3 natual Ectopic and 2 failed IVF

sweet16

2 Posts
Reply Posted on: May 11, 2013 at 7:51pm
Hi Doctor,
It has been 4 years since we started trying
here is a summary.
me-32 mild PCOS,taking 1500 metformin BMI-20,husband - no problems#1
Jan 2010 when i was 28yrs
surprise pregnancy when we just stopped protection.Turned out to be
cornual ectopic. near left tube. Emergency surgery.LEft tube intact and only pregnancy removed.Advise wait fr 6 months.disgnosed with PCOS.strated taking metformin.
#2
Dec 2010. conceived naturally. Bleeding at 5 weeks. Ecotpic on left tube.
Emergency surgery- left tube removed.Break for 1 year.
#3
May2012.conceived naturally. Slow rising HCG.Bleeding at 6 weeks. probably Ectopic .cannot figure out where.MEthotrexate twice to resolve. Surgey avoided.IVF only option.#4
Sep2012:
IVF
Lupron and Menopur. Ovidrel trigger.Endometrin.
sperm motilty 50%, 11 million.-ICSI
HSG- right tube clear.
Sonohysterogram-normal
endomtrial biopsy for pelvic TB- negative.
20 eggs retrieved. 12 matured.10 fertilized. 4 become blastocyst. 2 frozen.2 perfect emryos transfered.
not successfull.#5NOV 2012:
FET
PIO shots.
Sow rising HCG.Chemical/Ectopic. Resolved by itself.#6
Changed ivf clinic to more reputed one.
Apr2013:
IVF#2
menopur, Follistim, HCG+lupron trigger
26 eggs retrived. No ICSI, Count was normal.16 fertilised.
2 perfect blastocysts transfered.2 frozen.
not successfull.

What would you advise in our case.Any help is appreciated.

Dr. Braverman

2026 Posts
RE: 3 natual Ectopic and 2 failed IVF Posted on: May 12, 2013 at 7:43am
It seems no one has addressed the immune issues related to your PCOS , I would also suspect that the "ectopics" we most likely intrauterine early losses. You need the proper immune workup and this is very treatable. I would be happy to assist you with this. Feel free to call my office if you are local come in if not you can set up a free 10 min consult so we can review your case.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.