IVF after Ectopic Pregnancies

LollyPop

0 Posts
Reply IVF after Ectopic Pregnancies Posted on: Apr 15, 2011 at 12:46pm
Dear Dr Braverman,

I am writing to hear your thoughts on my IVF situation.

IVF Cycle 1: Transferred 2 x B Blasts. Slow rising Beta, which sadly ended as a left side ectopic at 9 weeks. Salpingotomy via laproscopy to remove the pregnancy (tube was "saved").

IVF Cycle 2: Transferred 2 x GSN B Blasts. Slow rising Beta - which ended in a "possible" RIGHT side ectopic. Diagnostic laparoscopy revealed inconclusive result. However, laparoscopy found that previous salpingotomy (on left tube) has now separated leaving a non-viable tube. "Possible ectopic" treated with Methotexate. Right tube left in-tact.

FET: Transferred 1 x GSN Hatching Blast & 1 x GSN Expanded Blast (both B grade).

1st Beta 5.5dp5dt: 25,
2nd Beta 8.5dp5dt: 104,
3rd Beta 10.5dp5dt: 104 (oddly, Beta number remained the same)
4th Beta 12.5dp5dt: 79

It therefore looks like this FET has resulted in a Chemical Pregnancy.

My questions to you are the following:

Would you recommend surgery to remove the left side damaged tube altogether?
Could the reason of the failing implantation be caused by a Hydrosalpix in this tube? (although a Hydrosalpinx has never been detected on my ultrasounds).
What further tests, if any, would you recommend before commencing a further IVF cycle?

I am 31 years old and have one child (2 years old).


Thank you in advance, I very much appreciate your time and expertise. I am at a loss and not sure of the next steps I should take.

LollyPop

Dr. Braverman

2026 Posts
Re: IVF after Ectopic Pregnancies Posted on: Apr 16, 2011 at 4:24am
It is hard to say that you've had ectopic pregnancies as there has been no clear pathology identified. You certainly need to rule out immune issues as genetics is not the cause of your chemicals with these GSN embryos. No I dont think this is due to Hydros as they were not seen at laparocopy.
Please do not place any more GSN normal embryos with out the proper full workup.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.