Anonymous wrote:It took 4 transfers but all untested but rated well (AAs) - 1 fresh and 3 frozen. I was 34 and did one cycle. 4th one took (2nd was a chemical). I was “unexplained” but suspect endometriosis. I had high estrogen spikes 4dpt and did some online research and found that it could be a sign of endo and to try a semi-unmedicated transfer (eg without estrogen) which I did for the 4th one - others were fully medicated. It could have just been luck but my estrogen was within normal ranges at 4dpt for that transfer. I would also look into adding lovenox and maybe even intralipid treatment. The r/infertility community on Reddit has some good info as well.
My REs (not the OP) would not prescribe lovenox with my history (5 miscarriages) so I don't know that it's a common protocol.