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Doctor insights on: Flare Ivf Protocol

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3 failed ivf. Blocked tube. Reports ok. Age factor so donor egg. Et cancelled - poor lining. Suggested cryocautery before FET in same cycle?Is it ok?

3 failed ivf. Blocked tube. Reports ok. Age factor so donor egg. Et cancelled - poor lining. Suggested cryocautery before FET in same cycle?Is it ok?

Cervical cryo?: In the same cycle as an fet? That would not be acceptable in the United States is all i can say. Or are you asking about another form of cryo? ...Read more

Dr. James Dukelow
3 doctors shared insights

Ivf (Definition)

In vitro fertilization is an assisted reproductive technology. Ivf is a procedure used to treat fertility problems and assist with the conception of a child. During ivf mature eggs are retrieved from the ovaries and fertilized by sperm in a lab. A few days later, the fertilized egg (embryo) or eggs are implanted into the uterus. One cycle of in vitro fertilization ...Read more


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Systemic candida. 2nd occurrence post hpgastritis protocol. C-diff tx, pneumonia tx. 1st occurrence treated with diflucan: wanting to use 35%hperoxide ?

Systemic candida. 2nd occurrence
post hpgastritis protocol. C-diff tx, 
pneumonia tx. 1st occurrence treated with diflucan: wanting to use 35%hperoxide
?

Would suggest not: It sounds from what you say that you have multiple problems related to your immune status. Using 35% hydrogen peroxide, an urban legend substance, is ok if you are experimenting with theoretical illnesses or have psychotropic diseases, but in your case this should be carefully and thoroughly discusses first with your primary care doctor. ...Read more

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Husband is on the nordic trtmnt for mcl, to follow up with allogeneic transplant at remission. Had 5 bendamustine & retux rnds unsuccessful, opinion?

Husband is on the nordic trtmnt for mcl, to follow up with  allogeneic transplant at remission.
Had 5 bendamustine & retux rnds unsuccessful, opinion?

Rel/Ref MCL: Relapsed/refractory mantle cell lymphoma (rel/ref mcl) after 2 chemo regimens can be treated by "salvage" chemo on or off study. http://www.nccn.org/professionals/physician_gls/pdf/nhl.pdf - a clinical trial would be preferred if available. Some centers see more mcl than others and have more agents available including - mayo, uw-madison, mdacc, etc. Dexter near u-mi as well. ...Read more

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Took Clomid (clomiphene) 100mg cd3-7,trigger shot cd 11. 7 mature follicles. IUI cd12 30hrs post trigger & cd 13 49hrs post trigger. What would adding FSH cd9 do?

Took Clomid (clomiphene) 100mg cd3-7,trigger shot cd 11. 7 mature follicles. IUI cd12 30hrs post trigger & cd 13 49hrs post trigger. What would adding FSH cd9 do?

CC/IUI: Some stimulation protocols combine CC with small doses of hMG/FSH added later. These protocols are a little bit arbitrary, meaning they reflect "recipes" that an individual doctor has found helpful, not a general practice. You'd need to ask your own doctor why he/she wants the FSH on CD9. ...Read more

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Can patient undergo ovulation induction using gonal f (follitropin alfa) while using HRT mainly femoston 2/10 mg?

Can patient undergo ovulation induction using gonal f (follitropin alfa) while using HRT mainly femoston 2/10 mg?

Doesn't make sense: In most cases this would not make much sense, although it could depend on 'why' and 'how' the hrt was being used. Estrogens such as in hrt are sometimes used in stimulation protocols with gonadotropins (such as gonal f, (follitropin alfa) ) an oral progestin would be an unlikely element of most protocols. ...Read more

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I have endometriosis w/ 1 failed IVF and 3 frozen embryos left. Would another laparoscopy to remove endo help implantation with an fet? Last lap 2/13

I have endometriosis w/ 1 failed IVF and 3 frozen embryos left. Would another laparoscopy to remove endo help implantation with an fet? Last lap 2/13

Not likely: I think for years we were more concerned about things like that. Now we known in the absence of specific problems with the uterus lining or cavity, that most ivf cycles fail because the embryos were genetically abnormal. So at age 31 likely half of all good day 5 embryos are genetically abnormal. Hopefully on of the frozen ones is good quality and genetically normal! ...Read more

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5 failed IUI with letrozole, mild endo removed by laparoscopy, one miscarriage but conceived naturally after 2 yrs. IVF next or Iui with injectables?

