I’ve been researching what I can do to possibly improve our odds this cycle when I stumbled on some studies that show that women with Hashimtotos who have taken steroids during their cycle have improved pregnancy rates.
So I asked my nurse about it. She double checked with Dr. L and we are going to throw Prednisolone into the mix this time. In theory, if my immune system is attacking my thyroid (which it is), perhaps it’s also attacking the transferred embryos?
Since we are doing another FET, I will use PIO instead of endometrium. This will be the first time for that too. I’m a little nervous about it to be honest. I fully expect to have a bruised sore ass.
As part of my now standard cycles, I requested an endometrial scatch. This time, Dr. L said he would send the sample to be biopsied to ensure there is no inflammation. This was the first time he’s ever mentioned that as a possibility. I don’t know if he saw something or as he put it “after everything we’ve been through, just want to make sure everything is good”. After the biopsy, I met with my nurse. We went over dates, meds and next steps. She said she would get the biopsy results in a week or so. I pressed her a little and if she thought Dr. L was concerned. She said like we discussed we are throwing everything but the kitchen sink into this cycle. If it turns out I have Endometritis, then I have to take antibiotics and then she tells me she’s had patients have a lot of success with Doxycycline. I was confused if my lining was inflamed wouldn’t the steroid take care of that? I asked her what would cause the inflammation. She said it could be a STD (um, really? ) or just a normal process. So of course the minute I left, I googled like crazy.
Endometritis is caused by an infection in the uterus. It can be due to chlamydia, gonorrhea, tuberculosis, or a mix of normal vaginal bacteria. It is more likely to occur after miscarriage or childbirth. It is also more common after a long labor or C-section.
The risk of endometritis is higher after having a pelvic procedure that is done through the cervix. Such procedures include:
- D and C
- Endometrial biopsy
- Placement of an intrauterine device (IUD)
As part of the whole IVF process you have to get tested for STDs, so I’m in the clear there. Given in the last 5 months, I’ve had a biopsy, miscarriage, another biopsy, Hysteroscopy, a retrieval and transfer- yeah I’d say that I’ve had a few procedures done through my cervix.
If I had to guess after reading the symptoms, I don’t think my lining is inflamed. I guess we will find out and better to be safe than sorry.
So there we have it. A few new things going on but for the time being, I’m still in the prep mode and won’t start shots for another 11 days.