I’m in the middle of an IVF cycle and I was deemed a “poor responder.” What should I do? (Ask the Egg Whisperer)

I love that  Kelly recently sent in a question to Ask The Egg Whisperer. Here’s what she says,”: Hi Dr Aimee. I’m in the middle of an IVF cycle and I was deemed a “poor responder.” Only 9 follicles are responding on day 8.  I was told it’s due to my BMI but I feel like the protocol wasn’t aggressive enough. We did 5 days of letrozole and only Gonal F. My RE claims menopur slows follicle growth so he doesn’t use it til the majority of follicles are over 12. What would you suggest for me? I am 31, and my husband is 38. Thank you as always. I love the show and have learned so much.”

So, I think Kelly should go with her gut. I do think that you're right: your protocol is basically a mini IVF protocol. I would suggest doing a more standard stimulation. I do like using familiar and my protocols just because I feel like it reduces the amount of estrogen exposure for my patients. And it just makes me feel like it's a little bit safer.

Take advantage of how far you come with the medications you've taken. Just take this as a learning experience and I would advocate for yourself. And if you feel like your doctor isn't listening to you, it might be time to find another doctor.

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