Hi IVF fiends
Sorry for being crap and not doing personals will come back later to catch up properly
Thank you all for being lovely after Weds crap news
This is a bit of an epic post, so I'd get a coffee / hip flask and either strap in or skip it if you can't face a militant barren ramble through IVF!
We are now trying to take the positives from it all, that despite my horrific FSH and AMH, we were able to make a good embryo. And that hopefully if we did it once, we can do it again.
Ironically, because of my old dead lining that probably meant crap bottom soil over lovely fresh topsoil, that mean the seed couldn’t grow properly, the ERPC probably gave me exactly the clear out I needed!
We also think we have a theory as to why at nearly 5 weeks post ERPC I am still ridiculously pregnant
(Beta on Monday was 270, Beta on Friday was 207. FFS)
Dr said he was so, so careful not to scrape too hard, to try and protect my lining - because once you have adhesions, essentially Ashermans means you’re fucked and it’s fairly unfixable. So I'm v v grateful he took the softly, softly approach. So it’s possible that in going very very gently, there might be some tiny fragments of retained products that would be too small to show up on the scan.
If my hCG isn’t down to zero by next Weds (which it blatantly won’t), we’re gonna do a hysteroscopy and he’ll go in with a camera to give it a good once over. So he’ll check out it’s spic and span, give it a good clean, and do an endometrial biopsy while he’s there, which is apparently like a turbo version of the scratch
Plus, apparently I get to see a DVD of my uterus. Scintillating viewing I’m sure.
Once my hCG is down to zero, we’re going in all guns blazing. Plan ‘throw the kitchen sink at it’ is going to be launched.
We’re leaving the frosties on the subs bench and going to try to get fresh embryos to do PGS.
At the start of the stims cycle, DH & I both go on a week of doxycycline to clear my ureaplasma.
We also start me on thyroxine to get my TSH to under 2.
Stims wise, same as before, short protocol, start high and drop down depending on follicle growth. Rest of cycle as usual. Try to make eggs, collect eggs, try to make embryos, biopsy anything that makes it to day 5, send off biopsies for PGS testing, whack in freezer.
After period, start me on oestrogen as if preparing for a FET, until PGS results come back. Dr said we should aim for 4 euploid embryos, which realistically we ain’t gonna get in one cycle, so once results are back, we’re likely to convert the FET into another stims cycle (and treat the run up as oestrogen priming, which for a low-AMH-er is no bad thing!)
He normally recommends 3 months between fresh cycles - except for me, as I seem to do so well on stims, and I get better quantity and quality when piggy backing off the last lot. So as long as my ovaries are looking OK, and I’m still up for going again, then we’ll crack on doing 2 stims cycles back to back.
So basically lather, rinse, repeat exactly as before. Try to make eggs, collect eggs, make embryos, biopsy anything that makes it to day 5, send off biopsies for testing, whack in freezer
Now obviously all this is predicated on the assumption I can make embryos and blasts like last time!!! Which I may not, if it was a fluke.
Hopefully we’ll then we’ll start a FET again after my period (so oestrogen pills and patches), but this time keep it as a FET. Whatever results from PGS, hopefully out of two batches we will have SOMETHING genetically normal to put back.
Then we really throw everything at it when it comes to transfer. Lubion (injectable progesterone) as well as fanjo bullets, intralipids infusion, prednisolone, aspirin and Clexane.
Shit myself and hope for a BFP and that I don’t kill another baby.
Phew.
So hopefully we’re looking at either 2 cycles in 2 months (fresh+FET) or more likely 3 cycles in 3 months (fresh+fresh+FET)
Strap in!!