The past two weeks have felt like four. It’s hard to move forward when you don’t have any answers, and the one thing that I prayed would happen eluded me again.
Today was our meeting with the RE regarding our failed IVF and next steps, and hopefully some answers to a few questions. I had no idea what to expect.
Our RE came in and reviewed our files with us and explained his thoughts on our cycle, concerns, and what is necessary for our next step. Overall, the RE felt optimistic about our odds feels confident that our biological family is waiting in the cryo tanks. But in order to get our baby, there are a few more hurdles to overcome.
1. Improve Quality of Uterus Lining – Although my lining measured at 15.6 at the time of transfer previous tests could possibly point to cause for concern. So today we started towards our first hurdle by having an ultrasound and reviewing photos taken in May of my uterus. There was a note of a ridge or pocket in my uterus in May but the RE who did the procedure did not seem concerned. Today the RE suggested we perform a curettage. This is a scrapping of the lining in hopes of removing the ridge/pocket and allowing a new stronger, lining to build. The curettage is scheduled for 10/10/12. I will then be on estrogen for 21 days to help rebuild a strong, healthy lining.
2. Lupus Anticoagulant Returns – Although the hematologist felt that the Lupus Anticoagulant was not a concern, our RE feels that it very well could still be an issue. As I posted before, lupus anticoagulant can be difficult to diagnose as its markers in your blood can come and go. So, we will move forward as if I have lupus anticoagulant and go on Lovenox the day after transfer through 2nd rise in HCG.
3. Prednisone – This is a corticosteroid and is used in IVF or FETs to help my body accept the embryos.
4. FET – After the curettage and building of my lining we will move forward with a frozen embryo transfer. My body will be in a better place with no OHSS or the stress from the IVF, my lining will be strong and healthy, and the new protocol of medications will help increase our chances. We will be able to transfer two embryos close to Christmas.
So, although today (not to mention the past month) was emotional we have regrouped and now have a few potential answers and a plan to help increase our chances.