Recurrent chemical pregnancies - Fertility Network UK

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Recurrent chemical pregnancies

Bqjsh profile image
66 Replies

Hello,I've just had my 4th FET which is likely another chemical pregnancy. Over 5 years TTC and this will now be my 4th chemical prgenancy (both natural and IVF conception). I cannot get any answers as to why this keeps happening. Is there anyone who has experienced re-current chemical pregnancies and found an answer as to why it kept happening??

I've been tested for APS, prolactin, immune disorders like NK cells, my womb looks fine on scans but I've not had a laprascopy to diagnose endometrosis etc. I've been researching for some years now and there are apparently numerous potential causes. Surely the embryos can't all just be genetically abnormal?

Could anyone shred any light/info what they found out?? I am losing my mind and have no hope left this will work for me. I am baffled I am still here suffering with chemical pregnancies.

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Boo718 profile image
Boo718

hello, I had recurrent chemicals so I went for an era Alice and Emma tests. The era came back saying I needed an extra day of progesterone so transfer was on day 6 instead of day 5 and we now have a beautiful little girl xxx

Blahblahblahxxx profile image
Blahblahblahxxx

Have you tried adding probiotics? My friend had 8 (natural) chemicals and all she did was add probiotics to her supplements regime and now she is just about to have her little boy!

Flowergirlhope profile image
Flowergirlhope in reply toBlahblahblahxxx

Can I ask what probiotics she used?

Blahblahblahxxx profile image
Blahblahblahxxx in reply toFlowergirlhope

She just started taking Optibac women (purple label). However, I took those and also added a vaginal probiotic too in the lead up to my FET ( I've had one previous chemical but that was with a FET)

Bqjsh profile image
Bqjsh in reply toBlahblahblahxxx

I have added a probiotic for last month or two before FET - I couldn't get the vaginal suppository probiotic so I had to just take optibac which is specifically for vaginal microbiome. I stopped taking probiotic after transfer though because I wasn't sure if you should take it afterwards

Blahblahblahxxx profile image
Blahblahblahxxx in reply toBqjsh

I think your clinic should be able to advise but I know I certainly kept taking the oral one and I am currently 20 weeks pregnant with my third FET. I stopped the vaginal ones after transfer though.

Bqjsh profile image
Bqjsh in reply toBlahblahblahxxx

Which vaginal probiotic did you use? I couldn't find any so I just needed up using for optibac. I didn't realise you could use both together xx

LouCollier profile image
LouCollier

So sorry for your losses, horrible to go through. did you have a biopsy for your NK Cells?

You can get your GP to refer you to Tommy's Trust who specialise in miscarriages and the testing. xx

Bqjsh profile image
Bqjsh in reply toLouCollier

No, i haven't had the biopsy but I went to a reproductive immunologist who did loads of blood test investigations for recurrent pregnancy loss which included NK cells and everything came back normal except my vitamin D which was a bit low so now on vitamin D supplements. I also went to see Prof Quenby at Coventry (Tommys) who did a range of recurrent miscarriage bloods and all results came back normal. I also had a 3D scan of uterus and scan of my tubes and all looked fine. She suggested I may have a luteal phase defect so to take progesterone suppositories when trying naturally but my GP won't prescribe me them so I have to save some over from my ivf treatment. I've also been offered a genetic blood test (karotype test) which I will do in near future. I can't see me ever having a healthy pregnancy with my history, I am all out of hope 😢

LouCollier profile image
LouCollier in reply toBqjsh

aw reading your replys you really are going through it. So sorry. I really wish I had some answers to help you. sending you a big hug xx

soccerkt6 profile image
soccerkt6

Hi lovely, I'm so sorry that you're going through this. I had three chemicals over the course of 4.5 years and it is so, so disheartening. My main recommendation would be to have your partner do a sperm DNA fragmentation test. It's a super simple test (partner just provides a semen sample) but high DNA frag is a common cause of recurrent miscarriage, especially early loss. My husband's standard semen analyses always came back normal - great count, normal motility, etc - so it took ages for someone to think to suggest that we should get the DNA frag test. But once we did it, we found out that he had high DNA frag and then once we found out the cause of that and got it fixed, we conceived naturally and now have a 1-year-old.

My other recommendations would be to 1) have karyotyping done for both you and your partner and 2) do the Recurrent Pregnancy Loss panel through Fertilysis (fertilysis.com/tests/fertil.... It includes tests for infections in the vaginal and uterine microbiomes and well as a whole range of immunology tests (NK cells but also several other things). I did it and although my results came back normal, it was so reassuring to know that I'd checked all the boxes as far as infections and immune function.

Let me know if I can answer any questions you have. It's a crap place to be but diligence and more testing are your best friends right now. Once you figure out the cause of the losses you can make a plan for how to move forward xx

Bqjsh profile image
Bqjsh in reply tosoccerkt6

Thanks for your reply. I honestly feel at breaking point. I don't know how much more I can take. I don't think I've ever struggled with anything as much as this, it's completely wrecked my life!! I am just so depressed and I'm all out of hope.

