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Integrative Fertility (Expert Forum)
IVF Lupron
Answered by
John H. Kim, M.D. - Women's Health, Gynecology, Acupuncture, Integrative Medicine, REI, Mind/Body Medicine, ReproductiveMedicine, IntegrativeFertility, Herbal Medicine, infertility, menopause
John H. Kim, M.D.
Los Altos - CA
This forum is for questions and support regarding an integrative approach to healing that combines the best practices in complementary and conventional medicine. Topics include: Acupuncture, Herbal Therapy, Mind/Body Medicine, Traditional Chinese Medicine, Fertility, Stress and Fertility, Body Weight and Fertility, Environmental Contaminants and Fertility, Polycystic Ovarian Syndrome, Recurrent Pregnancy Loss, Fibroids, Endometriosis, Hormone Imbalances, Menopause.
IVF Lupron
by bny807, May 05, 2008 02:21PM
Hello! i have severe endometriosis, and had a lap three months ago (6.5cm endometrioma and most of my left ovary removed) otherwise the endo was pretty superficial - all on my bowel, bladder, ureters and some on my "good" ovary..They were unable to clean up most of it due to the location of the implants, and said there were not any adhesions.. We have done two IUI's with femara/novarel and then progesterone without luck.. we also have male factor (morphology 2% -strict criteria) We are planning on moving to IVF, I have read that lupron prior to IVF improves implantation in Endo patients- is this correct? and if so how long should the suppressive therapy be? 2 weeks or 3 months? Also can femara be used instead of lupron wtih simliar success rates? thank you so much for your time!
Doctor's Answer
by John H. Kim, M.D., May 06, 2008 07:37PM
, May 06, 2008 07:37PM
To: bny807
I think it depends on what your doctor feels about how much endometriosis is left. If you have lots of endometriosis left then suppresion for a few months may be reasonable. If you are older, you may not want to have suppression for that long and you may decide to proceed with IVF using the long Lupron protocol as the only suppression. I do not know the success of Femara in IVF protocols instead of Lupron. I would discuss this all with your IVF doctor.
