Dr Shehata advice

[Wolfemum]

Hello, I am currently experiencing my 3rd consecutive miscarriage and my 2nd MMC. I have been told I will now be referred to the RMC unit but due to my age (42) i think I need to go privately and I was wondering what your opinions are on Dr Shehata? I've heard he has a brilliant reputation but is quite focused on NK cells and less on other things. Can anyone share their thoughts, opinions experiences?
My first pregnancy was healthy and resulted in my 6 year old boy but the last 2 MMC we saw a heartbeat at 6 weeks but then no growth or heartbeat at 7/8 weeks.
Many thanks for reading

@ncedforthisprofessionalquestion there is a price list on website. But this is what I have paid for so far
£350 consultation
blood tests £2000 (would have been near £3000 but got a lot done by GP)
£425 humira injections x 2
repeat bloods that was £400 and something
follow up consultation £200
intralipids-£380 I think it was
so roughly nearly £4000 spread over course of 4 months.
I’m used to paying for lump sum in IVF so actually the cost has not felt too bad for me.
i have sourced a lot of my medication abroad which is much much cheaper.
I know the cost of scans intralipids etc which are needed at regular intervals once pregnant are very expensive.
so I expect we will pay £1000 a month on top of our normal outgoings. My partner and I both work full time and have interest free credit cards which a long period to pay off.
not sure my other half is completely on board with it either but I’ve paid for it mostly myself and only asked a small amount from him to contribute.
@whatsgoingon22 hope everything’s okay. Xx

@whatsgoingon22 thinking of you, hoping everything is ok xx

ahh lovely @whatsgoingon22 so sorry for what you are going through. I have been thinking of you all weekend. Praying with all my heart that it’s nothing and everything is all good. I can imagine how triggering it is to see blood every time. Have you tried visiting your EPU? They should do a scan immediately just to at least give you some assurance while you are waiting for CRP.

I am waiting at the GP for my next blood test right now. My first scan is booked for 24th august. I have no confidence. Anxiety is over the roof. There is no pregnancy symptoms at all.

@Hope646 are you on prednisone? I’ve read it can mask pregnancy symptoms
they are so foul tasting I was nearly sick taking my first dosage this morning

Hey @Hope646 and @jchars7 thank you for your thoughts xx @Hope646 I hope you’re okay. As @JandL2020 said don’t panic about symptoms - Dr Edge said the same thing to me, that we are on so many meds that the symptoms can be masked. I’ve got sore boobs and extremely bloated but I know thats the progesterone so it doesn’t help me really…. Pred defo masks morning sickness and Dr S told me it also gives you more energy so probably less likely to feel tired (I get intermittent tiredness) but also often awake half the night (worrying!).
Ive emailed Crp but I think I will just wait for them to reply rather than going back to Epu as I know I will need to go to Crp this week anyways and also get worried (surprise surprise) that too many internal scans poke and prod things especially when I’ve already been spotting/bleeding…. Good luck with your results, I’m feeling positive for you xxx

@Hope646 @whatsgoingon22 as always I keep everything crossed for you and the scans / blood test results

@JandL2020 i think the steroids play havoc with me. I have had oral thrush and thrush twice.. I have had thrush once in my whole life hahah

little update ladies.. just had my 12 week scan and my god do I have an active bean 🫘. They were wild which was lovely to see. Measuring at 12 +2 which is due date 17th of Feb.
will send the pic now as well :)

Oh @MeganBistram im so happy for you!!!! Congratulations you must be over the moon! So glad everything went well for today❤️❤️🙏🏻 I really hope everything progresses well for you now and hopefully you can start to relax!! Well done 🥰🥰❤️

@JandL2020 yes I do take prednisone with progesterone. Hoping that is it 🤞

@whatsgoingon22 any news from CRP yet? Hope you are feeling better now. I have got everything crossed for you.

