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Suggest Remedy For Dropping E2 Levels When Having PCOS
Brief Answer:
GnRH agonist in next cycle
Detailed Answer:
Hello dear, I understand your anxiety.
E2 levels declined after decreasing the dose of FSH, suggests that the follicular growth ceased and thus they became atretic without releasing the eggs.
It is less common but a known entity in patients with PCOD.
In my opinion you will need GnRH agonist protocol in your next IVF cycle along with ovulation induction.
In case you have any questions I will be happy to help.
Regards
Dr Manisha
GnRH agonist in next cycle
Detailed Answer:
Hello dear, I understand your anxiety.
E2 levels declined after decreasing the dose of FSH, suggests that the follicular growth ceased and thus they became atretic without releasing the eggs.
It is less common but a known entity in patients with PCOD.
In my opinion you will need GnRH agonist protocol in your next IVF cycle along with ovulation induction.
In case you have any questions I will be happy to help.
Regards
Dr Manisha
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank u doctor. Whats involved in the GnRH agonist protocol? What will happen all the follicles i had growing this cycle, will they reabsorb? When should i be able start ivf again? Any questions u think i should have ready for my Re?? Thank you
Brief Answer:
wait for 1 month
Detailed Answer:
Welcome dear.
Agonist protocol is started on day 21of the cycle and then FSH is given for ovulation induction in next cycle so that there are good hormones in body and also removes unwanted hormones from acting during the growth phase of follicles.
You need to take rest for another month and then start a fresh cycle.
The follicles of this cycle will be reabsorbed and won't be of any problem in future.
Hope for the best.
wait for 1 month
Detailed Answer:
Welcome dear.
Agonist protocol is started on day 21of the cycle and then FSH is given for ovulation induction in next cycle so that there are good hormones in body and also removes unwanted hormones from acting during the growth phase of follicles.
You need to take rest for another month and then start a fresh cycle.
The follicles of this cycle will be reabsorbed and won't be of any problem in future.
Hope for the best.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank u doctor. Seen as i dont get my period ever should i ask the clinic about taking something to bring it on? Is it common with pcos to have the first cycle cancelled? Is the first cycle really a trial run or will i ever have a baby. Im so sad right now
Brief Answer:
tablet duphaston advised
Detailed Answer:
I understand the sadness part.
It is not common for first cycle to be canceled in PCOD at all.
The cycle was never a trial run and thus it was just a mere bad luck playing its part.
You need to be prepared for your next cycle which will be more customized for your body due to the better assessment of dose and type of protocols needed for your induction (from the experience gained from previous cancelled cycle).
At times things happen for your own good only in the long run and this canceled cycle will most likely give your doctor a better insight and thus help him to give you better results.
Don't feel disheartened and god will definitely bless you with a healthy baby soon.
As per periods are concerned you will get them once you will leave progesterone (given after embryo transfer).
For next cycle take tablet duphaston 10 mg twice a day from day 16-25 of cycle (for ten days)
And after leaving it you will get your periods.
Take duphaston in every cycle till you are ready mentally for next cycle.
All the best.
tablet duphaston advised
Detailed Answer:
I understand the sadness part.
It is not common for first cycle to be canceled in PCOD at all.
The cycle was never a trial run and thus it was just a mere bad luck playing its part.
You need to be prepared for your next cycle which will be more customized for your body due to the better assessment of dose and type of protocols needed for your induction (from the experience gained from previous cancelled cycle).
At times things happen for your own good only in the long run and this canceled cycle will most likely give your doctor a better insight and thus help him to give you better results.
Don't feel disheartened and god will definitely bless you with a healthy baby soon.
As per periods are concerned you will get them once you will leave progesterone (given after embryo transfer).
For next cycle take tablet duphaston 10 mg twice a day from day 16-25 of cycle (for ten days)
And after leaving it you will get your periods.
Take duphaston in every cycle till you are ready mentally for next cycle.
All the best.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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