Any reassurance please

[whatagloriousthingtobe]

I've posted this a couple of times and not getting any answers so I'm hoping for some replies here hopefully.
I had a mmc 3 weeks ago after 3rd fet, and was still testing postive so had to go back for a scan. No retaining products so all okay but my lining is still thick at 14mm. Just under the threshold for further treatment by a mm.
Also my pregnancy test at the hospital was negative a day after testing postive at home.
I'm wondering is this normal? Hospital didn't seem concerned but couldn't really explain why it's so thick and hasn't come away yet. I had a medically managed miscarriage with the tablets and passed it all in one night, I've barely bled since then, been spotting very small amounts since. So just wondering why it hasn't come away yet and should I expect a horrible period when it eventually comes ?

I've also got a 4cm hemorrhagic cyst now on my ovary which wasn't there three weeks ago, does anyone know what causes these cysts after miscarriage ? Will it go away on its own? She said it was something to do with a dominant follicle but surely I can't be ovulating so soon?
Thanks

I had a mmc in October - not quite like yours as mine ended up going naturally and lining was thin after - but I ovulated 2 weeks after the main bleed, and like you have a hemorrhagic cyst from that follicle. My next natural period was 2 weeks after that (so 4 weeks after mmc), so you might find you’ll get a period soon and that will sort it.
I was testing positive on frer but not ‘normal’ tests up to the day before my period, EPU wasn’t worried, it can take that long.

Thank you so much for replying @Faerun
That's interesting that you ovulated so early, I honestly thought it wouldn't be possible yet !
I do actually have horrific acne which I normally get around ovulation so I guess it's a possibility. Would the cyst mean I've already ovulated or about too, do you know ?
Yes I used a frer and was a definite postive with fmu but hospital test was negative and also middle of the afternoon urine so maybe that explains it.
I'm hoping my period comes soon to be honest as I just want to get going again with another fet

I had a thick lining after a loss, I was advised at follow-up "you just need to have a good period to clear it out" (lovely phrasing there but given their general lack of empathy I wasn't surprised). My next period was quite a bit heavier than usual, so I think the thick lining just came away as part of that.

It's a horrible thing to go through. I'm sorry for your loss.

I'm sorry for your loss OP
You may find you pass your lining all in one go - called the deciduous caste - It isn't pleasant more because of the size of it - palm size and when it happened to me the first time I wasn't expecting it and it really freaked me out

The cyst is most likely to be the corpus luteus cyst left over from the pregnancy- it is basically what's left behind when the dominant follicle releases the egg and is what supports the pregnancy in the early days by releasing progesterone. May take a couple of weeks to disappear and whilst it's still there if it's releasing progesterone it can throw your cycle out a bit and this may be a longer cycle than normal

@Scirocco thank you. I did get abit ukase actually when I went in for the scan. The sonogpraher had to ask why I was there and barely spoke to me throughout the scan and then obviously the last time I was there I was being told the baby had died. There was a lack of empathy but I guess they see it day in day out so switch off from it all.
Not looking forward to this period lol

@tiggerwhocamefortea thanks for the reply and Info. God hopefully it won't come out like that, the actually pregnancy passing was bad enough.
I didn't think I'd have a corpus luteum though due to it being ivf ?

What kind of FET was it? Mine were always unmedicated so would still ovulate naturally - there are different kinds of FET and not all of them stop your ovulation before the transfer

@tiggerwhocamefortea oh ! Mine was medicated with down regulation

Hi@whatagloriousthingtobe
Sometimes too much estrogen can cause cysts and they rupture by themselves. Perhaps that's what caused it.
I had a FET cancelled last month because I had a cyst that appeared out of nowhere (I was on a low dose of menopur to thicken lining) and they explained to me that it was estrogen's fault. It ruptured eventually which was quite painful. I am booked for an ultrasound tomorrow to check if it has disappeared. I will let you know if it's gone.

