Cancelled Medicated FET due to cyst producing low levels of progesterone - is it really necessary to cancel?

[PaulaDag]

Hi All,

I've just been told by my clinic they want to cancel my programmed FET as at my baseline scan yesterday there was still a small cyst (12mm) on my left ovary and they took progesterone and oestrogen bloods to be sure it was ok but its come back as progesterone 3.3 nmols and E2 99.

I queried it as they actually spotted the cyst during baseline scan for my ERA cycle last month (it was 15mm then) and they were happy to proceed with the biopsy with progesterone of 7 nmols and E2 of 142.

Apparently for an ERA anything under 200 for E2 and 7 nmols for progesterone is ok but for a real transfer is has to be below 2 nmols for progesterone.

Does this sound correct? Why is it different for an ERA and a real transfer? I mean if I progesterone started on 7 nmols for ERA, does it mean I might not be truly receptive when they took the biopsy and it was a waste of money?

The nurse said she will double check with my consultant but basically if my lining thinks its older than it is due to low levels of progesterone then the embryo may not implant. But then if my lining thought it was older than it was for the ERA, isn't the same true?

So upset and fed up with this journey. I was going for an intralipid next week which will need to be cancelled etc.

Any advice appreciated.

xx

[Jumpppy]

Oh no! This sounds so frustrating. Wish I could be of more help - canceled transfers are crazy, but potentially spending money on test that may be inaccurate is worse. Keeping everything crossed for you!

[AuroraXen]

I can't advise as to whether it's necessary or not... but I guess at some stage we have to trust our clinics and their guidance (but then we know we have to make our own cases at times too!). I know it's very frustrating though... I feel like SO much time just slips away for all the tests, trying new things, waiting for polyps, cysts, lumps etc to go away... flipping nightmare 🤦‍♀️😪 I guess you need to consider how comfortable you'd feel pressing ahead... would you have regrets if you don't follow their advice? I have to say I also don't quite understand the way they do ERA tests, in terms of what it is important to replicate for the actual transfer, and what doesn't have to be the same... complete mystery to me! xx