7 day short OCP IVF cycle and/or Monash IVF?

[butterfly_warrior]

Dusty, it sounds similar to what my FS does with me - For the last cycle, I'd been on the pill for 7 days when he started me on lucrin. Three day cross over, stopped the pill, had another AF (I'm over that part, I can tell you!) and then later started puregon injections while the lucrin continued. As far as I know, it's just a regular down-reg cycle, just with less time on the pill before it. As for results - I hyperstimulated thanks to my PCOS and didn't get to transfer. From 32 eggs we ended up with 7 blasts in the freezer. If you don't respond well to down reg, I'm not sure that this is going to help much at all.

BW

[anney]

Hi Dusty,
Eary last year there was an article in the press re this new cycle that Monash were trialling. they spoke to Gab Kovacs as he is the "boss" and it seemed to say they were hoping it would be used as standard fairly soon. It sounds exactly like what you are describing and they said it was a down reg cycle but with less time on the pill.
Just for my own interest I spoke to my FS about it late last year, as we are with Monash and I wondered what she thought about it. she basically said it would have to produce consistently better results than a down reg cycle and it had not yet done that so they weren't changing.
Sounds like it would be a good thing for you as you don't respond well to down reg. - you may as well try something new. Dr Kovacs has been doing this along time and I have heard some great stories about him and he has been very nice the few times I have seen him. (saw him as a public patient when first being investigated for infertility) so I think you are in good hands.
good luck

[dusty]

thanks ladies
anney i guess i am a bit nervous of a 'down reg' type cycle as it seems to make my response very sluggish where as the flare/boost gets my E2 levels going well from the start - like you said BW this may not be the way to go for me. although the lucrin/syneral is only for a 5 days rather than the 7 with the normal down reg.
sometimes you wonder whether the protocol is being recommended so they can get more stats for their new protocols. the other thing the FS said was this new protocol was also good as it meant the patient can determine which date exactly they want their EPU so it can reduce their stress levels about possibly missing important events.
we have a wedding clash around the time of a normal EPU for flare but i maintain that IVF should come first rather than the other way around - but maybe the reduced stress is a good thing in the end?

anyone else done this protocol esp if you have a poor response to normal down reg cycles?

[butterfly_warrior]

So it's actually shorter between stopping the pill and starting stims as well? That could make a difference if everything isn't switched off so thoroughly, but I can understand why you're feeling a bit nervous about things. Even with my FS only giving me a short time on the pill, I still had around 12-13 days of lucrin only before I started puregon, so I guess it's not the same.

BW