Our expert says:
Based on the results and the history that you have volunteered, i would certainly not discount the possibility of a pregnancy. It would be however prudent to act hastily and not delay matters until the situation is much worse. My recommendation would be aperiod of down regulation to give the receptors some time to recruit and to RELAX. Thereafter I would recommend high dosage of stimulation and proceed to inf; ie harvesting of the eggs and fertilisation of such in a laboratory. In your case it may be even more feesible to do ivm(in vitro maturation) where we do not expect the eggs to grow to maturity but rather harvest them at a much earlier stage and allow maturation to take place in the laboratory. Although more expensive than clomid, this treatment option could be possibly more valuable since in some cases of ovarian resistance, follicles fail to mature beyond a certain stage and the eggs subsequently become non-fertilisable.
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