Hmm, that’s interesting about your lining being different on the biopsy coconut - if your lining is consistently 8-10mm over multiple different scans, that does seem pretty consistent. But definitely worth pursuing with a new clinic and a Dr who can answer your questions!
Have you had a saline ultrasound? That will enable much better visualisation of the uterine cavity, and show up any uterine anomalies that might suggest a hysteroscopy to diagnose and treat
I had my hysteroscopy yesterday evening, Dr was very pleased, said he was feeling much happier having seen the endometrium was looking so healthy. There were some very very minor filmy adhesions, but these went as soon as he flushed with saline, nothing needed resecting. There was a small calcified area, but again this went with saline flushing, no instruments needed. Copper coil is in, biopsy is done: he said I’d probably feel quite battered as he flushed the uterine cavity out so many times (think he said something like 7?!) and he jacked my cervix open a fair bit
We knew I didn’t have Ashermans syndrome, but we didn’t know quite what to expect when he got in there. So very relieved to hear it’s looking healthy, and we’re at least starting from a solid base. The key test will be if I get a decent period in 3/4 weeks after my first HRT cycle 🙏
Now the coil is in, we’re doing one month of cyclo-progynova and see if I get a bleed. Probably repeat again then take IUD out.
Hopefully then we will do a mock FET. We’ll do endometrial biopsies to see what the lining is actually doing from a histology POV, not just what the scan says it’s doing - one in the first half of the cycle in the proliferative phase, then after starting progesterone he’s recommended we do the ERA biopsy (the one which looks at the lining during the implantation window to see how receptive it is).
Depending on how they go, whether we have to try different combinations of FET drugs if I still don’t respond well to oestrogen (e.g. Tamoxifen), maybe a few months down the line we could be in a position to actually do a treatment cycle for real and put one of our PGS tested frozen embryos back. Until then it’s back onto the bench of boredom I go…
The universe has a funny sense of humour that HRT and contraception are supposed to help me to get and stay pregnant….!