Hi Dr. T,

Thank you so much for your quick response to my other question.

I’m trying to make a decision as to whether to begin my second cycle with my current doctor or not and was wondering if I could have your input on our current protocol.

I’ll be 44 in 2 weeks, AMH is 2.4, had one natural pregnancy that ended in miscarriage at 10 weeks and one failed cycle of IVF (21 eggs retrieved, 10 fertilized, zero blastocysts).

The protocol for my first round was:
-priming with estradiol and progesterone starting the day after ovulation.
– 14 days later, began injections of 150 Menopur, 300 Gonal F
-on 5th day we added Cetrotide in the morning
-triggered with Ovidrel and Lupron

Changes she’s making to this round:
– lower dose of Menopur & Gonal F
– add Clomid
-add HGH

Your last response stated I would need a highly intelligently designed protocol. Wondering if this sounds like that to you or if you’d recommend I see a different doctor for a different protocol? (I need to decide quickly because this is day 1 of my period).

Thank you!!