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Hello, advice please

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  1. #1
    HopefulK
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    Hello, advice please

    Hello friends,

    I'm now 37 and I live in the UK, I've had quite a checkered history with fertility so I'll explain a bit, sorry if its boring. We started trying to get pg when I was 30, took 2 years and after referal to a fertility specialist, we were just about to start the more serious testing we got pg. Had a really up and down pregnancy, lots of bleeding in the beginning which was diagnosed as a biocornurate uterus, then we had to have amnio because of markers and finally our daughter was born at 28 weeks. She had a serious infection and we lost her just under 7 hours later.

    We got pg again and had a m/c with a blighted ovumn. Finally in 2006 we got pg again with our son, still on the rollercoaster ride of bleeding and preterm labour and at 32 weeks we went into labour, one emergency c-section later we got our beautiful son. He is nearly 3 and doing so well. So we decided to try again and after 12 months of trying without success we went back to our fertility specialist. He has just done a lap and dye and found that the c-section completely messed up my uterus. My right ovary (the side I normally get pg in) is completely useless left as it is. The left isn't much better, but all of that is fixable, so he says? He was actually quite dismissive of the scaring saying its BAD, but he could fix it, but the worse thing is I just had an fsh test come back as 18!!!!

    My dr is doing 2 more day 2 tests cos the levels apparently fluctuate, but with both these things he's already mentioned IVF. I'm 37 now and time is running out. I dont want to do doner eggs but I do want another baby. I thought we'd get the clean up op and then see how it goes with potential natural cycles or IVF. I actually got a positive digital opk yesterday so I am still ovulating.

    Just wanted to say hello and get opinons on what people think of this situation and if they have any advice on what to do next? What questions to ask etc? What should I expect.

    The clean up I mentioned is called a bilateral salpingo ovariolysis, if that means anything to anyone?

    We asked about fixing the uterus while he was there but he says that as I've been pg before with it, he would let it alone.

    Wondered if you all had any advice or comments about the surgeries?

    Thank you
    x


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  3. #2
    TTCyears
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    I am sorry you lost your daughter and a pg. I am glad your son is well.

    "Bilateral salpingo ovariolysis" = both ovaries ... ? a form of adhesiolysis?

    Lots of online info about adhesiolysis. I read there are conflicting studies about how effective salpingo ovariolysis is, but my intuition says the benefit increases directly related to the severity of the adhesions. In my case (emergency abdominal surgery), my dr's assume I have minimal adhesions and it's not worth even a laparoscopy to check.

    I know one woman who had severe uterine scarring (Ashermann's) and naturally conceived a viable pg.

    I'm nearing 38. Given my history (below), my RE recommended I go straight to IVF ... immediately. I requested a lesser treatment cycle after a few months and he obliged, just to humor me. Now I am waiting another one or two cycles to "prepare" for IVF (secretly hoping for a BFP). I will say that my AMH (better than FSH) was encouraging that I have some time. Even so, the nurse keeps warning me, on the dr's behalf, of the risk of waiting "at my age".

    Wishing you well,
    ~S


  4. #3
    HopefulK
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    Thanks TTC, the reading I've done, though limited appears to say the same. At the moment however my dr reckons I have close to zero chance of getting pregnant on my own, and as far as I can see it just can't do any harm.

    My dr actually said that he wasn't overly worried about the op, so I guess its bad but fixable. He's more worried about my fsh level of 18. I'm just hoping they drop?!!!! Though I defo didn't ovulate that first month he tested and I have ovulated these last 2 months, once from the ovary he couldn't find.

    Your journey sounds tuff. I'm so sorry for your losses, its a difficult road this one we are travelling, frankly I just want to complete my family and get off the rollercoaster. A feeling no doubt echoed by yourself and many others.

    Don't blame you for hanging on waiting for your own bfp. Its always worth a just in case before you jump to IVF, that's a band wagon that's tuff to get off, though its not a door I've closed myself yet.

    I have my fingers crossed for your natural miracle.

    xxxx


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