My partners sperm result was low morphology (2%) and low motility. We had really good fertilisation rates and had 6 blastocysts that made it - I was told that we can't have much of a sperm issue with those results or have I been advised wrong? My partner is currently taking impryl so I don't know if this supplement has improved his sperm parameters at all, will need to try get that tested again. I thought DNA fragmentation couldn't necessarily be fixed? Do you mind me asking what treatment he had after getting high fragmentation result?

We have been offered a karotype test so we will be going for that test later next year when we have used up our last 2 embyros, I don't think there is much that can be done if we are found to be genetically incompatible?

I have looked into fertyliss before, I may give that a go, what was your experience using fertyliss? How long did the results take to come back? And how much did it cost?

I've seen a reproductive immunologist and had loads of recurrent miscarriage bloods done including NK cells and all my results came back normal. Only thing that was low was vitamin D which I am now on supplements for. I also seen prof quenby at Coventry via tommys and they did miscarriage bloods and all my results came back fine. I've also had 3D scan of my uterus and scan on my tubes, all has come back fine.

Prof Quenby did think maybe we had a luteal phase defect due to my history of chemical pregnancies- she wrote me a letter advising I have progesterone suppositories in certain points of my cycle when trying naturally. She wasnt able to prescribe me and send me them though, without me going all the way to Coventry which isn't local! So I have saved some of my progesterone suppositories to try when trying naturally - they are higher than the dose recommended though but I can't get any progesterone support from GP or early pregnancy unit as they all say I need to get to the heartbeat scan to get progesterone support and I never get to that point.

I am on so many supplements, and I started taking a probiotic (optibac for vaginal micrbiome - i couldnt find a vaginal pessary probiotic) in the months before my latest FET to try and improve the uterine environment just in case that is an issue.

My clinic offered me the ALICE/EMMA/ERA test but I have heard from other professionals that they don't think it is worth it and not enough evidence that it helps at all (all have different opinions don't they). It's also extremely expensive and the clinic have said it can come back as inconclusive. If inconclusive, we would have to repeat the test and get a valid result before moving forward with treatment. We are already paying eye watering amounts of money for all of our ivf treatment, the cost is insane. But the emotional and mental impact for me is on a whole other level. IVF has given me scars I don't think will ever heal if this doesn't work for us (either naturally or ivf conception). Sorry for the essay!!! I just feel at a complete loss with it all 😭

soccerkt6 profile image
soccerkt6 in reply toBqjsh

Oh love, my heart goes out to you. I could you have written your post myself two years ago. It really is a form of torture to be going through something like this without any answers. I know the feeling of hopelessness and depression, but I just want to say that you are incredibly strong for having persevered for as long as you have.

Unfortunately, your clinic is wrong that getting a good number of blasts means that there isn't a sperm issue at play. There are multiple different ways that DNA can be damaged (single strand damage, double strand damage, location of the damage, etc) and the end result varies by couple. For some people the damaged sperm won't even be able to create an embryo, but for others it'll be able to create an embryo and implant, but then not progress past a couple of weeks. The only way to know for sure whether DNA frag is playing a part is to have the DNA frag test. In my husband's case, the DNA frag result led us down a route with a private urologist (Dr Jonathan Ramsay) who discovered that my husband had a varicocele that he was unaware of. Getting this fixed completely solved the DNA frag issue. There are also other potential causes of high DNA frag (infections in the urinary tract, hormonal imbalances) that are totally treatable once you know about them.

Do you have to wait to use your last two embryos before getting the karyotyping done? If the test shows any chromosomal abnormalities with either you or your partner, you can sometimes PGT test your embryos for the identified abnormality. So if it's an option, I would def do the test sooner rather than later since you still have embryos on ice. (FWIW, I don't think karyotyping will tell you anything about genetic compatibility between you and your partner. It only tests for genetic abnormalities that you have as individuals.)

I would highly recommend the fertilysis tests. The RPL panel costs €1600 last time I looked. Once I collected the samples and sent them off, I think it took about 3 weeks to get the results back. I haven't personally done the ALICE/EMMA/ERA tests so I can't speak knowledgeably about them, but I chose Fertilysis over them because Fertilysis tests for a much wider range of pathogens than the Alice/Emma, and it's also non-invasive rather than requiring a biopsy.

If I could summarise and give one piece of advice, it would be do as much testing as you can ASAP. I don't mean to underplay the cost aspect of it - I know it's insane amounts of money - but the time I spent trying different supplements, trying to gauge whether a test would be of value, etc etc was so much worse for my mental health than just biting the bullet and moving forward with all the various testing options. Just having an answer for why things weren't working (even before we'd managed to fix things), made things feel so much lighter.

Let me know if I can be of any help. I'm happy to share more in detail about our experience if you'd like xxx

Bqjsh profile image
Bqjsh in reply tosoccerkt6

Thanks so much for your detailed reply and offering to share your experience that would be really helpful. Did you get dna fragmentation test done at your clinic? My clinic charges crazy amounts, maybe i'll need to look somewhere cheaper. But seems that it is definitely worth getting tested. My partner has been on impryl supplement for a while and I wanted to see if things have improved, I'm assuming they could use the same sample?

I have heard good things about Dr Ramsey, was it a long wait to get an appointment with him? Was it really expensive?

It's so hard to think how our remaining 2 embryos may not be able to implant either if he does have high dna fragmentation, I've already gone through 4 FETs so the thought of going through another 2 with potentially no success is draining. Did you go through IVF too?

