Sooze

 

[peter]

Hi Peter

Thanks so much for your speedy response, it has given me more courage and hope.

I was on 4 amps of Gonal F a day, sorry don't know what dosage that is.

The ampoules are different sizes, you should be on at least 400 IU per day and preferbaly 450 IU per day.

We only used Gonal F because I asked and pushed for it, as I said he was reluctant to use it.

Probably because of the cost!

I have been told to try the same protocol next month (although they are not hopeful). Do you think I should ask for a different drug protocol?

You need high dose Gonal F

Is it possible that I just have a low number of eggs or that they are of poor quality?

Difficult to say without more information

Or is it possible that I just do not respond to the drugs for some unknown reason?

Possibly, see above

My last period was a week earlier and not a usual type as I didn't have the same feelings also dark and very clotted. Could this be the reason for my poor response?

Unlikely

Could time be running out for me as my response is getting worse?

Unlikely although I would need to do a full review to assess this properly

My consultant can not say why this is happening, he says that the endo may have damaged my ovaries.

Possibly

Good luck!

Peter

So many questions!!

Thanks so much for your time, it really is invaluable to us.

Sooze

 

[sooze]

Thanks Peter and Ladies for taking time to resond to my message.

Petere, I was on 300 IU a day. I remember my consultant saying that being on 4 or 6 amps was the same fot me as I am such a low responder.

Thanks again

sooze