No surprises here, cycle is cancelled. Which was a given - lining hadn't moved at all
I'd sent through some medical studies about trying a G-CSF uterine wash as a rescue treatment for thin endometrium - he thought the results looked really impressive so he's keen to give it a go. He's going to chase down some Neupogen from a pharmacy and get me in for a wash asap - will serve as a saline ultrasound too, so he can visualise the surface of the endometrium and area of adenomyosis better.
Studies say to do it on day of hCG trigger, so will have first wash asap - then potentially repeat 2 days later (equivalent to day of EC) to see if it has any effect. If it does then we will definitely do it next time.
Even if it does thicken up after the wash, we won't transfer this time because the lining is too poor at this stage to risk it.
We agreed not to TTC naturally - not just because of three follicles, but more because of the increased risk of miscarrying again if something did implant into such a poor quality endometrium. Dr is less worried about getting pregnant than staying pregnant - and that after so much emotional trauma, we want to do everything possible to help me sustain a pregnancy.
Depending on what the wash scan(s) shows there are two routes for next steps
a) if he's happy with how it's looking, once I've had a bleed and the ovaries are recovered we'd do an IVF stims cycle. He said we would have to do EC because of all the fluid and OHSS - but would be aiming to put back a frosticle at day 5.
b) if he isn't happy or is unsure about the endometrium when he does the saline ultrasound(s), then next step would be another hysteroscopy with a copper coil
The copper coil irritates the lining and causes it to thicken - it's what they do after Ashermans surgery. The coil would stay in for 1 month, possibly 2.
Then would proceed to doing IVF stims for a FET as per a)
So a lot to think about
First thing is to get the wash done and we'll see where we are. Am really pleased consultant was so open to trying the wash, as I think Dr Gorgy is the only Dr who does it, and it's got so much potential I would have been gutted if we couldn't at least give it a go
The prospect of 1-2 months of a coil before we can cycle doesn't fill me with joy, but then neither does another miscarriage
And if it does have amazing results in thickening the lining then we may fhen