im a bit worried about doing down reg again too. i only got 3 eggs with this protocol last time. 2 x bfn's and 1 embryo didn't thaw properly. so not great stats there. although that stim was on around 175 puregon.
this stim will be on 250 puregon, wondering if i should nudge it up a bit? last 2 x stims i have used elonva, which is based on around 200-250 dose i think. im kind of taking a leap of faith with my FS by doing this down reg, she was interested to see how id go. and she is right - im still not pregnant from doing the past 4 stims as antagonist. i just hope im pleasantly surprised and get more than 3...
Andie, you could certainly go higher if you wanted (unless your Dr thinks there's a risk of OHSS). Most Drs will go as high as 350iu if it is warranted (and 3 eggs last time sounds like a good reason to me). Some worry about egg quality if you go higher. Our first FS wouldn't go above 350iu, but our current FS had me on 450iu last time (and is proposing to do the same again, but I'm wondering if we should drop back to below 350 to avoid risking egg quality - he doesn't think the high dose will affect egg quality but it worries me). (ps. yes, I've read that the elonva is supposed to be equivalent to around 200iu of FSH)
I share your concern about the down-reg protocol, but my FS won't budge on it unless we try it and get less than 3 eggs (with the 450iu of gonal-f he wants me to use).
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