Abstract

Background: There is presently no uniform consensus defining the best protocol to use for poor-responding IVF patients. At our center, we generally advocate the use of gonadotropin-releasing hormone (GnRH) agonist/antagonist conversion with estradiol valorate priming (AACEP) protocol for poor responders; we have noted much anecdotal success using AACEP even in those who have experienced repeated IVF failures. This protocol, we believe, synchronizes follicular growth while better developing the endometrium for implantation.

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