Doctor insights on:
Follistim Vs Menopur
Yes: That medicine can help eggs to grow and to grow faster. How much it works and how big the effects is depends on a number of factors including age, FSH and AMH levels in your body as well as the dose and number of days the shot is taken ...Read more
Missed dose: You must let your doctor know asap. Antagon is a gnrh-antagonist to prevent premature ovulation, and timing is critical; follistim is a gonadotropin for ovarian stimulation and missed doses may be less critical than with antagon, but can still have huge impact on a stimulated cycle. ...Read more
Hi, usg shows no dominant follicle (cd9) after 8days of follistim-75iu. Should continue with the same protocol? Or should ask my RE to up the dose?
Continue on same: If this is your first cycle with follistim-75, then continue on the recommended protocol for now. It may take more than one cycle to be effective. ...Read more
No: If you are about to undergo fertility treatment he may perform these tests to determine as the above answer indicates your pituitary function, which will reflect the probability of success and can help the doctor determine your dose. It does not help him decide which brand of medication to use. ...Read more
We tried to get pregnant for random times but never succeed, my doc gave me follistim 50. I take it at night 2tablets. What is it? Y should I use it??
Fertility visit: Follistim comes as an injection not a pill. It would be strange for a doctor to distribute fertility drugs to a 20 year old who has only tried to get pregnant at random times. It is also highly unusual to give fertility medications without going through testing and extensive counseling regarding the risks and benefits of the medications. Consider a 2nd opinion. ...Read more
I am on follistim for IUI. Does the dose have to change each cycle if 1-3 follicles are produced and estradiol is increasing appropriately.?
No it doesn't have t: But it definitely could, if you see the difference. You might go through 3-4 cycles without ever changing a dose (if the US and E2 support that,) or you might change doses several times in each cycle. A woman's body is not a machine so monitoring is critical to doing gonadotropins safely and well. Good wishes. ...Read more
On IUI with inj. 1st cycle 125/225IU Follistim-3 follicles, 2nd cycle 200IU Follistim-1 follicle. 3rd IUI MD wants 450IU, is that dose too high?
What would be follistim side effects? I've taken it early dec. And rushed both ovulation and period. Past over 1 month now I have pain in lower abdom.
I have three cysts after using clomid (clomiphene) and follistim last cycle. They are functional based in E2. Will this interfere with ovulation this cycle?
Functional cysts: Functional cysts are the cysts in which the eggs grow and from which you ovulate so they are necessary for ovulation to occur. They can also be the corpus luteal cysts which develop at the site of ovulation and produce the progesterone that gets the uterine lining ready for implantation. Again necessary for successful pregnancy. Hope this helps. ...Read more
How soon can I have intercourse after taking Progesterone shot, Pregnyl shot or the Follistim shot.
Depends: You will typically ovulate about 36-8 hrs after the Pregnyl shot. The timing of when you should try though depends on what procedure you are doing, IVF, IUI, etc and different centers have different instructions for their patients. It is best to check with your clinic / fertility doctor. ...Read more
Follistim has miraculously stopped my chronic spotting during my follicular phase. What is the physiology behind this? I have normal estradiol levels.
I am 25 with pcos. Did 1 round of Clomid (clomiphene) 50mg 3-7 days with no response. My re wants me to start follistim inj. What do u advise 100mg Clomid (clomiphene) or inj?
Sorry: This is a decision that can only be made with a doctor who knows your medical history; an online recommendation wouldn't be appropriate. Sorry! ...Read more
50iu follistim cd3-8 ultrasound (cd8) showed 2 follicles 1- 12mm 1-17mm ovidril tonight- Is it too early? IUI Monday- could the 12 become mature?
Follow up important: There is no way to predict what is going to happen here. Keep your follow up appt tomorrow and we wish you the best ...Read more
I have developed an ear infection but trying to conceive. On follistim injections and day 12. Are antibiotics safe? Which ones?
Most are: Just let the prescribing doc know what you are doing and they can choose based on that information. ...Read more
Gonadotropins: Great question! In general, meaning if given to large numbers of women, the answer is "no they are the same", equal numbers get pregnant. Sometimes (sometimes!) one or the other may perform better for a specific woman; this is something to discuss with a doctor who knows you well. Many fertility specs use one/or the other based on their own experience. Good wishes. ...Read more
Do menopur and gonal f (follitropin alfa) medication help more follicle appear or just help follicles grow to a mature size?
Yes--delay it: Menopur recruits more follicles and stimulates them to grow. The more follicles you make, the higher your progesterone level will be. If you make a very large amount of progesterone, then you can delay your menses. You won't get your menses until your progesterone level falls below a threshold value. ...Read more
Why take both Clomid (clomiphene) 3-7+75iu menopur cd 9-10? What is the diff. W/ this combo vs only clomid (clomiphene)? Does the ovu. Date, or number of recruited eggs change?
Low estrogen but. ..: In general, an Estradiol of 68 is not a great reponse to medication. But. .. I know nothing about your treatment other than your age. .. You may be on a low dose of injectables because you have pcos, or you could be on high doses due to low egg supply. If you're taking injectable fertility meds like menopur, your rei physician who knows you and is monitoring your cycle should be answering your? S. ...Read more
Preparing for IUI and taking menopur daily. Is intercourse advisable at anytime during the stimulation of follicles?
Yes, unless advised: Most couples doing IUI cycles with ovulation induction medications should have intercourse 2-3 x a week to cover you if you ovulate early, and to 'keep his sperm specimen fresh'. With injectable medicines like Menopur you have more potential to make too many eggs than with Clomid (clomiphene) / Letrozole tablets, so your clinic will monitor you and tell you not to have intercourse if you over-respond to shots. ...Read more
I'm 47. Last month on d/21 of the cycle I had 85.8 estradiol and 13.45 progesterone, after 10 injections of menopur 75.Would that be ok for fertility?
It is not impossible: It is not impossible, but those numbers are low. ...Read more
I am currently injecting Menopur for ICSI treatment. I am experiencing slight discomfort in my abdomen, is this normal?
F/u @ fertility GYN: It may be related to your IVF treatment and you might be feeling your oocytes growing. It is probably nothing to worry about, however, any severe pain should be evaluated. Is this your first IVF cycle? In any case, you will be getting ultrasound monitoring for your egg growth. Rarely, especially in younger women, you can get ovarian hyperstimulation syndrome which is a concern. ...Read more
On buserelin 18 aug, menopur stimulation. Egg collection 7th oct blastocyst transfer on 13th oct when would period be due?
IVF cycles: Due to the nature of ivf the menstrual cycle is anything but regular. Following egg collection women are put on Progesterone to force the body to "think" it is pregnant. The Progesterone can prevent a period even if implantation is not successful. Ivf doctors generally do a pregnancy test ~1.5 weeks after blastocyst transfer. ...Read more
"i'm 47. Last month on d/21 of the cycle I had 85.8 pg/ml estradiol & 13.45 ng/ml progesterone after 10 vials of menopur 75.Is it ok for fertility?
Yes and no:
Those hormone levels are in the normal range (showed you ovulated). But since you asked if it's 'ok for fertility', the average likelihood of pregnancy success (take-home-baby in a 47 year old is 2% at best. I hope this information helps.
www. Reproendo. Com
www. Ivfmd. Com. ...Read more