Hi Piso, not a problem and I am sorry about your last IVF. IVF cycle always like test and trial until your RE knows what meds and dose you have to take. Here the answer, but it alll depends on your age also.
My RE is Dr. Grossman, he did my first IVF ER and ET, and also my 2nd ET. But the transfer for my 2nd IVF done by Dr. Montalto. I never heard of him, but luckily I have few internet friends that did many IVF cycles at CNY and they are really a big helps in tips and such. When I heard other RE will do my transfer I am not happy, but my friend told me that he is wonderful and she was right. I like Dr. Montalto. Very calm, takes his time and love what he does. Dr. Grossman reply email quickly and listen to you and will try find the best protocol for you. But off all you need to tell him the issues so he can give you best protocol and dose.
My out of town nurse is Greta Joost. She is incredibly super! I don't know how she do it, but she managed many out of town patients, but always on top of it. She will reply your email day and night and weekend if she can.
I am 40, so I am consider a slow responder. So for my first IVF Dr. Grossman suggested that I do long lupron...and I said NO. That's because I read so many women over 40 over suppressed and their follicles never grow. When I asked him why he choose long lupron, he said that's their standard for all first IVF timer. But he really listen, if you don't want and you give reason, he is okay with it. So I did antagonist. I used:
150 Menopur
150 Bravelle
Cetrotide
Estrace
Dexamethasone
Hcg trigger 10,000
Endometrin (after ET)
I was stimmed for 8 days. 9 follicles. 6 matured and 6 fertilized nicely. They choosed Day 5 for transfer. But on day 4 all the embryos slow grow and I don't have good feeling about it. I transferred 3 and none to freeze. That cycle was BFN.
Before my first cycle my Dr. here in Austin found 1mm polyp. But its too late for me to cancelled my 1st IVF, so I go ahead did the IVF with polyp. But after failed, I immediately scheduled the polyp surgery. It went well. He found 2 instead of 1 polyp. But it was a nightmare, my cycle never get back to regular, so I cannot start my 2nd IVF immediately. Took over 100 days for my period to come back. I still ovulated normally (based on bloodwork) but my period was 'stuck' inside. Based on the bloodwork test (baseline) they determine where I am in my cycle. Dr. Grossman want me to do Estrogen Priming Protocol (EPP) this time. I suppose to take estrace for about 20 days then stop and then take BCP for 7 days and stop. Once I stopped I should get my period, but half way through my estrace, I got full blown heavy period! So I never get into my BCP.
Here what I have for my 2nd IVF:
300 menopur
300 bravelle
Cetrotide
Estrace
Hcg 10,000
crinone (after ET)
I was stimmed for 12 days! My lead follicle growing 5mm ahead of others and my nurse said we have to sacrifice that one to make sure others growing. I was sad, but thankfully it waited for others
. They saw about 9 follicles, retrieved 6 mature and 4 fertilized. I wanted Day 3 transfer because from my first IVF if I waited till day 5, the embryos will slow grow again. The embryos looks better than the first IVF. Even I have don't have perfect 8 cells, I still happy. I asked Dr. Montalto to transfer all 4. He kind of hesitant, but when he knew I am 40 and I told him that my first IVF all the embryos slow grow, he agreed to transfer all 4.
Great thing about CNY is they are super cheap compare to other places. They have package and I got 3 cycles with 3 fresh and 3 FET (If you have FET, you need to use it first before going into new cycle).
At that time, you have to pay 50% downpayment and split the balance either 12 or 24 months. Without interest. But I think if you choose over 12 months they will charge one time Admin fee, which not that much. I purchased the 3 cycles for $7500, I managed to negotiate with them that only can afford to pay $2400 downpayment and split others into 12 months and they very generous to accept that and by April 2013 I will finished pay it all. You don't need to go through hassle getting loan from other organization, it from CNY itself. So no hassle, not much paperwork like borrowing from bank. Super easy.
I just read their website, starting few weeks ago, they allow NO DOWNPAYMENT! You can finance entire amount into monthly payments.
As for meds, if you cannot afford it, they always can help for the first round. I was lucky enough I got my bravelle, menopur, endometrin from them from the donation. Infact I still have some left from my first IVF to carry to my 2nd IVF cycle. I am super thankful for that. They normally only help for first round only, then you have to purchase yourself for the second one. But it also depends what they have at that time.
I hope I answered your questions, and let me know if anything not clear and good luck. I am still very cautious. My first ultrasound will be on 10/10/2012.