Melb Clinic Protocols-the long & short of it

[charleotte]

Hi everyone,

Something's bugging me as I've read another forum and really need to hear BB girls info on this.

I've been with MIVF and now with Monash.Just completed a long down reg cycle. Since just getting my BFN result yesterday and thinking I was feeling alright i've had a bit of a melt down! Probably as I can feel AF coming. Anyway I've heard that Monash will push towards doing 'Down Regs' on the pill due to simply scheduling in epu times etc. Is this true??. I don't want to do another pill long down reg if it's just for this reason - that's a waste of precious time, days etc at my age. I understand the down regging your hormones etc however I had exactly the same results in egg numbers & fertilisation rates as all the shorter 'flare' cycles I'd done.

If thats the case I will go back to MIVF. With MIVF you could discuss with your FS what cycle could be done from 'flare' to 'antagonist' etc.

Anyone in Monash know what's the deal. If I wait till Jan for my appointment only to be told its another down reg purley due to because they are busy and need to schedule epu's I will be soo upset...after 5 failed cycles and turning 41 next year, I don't have time. and it will be too late to make an appointment with the other clinic to get an appointment. Another month missed..

Anyone know to ease my mind..Thanks heaps x

[Loula]

Ji

I was first with Monash in 2003 and they did a full down reg with me for my first cycle, next full stim i did with them i told then i didnt want t o do a long down reg and they totally agreed to let me do a short cycle (NO PILL YAY!)

In total i did two full stims and 5 FETs with Monash before joinging MIVF, where they would not let me do a stim without the pill, i was so upset and they wouldnt let me do day 5 TF either, or guided US tf, still i stayed with then for one stim (no tf) and two FETs then moved back to monash as MIVF insisted that i do a full down reg again.

So i dont believe it is a Monash policy maybe just up to the indivdual FS, you should talk to your and explain the reasons behind and try to work together on what you want. if you dont get it change! its your body, dont do to it what you dont think is wright for you IYKYIM?

GL

[sammiejam]

I heard the same thing about the main QLD Clinics. It was kinda confirmed by my FS who was with them for over 20 yrs. He left and went out on his own (i think because he got tired of the "factory" vibe that goes on) We were discussing the changes to medicare one day and how I wanted to get as little embybabies on ice as I could before the end of the year. He made an off-hand comment about how he was free to offer boost cycles now as he wasnt constrained by the rules about scheduling he had in the past. So yeah, I took this to mean that the things I heard about that were true.

Also, because you have so many LESS chemicals and hormones raging through you with a boost cycle, not only is it MUCH shorter but it is more favourable to implantation. I am pregnant via my first ever boost cycle. I only got 2 eggs fertillised but BOTH implanted which had not ever happened before. Because it was my first boost cycle it was a bit of an experiment but my FS already knew what he wanted to do to get a more mature eggs but I got pregnant instead!

So yeah, I am a big fan of the shorter cycles. I would push for it if you dont want to waste time and unless they can give you a REALLY good reason why not.

Big hugs and good luck,

Sammie

[incomplete]

I've only ever done antagonist cycles. How long does the cycle take that you are talking about?

[charleotte]

Thanks girls for the info.
Loula - hmmm then it seems its not a 'clinic' thing. Yes must depend on FS.
Sammie - Yeh less meds the better, add on the build up of anticipation & stress of waiting for follicle numbers & quality and my impatience I just prefer shorter cycles..
Incomplete - long down reg for me involved being on the pill for 3 weeks..in all up it is 6 weeks till Embryo Transfer date THEN add on 2 weeks TWW = 8 weeks...I just won't do another long down protocols of 2months with BFN with my age. Compared to 'Flare' short protocols - 3 weeks ( approx 10 days of stimms & then TWW) - just better for my stress levels!!

Have a great xmas everyone - Fingers crossed for everyone cycling and hugs to everyone else with a fresh new start for 2010.

[sammiejam]

Incomplete - it was only a month from beginning to end. (end being transfer) You dont even have to go on the pill before you start!

After I have this bub I will do another boost to get some embies on ice. I will still be 39 then and I want as many as i can get before 40.