*may be sensitive post* advise on first appointment with consultant post mmc

[Penne24]

Hey everyone,

I’ve never posted before but found all the posts very informative so hoping to maybe get some extra thoughts before my appointment on Friday.

Background: 37 years old no previous pregnancies. Had an egg collection earlier this year and got two 5AA embryos. Carried out a fresh transfer (neither were tested) and unbelievably got pregnant. I was on 400mg cyclogest which I was advised to stop after positive test (private clinic doesn’t seem to test for hormone levels at any stage of process)…..A few days later I started to bleed heavily and assumed I was having miscarriage but turned out to be a hematoma. At 7weeks I had a scan with positive heart beat but measured small and by 8 weeks while it had grown unfortunately not longer had a heart beat.

After everything that had happened I opted to have surgical management for the mmc.

I’ve had one period since and keen to just get on with the next transfer as I’ve seen you may have increased fertility in the three months following.

Is there anyone who’s been through similar further down the road that wished they knew something earlier? A test or treatment? Something they should have pushed to have done? My clinic seem to do minimal so want to have to knowledge to fight my corner!

Thanks for reading x

[LouCollier]

Firstly I'm so sorry you have gone through this, its heartbreaking.

If I was you knowing what I know and been through (3 MC and two failed transfers) I would get my NK cells tested via a biopsy and get my progestrone checked once pregnant again before stopping the meds. But everyone is different and unfortenatly it can be just a numbers game even with naturally concieved pregnancies.

I have everything crossd that the next transfer ends in you bring home your little miracle xx

[HedgehogMad]

So sorry to read this 💔 it is a numbers game, untested embryos even AA ones have about 50% chance of working so most likely you were unlucky. Most clinics wouldn't be suggesting further tests at this stage as the evidence shows transferring more embryos is the most likely thing to bring success. I'd push for continuing the progesterone though, it should be continued until at least 12 weeks I believe xx

[MammaMia86]

Sorry about you have gone through.....my case was more or less similar.

I've got pregnant on my first fresh transfer and I was over the moon.....I was pregnant until week 17 because my water broke. The termination was through induce labor.

After a few months I was able to go back on the boat and continue with other transfers, at that point they didn't see the need for further testing as I was able to get pregnant. It was later on that I had multiple fail to implant transfers that we had more tests done.

[Backagain987]

I am so sorry for your loss. I have had similar early losses and I was always advised that the most likely cause of miscarriages before 12 weeks are chromosomal issues where the pregnancy would never have been viable x

[LittleL3]

Sorry for your loss. It seems odd to me to stop progesterone after transfer. I was on 3 x 400mg cyclogest and 1 x lubion per day and advised to continue until 12 weeks of pregnancy if positive (I' now 11 wks). Some women have issues absorbing progesterone and spotting in early pregnancy and early pregancy loss can be related to low progesterone. Also my understanding is that IVF stims drugs suppress your natural progesterone to a degree so you need the extra help usually. In any case it's an easy fix so I thought most clinics recommended it as standard. I had an early loss last year and thought it might be progesterone related as I had spotting and I wasn't on the lubion, only cyclogest, at that point. I think it's difficult to test accurately for progesterone as it's released in pulses so your bloods can show higher one day and lower the next. I think that's partly why they don't like to test for it but just tend to prescribe it as a given for IVF patients. Best of luck with it all.

[Penne24]

Thank you everyone for replying.

Some research papers I’ve read show progesterone can be stopped then but given what happened this time (the hematoma rather than the mmc) I’ll definitely be pushing to stay on it if I get that far and going to speak about injections too.

Interesting about the testing not be accurate. Also helps stop me ranting at the appointment that they should be doing it 😂