I don't know what tests to chose on the fertyliss website- I have already seen a reproductive immunologist and had a whole panel of tests. I could be interested in the microbiome and testing uterine environment. I can't see a list of tests on their website to see which ones I'd want to pay for? Or do you get a free consultation to discuss the different tests? Is organising sending off the sample difficult?

I thought about genetic testing embryos but I've been told its best to do this on fresh embryos that haven't already been frozen and its also not 100% accurate.

I'm 37 in February and my partner is 40 in May, I feel time is running out for us 😭

Every test I've had so far- uterus scans, scan to look at my tubes, recurrent miscarriage bloods including, hormone levels and immunology tests has come back normal, so it makes sense to look at the sperm more now. I don't know why clinics don't do this dna fragmentation test sooner as we would have wasted A LOT of precious time if this is an issue.

soccerkt6 profile image
soccerkt6 in reply toBqjsh

My husband had his first DNA frag test done at our clinic but he had follow-ups done through Fertility Solutions (fertilitysolutions.co.uk/dn... because they were a bit cheaper than our clinic and not too far away from us. Unfortunately, you can't use the same sample for a semen analysis and the DNA frag test. The sample for the DNA frag gets sent off to a specialised lab in Belfast.

When we saw Dr Ramsay in 2021/2022 it was about a 3 month wait to see him. Not sure what his wait is like these days. If your husband does end up having high DNA frag, I would contact his office straight away to get an appointment on the books. The cost, of course, wasn't cheap - I think we spent something like £1200 for the consultation, ultrasound to check for varicocele, and infection testing - but he was brilliant and spent so much time actually just TALKING to us about our case and what we'd done so far, which no one at our IVF clinic ever seemed interested in doing. I really rate him so highly.

Yes, we went through 3 full rounds of IVF, all with no success. We got a couple embryos from the first two cycles (none from the third), but they either didn't implant or ended in chemicals. I agree that putting yourself through another two FETs sounds draining, so I personally wouldn't do anything with those embryos until you know more.

I would recommend the Recurrent Pregnancy Loss panel through Fertilysis. Link here: fertilysis.com/tests/fertil.... It includes microbiome testing for the uterus and vagina, as well as some niche immunology tests like HLA-C-KIR mismatch (which tests for genetic compatibility between you and your partner). If you want to skip the immunology stuff, you could just do the Female Microbiome test - fertilysis.com/tests/female.... Sending off the sample is easy once you get your head around the process. You collect the sample at home and then just contact Fertilysis with the day you want your sample picked up and they'll organise for DHL to come to your house to collect the package. Easy peasy.

I wouldn't suggest doing genetic testing on already frozen embryos UNLESS a karyotyping test shows that you or your partner have a chromosomal abnormality that you're screening for. Otherwise, it's always best to do genetic testing on fresh embryos.

I agree that it's crazy that clinics don't do more comprehensive testing on men before putting women through very invasive, very expensive procedures. It seems terribly inefficient (not to mention more than a little sexist) but that's why forums like this are so valuable. I've learned SO much from other women on here.

Best of luck, lovely! I'll be here for any other questions xx

ChocoMuffin profile image
ChocoMuffin in reply tosoccerkt6

Hi there!

We had our DNA frag test done in Spain which is WAY cheaper than in the UK. I appreciate that it may not be relevant/helpful to everyone (especially if not planning a holiday there) but just wanted to mention it in case this is helpful to others. We paid €119 for my partner’s and had the results within a few weeks. We also had our karyotype tests done (€89 each). We used a website (have attached a screenshot) that finds all the clinics/labs in the country that offered the tests we wanted.

Images are hidden by default on this community.

Bqjsh profile image
Bqjsh in reply tosoccerkt6

Thanks for your help, really appreciate it. I've been looking at the fertilysis website and it says to collect menstrual blood - did you have to use a menstrual cup? I've never used anything like that before... also says to do swabs and take a blood sample, not sure how I will get on collecting any of these samples?! Its hard to know whether to do immunology tests again as I did have most done already via a blood sample although I haven't had the KLA-C-KIR test... ahh it's all mind boggling! Xx

soccerkt6 profile image
soccerkt6 in reply toBqjsh

I was also a bit intimidated by the thought of having to collect the sample but it was actually quite easy. I just brought the collection tube with me each time I went to the toilet and was able to collect a few drops each time. You really don't need much in the end. The swab is super easy and takes 10 seconds to do on your own.

The blood sample can a bit trickier and I ended up paying for a private phlebotomy service to come to my house to draw the blood for my husband and I. Your GP might be willing to do the draw if you ask...mine said that they'd only do draws for tests that they ordered, but I imagine others might be more willing.

