Infertility

Just had my WTF consult and my RE is PISSED...

So I knew I would be having my WTF convo soon, but was expecting it on Monday. Well I just got off the phone with RE who seemed to be more upset about the fail than me. 

In 3 yrs and 4 transfers I dont think Ive ever heard him sound so aggressive in tone. He was very sympathetic and apologetic for the first half of the conversation. And I think he was disappointed with himself, since for the first time HE actually preformed my transfer this past time. (as if he may have thought the other doctors where doing it wrong before, lol) 

After all the apologies and I really thought this would work this time part... he starts with the list. 
1) Recurrent Loss Panel
2) A second HSG (I had my tubes removed, but he thinks maybe there could be something residual thats causing problems)
3) Put me in a Endometrial study, where part of my endometrium will be biopsied and tested?? (I really dont know all the details of what this is or why), but based on the results apparently their could be additional things to improve the process.
4) A repeat saline sono
5) A special diet, which we will discuss in detail later. Nothing too drastic but he wants to make sure Im at least eating "these" certain things, and staying away from "these" things
6) Proceed with another 2 embryo transfer, that HE wants to perform himself.

I really feel good about this. My doctor for what its worth is a lot like Ben Stein... very nice, mild mannered, very detailed, but a little dry and monotone. And to hear expression in his voice over the phone was like "who the hell is this and where is my doctor"

He did say that we should be able to have a transfer in a couple months, which was a little disappointing, since I was just getting excited about doing a transfer next month. But hey, this sounds good to me overall. I had myself all prepared to go all "boss chick" on him during our talk, but he beat me to it. The only things I was going to ask about was the RLP and a endometrial scrape.

Well here we go...
 
*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~
Waited a long time, tried a lot of stuff, science made me a mom.
 Loss and IF veteran. Current mom of DS 5.5, DD 2, and sometimes DH 40. Due June 2021 with TWINS

Re: Just had my WTF consult and my RE is PISSED...

  • I'm disappointed you are having to wait, but the planned tests and treatments all sound very good to me. Please tell us more about the diet stuff when you find out the details! I'm very curious.

    I know we don't have the same RE, but you have described mine almost perfectly! My husband and I have compared him to Ben Stein, too, because of the dry and monotone voice.

    ***************************Loss Mentioned***************************


    Me 37 y/o, DH 45 y/o; DH vasectomy reversal (his 2nd marriage) 11/8/12; TTC since 12/8/12. IVF due to MFI. DOR diagnosis April 2015.

     

    IVF #1 BCPs/Antagonist w/ICSI Jan 2014 = BFN

    IVF #2 MDL w/PICSI March 2014 = BFN

    IVF #3 EPP/Antagonist w/PICSI May/June 2014 = BFP!; MMC 6w4d

    IVF #4 No suppression/Antagonist Nov 2014/Converted to IUI #1 = BFN
    IVF #4.1 Feb 2015 = cancelled
    IVF #4.2 April 2015 - Lupron Stop Protocol with ICSI = PGD testing of embryo indicated it was abnormal
    IVF #5 June 2015 EPP with Antagonist 

     

    image
    Everyone welcome!

  • Glad he has other things he wants to try.  I just had my 4th transfer so I know how you feel.  My RE also recommended the endo biopsy thing- not just a regular one but the one he does is through Yale its called EFT.  I had a regular endo biopsy in the past but the EFT is more in depth. If this transfer doesn't work I will do the EFT for more information.  What about immune testing?  I had mine before this IVF an something showed up.

    How many more do you have frozen?

