Ask Our Doctors – Archive
Our Medical Directors are outstanding physicians that you will find to be very personable and compassionate, who take care to ensure that you have the most cutting-edge fertility treatments at your disposal. This is your outlet to ask your questions to the doctors.
Hi Dr Sher, in my last IVF cycle, I did the day 21 lupron protocol and after 6 days of 10U of lupron my LH was 8.3, progesterone was 21, FSH was 4 and oestrogen was 155. I thought lupron was supposed to suppress oestrogen, FSH and LH. How long does the process take with lupron? I normally have a very low LH reading. Is this what you’d expect to see from someone who is down regulating and had been 2-3 days away from commencement of a menstrual cycle??
It often takes a few days longer. Remember, the initial effect of an antagonist (e.g.Lupron) is to expunge pituitary LH and this causes an initial rise in blood level and it takes a few days longer to go down. I predict that if you wait until your period starts and then retest..your LH level will be much lower.
Geoff Sher
Hi Dr Sher! Happy holidays!
Can I ask, what is your opinion of Neupogen injections during IVF stimulation?
I personally do not believe in its effectiveness and accordingly I do not prescribe it!
Geoff Sher
Hello Dr Sher, what is the minimum time one should be on lupron before switched to 1/2 dose antagonist? I ask because my cycles are between 24-28 days and I usually start lupron on day 21. I’ve read it’s best not to be on lupron for longer than 14 days, but is anything as little as 7 days of lupron all up a problem before the switch to antagonist?
Should be no problem at all!
Geoff Sher
What transfer protocol would you use for someone with partial adenemyosis? I was thinking Lupron or Cabergoline for a few months every time i take estrogen for transfers i feel my uterus go hard like a lump inside me
I have a son from my very first FET since him ive done 8 transfers ( 5 negatives and 2 chemicals that happened right after a DNC was done)
In my opinion, if your uterine lining is adequate (>8mm) on estrogen, you would not require extended Cabergoline or Lupron.
Geoff Sher
Dear Dr Sher!
Wishing you and your loved ones a wonderful Christmas and a spectacular 2018!! On behalf of all the ladies who posted a question on your board this year, THANK YOU so much for taking time out of your busy schedule to respond to everyone! There are thousands of questions and you respond ever so expeditiously! You give us so much hope and your knowledge and expertise are admirable! You’re truly the most knowledgeable RE in the world! Thank you for helping so many women each year! Without you, I wouldn’t have had to give up!
Please enjoy the festive season and take time out to recover from the barrage of questions!!
Thank you angela,
What I do is NOT a chore. It is a love and a passion.
I thank you for your gracious comments but please believe me…I get a great deal of satisfaction from this blog!
Happy holidays!
Geoff Sher