There's a good FB group for Fertilysis questions - link is here: facebook.com/groups/fertily....

xx

Bqjsh profile image
Bqjsh in reply tosoccerkt6

My fertyliss kit arrived today and I've been trying to collect menstrual blood - very messy and a bit stressful! Fertilysis instructions says not much menstrual blood is required - like a teaspoon full sized amount. I've managed to collect about a 1ml in the universal... do you think that would be enough?? My sample has missed going inside the universal multiple times! Online it says a teaspoon full is equivalent to 4-5ml so according to that I need to collect more... how much did you manage to collect? Thanks in advance for your help xx

soccerkt6 profile image
soccerkt6 in reply toBqjsh

I don't think I got 4-5 ml so I wouldn't worry too much about getting the full amount. If you can get about 3 ml I would think that would be sufficient. If it's tricky to collect it, maybe try bringing a clean cup/pot into the toilet to make it easier and then just transfer it to the test tube. xx

Bqjsh profile image
Bqjsh in reply tosoccerkt6

Thanks for replying back. I've got about 3ml now, so hope that is enough. I started collecting it last night - I underestimated how tricky it would be. I put the sample in freezer over night and was able to add some more to universal today. I didn't want the sample to get too old so I've added the preservative and put it in freezer. Hopefully it will be a good enough sample to get results from... do you think they would let me retest if insufficient? I dread to think what I'm going to be like doing the swabs! Xx

soccerkt6 profile image
soccerkt6 in reply toBqjsh

That sounds perfect, well done. The swab is literally soooo easy, really nothing to stress about at all. You've done the tricky bit already! xx

Bqjsh profile image
Bqjsh in reply tosoccerkt6

Sorry it's me again! My partner has been unwell so we have had to postpone his dna fragmentation test for a while as apparently it can affect his results.

I think I am going to book an appointment with Dr Ramsey in the meantime since it's a long wait to see him. What initial tests did your husband need for initial consultation? Blood hormone tests? Would be handy to know any initial tests beforehand so we can get it done via GP as this will save us money as we are already paying privately for everything.

Did your husband ever have any symptoms? My partner does often complain about getting very hot down there for no particular reason. If he does have high dna fragmentation- I can't think of any lifestyle factors he could change, as he isn't overweight and is healthy, doesn't smoke and doesn't drink much.

I can't imagine this ever working out for us, after 5 years we are still no further forward and so much older (I'm 37 and he's 40). It's a very heartbreaking situation 😢 xx

soccerkt6 profile image
soccerkt6 in reply toBqjsh

No worries! Happy to share my experience.

I think that's a good idea booking in now to see Dr Ramsay since his wait list is long. You don't have to have any tests done in advance but it will probably make your consultation more productive if you go in with some test results that you can discuss with him. We managed to have our GP run some hormone tests on my husband (testosterone, LH, FSH and TSH) and also do a urine culture to check for urinary tract infections. If you can, I would also ask to be referred to an NHS urologist since it seems a bit suspect that your partner randomly feels hot. To me, that sounds like it could be indicative of infection or a varicocele, which a urologist should be able to check for. Also push your GP to do karyotyping on both you and your husband. You've had four chemical pregnancies now so you have a strong case that both of you should be checked for any chromosomal abnormalities.

My husband is super healthy and never had any symptoms which is why it took so long for us to figure out the problem. If your partner does end up having high DNA frag, there's almost always an underlying issue (like infection, varicocele, or hormone imbalance) that will need to be fixed in order to improve the DNA frag. Lifestyle changes can help with improving basic semen parameters like count and motility but they don't really affect DNA frag.

Don't give up hope just because of your age! I know it's practically impossible to remain optimistic after so much time but I fell pregnant at 37 after almost 5 years of trying. The key for us was finally finding the underlying problem and fixing it. I think our IVF clinic would have been happy for us to do endless numbers of cycles without really changing anything, so at a certain point we had to step off the IVF carousel and just dive into doing as many investigations as we could think of. I know you're in the process of doing this so just keep on it and chances are you'll stumble upon the key.

I'll be keeping everything crossed for you! xx

Bqjsh profile image
Bqjsh in reply tosoccerkt6

Thanks for your reply, really appreciate it. I will get my partner to phone the GP to book those tests - hopefully our surgery will do it. I doubt we will get to see a urologist on NHS, we had to travel to Coventry just for the karyotype blood test because we couldn't get it done locally despite having so many losses! It's really bad! Dr Ramsey is a urologist so he can just be seen and investigated by him?

Thanks, how long did it take for you to concieve after correcting the issue? I have found ivf so traumatic and would love to close the door on that forever. I am not sure whether to pay for a laprascopy or not, it's always so hard decisions as I've read about how silent endometrosis can cause chemical pregnancies. I just feel so worn out by it all, hopeless and grief stricken.

When we do eventually use our last embryos I might do a natural modified FET as at least I won't have to deal with so many drugs that make me feel worse and its something different to try.

I would love to get pregnant and stay pregnant naturally - I know natural conception is possible for us so I need to try and hold onto that. I just have moments of panic about my partner being 40 soon and about us just getting older all the time. I am glad you had success in the end 💗 I really appreciate you taking the time to talk to me as much as you have xx

soccerkt6 profile image
soccerkt6 in reply toBqjsh

Yes, Dr Ramsay can also check your partner for varicoceles. I only suggested asking for the referral because it would save a bit of money (you normally have to do an ultrasound to confirm varicoceles which Dr Ramsay will charge for) but it sounds like quite a faff to get a referral in your area so prob best not to worry about it!

It took us 10 months to conceive after my husband got his varicocele embolised, but we got really unlucky with timing. My husband caught Covid and had a bad fever 4 months post-embolisation (which is right when his sperm would've been starting to show improvement), so then it took another 4 months for his sperm to recover from Covid. 🤪 In general though, you can expect to see solid improvement in sperm DNA frag 3-4 months after correcting the issue.

