Olá a todas!
Inscrevi-me num fórum americano que muitas de vocês devem conhecer, o Baby Center, e partilhei lá a minha história, diagnóstico de endometriose e baixa reserva ovárica e tentativa falhada de FIV com Enlova e Menopur, referindo que agora em Janeiro recebi a indicação de começar logo com o Menopur 300 no CD2 e recebi a resposta abaixo.
Alguma de vocês está familiarizada com estes protocolos de medicação que esta forista refere?
Try low dose naltrexone for the endometriosis (typical dose is 4.5 mg/day). It is reported to help in some cases of infertility with endo as a factor. LDN can also raise beta endorphins levels, which decline with age.
Other modifications I’d suggest:
—inclusion of HGH (human growth hormone) with your protocol should you try IVF (in vitro fertilization) again.
—serial mini IVF
—your menopur dose sounds too high, 300 on cd1. How about no menopur at all? Menopur has LH in it. HCG is a potent analog of LH and is faaaar less expensive and is fairly DOR-friendly. So I’d suggest substituting menopur with low-dose hcg.
—what are you triggering with? 10,000 IU hcg is what is commonly used. If your eggs tend to be immature, adding 250 mcg of ovidrel has been shown to help in clinical studies (ie 10,000 IU hcg + 250 mcg ovidrel, double trigger).
—does your doctor do a prime for you before you cycle? Maybe consider a testosterone prime for 4 weeks followed by luteal phase estrogen priming?
—is Elonva a long acting FSH? Not a lot of docs use that in the US. Not as familiar with it. I’d go with short acting FSH honestly.
Agree with your doc about not using surgery to remove the endo off of your ovaries. That’ll make matters worse.
I’d not be happy with your doctor honestly. I’d fire them and find a better doctor and clinic. The protocol you’re on may work, yes, but it’s not the best approach, IMO.