Dear Sir;I am 38 yrs old with low ovarian reserve, severe endometriosis & one completely blocked & one distally blocked tube.I had 2 failed ivf with long protocol.one time I used menogon & the other Gonal F & in both my Re used to imcrease the dose in the last 5 days of stimulation.And in 1st one I got 5 follicles& 4 were fertilized.second time I got 7 follicles& also 4 were fertilized.Now do you think I would continue on long protocol or should I change to short one?I read some article that distally blocked tube with endometriosis can bring fluids to embryo & prevents it from implantation.And it can also lead to hydrosalpinx that is also toxic to embryo, And its better to be removed or ligated.Please I need a clear answer espicially about the tubes because its very critical & expensive for me given that I didnt have history of hydrosalpinx.Also I have 2 frozen embryos from my last ivf.I want not use them the coming time & do fresh one and transfere 2 & freeze the rest.Is it wise to do that? Because I am afraid of my response to induction due my low AMH, if I use the frozen then postponed the fresh one to a later time I might not yield enough eggs.Thanks for your replies
Hi, Thank you for choosing Chat Doctor. Considering your age and previous history definitely It's difficult to yield the eggs again. This might be your last chance. I personally advise you to go for surrogacy or adoption if this cycle fails. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it. Thank you, Wish you good health. Chat Doctor. Chat Doctor .com/doctors/