Ashermans & implantation failure

KA

2 Posts
Reply RE: Ashermans & implantation failure Posted on: Nov 12, 2013 at 4:58pm
Hi Dr Braverman,

I posted a question to you last week, but it seems to be missing. So here goes again.
I am based in Australia and have booked a ph consult with you in mid December. Your staff agreed it would be worth having all the testing done before the consult, to make the best use of time.
Time is currently against me at age 46. I am still undergoing IVF in Aust, but I am now outside the normal age bracket and have one shot left!
I have had 3 IVF implants, 2 fresh and 1 frozen - all day 5, but none have taken. Although the last one did for about 10 days.
I have been told age is the issue, but I am still producing consistent egg numbers at collection and fertilizing 5 or 6 each time.
Late last year I had two procedures for fibroids, two large ones at the entrance. There are many others but all on the outside. I then did not have a period for 6 months and after many doctors, it was finally diagnosed as Ashermans grade 2. I had surgery in May and July this year with a specialist, he said the outcome was the best I could hope for.
Since the surgery my period has been regular again but very much lighter than ever before. I have had one frozen transfer and one fresh one since the surgery.
My Dr is now about to do a new test involving a biopsy of the uterus which is then sent to Spain, to test whether the implant window is correct. This is the only option I have been offered to see what could be wrong.

What do you suggest, considering it is not miscarriage just implant failure? Are all the immune tests still relevant, or is there something else I can do?
Ideally before talking with you I would like to arrange whatever tests are necessary. I would also prefer to organise them here in Aust, where I have some insurance coverage and easier access.
We are keen to know if there is an issue, before having to go down the route of an egg donor and still being unsuccessful. Please let me know, as I wish to make the best use of time before having to make that decision.

Thank you in advance, Kate

Dr. Braverman

2026 Posts
RE: Ashermans & implantation failure Posted on: Nov 13, 2013 at 6:05am
yes we can organize all of your testing prior to your consult, but they will have to be shipped here to the US. Email Stacy at [email][email protected][/email] and she will make the arrangements for you.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

KA

2 Posts
Reply RE: Ashermans & implantation failure Posted on: Nov 14, 2013 at 11:01pm
Thank you for your reply.

Do you know about this test in Spain for the implant window?
The biopsy is being taken Thursday of next week, is there anything else you suggest I have done at the same time - as I would like to optimise the opportunity and timing of course?

Are the normal immune tests relevant in my case? Or do you suggest everyone has the immune tests to rule things out?

I also have a fructan intolerance, which gives me stomach and bowels issues. This effects my general health, so I assume it would also link to my reproductive health.

Dr. Braverman

2026 Posts
RE: Ashermans & implantation failure Posted on: Nov 15, 2013 at 6:03am
Yes I am familiar with this test and it is fairly new so most still trying to understand its relevance but I think they have done excellent work , but it only one small piece of information that you need to asses any issues with implantation . I would recommend the full immune profile that we perform as well.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.