    GL
    ***SIGGY WARNING***

    DX: Unexplained
    6 Failed IUIs (Clomid and Gonal F).  
    IVF #1 began August 2013- BC, 4 days of Estrace, stimmed with Gonal F and Menopur, Ganirelix, 9R 5M 5F, Medrol and Doxycycline, 5 day transfer of 2 early blastocysts- good quality, Progesterone, Estrace, and baby aspirin, BETA on 9/20 BFN,   IVF #2 began September 2013, stimming with Gonal F (higher dose) and Menopur, Ganirelix, 18R 14M 9F with ICSI, 5 day transfer of 2 BBs one was starting to hatch, 2 frosties: 1  BB and 1 AC, BETA on 10/21, BFN BETA was a 5- chemical 
    Getting some more testing and trying to figure out what the issue is before FET in December, started acupuncture on 11/10, RLP and some other BW nothing major to report except slightly high Prolactin. Prolactin was slightly high when I started with my RE and I already had an MRI which was Neg.  Endo biopsy=negative.  WTF is wrong with us???
    12/18/13 FET of 1 BB and 1 AC.  Hoping for a miracle.  Beta 12/26 Low BETA-8 2nd BETA 5- chemical
    After 3 failed transfers IDK where to go from here.  Still no real answers as to why this isn't working.  Getting a second opinion in February and looking into immune testing.  
    2/14- NEW RE- Immune testing showed a partial dq alpha match with DH- On prednisone and did intralipids prior to transfer.  3/14 Lupron, gonal f, menopur, HGH.  ER 15 mature all 15 fertilized!  5dt of an early blast grade 1 and an expanded blast grade 2.  BETA on 4/21.  1 grade 2 embryo frozen
    BETA #1 59 BETA #2 148 BETA #3 283 BETA #4 2,783! US at 6w2d shows 1 bean measuring right on track! HR 121.  US at 8w3d measuring on track HR 177. Released form my RE.  EDD 12/28


    All Welcome
  • Loading the player...
  • I hate that it failed but loved that he got balls to wall about the new plan. That always gets me pumped and ready to go! I am also definitely interested about that whole diet please keep us posted on that. 


    TC Since 2006
    Me: 33
    Dx: Hydrosalpinx
    DH: 34
    Dx: Perfect
    IUI #1-4 = BFN
    BCP Started 2/23/2014, Tubal ligation surgery 3/5/2014
    1 Polyp removed, Tubes are bye bye.
    IVF #1 - Gonal-F, Menopur, Cetrotide, Lupron, ER 4/14, Freeze All, OHSS
    31R, 28M, 21 fertilized! 
    FET#1 - 06/26/14 transferred 5 day blasts 2- 1 4AA and 1 3BB lining at 12 (PIO shots, Progesterone and Estradiol)
    Beta 7/10/14 14dp5dt = BFFN
    FET#2- 9/25 Transfer day 3, 2- 10 cell Lining at 12
    10/2/15 - Progesterone Check 30
    10/9/15 - 14dp3dt BFN
    4/27/16 - Mock transfer protocol- Vit C, Vit D, DHEA, Prenatal, Lovenox, Estradiol, PIO
    FET #3 - 5/18/16 - 





  • @babydreams13‌ I'm not familiar with immune testing... What is it? And we have 4 frosties
    *~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~
    Waited a long time, tried a lot of stuff, science made me a mom.
     Loss and IF veteran. Current mom of DS 5.5, DD 2, and sometimes DH 40. Due June 2021 with TWINS
  • Immune testing is controversial.  Some REs do not believe in it.  My former RE did not.  Since we are unexplained and had no explanation as to why nothing was working I wanted more tests. It tests for many things including thrombophilias, Natural Killer Cells, and DQ alpha match. 

    If something turns up your RE can put you on appropriate meds.  Since DH and I have a partial DQ alpha match then I have been taking Prednisone since starting this IVF. I also had an intralipid infusion last week. Those 2 things are used to treat the match problem. 

    I go to SIRM in NYC and they o some immune testing.  There are reproductive immuniologists who even do more in depth testing. 
    ***SIGGY WARNING***

