In terms of the frozen transfer and the miscarriage, the RE said that 65% of embryos miscarry because there is a genetic abnormality. The miscarriage could have occurred because of that, or it could have occurred because the progesterone I was taking was not enough. My RE explained that during a fresh cycle your body produces lots of estrogen and progesterone on its own and RE's supplement with progesterone because although only 20% of patients need it, it is hard to figure out who needs it and who doesn't need it and it is easy thing to do. During a frozen transfer you are just trying to prime your uterus and RE's need to heavily supplement both estrogen and progesterone. That is why, even with pumping more progesterone into my body, my levels were lower with the frozen transfer and also why I probably should have used progesterone in oil (PIO) shots. I wish that the nurse had explained this to me when I was saying no to the PIO shots, but it's too late now.
My protocol for the fresh cycle may not change very much....but it may change a bit when we re-check my hormone levels (like AMH). We are shooting for a late July retrieval in hopes that active CMV is out of my body AND CP's body (we are going to get re-tested around July 6th or so). At CP's infectious disease checkup yesterday his doctor advised us to wait 3-4 months as CP's infection numbers were sky high so we are hoping by July we will be in the clear. Otherwise August may be a tough month because of our week long vacation with friends.....but then to wait until September wouldn't be ideal either.
So a lot still up in the air but hopefully we can get moving on the fresh cycle soon......
8 comments:
Glad that you don't need surgery! Thinking of you friend and have my fingers crossed for you.
Very good news about no surgery. I will be keeping my fingers crossed for you for July.
I was also on PIO. Originally I was told that Crinone would be sufficient, but different REs have different opinions. Though for me going with PIO was a good decision (turns out I needed an even higher dose), I know for others they've had success with using only the suppositories. That said, can't hurt to try something new.
yay for no surgery! I was originally planning on trying again in July, because I think a baby born around March would be ideal. That won't be what we end up doing, but my fingers are crossed that July works out for you.
yay for no surgery! I was originally planning on trying again in July, because I think a baby born around March would be ideal. That won't be what we end up doing, but my fingers are crossed that July works out for you.
Congratulations on not needing surgery. Sending lots of good thoughts as pieces fall into place.
Yay for no surgery! I hope the CMV is out of your systems in July and you are ready to get things moving!
man, i obviously do NOT envy anyone's infertility journey, but i am just the *tiniest* bit jealous that you have so much INFORMATION. we're still at the "eh, have some sex and see what happens" stage so i don't know anything about my levels, how my body is recovering from the d&c, whether or not it's in a place to try again, what timing would be good.... blah.
There is no GOOD place to be in this whole process, probably.
As they say, hindsight is always 20/20. Considering that info about progesterone, I'm surprised your RE didn't have you using PIO anyway. Coming from someone that absolutely can't stand needles, I can say that while I definitely didn't enjoy doing the PIO shots, it was at least tolerable. I'm glad that you don't require surgery for the fibroid and hopefully everything else will fall into place for a July transfer! I think it's so smart that they are continuing to monitor you both for CMV through this process. It is definitely not something you want passed to a baby
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