Glad to hear you've had the karyotyping test done already. Hopefully you'll get the results back soon and can tick that off the list.

And yes, I haven't had a lap done myself but it was next on my list to do. Personally, I chose to wait to go down that road until we'd ruled out all the male factor stuff because even though a lap is a keyhole surgery, it's still surgery. So I didn't want to do it until we'd ruled everything else out. And also, if your partner does have a varicocele, it can be rather expensive to have it treated privately. So you might want to save your funds in case that ends up being needed.

And I can totally relate to your feelings. I had so, so, soooo many moments of panic about getting older. It's an awful feeling. But honestly, you're not old (IVF has an awful way of making women feeling as though we're 38 going on 80 😂). Just keep reminding yourself of that. I'll be thinking of you and sending you good thoughts! xx

Bqjsh profile image
Bqjsh in reply tosoccerkt6

Sorry for my delayed reply. I've been trying to get my GP to do my partners hormone bloods like testosterone etc but the receptionist said that we need a request form from the clinic but I'm sure that isn't right... I'm sure the GP can request the tests and print the request form for us before our appointment? What was your experience when you went to your GP asking for blood tests and urine culture? I might write my doctor a letter directly explaining and hopefully he can sort it his end? We have an appointment with Dr Ramsey in May so isnt that long to wait. How much does treatment for a varicocele cost roughly? I don't think I'll have a laprascopy even if no other issues come to light it's just too expensive, it's 4.5k alone just for the surgery and there is bound to be hidden costs. My ivf doctor also said that they may not even do anything, it depends what they find. I just can't believe it costs that much, it's bad how I haven't been able to get anything on NHS at all, we have spent a fortune. I need to chase up fertilysis as I still haven't heard anything back from them and I thought I'd have results back by now... I always have so much to try and sort out, it's exhausting. My partner has dna fragmentation test in a couple of weeks (although the test might not be that accurate as he has had a cold and few weeks ago) but I didn't want to put the test off another 3 months. It would have also delayed seeing Dr Ramsey too. I just can't believe I am still on this ttc journey, I really thought I'd have had success by now. I have recently bought some ovum supplements as I have heard good things about them so thought I have nothing to lose by giving them a go, I really hope we get our happy ending from all of this xx

soccerkt6 profile image
soccerkt6 in reply toBqjsh

I think the receptionist is wrong. The hormone tests and urine culture for your partner should be fairly standard and not require a form from your clinic. I would just book in for an appt with your GP, tell them about your partner's testicles periodically feeling hot and your fertility history and ask that they order the tests. That's what we did and the GP had no problem ordering them.

I'm glad to hear your have a DNA frag test and appt with Dr Ramsay booked in. It cost us about £6k for my husband to have his varicocele embolised, so it's prob wise for you to wait to spend the money on a lap until you've ticked all the other boxes. Hope all is well otherwise xx

Bqjsh profile image
Bqjsh in reply tosoccerkt6

Thanks for your reply. I'll do that instead that sounds a better way around it. My GP has been good at ordering tests for us in the past when speaking to him directly. I wrote him a letter before as I couldn't get an appointment through secretary so that would also be a good option.

My fertyliss results come back and I have BV as well as ureplasma so that will both need to be treated. Maybe that explains why my partner feels hot down there as he could have an infection? I know he can't get BV but we both will need treating for ureplasma.

I don't know how long I've had BV so makes me worry about pelvic inflammatory disease and any long term impact it may have on my future fertility? I have read BV can keep coming back after treatment too... the results show BV is in my uterus. I suppose long term use of good probiotics will help keep the microbiome balance good?

So far, with all the testing we have done, this is the only thing that has come back as something flagged up! Xx

soccerkt6 profile image
soccerkt6 in reply toBqjsh

Oh wow, you've found something! Obvs it's not great news that you have an infection but it's progress to finally have found something to treat! I would think that your partner's heat issue could def be related to an infection. And I wouldn't worry too much about PID. I think that's prob only in severe cases and it sounds like you didn't have any symptoms.

Yes, once you treat the infections probiotics will be very important. I would try to take a vaginal one, an oral one and make sure you're including fermented foods like sauerkraut/kimchi/kefir in your diet. xx

Bqjsh profile image
Bqjsh in reply tosoccerkt6

Yeah hopefully it won't cause any long term complications. I think googling can always make you panic - I know I shouldn't google but I still do it haha.

My main symptoms has been on off pelvic pain which was starting to make me wonder whether I had silent endometrosis. I know my tubes are fine as I had a hycosy scan a while ago to check my tubes using dye and my tubes looked good. From my understanding reading my results - apparently I still have good levels of good bacteria despite the BV and ureplasma which is hopefully reassuring it's not caused more complications.

I was surprised for it to come back as something wrong, I only really did it to have another test ticked off the list! There are so many probiotics out there hard to know which ones to pick. I have read online that there could be a connection to BV and chemical pregnancies, so hopefully we are finally starting to get to the bottom of things now xx

Angelikid88 profile image
Angelikid88

hello dear, maybe a silly/too obvious question but have you being checking that your TSH levels are below 2.5? also, are you taking any blood thinner injections? I am in my second failed FET transfer with no explanation as I was 35 on the first and 36 on the second and i had done all the tests so I feel you as i am so scared to go on with my third round....