@Yuliaaa thanks that would be good if you could. Do you mind me asking why they used menopur to thicken your lining ? I've always struggled to get my lining above 8mm on estrogen and they suggested before maybe using stims instead to thicken my lining using my bodies own natural estrogen

I'm also having trouble with thin lining. My first FET with progynova it got to 8 mm but It ended in CP. Second FET we tried natural with estrogen pessaries for 2 or 3 days before ovulation and it got to 7.5. That was a BFN.
So last cycle we tried 1 vial of menopur for 10 days and it got to 10mm but because of the cyst and some fluid we cancelled everything.
This month we are trying again a natural FET but I'm not too positive about it because my lining rarely thickens to 7 without medication. It is so frustrating!! Tomorrow I am having it checked to see if we can proceed with the transfer.

@Yuliaaa that's such a shame it got cancelled after getting to 10mm, you must be gutted ! What are your progesterone levels like do you know ?
I've had a nightmare with mine, first cycle it wouldn't budge past 6mm and they cancelled it, second it got to 8mm with lots of progynova but also ended in chemical ( I started bleeding a week before otd) and this one it got to only 7.8mm with even more progynova BUT it worked! They checked my progesterone levels day before transfer and found it was really low so I started on lubion which I think did the trick. But unfortunately ended in mmc.
So I'm considering asking to do a stimulated fet this time. My body just doesn't seem to absorb the estrogen !!

@whatagloriousthingtobe
Updates: the cyst is gone, but the lining is only 5.4, very thin since today is the 11th of the cycle. Dominant follicle is 14 mm so it is obvious lining is not responding. I will be using estrogen pessaries for two days until saturday when I am going in to have an ultrasound again. I am pretty sure it will get cancelled which I don't mind since is our last embryo. Doctor has already concluded that we will try stimulation again, nothing else works.
They checked P2 levels before both transfers and they were ok, but I was also on pessaries and injectable P2.
Obviously there is a issue with the lining. Last transfer I was on progesterone pessaries, injectables, aspirin and a low dose of prednisone. Also I had a hysterescopy in July and eveything was looking good. All my hormonal tests are ok, thyroid etc. Husband is also ok. The only issue for me might be age ( I will be 39 next march). I have booked an appointment in January to see an imunologist.
Perhaps a little break from all of it will do me some good.
I think you should try stimulation because it seems it could be the only solution so far.

@Yuliaaa sorry to hear your lining is not responding but good news about the cyst.
What day of your cycle would you be having a transfer ? Have they said if you lining looks healthy with the three lines they look for ?
You seem quite postive about it considering. I was a mess when my first cycle got cancelled, it felt like i was just doomed.
Hopefully you will get some answers in January. What else can be done do you know ?
Yes I think I will go for a stimulated cycle, the progynova doesn't do anything, I was on 16mg estrogen this time plus patches and it didn't even reach 8mm! It always appeared healthy though which is why they went ahead (and me insisting !)

I spoke to my clinic today and updated them about the cyst. They said it shouldn't be a problem because it's frozen cycle so they don't need my ovaries, I hope that's the case anyways. Booked in for my follow up consulatation with the doctor on the 13th and the nurse said I should be able to go on my next bleed 🤞🏻

@whatagloriousthingtobe I would be transferring a day 3 embryo so depending on ovulation day let's say in about 5-6 days from now. It is virtually impossible for the lining to reach 7-8 mm. It is three layered and it has always looked healthy like in your case that's why we went ahead with the FETs.
I am not desperate to transfer because it is our last embryo and I really want it to stick.
Not much can be done except stimulation and meeting the immunologist in Jan. This is another reason for me to be ok with cancelling.
I was in tears last month when we cancelled, I had to be put on antidepressants to cope with everything. I still have bad days, most of them are bad actually because the only thought that goes through my mind is that I will never have a child and that's when the panick starts.
Good luck on the 13th!! Hopefully it will be better this time! 🍀