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  1. #41
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    I'm glad your appointment with dr Gee went well pingc383!

    I had my follow up appointment with her yesterday as well!

    My laparoscopy pathology results came came back and it was definitely endometriosis. Gee seems to think that the endo has been the biggest thing stopping implantation. She did a biopsy to test my NKC's and they are only mildly elevated which is interesting considering dr M said that they were very high. Ahh I don't know what to do.

    She has suggested we do a fresh cycle with 175iu gonal f (she originally said I would be on 200iu but my AMH came back at 41 so she doesn't want to go too high) and do intralipids/steroids/clexane and transfer our best embryos, and if we have some to freeze we could test them and transfer after. I'm so conflicted as to try transferring an embryo without doing a full immune cycle too. Much to think about but at least it's good to know the endo is gone!

  2. #42
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    @ange1111 Dr M does 500 ml of intralipids over 5 or so hours. I thought it looked bigger than that too but I took a photo of bottle. Genea does half that and way faster infusion. My FS at Genea was doing a study on NK cells so believed in them and that is Dr M a r r e n. But I went through Dr M for everything except ivf and lap was already done by Genea a year earlier.

    I feel like Genea are just doing intralipids because people want it but they don't really know much about it.

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    ange1111  (16-09-2016)

  4. #43
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    I am 37 and 29 weeks pregnant.

    I was involved in Dr Marrens study so I think he is still working on the paper.

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    ange1111  (16-09-2016)

  6. #44
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    Doctor m?

    Sometimes it was immediate
    Sometimes it was within 24 hours

  7. #45
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    She writes the blood tests and emails them

    So it just might

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    ange1111  (16-09-2016)

  9. #46
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    Quote Originally Posted by pingc383 View Post
    And yet of all the emails I have sent to date, not one single response!!! I'll just have to keep calling to "remind" her!!!
    She doesnt ever reply to emails

    But scripts and blood tests are sent via email

  10. #47
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    Quote Originally Posted by pingc383 View Post
    Do you know what you're having?
    No we are having a surprise

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    pingc383  (18-09-2016)

  12. #48
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    Quote Originally Posted by pingc383 View Post
    Lol, we must have been waiting in the same waiting room! I was wearing a blue and green dress, did you see me??

    My AMH is 6!! She wants to use Elonva, but I'm not sure I want to use that one.

    Did she do the laprascopy or did Dr Reid do it for you?

    She offered me a lap and biopsy, but I thought I would let Dr M do it, cos I didn't want a situation where he couldn't read Genea's if it came to that.

    Did you have endo symptoms? I don't think I have endo, but they want to do it anyway.. I don't have any symptoms....

    I'm a bit torn too, don't know if I should get Dr Gee to do lap + biopsy or just get Dr M to do it. Dr Gee said it was up to me, but she can't read Dr M's results because he uses a different lab..

    With your NKC results, we all seem to have NKC circulating in our blood and there are certain times when they are more elevated.. When did you do the biopsy, what day of your cycle? If you did it through Genea, they would have done it early in your cycle, which means your NKC result will be within normal range. They generally elevate after ovulation and taper down towards start of AF... This is why I didn't want to do it with Genea because it's very different to when Dr M does it...

    I'm cycling as well, but after an endo/biopsy.

    How many failed cycles did you have? It could very well have been the endo causing you the problems. I suppose if you want to throw the kitchen sink at it, do the immune protocol, but it sounds like she's offered you all that? I think you should do it with Dr M because he can design a specific protocol for you and his intralipids infusion is higher than Genea and I dare say, cheaper.. What do you think?
    She did the biopsy when she did a hysteroscopy / same day as my lap which was on cd 23 or so. So after ovulation.

    I have had 7 failed transfers (fresh/ FET's). I think that I'll go ahead with a fresh stim cycle with intralipids with dr M because he suggested I do a double dose (so likely on cd 3 then on cd 10 or something). I'll have to ring and try and organise something. Ohh joy!

    I had no endo symptoms except for period pain which I thought was normal really. I've had pain my whole adult life so I guess I've just been used to it. I'm sooo glad I did the laparoscopy it's made so much sense to me. I also thought about dr M doing the lap over Gee but ended up going with Gee because I wanted her fertility doctor opinion on me from the inside and I'm glad I did. Although, I do believe would have been happy to have Dr M do it as well. It would be good for the biopsy.

    In my notes it says that my endometrium is consistent with the 20th day of a normal cycle (so post ovulation) and it says that CD56+ (uterine) NK cells are present at a density of approximately 6.3%... Not sure though!

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    ange1111  (18-09-2016)

  14. #49
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    Achievements:Topaz Star - 500 posts
    Subbing

  15. #50
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    Quote Originally Posted by pingc383 View Post
    Thanks for replying hun. I called and of course, G decides she knows the answer, so doesn't consult with Dr M. She said "you should probably wait a week before you do the blood test"... I hope she's right as there's no way to get through to Dr M.
    I fully trust her she is a trained nursecand has been working along side of Dr M since the beginning. She knows her stuff. She has never given me the wrong information in a year and a half of treatment. She will also be the first to say she needs to check with Dr M if she doesn't know.


 

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