There seems to be variability in dosing of lupron triggers.
1000 IU or 1 mg
Based on number of collected oocytes 16 or less add 1500 hcg after collection otherwise freeze all or try 100 mg I'm progesterone.
I follow a similar protocol to what you mentioned. We have not had any trigger failures and avoided OHSS.
1 mg leuprolide trigger SC
1 mg leuprolide trigger + 1500 mg hCG for dual trigger
This is followed at our center. By we rarely use it. we just reduce the dose of hCG trigger and go fo segmented IVF OHSS prone patients
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