Got back from my appointment a little before lunchtime. I’ve been a little confused about how I’m feeling because my appointment went very well.
Dr. Corley listened to my story, my theories, my concerns, etc etc. It was so nice to have a medical professional actually listen to MY history and come up with appropriate diagnostics to figure out what is going on. He told me that “one chemical pregnancy was normal and common, 4 is not.” He said I was way ahead of the ballgame with getting my own testing done and to send him the results right away. He said he “wouldn’t be surprised” if I had elevated Natural Killer cells given my history and they had no problem treating it with Intralipids – an alternative to IVIG therapy that is about 1/10 of the cost, just as effective, and with less side effects.
So basically we are waiting for the results from my immunology panel from Millenova, my husband’s karyotyping, and the rest of my bloodwork back from my other RE. Once we get all that we can devise a course of treatment, but he said as long as we had the test results back we could potentially start trying again next cycle.
Most likely we would do injectible gonadotropins (instead of Clomid or Femara which he doesn’t recommend for someone with lining issues like me.) There is a possibility I would need Lovenox or Heparin, again depending on the results from some of the tests. And I would need one dose of Intralipid before ovulation and another one after I got pregnant if its a Natural Killer cell issue. If it goes further and its because my husband and I are too genetically similar (as we would find out in the DQ-Alpha test) then I would need to continue the Intralipid therapy through the 20th week of pregnancy. If it turns out that the immunology panel doesn’t bring up anything, then I would just do the injectibles or we could consider doing IVF, but I’m not really sure we are ready for that yet.
So…there we go. We have a plan, we just need to find out what all the lab work says and we should get everything back by the end of next week. It’s weird, I think I should be feeling relieved or happy or something, but I’m just terrified. I guess of trying next cycle? I’m not sure exactly. I want something to show up on this panel so badly…so we can treat it. I’m afraid it will say nothing is wrong and I will just be told “try again, good luck.” Anyway…..we are still waiting for these results to come back. Hopefully by the end of next week we’ll have a solid plan of action.