Questions to ask at review after our third fail?

[aamiller405]

Just wondering what questions I should be asking/ tests I could suggest etc?

We have 4 embryos left. One early misscarriage, one BFN and one chemical pregnancy.

Initial reason for treatments was male factor infertility (azoospermia). My initial testing (hormone levels, scans etc all showed as normal) x

[Peanutchips]

Hey miller, so sorry you’ve had to go through such a lot. Have you had ERA? Immune testing? (Haven’t had these myself but they were suggested to me), TSH levels, progesterone check on day of transfer? Lots of 💕xx

[aamiller405 in reply to Peanutchips]

Thanks, havent had any of these so will ask about them x

[Peanutchips in reply to aamiller405]

I mentioned the TSH and progesterone as these weren’t tested during my NHS cycle (which failed) but when I went private they found my TSH levels weren’t at good level for fertility so I’m on meds for this now. Also my progesterone was tested on day of transfer (had mine on Tues this week) and it was low so now I’ve added an Lubion injection once a day as well. Too early to know whether it’s made a difference but my clinic thought both were significant enough to add additional meds. Best of luck lovely xx

[Peanutchips in reply to Peanutchips]

Ps if this doesn’t work, we’re gonna try ERA to see if timing of transfer is an issue. It’s been recommended by lots of people so worth asking about? Xx

[aamiller405 in reply to Peanutchips]

Im pretty sure ive never had either of those tested so ill def mention those x

[F_J_762301]

Hi, sorry to hear about what youve gone through. As i have been through similar (mmc and multiple failed transfers). I am now starting medication next week to have ERA/Alice & Emma testing. I am nhs funded but paying for this test through my clinic.

Everything peanut chips said i also second. I havent had immune testing but have had my bloods done for clotting/thrombophilia screen, and we both had the karyotype blood test for any genetic issues. If you read up on recurrent implantation failure i found it interesting, there seems to be new investigations and treatments coming out more and more. I was also given a 4D internal scan to check everything looked ok. Hope this helps a little xx

[aamiller405 in reply to F_J_762301]

Thank you, will ask about all these things at review xo

[Cinderella5]

I would ask them about the ERA test lovely. I had my test and it shows that I need to transfer after 144 hours of progesterone (6 days) instead of the usual 120 hours. It all seems to make sense as transferring just slightly off the 6 days too late or too early was when we got our BFPs. It is expensive but it may give you some answers so worth a thought. Happy to answer questions if you need any info.xx

[aamiller405 in reply to Cinderella5]

A few people have mentioned this so definitely going to ask about it.. be worth it if it makes the difference co

[Court_88 in reply to Cinderella5]

Hi Cinderella, who did you get your ERA test done with? If it’s in London would you be able to PM me x

[Cinderella5 in reply to Court_88]

I'll PM you. It's not cheap but think it's worth it.xx