Harlan2114 t1_iwwbyf5 wrote on November 18, 2022 at 9:06 PM

Hello! Thank you so much for being here. What IVF retrieval protocol would you suggest for someone with endometriosis and who has the issue of dominant follicles? I have poor egg quality and have a hard time making blastocysts. Thank you so much!

DrJosephDavisDO OP t1_iwwe7n4 wrote on November 18, 2022 at 9:22 PM

Hi u/Harlan2114

Thanks for the question. The 2 main types of protocols are agonist and antagonist. There is data suggesting longer agonist suppression can help with early follicle growth, but this can also over suppress some follicles. The estrogen priming protocol is a nice blend of suppression with the added advantage of antagonist. I see a lot of patients with a similar situation. If you want to reach out to my office, we could set up a consultation to talk about your specific case. (email contact@caymanIVF.com)