Braverman?


#1

Anyone have any experience with him? Good or bad?


#2

I starting seeing him this past summer and my first IVF cycle with him resulted in a positive. I had him manage a cycle at my local clinic first and that was unsuccessful so went to use his lab instead. I had one loss at 8 weeks and 2 chemical pregnancies before I decided to see him. I haven’t regretted it! He’s expensive, but I think you get what you pay for.


#3

HopefulupstateNyer- what did he end up give you? Intralipids? IVIG? Prednisone?

Maryevelyn- my new clinic in CZ recommended 5mg prednisone, but my OB wants to up it to 20mg! I’m going to add the Claritin and Pepcid like that CCRM protocol. My FET in CZ will be around 6/10. We fly there 6/5.


#4

Treatment really depends on the problem. He put me on Lovenox and Viagra during stims in order to help blood flow since I have reduced blood flow to my uterus. I’m guessing it also helps with blood flow to the ovaries. After transfer I started Neupogen for HLA matching issues. I’m also on baby aspirin and Lovenox twice daily for clotting issues.

Rachela- I remember you from an IVF board, I think it was last May. Good luck!


#5

Thanks Hopeful - it looks like all your bfn’s were from the same IVF stim cycle and then you had success with a new fresh cycle. Is that right? was your protocol different on the new cycle?

Rachel - that’s what I have been seeing - 20mg of prednisone (10mg 2x per day). I hope it works for you. i will be stalking :slight_smile:


#6

[quote=maryevelyn]Thanks Hopeful - it looks like all your bfn’s were from the same IVF stim cycle and then you had success with a new fresh cycle. Is that right? was your protocol different on the new cycle?

Rachel - that’s what I have been seeing - 20mg of prednisone (10mg 2x per day). I hope it works for you. i will be stalking :)[/quote]

Nevermind - I looked again and saw multiple IVF cycles. Did braverman change your stims?


#7

HopefulUpstateNYer- I remembered you too. I’m so happy to see you finally had success.
I may ask about viagra during the estrogen prep of my FET. My lining is always on the thin side.

Maryevelyn- thanks. I will let you know how it goes!!


#8

It was my 5th fresh IVF cycle that resulted in success. I had frozen embyros from almost every cycle and did two cycles where we froze all of the embryos.

Braverman did change my stims. I had done long lupron x3 and had 2 chemicals, did an antagonist that he managed and didn’t have success, and then another antagonist but only used Menopur with my successful cycle. We started with Gonal-F but I wasn’t responding so we switched over to only Menopur. It was definitely different, but did the trick!

Luv4- Have you had a doppler blood flow ultrasound done of your uterus? My lining was always fine but I found out with Dr. B that the blood flow wasn’t too good. That may be part of it. I’ve also heard of doing a Neupogen wash to help with a thin lining. The Viagra didn’t have any other side effects : )


#9

When did you take the viagra? which CDs? oral or vaginal?


#10

I used it from CD1-CD9. I stopped because my lining was at 10+. It was twice/day vaginally. Freedom makes a suppository version. I was surprised because I pictured the little blue pill. When are you planning to cycle again?


#11

[QUOTE=HopefulUpstateNYer]I starting seeing him this past summer and my first IVF cycle with him resulted in a positive. I had him manage a cycle at my local clinic first and that was unsuccessful so went to use his lab instead. I had one loss at 8 weeks and 2 chemical pregnancies before I decided to see him. I haven’t regretted it! He’s expensive, but I think you get what you pay for.[/QUOTE]

Great news! Congratulations and all the best till the end?
Im also going to cycle with dr. B.we have a mf and 5 hla matches but not the triad.
In your case, the male factor isnt a problem?


#12

No mf issues for us. I hope you have as great of an experience as I did with Dr. B. Best of luck! His embryologist is amazing!


#13

HopefulUpstateNYer- I might try the viagra.
I will be flying to CZ June 5th. My 1st u/s will be on CD 13 on June 7th. Estimated ET will be 6/13 or 6/14.
I will be on the following protocol…

2mg estrace orally 2X/day (am & pm) CD 1-3
2mg estrace orally 3X/day CD 4-7
2mg estrace orally 3X day CD 8-13 and 2mg vaginally in pm, so 4X/day total.
I only ever had one FET and it was with patches, and smaller doses. Who knows what to do. Maybe I will book a CD 10 u/s here in the states before we leave so I can self medicate with the viagra at least a few days before my first u/s in CZ.


