Infertility Veterans

Question for those familiar with autoimmune issues

We are in the process of regrouping and trying to decide if we are going to move forward with our RI consult or not.  Long story short finances are becoming a big issue as all our treatments (like most of you) have been OOP and we are not sure what our most prudent course of action is at this point.


I had (what most would consider minimal) autoimmune testing a year ago.  Those results showed anti-cardiolipin below the reference range for concern.  My question is, although I was within the reference range I did have antibodies for all three cardiolipin antibodies (IgG, IgA, IgM).  Does this not show that there is potential for a future issue?  My understanding is that not everyone has these antibodies.  I realize mine are not elevated and were not a concern at the time but does the presence of them not in itself require further investigation.  I have Hashimoto?s and doctors have told me that even though my thyroid antibodies are currently within the normal range that doesn?t mean that they are still not active.  Is the same not true with other antibodies?  Can they not go up and down once they are present and even spike under certain conditions?



***SIGNATURE WARNING***


TTC #1

Me 42, DH 47

Dx = AMA/DOR, MFI

IVF/ICSI #1 = BFN

IVF/ICSI #2 = BFP; early loss

IVF/ICSI #3 (DE) = BFP; early loss

FET = BFN

IVF/ICSI #4 (DE w/ CCS) = BFP

Beta #1 @ 10dp6dt = 265; Beta #2 @ 14dp6dt = 1251. 

1st U/S @ 6w2d showed one perfect little heartbeat! 

2nd U/S @ 7w2d. HB 132 & everything measuring on track.

Our beautiful little girl arrived January 2015!


Re: Question for those familiar with autoimmune issues

  • hmz819hmz819 member
    I have an appointment with Dr. KK coming up so I can't speak to costs yet but I was told by her insurance person that a lot of things get covered since she uses immune codes instead of infertility codes.

    TTC#1 since April 2011
    IVF#1 July 2012 5R, 3 made it to blast, sET c/p
    FET#1 Aug 2012 2 blasts transferred BFN
    IVF#2 Oct 2012
    16R/6M/6F/2-8 cell grade 1 transfer
    Beta 1-237.9, Beta 2-566, Beta 3-8657
    US 6w3d shows one baby w/ HB 115
    US 7w1d no more heartbeat/ D&C 11/30/12 normal karyotype
    IVF#3 Mar 2013
    6R/4M/4F 1 compacting and 2-8 cell transfer
    ectopic pg MTX given 3 month break from TTC

    IVF#4 Sept 2013--BFN
    IVF#5-7 Apr 2014, Jun 2014 and Aug 2014 banking embryos for CCS testing. Praying for normals! Image and video hosting by TinyPic imageimage

    http://i61.tinypic.com/34zll06
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  • If you are positive for the antibodies then you have some sort of autoimmune issue that warrants further investigation. My advice would be to save up and have a consult with Beer or Kwak Kim. In the meantime I would ask your pcp to run all the tests they can, I can give you the list.
    6 m/c
    Anovulatory cycles, increased Synthroid Diagnosed Sep 2010
    Natural cycle Dec 2010 BFP M/C 6 1/2 Weeks, D&E Jan 2011
    1 Clomid/Ovidrel BFN May 2011
    Natural cycle Aug 2011 BFP M/C 4 Weeks
    1 IUI Sept 2011 BFP M/c 7 weeks
    Provera Dec 2011 BFP M/C 3 Weeks
    DQ ALPHA HLA MATCH, High NK Cells Diagnosed Dec 2011
    IVF March 2012 BFP m/c 4weeks 5 days (IL, Prednisone)
    IVF#2w/DS July 2012 MEGA FAILURE BFN (IL, Dexamethasone)
    Diagnosed No real HLA Match, DQ Beta Triad, High TNF, Low NK Cells
    Oct 2012 Natural Cycle m/c 4wks (Lovenox, Prednisone) 
    Went to Beer Center- high tnf, low lad, implantation failure
    Nov/Dec 2012 LIT Treatment
    Dec 12 Humira
    Jan 2013 BFP
    Humira,LIT,Prednisone, Lovenox, IVIG, Baby Aspirin
    Miracle Born August 2013 Premature

    Yours doesn't have to be a sad story



    image
    image


    Lilypie - (ugiy)


  • We have all our paperwork ready to send to KK.  We technically have the funds to go ahead with testing but it would come out of the funds that we had allocated for a second DE cycle.  Part of me still questions if the last failure was due to the embryos (our donor only stimmed for eight days).  I don?t know, I?m guess I?m just not thinking clearly lately.  I am so scared that we won?t have the $$$ to do another fresh cycle but on the other hand I realize that if the FET fails we will likely have to see an RI anyway.  I think I am going to see what tests I can get done locally first and then make a decision from there.  


    Sometimes I feel like I just don?t have the energy for this anymore.  I have always been one to pick myself up and push forward but right now I just feel beaten :(


    ***SIGNATURE WARNING***


    TTC #1

    Me 42, DH 47

    Dx = AMA/DOR, MFI

    IVF/ICSI #1 = BFN

    IVF/ICSI #2 = BFP; early loss

    IVF/ICSI #3 (DE) = BFP; early loss

    FET = BFN

    IVF/ICSI #4 (DE w/ CCS) = BFP

    Beta #1 @ 10dp6dt = 265; Beta #2 @ 14dp6dt = 1251. 

    1st U/S @ 6w2d showed one perfect little heartbeat! 

    2nd U/S @ 7w2d. HB 132 & everything measuring on track.

    Our beautiful little girl arrived January 2015!


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