    DX: Unexplained
    6 Failed IUIs (Clomid and Gonal F).  
    IVF #1 began August 2013- BC, 4 days of Estrace, stimmed with Gonal F and Menopur, Ganirelix, 9R 5M 5F, Medrol and Doxycycline, 5 day transfer of 2 early blastocysts- good quality, Progesterone, Estrace, and baby aspirin, BETA on 9/20 BFN,   IVF #2 began September 2013, stimming with Gonal F (higher dose) and Menopur, Ganirelix, 18R 14M 9F with ICSI, 5 day transfer of 2 BBs one was starting to hatch, 2 frosties: 1  BB and 1 AC, BETA on 10/21, BFN BETA was a 5- chemical 
    Getting some more testing and trying to figure out what the issue is before FET in December, started acupuncture on 11/10, RLP and some other BW nothing major to report except slightly high Prolactin. Prolactin was slightly high when I started with my RE and I already had an MRI which was Neg.  Endo biopsy=negative.  WTF is wrong with us???
    12/18/13 FET of 1 BB and 1 AC.  Hoping for a miracle.  Beta 12/26 Low BETA-8 2nd BETA 5- chemical
    After 3 failed transfers IDK where to go from here.  Still no real answers as to why this isn't working.  Getting a second opinion in February and looking into immune testing.  
    2/14- NEW RE- Immune testing showed a partial dq alpha match with DH- On prednisone and did intralipids prior to transfer.  3/14 Lupron, gonal f, menopur, HGH.  ER 15 mature all 15 fertilized!  5dt of an early blast grade 1 and an expanded blast grade 2.  BETA on 4/21.  1 grade 2 embryo frozen
    BETA #1 59 BETA #2 148 BETA #3 283 BETA #4 2,783! US at 6w2d shows 1 bean measuring right on track! HR 121.  US at 8w3d measuring on track HR 177. Released form my RE.  EDD 12/28


    All Welcome
  • I'm sorry that it didn't work, but I'm glad your RE is so passionate about your case. I'm very impressed in him. I'm keeping my fingers crossed with you. Can you tell us how everything goes? And this special diet?
    TTC since May 2012
    Me: 32 H: 31
    DX: MFI-Very Low Count, I have Hashimotos.
    IVF prep September 2013 cancelled due to Ovarian Cyst
    IVF #1 October 2013 Antagonistic Protocol with ICSI  ER 10/31/13 (18R 16M 11F- 6 blasts to freeze)
    ET delayed due to OHSS 
    FET scheduled for July 8. Delayed due to a crazy high TSH (it had been under control for YEARS!)
    FET #1 8/5/14 sET BFN 

    All welcome!
  • jaztasticjaztastic member
    edited April 2014
    I'm curious about the diet too, but I don't think it's going to be too special lol.
    *~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~
    Waited a long time, tried a lot of stuff, science made me a mom.
     Loss and IF veteran. Current mom of DS 5.5, DD 2, and sometimes DH 40. Due June 2021 with TWINS
  • I'm sorry you have to wait, but it sounds like he's got a great plan ready for you.  I hope it leads to something that will help with the next transfer.




    dx:  Unexplained IF
     TTC since May 2011, 1 year trying, and then 3 TI, 2 IUI = BFN
    IVF #1 (May 2013):  Antagonist Protocol: 
    24R, 18M, 15F w/ICSI; 5dt of 2 early blasts, no frosties = BFN
    IVF #2 (August 2013):  Lupron Stop Protocol: 
    28R, 23M, 15F w/ICSI; 5dt of 1 partially hatched blast, 7 frosties = BFP
    EDD 5/23/14, blighted ovum (6w6d), D&C (8w6d)
    FET #1 (April 2014):  transferred 2 5d blasts = BFP
    C.J. born 01/09/15


  • One thing the whole IF and IVF train has taught me, is to chill through the ride. I'm glad you have a new plan, even though the waiting sucks. Hopefully all goes well!
    On 10/23/13 Baby Sophie and Baby Gabriel born at 21+5 weeks. They grew wings and flew away from us. May God bless them always. We love you beans!
    Lilypie Angel and Memorial tickers
    Phoebe Jaslene born at 19w3d. We love you beba! Lilypie Angel and Memorial tickers



    image
  • Tea+Tea+ member
    Sorry to read. Hope your next transfer is your miracle! Good luck & be good to yourself. (I hear wine helps. Wish I liked the stuff.) Lol [;
    TTC Since 2012
    Me: Endo Stage IV (20+yrs) (who knew? Not me)
    MyLove: Pretty Ok. Low #s (i think) 
    IVF#1: No Eggs to Retrieve
    Taking time to ourselves
     Poor Responder will add COQ10 & DHEA next cycle
    **All Welcome**


    image



  • I'm sorry to hear the outcome of your cycle, but glad that your RE is going to keep fighting for you. Hopefully the new plan will be worth the wait!
    *** TW ***
    2013: BFP #1 - M/C 3/13
    2014: IVF #1-4 = BFFN
    2015: Dance break = got healthy
    7/2016: IVF #5 = BFP!!!
    Babysizer Cravings Pregnancy Tracker
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