Doctor insights on:
Follistim Vs Menopur
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
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?
Verify with pharmacy: It is important to verify your dose and make sure you are 100% sure how to use it correctly. Your fertility doctor can help provide guidance to make sure it is used effectively and safely. Here is an online video demonstrating the setup and use: http://www.freedommedteach.com/eng/videos.html?play=gonal_f_rff_rediject_pen ...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?
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
It is expensive: unless your insurance covers it but many havre a copay. More important there have been questions as to its efficacy and its worth in those with severe ratites such that it s better in mild arthritis only or in those with high surgical risk. in many it is overused. ...Read moreSee 1 more doctor answer
Dfferenti: Neither is 'better' or 'worse' than the other, they are different. Menotropins (merional) are generally considered to be "stronger" medicines than clomiphene, but that's not strictly correct . Merional-type drugs tend to produce more follicles and higher Estradiol levels; they also have a higher rate of multiple gestations .And higher chance of ovarian hyperstimulation. ...Read more
For how many months could the ovulation induction drugs (manily gonal f (follitropin alfa) 150 iu) be used and repeated?.
3 months: Usually 3 months is appropriate time.Get a more detailed answer ›
34yo F. Are these normal hormone levels (3rd day of cycle)?: FSH=6.82 mlU/ml; LH=5.24 mlU/ml; PRL=11.14 ng/ml; E2=53.66 pg/ml; Testosterone=0.31 ng/m
How many eggs can be retrieved (average) on 150ml gonal f (follitropin alfa) per day for mid ovarian reserve woman age 32 with endometriosis?
Very difficult to : Say exactly. Not knowing anything about your history makes this difficult but in general we start with 225 total units of gonadotropins and in a 32 year old with endometriosis the range is wide: 0-15. I am not a fan of giving a precise number becuase there are so many variables involved... ...Read more
Depends on cervix: Before induction your current cervical exam is used as a determinant for which mode of induction. Cervidil is most likely used when the cervix is less soft, dilated, and effaced (thinned out), and more posterior, as it increases prostaglandins release to stimulate dilation, thinning and softening. Those who are already dilated and effaced benefit more from pitocin (oxytocin). ...Read more
First cycle clomid (clomiphene).
Estradiol 1983 Pmol/l
LH 65.82 Miu/ml
Progesterone 8.45 Nmol/l
Dr said don't need HCG trigger shot? Is this ok?
Similar: The two medicines are both considered viscosupplementation. They are injected for mild-moderate arthritis to improve the lubrication of the joint, more normally recreate the viscosity of knee joint fluid, and hydrate the remaining cartilage. Synvisc (hylan g-f 20) can be given in a one time dose or 3 doses separated by a week each. Hyalgan, euflexxa, orthovisc, supartz are given in multiple doses (3-5). ...Read moreSee 2 more doctor answers
Pregnancy: It is difficult to put a number for what your success may be. These tests also are not predictive of pregnancy rather your response to fertility treatment medications during ivf. Your chances may not be as high as someone your same age with normal ovarian reserve. However, your age places you at a high chance in general. Good luck. ...Read moreSee 1 more doctor answer
Clomid (clomiphene) is an estro receptor.Brain needs estrogen surge to release lh.Which means ppl on Clomid (clomiphene) don't have LH surge?How egg burst out?
Got confused?: You are getting yourself confused. Clomid (clomiphene) is not an 'estro receptor' at all; it is mainly an estrogen receptor antagonist, but it has pro-estrogenic actions in some tissues and anti-estrogenic actions in others. Women on Clomiphene do mostly have an lh surge; not surging means the Clomiphene dose was likely too low. ...Read more
Which is better merional or clomid (clomiphene)e? What is difference?Is a risk of twin more with merional or clomid (clomiphene)?
CC vs. hMG: Clomid (clomiphene) is an oral drug (a stilbene derivative) used to induce ovulation, merional is a gonadotropin (fsh + lh) used in controlled ovarian hyperstimulation. One is not "better" than the other: they have different risk/benefit profiles and so are selected based on appropriateness for the patient. The twinning rate on cc is roughly 5% and roughly 25% on hmg. ...Read more
Hard to say, because: First, no blood testing for females tells you yes/no on iui, that is determined by the male sperm numbers. Second, although your numbers are all in a normal range, the Estradiol at 123 is much too high for day 3 - which means the fsh might be suppressed (and therefore look 'better.' ) sorry if this sounds complicated! ...Read more