#14

luv4- So you will be traveling? How did you find out about that clinic? I’ve seen many different FET protocols, but never had success with a FET cycle so can’t say what works best for me. I did one with Dr. B that was so involved it made my head spin. Best of luck!


#15

Dr. Braverman

I am currently cycling from out of state with Dr. Braverman and love him so far! He is the most thorough Dr I have ever met in my life! My husband and I chose to do IVF with PGD to prevent passing along a genetic condition. Prior to choosing to do IVF/PGD, we were told by my RE that we could get pregnant on our own within a year of trying and that our tests came back normal. So we went into IVF thinking it was going to work on the first try. And what a blow it was when it didn’t work. We did two ivf/pgd cycles which failed for “unexplained” reasons. Transferred high quality blasts and on the second cycle we even added full PGS screening to ensure we transferred a totally normal embryo. It still failed. RPL testing came back normal… My RE suggested we try a third time using the same protocol which had failed me twice (long lupron). I didn’t want to waste more time, money or energy.:grr:

I sent a message for a consultation to Dr. Braverman’s website and he called me that afternoon. He personally talked to me for 10-15 minutes and was genuinely interested in my case and how he could help. I set up a consult for a month later and haven’t been disappointed yet. He tested my husband and I for everything under the sun. It is expensive & time consuming waiting for results (we’ve had a 5 month break between cycles!), but if it brings me my take home babies it will all be SO worth it. I’m glad he didn’t rush me into a new cycle without getting answers first. Dr. B discovered I’m borderline insulin resistant (I’m not overweight at all, never have been, and I don’t have PCOS!), he also discovered some slightly elevated immune cells, and that my TSH was a little high for pregnancy. He’s treating me for all this. And I’m being monitored hours away from him and his office! He responds personally to questions I email him within a day, and usually within an hour or two. I sometimes wonder if I drive him crazy with my emails. I probably do…:woohoo:

I highly recommend him to anyone who has suffered a loss, or gone through failed cycles. Actually, ANYONE who is having trouble TTC should call HIM FIRST. I wish I did instead of wasting thousands on going to a “cookie cutter” clinic that took my $ and kept doing the same cycles which led to the same disappointing results. Those failed cycles led me down a very dark path of feelings that were the darkest days I’ve ever felt. To be told you can get pregnant on your own then have the most advanced reproductive technique fail you not once but twice (even with PGS) is devastating.

Dr. B has put the time into investigating why my past cycles didn’t work and he developed a personal solution for me. Knowing this has made me feel so much more comfortable putting my next cycle in his hands. I hope & pray I have some good news in a month:pray: :preg: :preg:


#16

Hopingfortwins,

Dr. Braverman has an amazing embryologist. Are you doing the retrieval at his facility in Manhattan?


#17

I have heard wonderful things about Carlos. I am doing my retrieval and transfer in NY. I can’t wait!!


#18

hoping - what did Braverman do differently for you this cycle?


#19

[B][I]EVERYTHING![/I][/B]

My old RE did suppression with just long lupron both times then a low dose of stims (150 gonal f) for 7-9 days. I responded to the stims well and my e2 got high pretty fast. I was told both cycles went “beautifully” and textbook, but they didn’t result in pregnancy. I was told I had no known fertility issues. I chose to do ivf solely for pgd to prevent passing along a genetic condition.

Dr. B tested me for everything, and then came up with my plan. He discovered my TSH was not optimal for pregnancy in March and recommended Synthroid, he discovered I was borderline insulin resistant (although I’m not overweight or PCOS, no family history of diabetes) and is treating that with metformin, which I’ve been on for 2 mos. He said that could be why my e2 got so high on low doses of stims! He suppressed me with bcp instead of lupron, changed my stim dosages (starting high and tapering down), added different stim meds in addition to the Gonal F, added blood thinners and steriod (for immune issues he discovered). And he’s triggering me with lupron instead of ovidrel which will eliminate the OHSS risk. He’s also doing a 5 day biopsy and FET instead of 3 day biopsy with fresh transfer. (This is for the PGD). Day 5 biopsies are shown to have better results. So he changed everything:) I’ll know if it worked in 2 months!!


#20

[QUOTE=hopingfortwins]He’s also doing a 5 day biopsy and FET instead of 3 day biopsy with fresh transfer. (This is for the PGD). Day 5 biopsies are shown to have better results. [/QUOTE]

I am so glad you are doing a day 5 biopsy now. As we discussed in the PGD board eons ago, it’s better to take cells (from what will be the placenta) from a day 5 embryo. I’ve seen just this change result in a pregnancy! I so so hope that all these changes get you your babies!