Ask Our Doctors

Ask Our Doctors

4th_ivf_cycle_questions_on_microdose_flare_protocol

Hello_Dr._Sher, I_am_42_yrs_old_with_a_low_AMH_(less_than_1)_trying_to_get_pregnant_for_the_2nd_time._My_first_pregnancy_was_natural_when_I_was_38._I_started_my_2nd_fertility_journey_with_IUI_where_we_discovered_endometritis_from_my_poorly_healed_C_section_scar._Since_clearing_that_up,_I_have_gone_through_3_rounds_of_IVF._Between_round_1_and_2,_I_got_pregnant_naturally,_but_miscarried_at_8_wks._In_round_2,_I_had_3_fertilized_eggs_2_that_reached_blastocyst_but_were_not_eupoloid_in_the_end._In_this_round_we_used_the_micro_dose_Lupron_protocol_but_with_out_birth_control_prior_to_starting._In_round_3_we_went_back_to_an_estrogen_patch_priming_protocol_which_resulted_in_lower_estrogen_levels_and_2_fertilized_eggs_that_did_not_make_it_past_the_blastocyst_stage. For_round_4_my_doctor_wants_to_do_the_microdose_flare_protocol_with_the_birth_control_for_8-12_days_before,_however_there_is_no_plan_to_overlap_the_BCP_with_a_GRH_agonist_as_you_have_suggested_in_your_online_information_on_factors_affecting_IVF_outcomes._Should_I_be_concerned_about_this?_Would_you_reccomend_a_different_protocol_instead? How_do_you_typcially_determine_the_number_of_days_on_bcp_before_starting_a_microdose_flare_protocol? _Do_you_monitor_FSH_and_LH_levels_at_the_start_and_during_the_BCP_period? Thank_you_in_advance_for_your_input. Also,_this_form_is_not_functioning_properly._I’ve_tried_typing_my_question_on_my_phone_and_my_computer_and_the_space_bar_has_been_disabled_on_both._Hence_the_underscore_spaces_between_words._You_may_want_your_IT_to_fix_this.

4th_ivf_cycle_questions_on_microdose_flare_protocol Read More »

estradiol

Can you kindly tell me what is the appropriate level of estradiol in a modified natural cycle? I am in the middle of a MN cycle. They had me take letrozole for 5 days and roughly 10 days later I had a lining that is 9.8 mm and trilaminar and follicle big enough to trigger

estradiol Read More »

covid

Hi, Dr Sher I got COVID 1 day prior to FET My FET was cancelled They say I can proceed next cycle. Do you agree that next cycle we can proceed or should be a longer washout period to allow for the immunity to get back to where is supposed to be?

covid Read More »

implantation dysfunction

Listened to you on a podcast recently and appreciate you so much for sharing your knowledge on this topic. Wondering if you have any input for next steps after 2 implantation failures (of 5AA embryos without PGT-A testing, female age 37, male age 45; unexplained infertility after previously conceiving 3 years ago without issue. C-section

implantation dysfunction Read More »

Repeat failed implantations

I have experienced one miscarriage and four failed implantations with untested embryos. In my recent IVF cycle, I obtained one PGT-A–tested 5AB euploid embryo. I also underwent a hysteroscopy with a uterine biopsy to investigate the failed implantations, and all results were normal. In each failed transfer, my endometrial lining measured over 9 mm. I’m

Repeat failed implantations Read More »

SecondTransfer

Hello!! I wanted to inquire about a possible timeline for a second embryo transfer. My daughter was born via c section 11/19/24. We have been trying to conceive since January of this year. When would be an appropriate time to start a second embryos transfer cycle with one of my frozen embryos?

SecondTransfer Read More »

GC

Hello. I am a 2x GC. I had my 6th delivery this year and was wondering if I was able to use this clinic for my next transfer? I have never had any complications with pregnancy or delivery. Please let me know what you think. Thank you.

GC Read More »

Scroll to Top