Bqjsh profile image
Bqjsh in reply toAngelikid88

I have had my TSH tested a few times and its always normal (within expected range). My clinic won't put me on blood thinners unless tests show I would benefit from them. So I am at a bit of a loss really with it all 😞 I've just had enough!

Chel91 profile image
Chel91

For me I had several chemicals. I can't really remember how many, but including FETs and natural I've probably had at least 5 or 6. Plus a natural miscarriage before treatment. What worked for me I believe is getting the laparoscopic surgery for endometriosis. Do you have any symptoms or period pain? I know it's a big step, I put it off for an extra year. I then had a euploid embryo fail / chemical (my 10th embryo I had transferred), but after I had the excision done I had success 8-9 weeks later with my first FET. I've heard so many success stories. It's one of the main reasons, yet hardly anyone gets recommended this unfortunately xx

Bqjsh profile image
Bqjsh in reply toChel91

Thanks for sharing your experience, that is really helpful. My clinic did mention a laparoscopy to me at my last follow up. I don't have period pains, although I have had on/off pelvic pain at random the last few months. Did your treatment plan get changed once you got diagnosed with endometrosis? Any different meds? Or anything that you think helped? I'm glad you had success in the end - recurrent chemicals is an awful thing to go through, I'm sorry you had to go through this too. Did you have success with one of your embyros you had waiting in the freezer or did you need to go through egg collection again? I'm really hoping one of my last 2 embryos will work if something else does come to light xx

Chel91 profile image
Chel91 in reply toBqjsh

Yes, I believe the laparoscopic surgery helped a lot. They excised it all so I believe it is totally gone now, so I didn't change my standard FET protocol. I did add more immune medications, but I didnt need them this time (I've since also had another success with my second FET since the surgery). You do need to find a specialist though, as surgical expertise is really important. I found mine through the Nancy's Nook fb group. I had success with my frozen embryos so I didn't need to do another egg collection thankfully. I would try to keep your frozen embryos safe until you have solved the root cause if you are able to. xx

Bqjsh profile image
Bqjsh in reply toChel91

Thanks for your reply. Did you have explorative laprascopy surgery to diagnose whether you had endometrosis and then it was found and excised? My clinic won't give me any immune drugs (immune protocol) as tests haven't shown I would benefit from it. Were you given immune meds before you knew you had endometrosis? Then when you were diagnosed, you had a standard protocol which worked after surgery? Can I ask where you went for you laprascopy and which doctor? How much did it cost and was there a long wait time? Sorry for all the questions! I'm glad it worked for you in the end, maybe there is some hope for me. I feel worried about me and my partners age and feel I'm running out of time (im going to be 37 in Feb and my partner 40 in May) x

Chel91 profile image
Chel91 in reply toBqjsh

Yes, they don't know if you have it until they open you up. They looked and removed it all in one surgery. There is an "international surgeon list" on the Nancy's Nook Facebook page. I'm not supposed to list names on here, but feel free to PM me. I have private medical insurance, but I've heard it can run 7-10k depending on where and what extent the surgery is. Some ladies go abroad to get the surgery done cheaper in Greece or other places. For me it was worth it since it seems to be a permanent fix for me xx

JB124 profile image
JB124

Hi, I had 2 back to back chemicals and prior to that 5 no implantation. On my 8th round my transfer was pushed back by a day to day 6 (it wasn’t planned. I was so exhausted by this point that I didn’t even question it) Therefore I had an extra day of progesterone, that transfer worked currently 13 weeks. I would defo do the ERA Alice Emma test in the future, maybe something worth speaking to your consultant about? Good luck x

Bqjsh profile image
Bqjsh in reply toJB124

I've had chemical pregnancies through natural conception too, so not sure if it is that? Some doctors don't rate the ERA ALICE EMMA test either, it's so difficult to know what to do. We are paying thousands privately as it is. Did you have this EMMA/ALICE ERA test? Or did your clinic just push your transfer day back one day without testing first? X

Victoria357 profile image
Victoria357

hi,

Sorry for all your are going through and have been through 🩷I lost my baby at 24 weeks(chromosome) followed by 3 chemical pregnancies. I have had a load of tests done then I finally got testing of the microbiome with Fertilysis, only potential answer I have ever got for my 3 early losses. Took me 3 times but after a Few more rounds of antibiotics and probiotics I'm finally all clear. I have 5 pgta tested embryos waiting for me. Transfer in January. Have you looked into Fertilysis? Are you on any supplements? After my first loss I followed is starts with the egg and took all supplements recommended and ended up with good grade embryos. I noticed above you said it's wrecked your life 💔 since losing my baby boy and these losses I have never felt so depressed in my life, everything makes me sad and angry. I can't bear to be in the same area with babies and even families as I fear this will never be me, I can never imagine having a baby and to be honest I don't want to be here if I can't! The only bit of hope I'm clinging onto Is that my causes for my losses are due to the bad bacteria and lack of good bacteria I had. I think if you haven't had this test done you really should 🌈 xxx

