funkymonk would LOVE a thread on lining issues - I often feel a bit of an outsider, as seems that most people seem to have no problems at all with lining, so I think would be fab to be able to support each other, swap tips - and as you say, hopefully others will join in. I know there are a couple of other posters on other threads with lining issues, so I’m sure there are a few more out there
I very much hope that you will be the success story beacon with this FET, thinking of you and hoping you’re surviving the 2ww
Sadly I’m not NHS, fully self funding. We rushed to IVF very quickly due to tests all showing severe diminished ovarian reserve, and hurtling towards premature ovarian failure - hence we hadn’t been TTC long enough to be eligible. But thank you for the very kind offer - very thoughtful of you!
Glad you’ve had the thrombophilia diagnosed & treated accordingly. I had all those tests done just before my second cycle (ie before the m/c) - they all came back clear, but we’ll be treating empirically with aspirin and Clexane for the upcoming FET as part of an immunes protocol. Dr had recommended starting aspirin the day after ET (alongside Clexane) - but will ask if there’s any merit in starting it earlier, as additional lining support before ET
BTW I was told the benefits of the scratch lasted for approx. 3 cycles - I had my hysteroscopy 2 weeks prior to beginning my fresh cycle, and IF the FET goes ahead next cycle, we do not plan to do another scratch. If we can’t proceed this month, will ask about repeating it
glummy def agree with funky on Ashermans. Was obv a big concern of mine, so discussed it with the consultant before the ERPC. Because it was the same consultant who’d treated me through both cycles, he was very very aware of my lining issues, and he said he would be extra careful not to scrape, and he’d never had a case of Ashermans yet. He explained that ultrasound guidance is relatively limited - you get a general picture but can’t see every tiny fragment of tissue. And so to ensure that everything is properly removed, Drs basically have to ‘scrape the bowl clean’ relatively vigorously, which can then risk adhesions
Because my Dr was so careful not to scrape, the down side was that my hCG levels were still pretty high 6-weeks post ERPC - ultrasound was showing no evidence of retained products, but obv the hCG was coming from somewhere. He went in with a camera for a closer look; hysteroscopy showed a teeny fragment of tissue left behind - which he was able to very delicately remove. Although the ‘softly softly’ approach didn’t get everything out first time, it was far more preferable than risking Ashermans. Was pleased to have had the hysto in any case, as it meant he could give the uterine environment a once over to check what state it was in post mc/ERPC, before we put anything else back.
Interestingly, re: the endometrial biopsy and long term, effects, I remember reading in the new book by Prof Robert Winston, where he’s pretty scathing about most additional interventions being a total con, he was v v pro the scratch, saying it was similar to something they used to do years ago. Will go back and have another look & double check what he says
hellotree many congrats, wishing you all the very best for a happy and healthy pregnancy
euro congrats on your DD
AFM, it’s 18 days post EC and my period is completely AWOL. I’m terrified as I don’t understand what could have gone wrong that I’ve not yet had a bleed. With a freeze all cycle I’ve not been taking any progesterone, so if anything I should have got my period earlier rather than later. It arrived 12 days after EC after my first IVF cycle, which was freeze all - which the Dr said was completely normal, as the retrieval process disrupts progesterone production (hence why we have to take Cyclogest for a fresh transfer) and it was normal to have a shorter luteal phase
I’m really nervous as to what’s going on. I didn’t menstruate before because I didn’t have any real lining to shed - this cycle I had 11mm, so where’s it gone?! Dr said it’s imperative I have a proper bleed as I haven’t had a clearout since the miscarriage. I’m supposed to call up when my period arrives so we can arrange baseline scan to get cracking with a FET: going to have to call to say, OK, what do we do if it’s gone on strike?