Monday, August 9, 2010

Follow up appointment tomorrow

Tomorrow we have our follow up appointment with the RE. I'm dreading it. I just don't want to face our BFNs, and I don't want to be reminded of the fact that we are almost done with treatments.

Thank you for your thoughtful comments and suggestions. A few of you suggested asking for immunological testing and a Recurrent Pregnancy Loss (RPL) bloodwork panel, and I think I will ask the RE about these items. I know I {obviously} have had no miscarriages, but at this point I want to do anything that we can to help the next attempt be successful.

One thing that seems a little unique in our situation is that I personally don't see any "problem areas" or "red flags" about our cycles. Other than the fact that I have never conceived, I have been happy with the way I stim and the overall quality of our embryos. So I guess there just isn't much I can think of to ask about or do for the next cycle. In fact, I am nervous that if too much changed we would perhaps have fewer or worse quality embryos. But I am not the doctor, and I think I will just trust the RE about what, if anything, should change for our next attempt.

14 comments:

Leah said...

Thinking of you Hillary and hoping you get answers. Hugs.

Melis.sa said...

I don't know what the RPL panel tests but I would definitely make sure you're checked out for blood clotting disorders just in case. It took my second loss and me requesting those tests before I found out about mine. Ugh.

((HUG)) I hope the appointment goes well and your hope is restored.

Betty Rubble said...

Good luck!

It's sad isn't it that you almost WISH there was a big red flag from either a physical standpoint or from a "this doctor seems off" standpoint. NOT having an answer is all the more frustrating.

Again, good luck!

Rachel said...

Best wishes, my T&P are with you.

Morningglory said...

Hope everything goes well at the wtf appt.

my last ivf cycle I considered gravity to be part of why embryo's would or wouldn't attach, I pretty much did nothing for the 2ww I lifted nothing I shopped for nothing, I watched a lot of movies and surfed a lot of the internet.. I don't know if that was why it came out successful for me, but why not try it? can't hurt can it?

I'm sorry things didn't work out this last cycle. I still have a lot of hope for you and your husband. =) hold your head up and stay strong.

Blessings to you.
Morningglory

Rach said...

Good luck tomorrow. I hope they have some positive suggestions.

lastchanceivf said...

Have you ever considered an endometrial biopsy prior to the transfer? We did five full IVF cycles and only on the one where we had the endometrial biopsies in the prior luteal phase did we have any implantation at all--unfortunately it was just a chemical but we also had poorer quality embryos. I really do think for some women it helps--there are adhesion factors that are expressed when the lining heals. Even CCRM is starting to agree to trying it for folks with repeated implantation failures.

Good luck!

addingtothepack said...

Good luck tomorrow. I hope that the doc has some ideas or feedback that helps you feel at peace with the plan moving forward -- whether that is mixing things up or sticking close to the previous protocol. I wish peace for you.

Sarah said...

I wanted to encourage you to try what a previous person said about trying an endometrial biopsy before. There is more and more proof that this can help with implantation and is actually a standard practice in some places.
Still praying for your miracle!

Kakunaa said...

good luck tomorrow hon. Will be thinking of you.

Andrea said...

No advice, just love...talk to your RE as you would a best friend, just be open, honest and pour your heart out. If you cry a river that is okay too, as you won't be the first to ask for a kleenex.

I do believe you are blessed with a compassionate RE who wants to bring your dreams to fruition. Hang in there honey, the disappointment is heart wrenching and we share in your pain. However, I am FAITHFUL in your journey and am praying for you each step of the way. Think "new chapter", as you go into this next cycle.

Overall, know that I send you love and many, many prayers.

xxx

AplusB said...

Good luck, will be thinking of you today.

Anonymous said...

Hi,

I am a follower of your blog but just wanted to tell you about my experience. We were very fortunate to be lucky our first IVF cycle, but it took me producing 24 eggs to get a few embryos that looked good for transfer. And while my dh's counts were low, there was nothing "wrong" with my on paper other than that I don't ovulate on my own. I would have thought we'd have a lot of embryos left to freeze but we didn't. So I guess my point is that you all should keep the hope alive! As I see it, in some ways your limited stim cycles still have you close to just one to two "full" attempts. I undertstand your reasons for faith, but I wonder if that has had some effect on the outcome as well. Anyhow, thoughts are with you and good luck with the apt!

kdactyl said...

Hillary; I really encourage you to ask about the sperm fragmentation testing. Since you have only transferred 3-day embryos up to this point...you don't know if your embryos are even getting to Blast stage....the egg pretty much is responsible for the first three days of division..it is after that that any issues with the sperm will start showing up. I have followed another blog where they found that the sperm were the issue and they could never get past the three day division before the embryos went a bit wonky. So maybe this time you can actually retrieve and fertilize a few more eggs and then let them mature to the 5 day blast stage. Blasts typically have better implanatation rates than 3 day embryos (unless you are much older like me...then the 3 day embryos do better). Just a thought since your RE has not yet taken your embryos to 5 day. Statistically if you fertilize 5 only about 3 will make it to 5 days anyway and that is a good number.
kd