diagnosed with endometriosis after IVFs failed

MariaHope

7 Posts
Reply Posted on: Jan 8, 2016 at 11:02am
Hello Dr. Braverman. I asked you a question before. Husband and I are both under 30. I had three failed IVFs and diagnosis was only PCOS at first, then high NK cells and partial DQa gene matching before my last IVF. Intralipids and steroids were used.You said I had an incomplete tests. I told you I will take a break before seeing a new RE, but my OBGYN did laparoscopy on me. And it turned out, I have endometriosis on ovarian fossae and a endometioma on my right tube, and everything were removed. Right now, I am taking ovasitol, Coq10/Ubiquinol, fish oil, Vit D and prenatal. I would like to endo-optimize, what changes should I make with the other supplements I am taking? Right now, we want to try naturally. But if we do IVF again, would you recommend PGD testing? Or just let endo-optimize help with egg quality? Thank you.

Dr. Braverman

2026 Posts
RE: diagnosed with endometriosis after IVFs failed Posted on: Jan 8, 2016 at 11:16am
I am glad you found and removed the endometriosis. was this done by excision
or laser? excision is better. yes I do not favor PGD at all as the number
of false abnormals we have already proven is too high. I would stay on
the supplements and try naturally if that is your wish. You may want to
look into a complete immune profile prior to trying as you know endo is
associated with other underlying immune issues that may also require treatment
once pregnant. If you take the endo optimize , then only take the Vit
D, Fish Oil, and right now VSL #3 probiotic(we are working on a new probiotic
as well for egg quality, which will also treat egg quality issues with
PCOS.) yes also continue the ovistiol as well.
Braverman Medical Team
Braverman Reproductive Immunology P.C.

MariaHope

7 Posts
Reply RE: diagnosed with endometriosis after IVFs failed Posted on: Jan 8, 2016 at 11:48am
I believe my OBGYN only did laser because she said she burnt everything. I don't have symptoms of endometriosis and my former RE didn't think I need it, but after 3 failed IVF, my OBGYN agreed to do it. Here are the other immune testings done but they are all negative.

* Protein S-Functional

* Factor II, DNA Analysis

* Rheumatoid Athritis Factor

* MTHFR

* Antiphosphatidyl-ethanolamine

* Protein C-Functional

* Homocys(e)ine, Plasma

* Antinuclear Antibodies, IFA

* Antiphosphatidylserine IgG/M/A

* Factor II Activity

* Antiphosphatidic Acid

* Anticardiopalin Ab, IgG/M, Qn

* Antithrombin Activity

* Embryotoxicity Assay

* Thyroid Peroxidase (TPO) Ab

* Beta-2 Glycoprotein I Ab,G,A,M

* Antithyroglobulin Ab

* Lupus Antocoagulant Comp

* Factor V Leiden Mutation

Do you think I need more testings? I will buy the supplements. Thanks again.

Dr. Braverman

2026 Posts
RE: diagnosed with endometriosis after IVFs failed Posted on: Jan 8, 2016 at 1:05pm
ok burning does not accomplish the same as excision as too much of the inflamatory tissue is left behind. The labs you have here are routine labs (and it is good they are negative) but only a small portion of the testing on the immune system you would need (see our website for our full panel) . We always need to think about repeat surgery in these cases , but I always recommend waiting to see if you have benefited from your procedure before exploring that.
Braverman Medical Team
Braverman Reproductive Immunology P.C.

Sara

14 Posts
RE: diagnosed with endometriosis after IVFs failed Posted on: Jan 8, 2016 at 1:24pm
Hi,


Do you mena PGD day 3 or aCGH for the blastocysts?


Dr. Braverman, do you get false results even with the aCGH???


Thank you!

Dr. Braverman

2026 Posts
RE: diagnosed with endometriosis after IVFs failed Posted on: Jan 8, 2016 at 1:29pm
yes all testing has provided false abnormals and none of them actually tests the inner cell mass that becomes the baby.
Braverman Medical Team
Braverman Reproductive Immunology P.C.