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Infertility Support and Discussion
Reply to "My Appt (2nd opinion) with Dr. Abassi"
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[quote=Anonymous]This morning I had my second opinion with Dr. Abassi. I've been with Shady Grove for nearly 2 years and after several failures (including a m/c and 3 PGS normal FET negatives) I've decided to look into Dr. Abassi and her immune theories. I have endometriosis and a previous ectopic so it seems like the natural next step, especially since SGF doesn't ascribe to endo being an issue for implantation AT ALL! So, the thing that resonates most with me is that she kept asking me "Why are you doing all of this research on your own? Why hasn't SGF been supporting you?" Yeah, good question! After my last FET failure of 2 PGS normal embryos, my Dr. recommended doing an ERA and that's about it. I feel like they're left me hanging. It just doesn't feel right. Don't I want a Dr. that's gonna try everything? I ended up emailing my nurse to let her know I went to get a second opinion and this is what I wrote: I went to get a second opinion to explore some issues I've read through my research that could be hindering my ability to get pregnant. While I don't subscribe to everything I was told, I do feel that these are very real possibilities and want to see if Shady Grove would be willing to explore them so that I can feel better and confident that these are indeed not issues that are effecting me. I don't necessarily want to leave Shady Grove but I do want to explore the issues below for my own personal sense of whether I am doing everything in my power to give these last two embryos all the chance they deserve. These are the issues I've identified to explore: 1) Doing a thrombophilia panel (Due to the SCH I experienced during my son's pregnancy this seems warranted) <SGF never suggested this> 2) Thyroid antibodies testing <SGF just does basic thyroid testing. Could this extra test be useful?> 3) Immune Panel with the Alan Beer Resource Center (I know SG doesn't necessarily believe in this, but I would like to know if SG would consent to looking into this--or even be able to interpret them) 4) Doing the ERA twice if it comes back unreceptive to confirm the results <because my Dr. said just do it once if it's unreceptive, not knowing if I need more than 1 extra day of progesterone-- we haven't been on the side of what works for the majority thus far so why not be extra sure?> 5) I've also been told that it wouldn't be the best thing to transfer two embryos that are potentially different days (i.e. a day 5 and a day 6) because they could cause problems with hurting each other's implantation chances. <Is this a real issue? We would like to just transfer both because I just don't think I can emotionally do two more transfers> Dr. Abassi also gave me their blood tests for the things that she normally tests for. The first is The Thrombophilia Panel with various test names and the second was the Immune Panel of tests with Alan Beer Resource Center. If anyone is interested I can list the CPT codes/names of tests. So now my husband are at a crossroads. Dr. Abassi said she would only treat me if I become her patient. Do we make the move? Nothing has worked with SGF thus far so I would be stupid not to change, right? What to do! I suspect whenever I hear back from my nurse she's going to be ok with everything except the Immune panel. Even if SGF did it, I doubt they would even know how to interpret the results. If you've had repeated implantation failure and 2 embryos left (1 PGS normal, 1 untested) what would you do??? We definitely know we don't want to do another round of IVF, so this would be our last shot ART wise. Opinions please!!! [/quote]
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