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Infertility Support and Discussion
Reply to "RES disagree on diagnoses"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Given that only one doctor suspects immune issues and others (including Cornell, which is a leader in the field of IVF) don't think immune issues are at play, why not listen to the majority of doctors? You haven't mentioned finances, but if I were you I would either do the two cycle package at SG or go to Cornell. It seems like your eggs aren't great based on your stats and your response to the stims for the IUIs so I don't see a reason to suspect immune issues at this point. At 38, it is much more likely to be your age/egg quality (sorry).[/quote] Others, including Cornell, don't believe in immune issues, and therefore never suspect them. Many places also don't believe in blood clotting issues, despite studies pointing to the opposite. OP said that she was tested for immune issues and multiple thing came up as red flags.[/quote] This is the PP - Cornell docs are very up on the latest research and do a lot of peer reviewed studies. If they don't believe in immune issues, don't you think there is a chance that they don't exist? Of course, even if they didn't exist, "treating" women for them would still lead to pregnancies since IVF is essentially a roll of the dice. Given that OP is older, why not start with the obvious diagnosis (age/egg quality)? It would be one thing if she failed after transferring multiple perfect looking blasts, but that is not the case here. [/quote] Not PP, but for a long time doctors didn't believe in autoimmune theories at all. My mother has lupus but for decades was told she was making it up or that her symptoms weren't connected or that she had "connective tissue disease" (a catch-all phrase for "we don't know what the hell it is"). Then science caught up. To give another example, two of my cousins died of Tay-Sachs disease in the early 70s, and doctors did not know what it was and accused my aunt and uncle of child abuse. Everyone knows about Tay-Sachs now, but back then, where they were living, no one knew. Only a few select specialists knew. Etc. Anyway, I believe in immune reproductive stuff because it explains my issues. Easy first pregnancy, then 3 miscarriages of normal (tested) embryos back to back in a 15 month period. I got pregnant very easily with each but couldn't sustain more pregnancies -- and each terminated at earlier and earlier points. At the same time I was diagnosed with Hashimoto's (an autoimmune disease known to increase miscarriage rates) and a clotting disorder. Went to Abbasi, did her treatments, got pregnant on the first IUI and am now 32 weeks. Never did IVF. I was 34-35 for all of these with great AMH and AFC numbers. Maybe I just got lucky on the fourth try, but it seems to much of a coincidence that I miscarried three normal embryos in a row and immediately when I did her immune treatments (basically prednisone and intralipids plus lovenox and baby aspirin for the clotting) the fourth one stuck. [/quote]
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