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.