؛؛؛البيت التاااسع لمجاهدات ارتفاع هرمون fsh؛؛؛

اختي العزيزه نقرا كثيرا في منتديات اجنبيه ان امراه ما عندها الهرمون مرتفع وخرجت بويضه واجرت الحقن المجهري ورزقت بطفل ...توكلي على الله واسحبي البويضه ولا تضيعي الفرصه فتلومي نفسك .. رزقنا الله واياكي بالذريه الصالحه عاجلا غير اجل.

السلام عليكم اخواتي

حصلت لكم طريقه علاج بالانابيب تستخدم في امريكا لحالات ارتفاع الهرمون ممكن تطبعيها وتعرضيها ع دكتورك يطبقها لك

طبعا الجدول موضح بالايام كلها
باذن الله اترجمها وانزلها بموضوع خاص اليوم



Typically, treatment starts from Day 2 of your cycle.
Day 1 = Day of bright red bleeding. If the bleeding starts after 6 pm count the next day as Day 1. Ignore the spotting.
On Day 2, you need to do an ultrasound scan to confirm there is no ovarian cyst, after which we start
your superovulation . This is done using a combination of Letrozole (which is also used for treating patients with breast cancer; and acts by boosting your own gonadotropin production) ; as well as gonadotropin injections.

Tab Letrozole (Femara), 5 mg daily from Day 2 - Day 6 with Inj Menogon (75 IU), 8 amp (600 IU ) daily from Day 2. The dose of HMG will depend upon your ovarian morphology and your antral follicle count.

From Day 7, you stop the Letrozole and start Inj Orgalutron/ Antagon, 0.25 mg daily . This is a GnRH antagonist which stops you from ovulating prematurely. The Menogon continues.

We do the next scan on Day 10, after which you would have to be in Bombay for about 10 days. Your husband is needed on Day 12-Day 14 (the day of the egg pickup). All the treatment is performed at our clinic, which means you never have to go elsewhere.

This is what the daily schedule would look like.

Day 1.
Day 2. Vaginal ultrasound scan to confirm there is no ovarian cyst. If there is no cyst, we can commence superovulation.
If there is a cyst, we aspirate (puncture) it and continue with the treatment.
Tab Letrozole (Femara), 5 mg daily . Inj Menogon (75 IU), 8 amp (600 IU ) daily
Day 3 Tab Letrozole (Femara), 5 mg daily . Inj Menogon (75 IU), 8 amp (600 IU ) daily
Day 4 Tab Letrozole (Femara), 5 mg daily .Inj Menogon (75 IU), 8 amp (600 IU ) daily
Day 5 Tab Letrozole (Femara), 5 mg daily . Inj Menogon (75 IU), 8 amp (600 IU ) daily
Day 6 Tab Letrozole (Femara), 5 mg daily . Inj Menogon (75 IU), 8 amp (600 IU ) daily
Day 7 . Inj Menogon (75 IU), 8 amp (600 IU ) daily. Inj Orgalutron, 0.25 mg daily
Day 8. Inj Menogon (75 IU), 8 amp (600 IU ) daily. Inj Orgalutron, 0.25 mg daily
Day 9. Inj Menogon (75 IU), 8 amp (600 IU ) daily. Inj Orgalutron, 0.25 mg daily
Day 10. Vaginal ultrasound scan to monitor follicular growth
The Menogon and Orgalutron injections continue until the follicles are mature (approx Day 12). Then the HCG injection is given, and eggs retrieved 36 hours after this.
Embryo transfer is performed 2 days later.

For patient who are poor ovarian responders, we transfer all the embryos we get, to maximise the chances of implantation. In this group, the risk of a multiple pregnancy is very low.

يارب رحمتك يارب