Bqjsh profile image
Bqjsh in reply toVictoria357

I'm so sorry for your loss, that is heartbreaking. Sending so much love and hugs your way. I don't know how much more I can take to be honest. I'll keep everything crossed for you, Best of luck with your future embryo transfers. Thanks for sharing your experience xx

Victoria357 profile image
Victoria357 in reply toBqjsh

Hi,

So sorry I didn't see your reply! Thank you 🌈💙 I completely know how you are feeling, nothing feels important other than getting pregnant and having the baby. I'm literally living for this moment so my life can be off pause. Have you tried probiotics btw , Vagibiom completely replenished my good bacteria.worth trying? If you ever want to talk I'm around 🩷 xxx

Bqjsh profile image
Bqjsh in reply toVictoria357

Sorry I didn't reply, I have been up in my own head lately. Hope you are doing OK and sending lots of love your way. I know its so heartbreaking and lonely. There are so many probiotics out there, it's hard to know which ones to take. My fertilysis microbiome results shows I have BV and ureaplasma so need to go on antibiotics. You can always message me if you need to chat xx

Victoria357 profile image
Victoria357 in reply toBqjsh

Hello, Hope you're ok ❤️ ah glad you got testing done with Fertilysis I genuinely think this was the reason for all my chemicals, have they advised you what antibiotics to go on, I highly recommend vagibiom as a probiotic, my levels replenished in literally a week!! It's probably not what you want to hear but I'm currently 8 +3 weeks pregnant and I strongly believe it's because I fixed my microbiom issue. Better days will come for you ❤️🌈 xxx

Bqjsh profile image
Bqjsh in reply toVictoria357

Yeah they have advised me on what antibiotics to go on, I also have ureplasma so that will need treating too! If it wasn't for fertyliss I would still have no clue I even have those infections! I'm glad I paid for the test before using my last 2 embryos and saved money not doing the expensive EMMA/ALICE testing through my clinic.

I don't even know how long I've had BV and read it can cause pelvic inflammatory disease so I'm worried about any long term impact it may have on my future fertility. I'm concerned that my test results show that bv is my uterus, do you mind me asking if this was the case for you?

I've been advised to take a pessary probiotic as well as orally for vaginal microbiome, I can't find any pessary probiotics anywhere as canesflor has been discounted?! Congratulations on your pregnancy, I wish you the very best of luck, you deserve a happy ending 💗 xx

Victoria357 profile image
Victoria357 in reply toBqjsh

Yea that's exactly what I had, very high levels of Gardnerella Vaginalis in the uterus! (and some other things too). Yes I don't know why but they were taken off the market everywhere but I did get some initially and still had an issue after retesting. When I managed to clear it all up I was taking oral probiotics in the form of Biome femme V and Optibac intimate flora but tbh I think the most important was the Vagibiome internal pessaries. They are from the USA but have the best mixture of strains and I'm sure it's what let me to clear up my issues so fast (in conjunction with antibiotics). I got them on EBay xx

Bqjsh profile image
Bqjsh in reply toVictoria357

Is this the probiotic pessaries you bought?

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Victoria357 profile image
Victoria357 in reply toBqjsh

Yeah that's the one or you can buy them in tbe bag of 15 as you only get 5 in that box xx

Victoria357 profile image
Victoria357 in reply toBqjsh

ebay.co.uk/itm/226513074003...

Bqjsh profile image
Bqjsh in reply toVictoria357

Thank you! How long did it take for your BV to clear up? You said you had recurrent chemicals didn't you? Maybe this could be one piece of the puzzle for me! I'm glad I got tested before using my last 2 embryos! Xx

Victoria357 profile image
Victoria357 in reply toBqjsh

Originally I had a round of metronidazole and canesflor then retested and it was still there so had to go on a round of clindamicin and vagibiom and it cleared and I replaced all my good bacteria with the pessaries in literally a week! I honestly think it could be, I genuinely don't think I would be where I am today without having these tests xxx

Bqjsh profile image
Bqjsh in reply toVictoria357

I've just had a look at viagbiom, were they that expensive when you bought them?! £100 just for a pack of 15?! Surely they shouldn't be sold for that price and I should be able to get them cheaper somewhere? It says pack of 15 is a month supply which surprised me. Did you take the vagibiom suppository daily? Or just once a week? Xx

Victoria357 profile image
Victoria357 in reply toBqjsh

yes they were unfortunately, extremely hard to get in the UK, £100 is quite reasonable as a box of 5 is £40 from a company called glam global but I ordered from them once and took so long for them to get to me and they have awful reviews. Maybe have a look around but I found it impossible to find cheaper. I used them every night for a week then every other night leading up to transfer, a month is easily enough to replenish your bacteria xx

Bqjsh profile image
Bqjsh in reply toVictoria357

I'm not going to be doing a FET any time soon. I've just read online that viagbiom pessaries shouldn't be used alongside antibiotics as the antibiotics can cancel out the effect of the probiotic... information is always so conflicting isn't it? From what I understand, it appears that the viagbiom suppositories should only be for short term use? Am I correct in thinking this? If that is the case, the price isn't too bad if I don't need to buying loads of boxes of the stuff? I am a bit confused whether to take one viagbiom a day or one every other day? And for how long? Did you say you only took viagbiom for a week when your BV cleared? Xx

