Mc used protocol Cn be used fr normal responder Hyperresponder also At 21 day ie at late lps there s no hcg to support corpeus letuem it start degeneration Fsh would to rise to make cohort f follicle 4:10 Frm day 2 use hmg fr 5 days Whn lead follicle 12mm Frm6th days start gnrh anta 6:46 generelix Cetrolix It bind to gnrh receptor on pituatiary it s competition binding With gnrh Gnrh wants to release fsh lh We do no want premature lh surge Nw follicle will grow to 17 18mm Nw u cn use trigger 9:40 trigger f choice hcg 10k Dual trigger .3 anta On day f trigger dont give anta bcoz endogenous lh would help in maturation f follicle Anta on day 6 Dose is .25 only No need to increase gonadotropin after day 6 Start with high dose itself 375iu 21:19 trigger 10k Lps on fresh transfer estradial valerate Estradiol hepihydrate 8percemt gel 22:17 in fresh cycle add letrozole with hmg Estradiol will nt rise If afc less than 5 dont add letrozole No coasting😊 Day 6 of stimulation nt mentursl cycle Hmg on hand Anta on stomach 21:13
Sir I am ivf patient low amh your sessions are so innovative but how can I help myself to discuss with you we stay in Pune I think of coming to your clinic but I can't but I really want person like you to help me Please help me/
Mc used protocol
Cn be used fr normal responder
Hyperresponder also
At 21 day ie at late lps there s no hcg to support corpeus letuem it start degeneration
Fsh would to rise to make cohort f follicle 4:10
Frm day 2 use hmg fr 5 days
Whn lead follicle 12mm
Frm6th days start gnrh anta
6:46 generelix
Cetrolix
It bind to gnrh receptor on pituatiary it s competition binding
With gnrh
Gnrh wants to release fsh lh
We do no want premature lh surge
Nw follicle will grow to 17 18mm
Nw u cn use trigger
9:40 trigger f choice hcg 10k
Dual trigger .3 anta
On day f trigger dont give anta bcoz endogenous lh would help in maturation f follicle
Anta on day 6
Dose is .25 only
No need to increase gonadotropin after day 6
Start with high dose itself 375iu
21:19 trigger 10k
Lps on fresh transfer estradial valerate
Estradiol hepihydrate
8percemt gel
22:17 in fresh cycle add letrozole with hmg
Estradiol will nt rise
If afc less than 5 dont add letrozole
No coasting😊
Day 6 of stimulation nt mentursl cycle
Hmg on hand
Anta on stomach
21:13
DM ya WhatsApp karein: +91-7208970809. Wahan par clear aur personalized response milega. Dhanyavaad!
Estradiol level on day 2
Day 6
Day 9
Letrozole reduce estradiol level prevents ohss
DM ya WhatsApp karein: +91-7208970809. Wahan par clear aur personalized response milega. Dhanyavaad!
Excellent quality talk
Thank you
@@DrJayMehtaGynecologist😊😊😊
Sir can we use antagonist protocol if patient is repeatedly devlops cyst for tic cycle???
Or antagonist procol is restricted to IVF cycles only
And if can be used then what should be the protocol for stimulation till day 6 and what should be the dose
Yes
❤thank you Dr Jay
Dr Reyam -Yemen
Welcome
Hi sir please put a lecture about microdose protocol,thanks,
Sure
Thanks for your information , you're a jem
But does letrozole cause any side effects like congenital cardiac malformation ? A friend mentioned this .
Your friend hasn’t given you the correct information
🙏sir please tell if follicle not rupture and follicular cyst develop then what should we do?
Ocps
How to join live classes. Please guide
The link is shared on our WhatsApp groups
@@DrJayMehtaGynecologist❤RM Fellow, from the Philippines 🇵🇭
@@DrJayMehtaGynecologisthow to join whatsapp group sir?
What is risk of ohs in high responder in high responder
No
Sir for how many days u give antagonist(ganirelix) usually ?
2
Hello sir
Do u give dual trigger even if number of follicles more than 18 mm is more than 20 ?
Yes
Marvellous
Thank you
Sir I am ivf patient low amh your sessions are so innovative but how can I help myself to discuss with you we stay in Pune
I think of coming to your clinic but I can't but I really want person like you to help me
Please help me/
People routinely come from pune once they fail their first or second ivf cycle
thank you sir. do you begin the fixed dose on day 6th of cycle or day 6th of hmG inj.
Cycle