Posted by Serena Chen, MD on July 12, 19100 at 12:28:02:
In Reply to: Q for Drs re: IVF protocols for poor responders - FSH/LH combo vs straight LH?? posted by Theresa on July 12, 19100 at 10:44:45:
You have some good questions. Some people seem to respond better to a combination of FSH and LH than just pure FSH. Overall, no significant differences can be seen in the pregnancy rates. LH tends to improve estradiol levels, but will probably not improve the number of eggs. Adding LH to your protocol is in the category of: it won't hurt, maybe it will help.
: About to do 2nd IVF, and want opinions on protocols.
: 1st IVF produced 4 eggs on 6 amps on Gonal-F with low dose lupron (on previous IUI produced 2 follicles on 3 amps of Gonal-F).
: I am going to do flare protocol next, but my question is do you favor straight Gonal-F or a combo of FSH and LH?? I've heard that LH helps egg quality (mine is good), and that women may need it as lupron depletes LH. Will the LH help with quantity as well as quality?? What are the pros and cons of each protocol?
: Many thanks for taking time to answer and welcome to the board.
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