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  1. #1
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    Default Dr Derek Lok

    Hi all!

    Ok so I'm currently seeing a FS with sydney ivf Liverpool. And I'm not entirely happy with him, or his laid back approach to ivf.

    I'm thinking of making an appt to see Dr Lok, as I did a little research and noticed he specialises in miscarriage (I've had 4 M/C). I'm doing another FET with my next cycle, but I want to see if he'd do anything different. Basically I just want to cover all avenues before shelling out another exorbitant amount of money only for it to fail.

    Has anyone seen him? Any success stories?

    Thankyou :-)

  2. #2
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    EternalOptimist is offline Never say you have failed until you have reached your last attempt; never say you have reached your last attempt until you have succeeded.
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    Hi Nat, Dr Lok is one of our FS, he does DH and I see someone else at SIVF. If u want to change to a MC specialist at SIVF u should look into Dr Devora Leiberman. That women is amazing and I know a lot of women who have had a LOT of MC and she has managed to get all if them pg and deliver healthy babies. Feel free to PM me about Dr Lok, we see him as he is a MFI specialist, especially to do with male specialist surgeries such as vasectomy reversals and biopsys. We were told to still keep our other FS for myself and do a shared care arrangement.

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    Thanks EO. Yeah I found her on their site and she looks great as well.

    My FS says that any problem I may have would be treated with Clexane anyway, but I'm supposed to have it from FET day till 12 weeks pregnant. Now I'm wondering if that caused my bfn and maybe I shouldn't take it till I get a BFP...

    I feel like I'm "cheating" on my FS, but I think I'm well within my rights to get another opinion. I think I'll see Lok, as he treats at the Liverpool rooms and that's where my embryos are. My DF wants us to move the embies to WFC and do a transfer there cause they're cheaper... But I'm not so keen on the idea as I don't like them at all (that's where I had 3 of my m/c with XDP)

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    Hi Nat,

    I was in a similar situation to you. Had 3 early miscarriages with previous FS, then went to see Dr Lok. He did a whole lot of tests on DH & I including a uterine biopsy to test for NK cells. I tested positive for NK cells. Our first cycle with him he just treated me with Clexane - that cycle ended in another early miscarriage. Started to do my own research regarding NK cells and discussed with him steriods and other treatment options. He agreed to trying steriods and clexane for the next cycle however that was all he was willing to treat me with.

    I wasn't convinced that this was going to be enough so consulted with a reproductive immunologist and went with his protocol instead. Still continued to see Dr Lok regarding IVF, but went with the treatment program from the reproductive immunologist regarding the NK cells.
    That next cycle saw us finally with a BFP - I am now 16 weeks pregnant.

    I was very happy with Dr Lok in regards to his investigations into why I continued to have early miscarrriages - my other FS just kept saying its only a matter of time.
    And his suggested treatment for NK cells was correct, however I just felt I did not have the time or money to give it a try with only a few options, I wanted to throw everything at this cycle as it was likely to be our last.

    My experience and dealings with Dr Lok have been great and based on that would recommend him.

    Best of luck
    Karen x

  6. #5
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    Thanks Karen,

    I'm doing another NK cell biopsy this month with my current FS, however he said he doesn't "believe in" steroid treatment and will just treat me with Clexane anyway, regardless of the result. I had a NK biopsy a few months ago but the results were invalid cause I didn't ovulate.

    Anyway, I'm having another one this cycle, but if it's positive I want the steroids as well. I don't think the Clexane will be enough. I have 8 frozen embryos, but we can't afford to keep having FETs so I'm trying to find out everything I can.

    So you used the Clexane and steroid and you are 16 weeks?

    Congratulations on making it this far! Sometimes I wonder what we pay the FS for when we seem to do most of the work!

  7. #6
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    Also, when did you start Clexane? From embryo transfer day or from BFP? Thanks again!

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    Yes for this cycle we used clexane, aspirin, steriods - dex than switched to prednisone, intralipids, metformin (have been on this for 2 years due to PCOS) and high dose progestrone (1200mg). Am still weaning off the steriods now (should be finished in two weeks) but will continue to take the clexane and aspirin until third trimester and may have to do one or two more intralipid infusions depending upon my blood test results.

    Dr Lok doesnt do the intralipid, so that is why I went to see a reproductive immunologist (RI).

    I know what you mean about paying all that money to FS when we do all the work, after reading Dr Beer's book "Is your body baby friendly" and doing a heap of research online I went to Dr Lok with a page of questions and a list of treatment options - my DH said after our appointment that he thought I knew more about NK cells, treatment and current research results than Dr Lok did.

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    No started clexane from CD2, then stopped two days before EPU and then restarted two days after (so stopped for 5 days).

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  11. #9
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    I'm glad that there is some hope for me. Is the NK cells the only thing they found?

    I also have PCOS, and dr sacks found that I have a homozygous gene MTHFR, which causes blood clotting I believe. However my FS doesn't really warrant that investigation as he said its controversial... He's actually annoying me a bit actually.

    I'm very interested to see what the NK biopsy comes back like.

    What immunologist did you see? Do you have any recommendations? I'm interested in seeing one now

  12. #10
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    Yes in all the testing only thing that came up for me was NK cells.

    The RI I see is Dr Matthias, he is fantastic. He has rooms in Bankstown and Miranda. He is also an obsterican. He is the only one I know about in Australia, he has patients that fly in from all over Australia for treatment. I know he is the reason that this pregnancy has stuck.

    In an appointment with Dr Lok I mentioned considering consulting with Dr M, he was not supportive and said not too saying what he did was controversial - I did consult anyhow and felt completely comfortable and confident that if anyone could help me if would be Dr M. His treatment is based on Dr Beer's treatment protocol (the author of the book I mentioned before)

    So I just did not tell Dr Lok about my treatment with Dr M, I just let Dr Lok look after the IVF and Dr M after the immunological treatment. However I am now in the process of writing a letter to Dr Lok informing him of the treatment I undertook with Dr M in my successful cycle - I want to let him know that it can and does work!

    A fantastic forum on this issue is http://health.groups.yahoo.com/group/immunologysupport/ lots of women on this site have the MTHFR gene as well. Most members are from the US & UK which is great, as the US in particular seem to be leaps ahead of us in terms of treatment for NK cells and other immune issues and are alot more aggressive with treatment.


 

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