@MeganBistram that is the most gorgeous photo 😍😍 ahhh it makes me so happy. Thank yous o much for sharing. I hope you start enjoying the whole pregnancy from now on. Wish you all the luck ❤️❤️❤️

@MeganBistram oh gosh that doesn’t sound fun. I’ve had it once too…disgusting 🤣
lovely scan photo. I’m a February baby 🥰Just be careful you’re name dob is in the photo…just thinking of scammers etc xx

@MeganBistram that photo made my eyes instantly well up!!! I’m SO happy for you!! Almost a valentines baby!! ❤️❤️❤️ How perfect and so so exciting.
how do you feel having got to 12 weeks? You must be pinching yourself?! Xxx

@MeganBistram huge congratulations… I cannot even imagine how incredible and surreal that must be! 🩷🩷🩷

@whatsgoingon22 anx @Hope646 how are you both?

@JandL2020 ive got 12th august in my head for your transfer? Did I make
that up? Xx

@KatyTTC yes you are correct 😊 I’m really scared this time around. Embryologist is calling on Friday to confirm thaw and what to transfer. We are still going for a double transfer 🤞 xx

Hello everyone, sorry I've been quiet!
@MeganBistram that is absolutely wonderful, massive congratulations! Delighted for you. This gives us all so much hope!! Are you feeling like you can relax now?
@whatsgoingon22 I hope you are doing ok and your scan at CRP this week gives you some reassurance. So many women bleed all the way through their first trimester and have completely healthy babies, but it must be disconcerting.
@Hope646 keeping everything crossed for your blood test results!
There are a lot of pregnancies on this thread now, it's really encouraging :)
@KatyTTC good luck for your TWW! How did you find SO? Did you need the one scan or more? Was the letrozole dose 5mg?
@JandL2020 exciting your transfer is coming up, how are you feeling about it?
I'm a bit frustrated as I'm on CD21 and still haven't ovulated or had a surge. This is not unusual for me (it can range from CD19 - CD29) but last month it was CD19 so was hoping it would be similar this time. Patience is not one of my virtues! I'll def do the super ovulation programme if I don't conceive this or next cycle. On the plus side I got my GP to prescribe me all the CRP meds and agree to the 3 month blood tests. Taking all the small wins I can get right now! xx

@Lily1990 terrified to be honest. Mostly that neither of the embryos will actually implant. I’m feeling more positive about the treatment plan and the positive stories on here giving me hope.
frustrating you haven’t had positive ovulation yet. Do you have any other signs? Definitely worth trying the ovulation programme you have a bit more control I think. That’s probably the only thing I like about ivf.
that’s great your GP has done that. Can I ask what they’ve prescribed? Xx

@JandL2020 this whole CRP business is a funny thing… I think it gives us so much hope having a plan in place and I know Dr S is SO GOOD but it almost makes it worse as we’re pinning all our hopes on it working so it’s so scary.
have you had issues with embryos not implanting before?
Wishing you so much luck ❤️. Twins would be unreal!!! 🤞🏻🤞🏻🤞🏻

@Lily1990 how are you? Could you be like @Hope646 and have ovulated early without realised? Keep testing as I had a random month where I ovulated really late (I think!!).
SO has been fine. I just had the one scan on day 13. I had 5mg of letrozole days 2-6 of cycle (inclusive). I had lots of potential follicles and great lining thickness but only one dominant one so if it doesn’t work this month they’ll up the dose to 7.5mg of letrozole. They gave me the trigger shot then and there as she said the timing was perfect but if it’s not perfect and she thinks you’re a few days off they’ll give you the shot to take home. I’m testing on day 25 of my cycle as she predicted I would ovulate very early morning on day 15 (36-40hours after the trigger shot). Sometimes you get a very faint positive on day 10 as the trigger shot is HCG and it can take up to 10 days to leave your body. She said if this happens and it’s really faint, stop taking the drugs and then test again 2 days later. If positive start taking drugs again, if negative to wait until next cycle as normal.
letrozole gave me a permanent headache (not splitting, maybe a 4-5/10) and a few hot flushes but other than that no side effects. I took paracetamol for my headache and just looked quite flushed alot!!

