I wanted to ask we just finished our first IVF with no fertilisation so onto the next round,
The protocol we were on was a long protocol starting on day 21 with suprefact nasal spray and primolut together for 10 days, the discontinue the primolut and finally on day 6 we dropped the suprefact down by half and added 125 Gonal-f for 12 days. This gave us 4 follicles (originally 22 but my clinic didn't want to take a chance on OHSS so only 4 matured) 2 of them didn't fertilise and 2 of them had three sets of nuclei instead of two so my doctor thinks we need ICSI since the eggs and the sperm looked great.
We are starting our next cycle in January and this time my doctor wants to start Centrotide and menpur on day one and do a short protocol.
My question is with my diagnosis that is basically just PCO looking ovaries (my doctor really hasn't made the diagnosis just says they are very powerful), amh of 22.8 and a normal FHS LH ratio (las measured on day 3 it was FSH 7.1 U/L and LH 8.5 U/L and on 7-8dpo FSH was 1.4 U/L and LH = 5.4 U/L), is a short protocol with menopur the correct way to go here? I'm a little affright of the menopur having to much LH in it but my doctor feels comfortable with using a short protocol to prevent OHSS since the plan is to be bold with the stimms.
Thanks in advance