Hi Usa2011, I am not an expert. I’ve only done 1 cycle of IVF (see my sig) but I feel like I’ve done a lot of research on this and here’s what I feel like I’ve found…
Antecdotaly, it does seem like DOR/poor responders do best on the antagonist protocol. CCRM seems to use this protocol with those women with good success. Also, anytime I see a DOR/poor responder say they are on lupron or BCP, experienced women always seem to respond that that isn’t right bc it is oversurpressing them.
The thing I believe about IF is that there is no real “best practices” established industry wide. I don’t think anyone but the patients would really profit from someone doing this or even curing this problem so there is no motivation to do so.
I also believe that RE’s all have their own motivations like you said. This is their business after all…so you really do have to advocate for yourself like you are doing.
I did long lupron my first cycle. My RE called this the “gold standard” of IVF, but everyone on this forum said “no, it’s just the generic starting protocol.”
I am doing micro-flare lupron for my second round. My RE refuses to do antagonist and I don’t know why until I get to meet with him again. I do have excellent med insurance coverage, so I am willing to experiment before deciding to switch REs so this is ok with me, but if it doesn’t work, and he still won’t try antagonist I will switch RE’s.
I will probably go to SIRM. CCRM is VERY expensive if that is a concern for you as it is for me…SIRM has several locations and they do free phone consults so you might think about calling them and doing a consult.
I have started lots of supplements this time too based on anecdotal stories from this and other forums. I will try to insert the list…ok, I don’t know how to do that! But if you look through my past posts, it is on the Nov 2011 take 2 thread, within the past few weeks…
Again with the supplements, no one’s going to get rich off a study that would prove if any of these actually can help with IF since supplements are not proprietary, so that is never going to happen…you just have to research them yourself and decide if you want to try it.
Best of luck to you and keep self advocating!