Help! What test to do after 3 failed IVF?! before the next one?

[avocado2019]

Hi, there,
I need some help of advice/experiences. Feeling really difficult now.
age 39, AMH 13.5
1st ISCI, 1 4BB frozen, 3 crap emboss frozen as well
2nd ISCI, 1 blastocyst + 1 morula both transferred, failed
did sperm investigation, raised sperm DNA fragmentation, also poor sperm quality due to motility and abnormal form 96%
partner took supplement for 3months, then,

3rd IMSI Nov 2019, disaster as clinic used the wrong sperm ( old sperm sample instead of the one produced for Nov), no blastocyst, failed

FET Dec 2019, not working

feeling very very low. clinic offered discount on a new cycle. I asked about whether I should do any test before “just do another cycle”, doc listed out Thrombophilia Screen (THROMB), NK cells, TH1:TH2, Thyroid antibodies, Chromosome karyotype (both male and female),

Doc said normally after 3 failed transfers they’d advice these test, so i can do it if i have another failed transfer, but if I want to treat the next cycle as the ‘last’ cycle, I can go ahead do the testing. Doc basically think it’s the number game just need to keep going.

My own research including test of ERA, Hysteroscopy. Doc said the routine scan didn’t suggest necessity for hysteroscopy so no need, ERA is only for frozen transfer.

I am trying to get my head around to work out a plan, but also don’t know what is better. Hope to hear your advice or experience. Many thanks!

@avocado2019 @GreyGoose1980 I wasn't previously diagnosed with endo but had clotted, painful periods. The gynae surgeon thought it was madness that my tubes weren't tested before starting IVF, and she fervently believed that, if she found endo, removing it would increase my chances. The IVF consultant thought we needed to persevere with IVF and not have surgery, so they were conflicting opinions but I couldn't continue not knowing if there was something mechanical impacting our chances. Thanks for the congrats, I don't feel like I'm out of it just yet, have the 7 and 12 week scan to go! Wishing all of you ladies the best of luck. Doing multiple cycles is bloody horrible ❤️ x

Thank you @itwasalovelydreamwhileitlasted! WOW natural pregnancy ! You are making great progress with the IVF!
Gosh about the aspartame! I don't drink coke but do use sweetners ;( will need to cut it too !

@fingersxssd83 thanks. we'll be here to hear your good news for those scans! 💓

Hi all - thanks for the update@FingersXssd83 - I will discuss the Lap with my consultant when we meet next week to ensure all options have been explored. Am also planning to discuss the ERA.
Just to add I previously drank loads of sugar free squash and eliminated it between cycles one and (our more successful in terms of blastocysts) cycle two. This is the only lifestyle change I made for ivf (in addition to the usual giving up caffeine and alcohol and eating relatively healthily).