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Question
Our Dr. prescribed Gonal-F 3 900 i/u pens (300 i/u per day for 9 days). Due to cost, we were wondering if we could limit it to 2 900 1/u pens, and 1 450 i/u pen. 2 years ago, I became pregnant w/ twins via IVF (carried 1 healthy to full term).
She said she is using this dosage based off our charts from last time. She can decrease, if we want to take the chance. My questions is how much difference is this? It is a huge reduction in medicine that it could affect the outcome?
Thank you.
Dear Nancy,
The success of an ART cycle, in part, depends on using the "correct" dose of medicine. Since your RE knows your history best, they would be the one you should ask this question to about decreasing your dosage....
Good luck!
Dr. Roseff - Director of W.E. C.A.R.E. in West Orange, NJ
PERSONALIZED/Individualized Successful care by a solo practice specialist
in a warm and caring setting....
www.reproendo.com/different.htm
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Answers by Expert:
Scott Roseff, MD, FACOG
Expertise
I can answer questions relating to ALL aspects of female infertility.
Experience
I am Board Certified in Reproductive Endocrinology/Infertility.
Organizations
Medical Advisory Board, Serono Labs, Inc.
Speaker's Bureau, TAP Pharmaceuticals, Inc.
The American Society for Reproductive Medicine
American Association of Gynecologic Laparoscopists
The International Society for Gynecologic Endoscopy
The Society of Laparoendoscopic Surgeons
The International Federation of Gynaecologic Endoscopists
U.S. International Foundation for Studies in Human Reproduction, Inc.
The Endometriosis Association
Fellow, The American College of Obstetricians & Gynecologists
American Medical Association
The Academy of Medicine of NJ
NJ Obstetrical & Gynecological Society
The NY Reproductive Medicine Society (Steering Committee)
The Society of Reproductive Endocrinologists
Resolve - National Chapter
Resolve - New Jersey - Executive Board
Publications
Please be so kind as to see my CV at: www.reproendo.com
Education/Credentials
Postgraduate Fellowship training in Reproductive Endocrinology & Infertility was done at The University of California, San Diego, School of Medicine.
Awards and Honors
Mellon Fellow in Reproductive Endocrinology and Infertility, 1988, awarded for academic excellence in the Reproductive Sciences, for research efforts aimed at development of novel contraceptives.
Wyeth Service Award for Physician Education and Training in Norplant Contraceptive Implants.
Certificates of Service and Appreciation from Our Lady of Mercy Medical Clinic, Guadalajara, Jalisco, México, 1978-1982.
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