The Poor Responder – New Medical Treatment Poor Responders ...
The Poor Responder – New Medical Treatment Poor Responders ...
The Poor Responder – New Medical Treatment Poor Responders ...
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34<br />
AACEP Protocol<br />
�� OCP 3 weeks<br />
�� GnRH agonist, long protocol from day 21,<br />
overlap wt OCP 5-7 5 7 days, stopped at menses<br />
�� GnRH antagonist commenced day 2 of menses<br />
�� Estradiol valerate IM every 3 days for 2 doses<br />
�� Estrogen suppositories to maintain endometrium<br />
until at least one follicle > 15mm<br />
�� Stimulation with FSH, then HMG in step-down step down<br />
�� Ovulation wt hCG, OPU after 34.5 hrs<br />
�� Estrogen “priming priming” - of FSH receptors<br />
- slows premature follicular development<br />
- promotes granulosa cell FSH receptor<br />
induction<br />
�� IM administration to prevent conversion to<br />
estrone
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