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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]OP - which immunity tests did you do? Which treatments did they recommend? Have you done a RPL panel too? Clotting factors, etc? How is your thyroid? What is your TSH? FWIW, after dabbling with a few IVF cycles down here and the immunity path, we finally found success at Cornell. If you want your absolute best shot with OE, just go there IMO. [/quote] PP did you have an immune issue and then found it did not need any treatment, or did Cornell do some type of low-level immune treatment like Prednisone, baby aspirin, etc that many Res are willing to do?[/quote] I had elevated NK count & activity level. Had a phone consult with Coulam, she recommended Intralipids. After reading the RI yahoo group I decided to self-treat with fish oil (4g/day I believe). Before my final (and first successful cycle) my levels were retested and back down to normal. Not 100% sure it was the fish oil, but I felt better about the whole thing. I had done baby aspirin in many prior cycles, but I think I stopped when I started the fish oil. Plus, my clotting panels all came back fine (I did RPL panel too just to cover all bases). I only did Medrol (steroid) that came as part of the standard Cornell protocol. RE did not treat immune issues for me, but I didn't push it with him either. FWIW [b]I also had endometriosis tissue removed before cycling and also think that helped.[/b] I believe the endometriosis and immune issues were intertwined. [/quote] Agree that this was probably an important factor. I didn't work with Braverman, but I believe endometriosis surgery is actually part of his treatment protocol for immune issues. A huge percentage of women with reproductive immune problems are ultimately found to have endometriosis, which is thought to be the root cause of immune activation in many cases.[/quote]
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