Stimulation poor responder

Advice on stimulation proctol please.

Background: I’m 36y, normal BMI, pelvic and bowel endometriosis (lap confirmed and excised), high activated NK cells, persistently raised cardiolipin IgM titre, 3+ yr history primary infertility.5 failed embryo transfers. I did have brief chemical pregnancy with last transfer using prednisolone and low molecular weight heparin, and using viagra to finally get lining above 8mm (previously 6-7mm – hysteroscopy normal, no endometritis).

Main issue: AMH 7.46pmol/l Poor ovarian response in 3 full IVF cycles (1-3 mature eggs and occasionally 1 immature) using 450iu rFSH short antagonist protocols with fixed day 5 ganirelix. Pre treatment with norethisterone each time. Also latter 2 stimulations preceded by Tostran and DHEA respectively. HCG trigger 10,000.

I’ve been suggested now for 4th cycle to use oestrogen priming with alternate day antagonist starting in luteal phase followed by Gonal F 300iu and Meriofert 75iu, and HCG trigger.
Any thoughts?

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