The question
Hi,
I have already had three cycles of IVF with my last one being the most successful. My protocol was 7 units omnitrope and testosterone gel with norethindrone for a few weeks before stopping norethindrone to start my cycle. I then did 300 follistim, 150 menopur, clomid 100mg and dexamethasone and cont the omnitrope. The omnitrope was increased the 35 units a few days before trigger. I also added cetrotide for GnRH antagonist. I was able to get 4 blastocysts from that, two PGT normal.
I am planning another retrieval with the same protocol however there is a national shortage of menopur. The clinic mentioned replacing menopur with micro dose HGH but I am unsure how I will respond to that since I would already be on omnitrope for priming. Is there a huge difference and would it be detrimental?
Answer from Dr. Geoffrey Sher
I just don't know how the replacement of Menopur with low-dosage hCG would stack up as I personally have never used hCG in this way during stimulation. On the face of it it probably would work OK but it would be preferable if you could access other HMG products such as Merional (available in Europe) which is identical to menopur.
Good luck!
General information only, not medical advice for your own situation. For that, book a consultation.