The question
I’m almost ready to trigger for egg retrieval, but I only have four mature follicles. There are ten follicles total, but they didn’t mature at the same rate and my doctor won’t wait for those to mature because they only do retrievals for a few days each month. I’m 33 and my AMH ranges from 0.6-0.8. I typically have shown 12 follicles combined on ultrasounds prior to starting medications. Should I go through with this retrieval or cancel it and see if another round of injections produces better results? I was told that I could be primed (with estrogen or testosterone) next time, and it should result in a better egg count. Cost is a factor, so that’s why I’m considering not going through with this retrieval.
My regimen this time around was 225 follistem for a few days until it was bumped to 300, and 150 menopur everyday.
Answer from Dr. Geoffrey Sher
Respectfully, I do not think this strategy is appropriate. Timing is everything in IVF.
WE should talk. I suggest you call my assistant, Patti (702-533-2691). and set up an online consultation with me.
Geoff Sher
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Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure:
- From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link ;https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
I invite you to visit my very recently launched “Podcast”, “HAVE A BABY” on RUMBLE; https://rumble.com/c/c-3304480
If you are interested in having an online consultation with me, please contact my assistant, Patti Converse at 702-533-2691 or email her at concierge@sherivf.com\
General information only, not medical advice for your own situation. For that, book a consultation.