Dont be nervous about going for it. It’s totally fine. Just a few extra hundred pounds 🤣🙈 xxx

@KatyTTC no I’ve always implanted. 3rd round was a chemical through so not sure if that counts?? 4th natural ectopic.
it’s just such a rollercoaster 🎢
one dominant follicle is good you only need one mature one 😊 xx

quick Question did you all have your partner do the dna fragmentation test?

@jchars7 no but wish we had when we are having pre ivf tests. They said my other half sperm was fine but I’ve always been a bit skeptical 🤔 as people I’ve known had success with Icsi over normal ivf …we been told grade A but could be dodgy batch of embryos.
I guess if we miscarry again then I’m more leaning towards dodgy batch rather than the immune stuff.
I think it’s worth doing definitely 👍🏻
proxeed plus is really good

@JandL2020 fingers crossed this is your round. How unlucky to have an ectopic as well as everything else 😢.

@jchars7 we did. I just wanted to rule everything else out and knew if I miscarried again I’d wish we’d done the test.

xx

@KatyTTC I know right? My other half lost his dad too sept last year so been dealing with a lot of grief. I don’t think I really dealt with it even though I was off work for a month or so. My friend thought it was odd I didn’t cry much at the time. Boy have I made up for it recently. My other half may not come to transfer on Saturday…he thinks he is just bad luck. Told him I’ll probably have a meltdown if he doesn’t come! Xx

@I’m so sorry. What an awful time you’ve had 😢. My dad died 15 years ago when I was 23. Time really is the best healer and it does gradually get easier to live with but you never quite get over it I don’t think. I still have moments where I just suddenly miss him SO much and bawl. Christmas carols are always a killer!
The same goes for you. Grieving is a really personal process. Some may cry lots at the time and others months or years later. There’s no right or wrong. Sometimes easier said than done but I’d just say try not to bottle your emotions up. As long as they’re coming out one way or another it’s much healthier in the long run. And you don’t have to be brave or strong. This is really hard.
The poor thing thinking he’s bad luck 😢. You’ve just had the most terrible time of it. He’ll realise you need him there on Saturday and I’m sure he’ll want to be there for you ❤️ xxx

@JandL2020 completely understand you feel terrified. I also feel very vulnerable when I have hope, after dealing with repeated losses. And what a tough year you have both had :( I'm really sorry about your other half's dad. It's great you have always implanted in the past though, and now you have the immune plan in place, so you can be cautiously confident :) In terms of the meds, my GP agreed to prescribe prednisolone, omeprazole, cyclogest and metformin.

@KatyTTC sadly not ovulated early, I usually have quite clear physical signs I'm ovulating so sure that hasn't happened. Will keep testing for sure, I'm determined not to miss it! That's great to know about the SO, especially that Dr Edge can send you home with the trigger and not make you come back for another scan. Yay about your lining thickness :) what size was your dominant follicle out of interest? As I did ovulation induction before and noticed they triggered when the dominant follicle was 17/18mm, but when I ovulated alone it was much larger at 25mm (I knew as I had a recent scan). Fingers crossed for your test soon, what day will it be?

@jchars7 we did the DNA frag for the same reason as Katy, wanted to rule as much as possible out and it came back as fine. Would probably recommend for peace of mind but depends on your finances as an extra £500 is a lot!

@KatyTTC thanks hun. Im
really sorry about your dad as well. That must be very hard. Christmas is definitely a horrible time when dealing with any loss past of present. My other half really wants to go away this Christmas. I think to avoid the reality of Christmas now with his dad…they would watch the footie together boxing day etc. he bottles his emotions. I’m so he will be there on Saturday making inappropriate jokes with the nurses 🤣 such like “could think of better places to go for our first date” and “am I really the father” etc etc 😂
@Lily1990 thank you 😊 feeling cautiously confident too - I like that terminology.
that’s amazing with your meds…progesterone I’ve tried to get through GP but had a massive fight over with them lol. My ivf consultant works nhs and has agreed once confirmed pregnant can prescribe nhs but says my GP should do it and are refusing. Absolute joke given my history (and of complaining) plus the guidelines have been updated!!
xx

Anyone having back pain being on progesterone/steroids?