Just a quick reply. @Hopefullyanotherbaby: what u r describing is standard bondi protocol. I am not with dr sack but my FS at IVFA has been great. One extra that I have from FS is aspirin. DrM does intralipid. That's the different for me. DrM suggested the same meds to me. So makes me feel better that both opinions match. Well, i still think it is a bit of luck of all these. There is no guarantee that it will work on first goes. They are all starting with less strong med until it fails. Unless your NK cell off the roof to begin with. If you haven't noticed, the bondi protocol sheet says "experimental trial".
Last edited by bbhope; 24-07-2014 at 10:38.
bbhope I really appreciate your reply.. fantastic I will also ask if I can start taking asprine as well!!! My FS did say 20% is high NK cells.. do you think thats really high? I am still freaking out a bit to be honest!!
hopefullyanotherbaby, Sacks will prescribe clexene and prednisolone with the usual progesterone for transfer. Also you have to remember that there are a lot of Sack patients myself included you saw him for ivf and said yes to his Bondi protocol but were really following Dr M protocol. I feel very guilty for this as his research on the Bondi protocol (steroids plus clexene) prob includes me as a success stat. I always intending to tell him that I was on stronger drugs but I will wait till I actually have my baby here and can believe it.
regarding Dr M costs
First consult most expensive about $300 but you get medicare rebate
other consults $150 and you get rebate
for many women strong steroids (cheap), clexene (cheap) and intralipids ($650 every 4 weeks) will work. I ended up on very strong and expensive immune meds but I really pushed for it and it was not my starting point.
One extra ivf cycle costs far more than a visit, testing and the above immune meds to Dr M. Dr Sacks will also push you towards ivf even if you can get pregnant naturally where as there are several Dr M ladies who were unsuccessful with ivf and then get pregnant naturally on immune meds.
even if you end up being a more complicated and expensive immune case, doing ivf without immune treatment is just throwing money away.
Hopefully the Bondi protocol will work for you but don't waste time and money on multiple cycles, you are better off getting a comprehensive immune treatment protocol. Good luck
Sorry for your failed FET, sending big hugs to all the ladies in this thread, seems like we need some good luck and baby dust - too many BFNs
Just wanted to clarify Clexane does not help with egg quality, it is just a blood thinner to ensure there is maximum blood flow to the uterus and to ensure no clots occurring during implantation (cutting off nutrients to the embryo/fetus). Once a pregnancy is established ongoing use of Clexane ensures no blood clots in the placenta and umbilical cord. Most girls being treated for immune related infertility will stay on Clexane until their third trimester, but if you have an ongoing blood clotting issue (like MTHFR homozygous or Protein C/S, Factor V Leiden etc.) you will need to continue throughout pregnancy and 4-6 weeks after delivery to ensure no DVT.
Egg quality can be improved through DHEA and Neupogen.
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Thank you for your reply - I am not actually seeing Sacks I am seeing another FS at IVFA however I assume it will be the same protocol... Thanks for your advise I think I will give one more cycle a go and then will go and see Dr M if it doesnt work and see what he says. Although we fell pregnant with my daughter naturally we do need some assistance with IVF as I have irregular periods (PCOS) and a year of trying has put a strain if you like with hubby so IVF at this stage is our option.
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