Hi,I am Dr. Aniruddha Malpani (Infertility Specialist). I will be looking into your question and guiding you through the process. Please write your question below.
Low Ovarian Reserve, Severe Endometriosis With Bilateral Blocked Tubes. Failed IVF. Prolonged Use Of Decapeptyl?
Dear doctor; I am 38 years old married for one year with no children.I have low ovarian reserve, poor responder , severe endometriosis with bilateral blocked tubes.I did one failed ivf on long protocol with decapeptyl and maximum dose of menogon.I produced 5 eggs , 4 were fertilized with 3 excellent embryos and one with lesser grade.I transfered all & non of them stuck. This time my RE started me on yasmine oral contraception on day 2 of menses & added decapeptyl on day18 & was planning to start stimulation with gonal-f 300 unit after 14 days of starting decapeptyl and to continue stimulation for about 10 days. But now he changed his plane and want me to continue on decapeptyle for 1 month instead of 2 weeks just because his vaccation was scheduled on my expected date of embryo transfere and I am now worried about oversupresion of my ovaries because of prolonged use of decapeptyle.I am really confused and don't know what to do.Can you please advice me & tell how to deal with this prolonged use of decapeptyl??
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Low Ovarian Reserve, Severe Endometriosis With Bilateral Blocked Tubes. Failed IVF. Prolonged Use Of Decapeptyl?
Hi, Thanks for your query. Following is my reply: 1) Using decapeptyl may not help you much. 2) Since you are already 38 with low ovarian reserve I request you to go ahead with IVF as soon as possible. 3) If you dont get good eggs, go ahead with donor IVF treatment Regards, Dr. Mahesh Koregol IVF & Infertility Specialist