Would anyone of you kindly share your IVF protocols for low ovarian reserve diagnosis? I’ve had the following protocols. The first cycle went ok but not really responding to medications anymore. Cycle 1 - Gonal F 450, HCG, a Ganirelix, trigger shot Lupron and HCG. Cycle 2 - micro Lupron dosage, gonal F 450, and HCG. Tigger HCG ended up in IUI conversion. Third cycle went back to first cycle protocol doesn’t seem to be working well. AMH .3

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I was only on letrozole and the trigger shot. Dr initially said to go straight to donor IVF, but i would like to try regular IVF first if possible.

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My first cycle I was able to get to euploid eggs and I have lower AMH so definitely try regular IVf first

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Couple protocols I’ve seen work well:
- adding estrogen priming, then menopur + gonal, ganirelix, dual trigger, Omnitrope starting at day 1 of stim

- same protocol but instead of estrogen priming, start mid-luteal phase instead of follicular phase

I’m surprised they went with gonal only for stim and did essentially the same protocol 3 times. I would definitely talk to them about changing things up.

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I'm interested in everyone's comments as well. .7 AMH, 3 rounds of IUI and would like to try regular IVF before going to donor IVF.

If you can afford it, go to IVF. There's financing options but you could do personal loan through sofi

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The antagonist protocol priming with estrogen patches worked best for me in terms of getting the most eggs. Also did not do well with microdose (primed with BC). Amh similar to yours. What are you priming with? That is important as well for results.

Estrace about a week before period. Thank you for sharing!

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