The Issues

We met with Dr. Braverman last week.  We initially had an appointment 6 weeks from the day we called, however a cancelled appointment opened up.  It was a long day, 7 hours door to door, and there was a lot of information to process.

To  sum it up, we have a lot of issues, and we are testing for a few more:

1.  My husbands 0-1% morphology could be a significant contributor to why we lose so many embryos on day 5 and 6.   He is going to do a sperm DNA fragmentation test, and if the numbers are bad, he will start various medicines.  He will do supplements either way.

2.  My clinic suggested a possible reason for the miscarriage was a “an energy issue at the  cellular/mitochondrial level.”  I honestly feel this is their generic answer when there is a failure with a CCS tested embryo. However,  Dr. Braverman did not rule this out, but did say it’s hard to diagnose.  I am going to be taking new supplements to improve this along with CO-Q10.  This could also be a significant contributor to why we have gotten so few quality embryos during our IVF cycles.

3. A doppler test indicated restricted blood flow to my uterus.  A very important piece of (treatable) information to know prior to transfer, no?  I questioned my current RE about it and she said they are “planning to start this testing in the next few months.”    Mind you, this is testing that is part of the normal CCRM workup.

4. During my pregnancy, my lovenox dosage was too low, as indicated by my anti-Xa test.  This may have been caught too late.    Clotting factors at play.

5.  I could have immune issues, natural killer cells, etc.   I am having the bloodwork for this next week.

6.  My husband and I could have HLA matches, i.e. our genetic makeup could be too similar, and  therefore my body is rejecting our babies.  We are also having bloodwork to test this next week.  I honestly don’t think this is our problem.  I think our problems are 1-4, with a dash of #5.

So there it is.   We both liked Dr. Braverman.  He was very knowledgeable, yet personable.  He offered us cost saving options, and ruled out a lot of different repeat testing.  Having said that, his hourly rate is insanely expensive.  Vomit in your mouth, expensive.  Our test results should be back in mid-September, and we will be meeting with him again shortly there after.  We are not even thinking about another transfer.  Our first goal is to improve upon the above issues, so that in December, we can cycle again (probably at our current clinic with some rogue input from Dr. B) with better results.

Also, my beta HCG level is back to zero.   It took me 17 months at my infertility clinic to get pregnant, and only 2 weeks to get unpregnant.

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Indeed

There is, indeed, ONE blob (er embryo) in my uterus. We saw both the gestational sac and the yolk sac today. My 3rd BETA was fantastic at 3012 and my P4 is holding at 23. And can I say, THANK YOU GOD that our embryo did not split into two. THANK YOU THANK YOU THANK YOU THANK YOU THANK YOU.

Next up, the hematologist on Wednesday, the MFM on Tuesday and another ultrasound with my RE on Thursday. In between all of that craziness, I am headed to Boston to help my sister with some wedding appointments.

We would like to keep this pregnancy on the DL until the beginning of the second trimester. However, in mid-August we are supposed to journey to Cape Cod for our annual, immediate family beach vacation. I have been dealing with some obvious nausea and have completely changed my diet and drinking habits so there will simply be no way to hide this pregnancy from people who know me well. The timing really is piss poor. And that includes the upcoming wedding planning weekend with my sister. But, I want to see my brother and his 3 children and hate the idea of missing out. Ideally, we would like to keep this pregnancy from as many family members as we can till the beginning of the second trimester, and frankly, we’d rather not tell anyone else till about 24 weeks. That’s quite a lofty goal though.

Second Beta Results

My second beta was 292. Huge, fat tears are rolling down my face right now as I type this. Relief tears.

According to the interwebs and my RE’s office, my doubling time was perfect, at 36.48 hours. My nurse felt I did not need a 3rd beta, but she said I could schedule one if I wanted. I am going to have a think on that and decide tomorrow.

Up next:
Ultrasound with RE, Appt with New Hematologist, First Appointment with the MFM, Anti-Xa Bloodwork, Another Ultrasound with the RE, and my First OB Appointment.

Full speed ahead.

Edited to add: I am going to do a separate page with photographs of the embryo we transferred as well as photos of my sexy pee sticks. I think this will be helpful as after my ET and before my beta I stalked the internet looking for photos of these things. From that process, one thing I learned is that there are very few photos of hatching or fully hatched blasts out there. This worried me to the point that I asked my doctor if, based on my photo, there was something wrong with my embryo. She said “no, it’s a 5BB fully hatched blast and you need to chill the F out.” I never did get the answer if it had become a 6BB (6 because it was fully hatched). But hey, that’s moot, because the little bugger stuck.