Question for Dr. Barad - protocol for poor responders

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Posted by Theresa on June 12, 19100 at 10:44:23:

Hi Dr. Barad,

You kindly answered a question below about success rates and protocols for poor responders. You sounded ambivalent about flare protocol, and I would like to ask you what other protocols you would consider?

I turned 40 in May, have low FSH and 105 E2 on day 3, had chem pg with first IVF cycle on down reg protocol. I had 4 eggs from 5 follicles, 4 fertilised and 4 transferred. The embryo were grade 2. I'm gearing up for next IVF cycle, doing co-culture, and flare protocol with 8 amps of Gonal-F. I'm at Cornell and generally very happy with medical treatment, but really want to get more follicles this time, and want to make sure I've weighed everything up. I also realise that every cycle can produce a different response, independent of changes in protocols.

So, I guess I'm asking the million dollar question for the over 40 crowd -- what are the other ways to increase my follicular response?

Thanks again

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