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Reproductive Immunologist

Lindsey7348Lindsey7348 member
in Infertility Veterans
Have any of you seen one? I have a phone consult with one in a few weeks. I am curious if anyone has seen Dr. Braverman?
I feel like I have had many, many tests run, but maybe my RE's are missing one or they do not test for certain things (i.e.: natural killer cells)
My new RE suggested IVF w/PGD and we have exhausted our insurance benefits, and have taken out some 401k (not doing that again) with no outcome. We moved to a new state for my DH's job and I haven't been able to find a job yet so we don't have the means to do that right now.

I am hoping the RI might get to the root of the issue and we can get pregnant naturally. I mean its happened before, although it took what felt like forever, and it didn't last. sigh 
Thanks so much ladies!


Me: 31 DH: 31
TTC#1 since Sept. 2011
March 2012-June 2012 - IUI's- BFN

Sept 2012= IVF #1- 14 eggs, 9 fert, no frosties. 2 blasts 5dt=BFN
Oct/Nov 2012= IVF #2- 20 eggs, 14 fert, no frosties. 2 blasts transferred despite mild OHSS=BFN
Nov 2012= hubby got transferred, moving to new state, time for a break until summer!
Feb 2013= Natural BFP!! Valentine's day surprise! 
Mar 2013= m/c @ 7.5 weeks :(

*New RE*
July 2013= ER for a freeze all cycle. 21 eggs, 9 fert, freeze all day 1.
Lab is closed in August! (Of course!) 
Sept 2013= FET #1 - transferred 3 not so great quality day 3 embies=BFN
Oct 2013= FET #2- transferred 4! 3 good, 1 poor= BFP! On hubby's birthday :)
Started bleeding at 5w5d. ER trip confirms one gest sac, one yolk sac, no fetal pole. 6w u/s showed nothing. Levels drop from 4,500 to 250. 
Nov.2013=meet with RE to discuss where to go from here.
       *Tests showed PCOS-ish. High testosterone. Start Metformin 1500 mg.
February 2014- CLomid, IUI, Trigger. 4 juicy and ripe follies (24,25, 28 and 34!) 111 million post wash sperm count. BFFN!!!! WTH?
March 2014- Over my RE. Year of fun for us and looking into RMANJ.
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Re: Reproductive Immunologist

  • luvbostonluvboston member
    I hate dr braverman run away! I see the Beer Centet also dr Kwak Kim is very good.
    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)


    Report Reply
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  • STL34STL34 member
    I consulted with Dr. B back when he worked with out of state patients without making them come to him or get tests/treatments order through a local doctor.  It worked out well and I really liked Dr. B.  I had some issues with getting information from some of his staff.  But, that was always resolved ASAP if I sent an email and copied Dr. B.  He is expensive.  But, it was worth it for me.  I haven't done immune treatments without IVF.  I've never had a natural cycle BFP and we are pretty sure part of the problem is my husband's sperm need help fertilizing my eggs with ICSI and resulting embryos also need assistance hatching.  But, that alone doesn't seem to fix our issues.

    Good luck with whatever you decide!

    imageimage


    ~SAIF/PAIF/Everyone Welcome~ 

    Me= 37 and DH = 41 

    Dx: DOR, Endo, APA+ (really high beta 2 glycoprotein antibody and high everything else tested), heterozygous MTHFR mutation, positive for lupus anticoagulant, high FSH, low AMH and both tubes blocked (per HSG on 3/8/11)

    IVF #1 - long lupron (with HGH, intralipids, lovenox and BA); 4 retrieved, 3 fertilized; ET 2 blasts and 1 frozen = BFN

    IVF #2 - a version of antagonist with EPP (with HGH, intralipids, lovenox and BA); 6 retrieved, 4 mature, 3 fertilized, 2 blasts and 1 frozen blast transferred on day 5 = BFN.

    IVF #3 April was postponed to May, May was canceled. June/July was canceled. Had a cyst aspiration and then began IVF #3 in August. ER on 8/22; ET on 8/24 with AH. +HPT on 9/5. Beta #1 (11dpo) = 3; Beta #2 (15dpo) = 29; Beta #3 (17dpo) = 60; Beta #4 (19 dpo) = 118. Heartbeat at 6 weeks 6 days =132.  Lil is here!

    TTC#2:  Trigger + TI = BFN; Clomid + Trigger + IUI = BFN.

    IVF #4:  BCP + MDLF + Lovenox = 7R, 1F = Transferred 1 6-cell embryo on day 3 = BFN

    IVF #5:  MDLF + Lovenox = 4R, 1F = Transferred 1 10-cell compacting embryo on day 3 = BFN

    IVF #6:  (New RE):  Long Antagonist November 2014 (transferred two 8 cell grade 1 embryos and froze one blast) = BFN

    FET#1:  BFN

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  • Twinkie0612Twinkie0612 member
    I have a consult with Dr. Kwak Kim in two weeks and I've already done some immune testing and treatment with my infertility clinic. The reason I chose Dr. KK comes down to geography (she is within driving distance for us) and she accepts my insurance. We will coordinate our immune treatments with infertility treatment cycles.

    imageimageimageimageimage

     

    image

    TTC #1 since August 2011

    My Blog

    September 2012: Start IF testing

    DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

    November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

    January 2015: FET #2 Cancelled due to lining issues

    April 2015: FET #2.1


    PAIF/SAIF Welcome!

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  • Lindsey7348Lindsey7348 member
    Thanks for the info ladies!

    Oh no I chose Dr. B because he is closest to us (Virginia). And he will do phone consult and sky ping if necessary. Can you elaborate @luvboston your experience?! Without too much detail if you don't want to.

    What tests does an RI do besides the ones that a regular RE would after 4 failed IVF's and 2 m/c?
    Thanks!
    Me: 31 DH: 31
    TTC#1 since Sept. 2011
    March 2012-June 2012 - IUI's- BFN

    Sept 2012= IVF #1- 14 eggs, 9 fert, no frosties. 2 blasts 5dt=BFN
    Oct/Nov 2012= IVF #2- 20 eggs, 14 fert, no frosties. 2 blasts transferred despite mild OHSS=BFN
    Nov 2012= hubby got transferred, moving to new state, time for a break until summer!
    Feb 2013= Natural BFP!! Valentine's day surprise! 
    Mar 2013= m/c @ 7.5 weeks :(

    *New RE*
    July 2013= ER for a freeze all cycle. 21 eggs, 9 fert, freeze all day 1.
    Lab is closed in August! (Of course!) 
    Sept 2013= FET #1 - transferred 3 not so great quality day 3 embies=BFN
    Oct 2013= FET #2- transferred 4! 3 good, 1 poor= BFP! On hubby's birthday :)
    Started bleeding at 5w5d. ER trip confirms one gest sac, one yolk sac, no fetal pole. 6w u/s showed nothing. Levels drop from 4,500 to 250. 
    Nov.2013=meet with RE to discuss where to go from here.
           *Tests showed PCOS-ish. High testosterone. Start Metformin 1500 mg.
    February 2014- CLomid, IUI, Trigger. 4 juicy and ripe follies (24,25, 28 and 34!) 111 million post wash sperm count. BFFN!!!! WTH?
    March 2014- Over my RE. Year of fun for us and looking into RMANJ.
    Report Reply
  • luvbostonluvboston member
    Ill pm you
    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)


    Report Reply
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