TTC After a Loss

Reproductive immunologist- loss mentioned

Calling all my RPL friends!!! Who here has seen a reproductive immunologist? From what I have gathered there are four worth seeing in the states. I’m trying to decide which to go with- Kwak Kim, Aimee, Braverman, or Alan Beer. Anyone have any comments on any of these doctors? 

Short back story- TTC 4 year’s, 6 pregnancies all miscarried. Mostly male factor with minor Endo recently discovered ( and right tube removed). For reference, we are located in Las Vegas and should have IVF coverage and will see Dr Sher for IVF. 

TTC #1 since September 2014
Diagnoses: RPL, Endometriosis, MFI (count, morph, DNI, DNAS, multiple bilateral subclinical varicoceles), low progesterone
Check out my Infertility blog 
Check out my Infertility Instagram

Loss History (TW):
BFP: 3 May 2015, loss confirmed 4 June 2015
BFP: 15 August 2015, loss confirmed 23 August 2015
BFP: 16 November 2015, loss confirmed 22 November 2015
BFP: 18 July 2016, loss confirmed same day
BFP: 04 March 2018, loss confirmed 23 March 2018
BFP: 12 June 2018, TWINS; D&C 06 July 2018
TTC History (TW):
3 losses in 2015
Met with OBGYN in January 2016
Me: all clear, H: OAT
November 2016: HSG = All Clear!
January 2017: H tested again,  High DNA fragmentation and stainability
February 2017: Clomid + TI + Progesterone = BFN
March 2017: Clomid + HCG + IUI + Progesterone = SA/wash: zero count on attempt #1, <1,000 on attempt #2= BFN
Varicocele Embolization- 5 May 17
December 2017 SA: Zero improvement after embolization
January IVF- 25 retrieved, 11 mature, 8 fertilized, 3 frozen day fives (3AA, 3AA, 3AA), 1 frozen day 6 (5BB), 1 frozen day 7 (3CC)
Three PGS normal (3AA, 3AA, 5BB), one inconclusive (3AA)
FET #1: 27 February 2018, 3AA & 5BB, one stuck! BFP 04 March 2018.... Loss confirmed 23 March 2018
May 2018: SHG/SIS = all clear "beautiful uterus"
FET #2: 04 June 2018, 3AA PGS normal embryo, 3AA PGS hatching inconclusive embryo. 
BFP: 12 June 2018, EDD 20 February 2019
Ultrasound, 25 June 2018: There are two
Lost Baby A 02 July 2018
Baby B not growing, D&C 06 July 2018
Laparoscopy, hysteroscopy, chromotubation: 23 July 2018: blocked right tube, heavily inflamed, covered in endo. Removed right tube. Removed more endo from uterus, tubes, ovaries. Endo remains on bladder and bowel. 
Next Up:
TTC Naturally, possibly IUIs for remainder of 2018. 
ER#2 ~Jan 2019
        

Re: Reproductive immunologist- loss mentioned

  • I'm sorry, I don't have info on what you've asked about (although I am stage IV endo) but wanted to say welcome and I'm sorry for your losses. I hope someone here is able to steer you in the right direction. 
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  • KristoKekerooni I'm so sorry. I've only ever seen an RE, not a Reproductive Immunologist, so I won't be any help. I'm not certain if anyone on this board has seen an RI. The RPL club is a small group. I hope you find some answers, report back, and finally have success!

    MC #1: D&C Oct 23, 2015 (7.5 weeks)
    MC #2: July 1, 2016 (5.5 weeks)
    MC #3: October 17, 2016 (CP)
    RE #1: RPL testing November 2016-January 2017
    MC #4: Feb. 28, 2017 (CP)
    RE #2: Additional RPL testing March-November 2017
    MC #5: January 2019 (6.5 weeks)

    RE #3: More testing 2023. 
    Egg Retrieval Sept/Oct 2023, 2 good embryos after PGT-A testing.
    Surgery for endometriosis January 2024
    Lupron Depo March 2024.  Benched 3 months.

    FET #1: June 3, 2024 (failed)

    Lupron Depo June 2024. Benched 3 months again before next FET.

    FET #2: September 2024 (failed)

    FET #3: December 2024 (failed)

    #BitterHagPartyOf1

  • Hi, I haven’t seen an RI but have read Is your baby body friendly by Dr Alan Beer as I likely have an autoimmune issue. I’ve heard good things about Dr Braverman. Sorry I don’t have any additional info and I’m so sorry for your losses! 
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