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Infertility Support and Discussion
Reply to "Immune protocol and IVF - helpful or not?"
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[quote=Anonymous][quote=Anonymous]After 3 miscarriages in a row, I decided to go an get an immune panal gone at Chicago (RSU) before we used our very last frostie. Sure enough, it came up with issues with my natural killer cells and cytokines. The Dr. hasn't come back with her recommendations yet, but it appears it will be a mixture of IVIG, lovonox, humira and prednisone. My RE here doesn't believe in immune testing and said he strongly preferred (it felt like something of an ultimatum) that I not use lovonox and prednisone. Now I'm at a crossroads - do I follow his advice? Take our frostie to another clinic for a FET? Or go ahead and take the lovonox and prednisone without his knowledge?[/quote] Are you at Shady Grove? I had 3 consecutive miscarriages with them over the course of 15 months (not IVF, though) and they told me it was just a numbers game and I had to keep trying. They don't "do" immune or thyroid stuff. I suspected immune or thyroid issues based on family history so I got a second opinion from Dr. Abbasi at CFA. Like you, my NK and cyotokines came back wacky, along with a clotting issue and Hashimoto's (thyroid autoimmune disease). I did Abbasi's protocol -- intralipids, prednisone, synthroid, lovenox -- and am now 30 weeks pregnant off an IUI with her. (Did a medicated IUI because I also have long and irregular cycles and she felt forcing ovulation earlier might help.) Since you would have to transfer an embryo you already have, that is a harder decision than mine was. I felt SG was giving me the run-around and I just didn't think their advice was correct for me. (I had a successful first pregnancy and got pregnant easily and I just felt like something was "off" and that it was more than numbers.) I guess it comes down to how much you trust your doctor and whether you want to try the immune stuff. I would not try it without his knowledge. You need to be monitored on prednisone and lovenox and he's obviously not going to do that. You could do a consultation with Abbasi, who to my knowledge is the only local RE who does immune treatments. Or you could finish up with the embryo you have and hope it works, and if it doesn't, start afresh at a different clinic that is willing to take less conventional treatments into account. [/quote]
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