So last month (June) we left off with a negative pregnancy result and no update on whether we would be proceeding with another round. It was nice to enjoy 4th of July without the pressure of running back home to receive a shot or being on my period (small wins)!
My cycle began the day after the 4th, so just a few days shy of where they said it would begin and because I hadn't received an update from the clinic or my sister - I didn't have any pills to take or things to track. It was a HEAVY few days, but luckily working from home, made it a little more bearable.
On July10th the clinic scheduled a follow up appointment to go over the results and possible reasons that the transfer did not end with a positive result. The doctor that has been overseeing my care, was out of town for the actual transfer, but did have the scans, lab results, and notes from the doctor who performed the transfer and felt that there should have been no reason that the embryos didn't implant.
After looking over the results, he felt that it might be that my cycle isn't like the average woman...so perhaps my uterus was ready prior to the transfer...there is only a 24 hour window for the "magic" to happen. Since this isn't really anything I've tracked or paid attention to, like um ever...I have no input here.
My sister mentioned that the transfer was really uncomfortable for me...and that the doctor mentioned that he had a difficult time with the transfer (remember the comment about the "long vagina" LOL). She asked if this had something to do with it not working. He said nothing was said in my file or showed in the scans how my anatomy could have made the transfer difficult, so he asked if I would be willing to do a faux transfer, where he would perform the same procedure, but without an embryo inside. This would allow him to get to know my "anatomy" and prepare for any adjustments that might need to be made when a transfer takes place.
After further discussion, the doctor recommended that instead of a transfer next month, we proceed with an endometrial receptivity analysis (ERA). Which basically consists of doing the same things as a transfer cycle (taking estrogen and PIO shots five days before "transfer") but instead of a transfer, they take a biopsy of my uterus (similar to a pin prick and send it to an outside lab for review) so they can see if my uterus would be susceptible to a transfer during that same time frame or if they need to move it before or after. Once they can determine timing, they will proceed with another transfer of two embryos in September. According to the testing websites, 30% of women have different windows of implantation (WOI) so if I fall in that category, this will help to remove that as an obstacle for implantation.
I've opted to go through with both the faux tranfer this month and the mock cycle and the ERA next month...so wish me luck and let's hope we get some answers with the additional testing and the two month transfer delay is worth the wait 🤞❤️!
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