The superovulation protocol we use for IVF patients depends on two things.

One is the patient herself. For example, what her ovarian reserve is , as judged by her age, antral follicle count, AMH level; and her historical response to previous IVF cycles.

The second variable is how many follicles we want you to grow. For example, if we want lots of follicles, we use a standard protocol, or an aggressive protocol, so we get lots of follicles . This allows us to collects lots of eggs, and this allows us to form many embryos , which we can then freeze and store.

On the other hand, if we don't want too many follicles ( for example, if we are worried about the risk of OHSS - ovarian hyperstimulation syndrome) , then we will use a minimal stimulation protocol so that we get only few eggs, and few embryos. Hopefully, these few ones will be the top quality ones.

This is a decision we make in partnership with our patients .

If you understand your options, and can figure out what we're doing and why it, you'll be in a better position to be able to have an intelligent discussion with your doctor !

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Authored by : Dr Aniruddha Malpani, MD and reviewed by Dr Anjali Malpani.

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