5 failed IUI with letrozole, mild endo removed by laparoscopy, one miscarriage but conceived naturally after 2 yrs. IVF next or Iui with injectables?

No more IUI: Since you've failed 5 IUIs, it is no longer a good option for you, especially for someone with endometriosis. One reason patients with endometriosis not able to conceive naturally, is because the endometriosis will cause pelvic adhesion and tubal dysfunction. IVF is a much better option. If you are afraid of using drugs, you may choose natural cycle IVF or mild stimulation IVF. ...Read more

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What are the ovulation success rates on low (50iu) FSH injections in Clomid (clomiphene) resistance patients?

What are the ovulation success rates on low (50iu) FSH injections in Clomid (clomiphene) resistance patients?

Good rates, long tim: Fsh will usually stimulate the ovaries very well. The concern is that too many eggs will stimulate and that is why we use a low dose protocol when not doing ivf. The key is patience. It may take 3-4 weeks of injections before the ovulation will occur. If little effect the dose is increased. Sometimes too many eggs will become mature anyway and the cycle will need to be cancelled. ...Read more

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What is the s.T.E.E.R protocol for CT service post op (day1) open heart surgery?

What is the s.T.E.E.R protocol for CT service post op (day1) open heart surgery?

Ventilator: Steer protocols deal with weaning patients from the ventilator. S-screen; t-test; e-exercise; e-evaluate; r-report. ...Read more

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Failed 4clomid and 2 injectable cycles with iui. Now re wants to go for laparoscopy for tube clearing n ovarian drilling!how beneficial will this be?

That's the next: Step to check for patency of ur fallopian tubes where the egg cells pass through when they travel from the ovaries to the uterus. Take care and god bless u! http://www.M.Webmd.Com/baby/guide/8-ways-to-boost-your-fertility http://m.Voices.Yahoo.Com/10-herbs-promote-fertility-increase-chances-2491984.Html. ...Read more

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TTC,in fertility treatment for 3yrs- did 8 cycles of IUI.Doc say IVF is next.i m worried abt hormones used.want true opinon on cons of IVF n cancer ?

TTC,in fertility treatment for 3yrs- did 8 cycles of IUI.Doc say IVF is next.i m worried abt hormones used.want true opinon on cons of IVF n cancer ?

Long discussion: The decision to proceed with IVF is a hard one and should involve a detailed conversation with you fertility specialist. The risks should be discussed and weighed against your desire to have a child. The hormonal exposure during treatment is lower than the hormonal elevation you will experience during pregnancy Pregnancy causes a HUGE surge in hormones way beyond fertility medication. ...Read more

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In planning on doing IVF soon I have interstitial cystitis. Can IC get worse during IVF? Will the injections cause Flare?

In planning on doing IVF soon I have interstitial cystitis. Can IC get worse during IVF? Will the injections cause Flare?

IVF and IC: Someone I know went through IVF and had no increase in IC flare ups. Everyone is different and everyone will have their own unique experience. Best of luck. ...Read more

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What is the process for setting up clinical trial visits? Who pays expenses?

What is the process for setting up clinical trial visits? Who pays expenses?

Usually the trial: Most clinical trials are arranged by the sponsor of the trial (usually a pharma company or device maker) who wants to satisfy fda requirements for approval. In most cases, the fees are paid by the company. Some even pay you for participation. In some cases such as cancer therapy, insurance will add some payment. If you have some illness, you can google it and trials to see if you are eligible. ...Read more

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Does free fluid in pelvic area affect IVF success rate?

Does free fluid in pelvic area affect IVF success rate?

No: Ivf involves transferring an embryo into the uterus. Free pelvic fluid would not be a factor in the implantation of the embryo. ...Read more