Victoria357 profile image
Victoria357 in reply toBqjsh

Yes you don't use the pessaries until after you complete the antibiotics,you don't need many at all, 15 is more than enough. you literally use them daily for 7 days and then you can use them like once a week after that. So I completed my antibiotics then straightaway went on vagibiom and I retested a week later as was desperate to see if it had cleared ready for my transfer, but didn't think there was any chance my good bacteria was replenished, couldn't believe it literally took a week. I'll find my report for you so you can see xx

Victoria357 profile image
Victoria357 in reply toVictoria357

before antibiotics and pessaries x

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Victoria357 profile image
Victoria357 in reply toVictoria357

And after xx

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Bqjsh profile image
Bqjsh in reply toVictoria357

Wow, what a difference with the right treatment! I won't start the viagbiom pessaries until I've finished the course of antibiotics then, that's a relief not much is needed either because of the cost! For the oral probiotic I am going to take optibac for intimate flora one. Did you take your oral probiotic alongside antibiotics?

Your treatment advised taking a probiotic for GI health too? (Mine says the same) are there specific probiotics for gut health? I am hoping optibac will help gut flora aswell? Thanks so much for the information really helps me to make a plan. How much was retesting through fertilysis? Are you taking any probiotics for life to make sure you don't get any BV reoccurrence? Xx

Victoria357 profile image
Victoria357 in reply toBqjsh

Yes deffo get the intimate flora tablets too to go along side the pessaries. sorry should said I also added a product called Symprove and you can also go on optibac s.boulardi for tummy but I honestly think the vagibiom was enough but if you want to play it safe. The thing with vagibiom it contains strains that most pessaries don't and important ones we need to clear our specific type of bacteria..I've added my plan I've shared with others below who also had success following this. Any questions or anything I can do to help just give me a message :) xxx

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Victoria357 profile image
Victoria357 in reply toVictoria357

Just to add you probably noticed the lactulose, I would recommend this also the same time as vagibiom, use 6ml of lactulose inserted with a syringe, it sounds odd but it helps support the growth of the lactobacillus xx

Bqjsh profile image
Bqjsh in reply toVictoria357

Thanks for this, I'll message you now xx

Bqjsh profile image
Bqjsh in reply toVictoria357

How did you get antibiotics? The receptionist at GP surgery said that doctor cannot prescribe them, it has to be the place I had the tests done! And my clinic have said I would need to get antibiotics from GP but will check with their pharmacy... that was a couple of days ago and still don't know how I'm going to get meds needed for treatment... did you go through your fertility clinic or GP?? I feel pretty stressed as I just want to get treatment, nothing is ever straight forward and it's just exhausting xx

Nicknackpaddywack profile image
Nicknackpaddywack

Have you been offered PGTA testing on embryos? I had 8 embryos and only 2 were good. After my first miscarriage on an 4AA embryo, I was offered pgta testing. Turns out probably the 5th likely to get transferred would have been one that would have been a euploid embryo, because the 4 before this one ‘appeared’ to be better quality. By having the pgta test I was able to slip 4 transfers that would more likely have ended in miscarriage. I hope this helps. Best wishes.

Bqjsh profile image
Bqjsh in reply toNicknackpaddywack

Sorry, I never replied to this. Thanks for your comment. My doctor thinks it could be a numbers game aka waiting for the right embryo. Maybe like you - my first 4 embyros were abnormal although they appeared better quality... and my last 2 are the ones that are chromosomally normal.

I have heard that the lowest graded embryos are the ones to work for some women... I think having lots of embryos is both a blessing and a curse... its great to have responded well to treatment and fertilisation but on the flip side it is a very traumatic and draining thing to keep going through.

My clinic have mentioned pgta testing but I'm not keen because my embryos are frozen and it would be a lot for them to go through and they may not survive the process. The fact that it isn't 100% accurate puts me off too. Did you have success with your last 2, remaining normal embryos?

Nicknackpaddywack profile image
Nicknackpaddywack in reply toBqjsh

I had 2 euploid and one didn’t stick, so had a negative pregnancy test. I’m currently 30 weeks pregnant with the last euploid embryo. I feel so blessed. The pgt a testing is something like 98% accurate, so pretty accurate when it comes to euploid and aneuploid. I think there is some questions between mosaic embryos that are high or low mosaic, but a consultant should go through this in detail with you. According to my clinic in Bristol, the thawing and removing of cells and refreezing comes with a 1% risk of the embryo dying. We thought the pros outweighed the cons all our embryos survived but sadly 5 of the 7 that were tested were high mosaic/ aneuploid. The 1 we didn’t test was my miscarriage that led me to having pgt testing in the first place.

I was 37 nearly 38 when eggs retrieved so quality was naturally expected to be on the lower side. The good thing I would say about pgta testing is on the pregnancy side this is is like the ultimate test you can have, as during pregnancy you then find you’re worrying about genetic disorders such as Down’s syndrome, Edward’s ect… having a pgta tested embryo means all 23 pairs of babies chromosomes are intact and put my risks at a much much lower risk level, which can be increased with certain factors such as age.

I really hope this helps, and I’m sending you all the blessings and best wishes. Your time will come stay strong. Xx

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