Best. Follow-up. Consultation. Ever.
So I asked Lovely Consultant about tests for clotting/NK cells, and she said "well you could pay for those tests to be done...or we could just assume that there might be the problem and give you the treatment for those issues anyway..." So we're throwing everything at the next cycle -
from now I am taking super-strength folic acid;
In December I will have a hysterscopy (I forget the abbreviation) which will act as a scratch at the same time, given that they will do a biopsy;
In Jan, when the treatment starts, I will start on low-strength aspirin and something else (begins with an "f" I think...). They will start me on a higher dose of stims in an attempt to get more eggs (she said that i clearly am not at risk of OHSS, so she is quite happy to up the drugs). I will also have an IV-drip (for NK cells), prednisolone and clexane as well as the usual progesterone.
We will have IMSI rather than ICSI (in IMSI sperm is magnified by 6000x rather than 200x so they can find the very very best sperm) and they will put 2 embies back, rather than one.
Mr Imps is having a DNA fragmentation test to see if his jizz really is past it, or if there is hope.
It was reassuring to know that out of our 7 fertilised eggs, 3 of them became blastos, although the two that weren't put back were not particularly good which is why they didn't freeze them.
I think all of these extras will cost about £1500 all-in, but I think it's worth doing. I couldn't believe how keen Lovely Consultant was to just go with these extras - it was entirely at her suggestion and we didn't even have to ask.
Loops I asked about the Coventry biopsy and Lovely Consultant said that it is quite basic and doesn't give the full picture. The NK cell testing they recommend at Bourn Hall is £2,000, but as she said, the treatment doesn't do any harm if there isn't a problem, so why spend the money on the tests when you can just pay for the treatment? Are you far from Cambridge? Perhaps it's worth getting having a consultation at BH - Lovely Consultant was so willing to help and didn't discredit NK cell testing at all. Just a thought.
So bring on final natural attempt in November, then it's all systems go for December and January!