Our Preliminary Reproductive Immunology Findings

  Posted on October 15, 2014 By

 75 Comments

Yesterday I mentioned that last week we met with Dr. Braverman for our initial consultation.  This included a review of our history, a sonogram and colour flow doppler study and having our blood drawn for the immunological blood tests to be completed – 15 vials for me, 3 vials for my husband. So, today I’m giving the details of our preliminary findings.

First up, our impressions of Dr. B:

  • Our appointment times were rather frustrating, and given we traveled so far, I wish things could have been better planned. Our blood testing was at 1pm. We then had an hour gap before our 2:30pm appointment with Dr. B. His office is in the middle of an automobile designed commercial center which is hard to get to for those relying on public transportation and taxis – so we had nothing to do to kill time. He was then almost 40 minute late for our actual appointment, so we missed the train back into NYC and got to wait for the next train at the station for an hour. This was by no means a big deal, but did resulted in an unnecessarily long day of waiting.
  • He reinforced our suspicions that our current RE providing us with unacceptable care and advice. There are substantial gaps in the RPL workup we received when compared to standard testing in the USA. (Personally I’m not convinced the sub-par testing is a Canadian thing. I suspect it is more likely a direct result of an uninterested RE). And Dr. B also confirmed that there are substantial problems with the advice we are currently receiving.  More on this below.
  • We are confident that Dr. B and his team will uncover the complete list of reasons causing our losses.
  • We generally liked Dr. B. His sense of humor fits with ours. The latent sarcasm on both my part and his when discussing our RE’s current plan was woven throughout our conversations and was entertaining (FYI, I am an incredibly sarcastic person with a dry/dark sense of humor).  In addition, Dr. B is candid, honest, and gets straight to the point.  As we have no patience left for game playing and guessing we really appreciate his approach.

Our loss history indicates a few things specifically related to reproductive immunological issues:

  • A septic miscarriage is a significant indicator of immune issues according to multiple scientific studies.
  • Given that our genetic testing and karyotyping is all healthy and 3 of our miscarriages have had confirmed fetal heart rates, the cause of our miscarriages are unlikely to be genetic issues. Research indicates that once a fetal heart rate is detected in more than one loss, it becomes virtually impossible that the cause of all our losses is the result of poor random alignment of chromosomes. Further, the likely cause is an immunological reaction occurring within my body.

My immunological history indicates a few things specifically related to reproductive immunological issues:

  • I have a sever allergy to grass, which has been brought under control with 4 years of allergy shots (thanks to my amazing local immunologist).
  • I had medically induced lupus 12 years ago, with absolutely no occurrence since the drug responsible was removed from my system (it took 9 months for my body to fully recover).
  • Of course my local RE does not see either of these facts as important. Both of these factors strongly indicate that I likely have an immunological response occurring within my body when I’m pregnant.
  • The immunological cause of hypothyroidism, which I have had under control since a random blood test discovered it in 2009), also causes endometriosis. I cannot remember the specific problem, but what is noteworthy is that they are caused by the exact same internal problem.   So, while I have no symptoms of endometriosis, this definitely points towards non-symptomatic endometriosis.

The sonogram and colour flow doppler study indicated a few more things:

  • Blood flow to my uterus is highly restricted. In fact, I have some of the lowest blood flow to my uterus that Dr. B has ever seen. This is bad, like really bad! I have never had a sonogram with a doppler measuring blood flow before – apparently this test is considered standard by most doctors working with RPL patients. Multiple scientific studies correlate this with intrauterine growth restriction (IUGR), which is a leading cause of fetal demise.
  • My uterine lining shows problems. It is not forming correctly as it is improperly shaped and too thin for my cycle date. As my current RE has never tracked me through an entire cycle, so this is new information.
  • The problems of blood flow and poor lining indicate sever non-symptomatic endometriosis. Given that my sonohysterogram come back showing my uterus to be completely fine, he suspects this is the result of sever non-symptomatic endometriosis and not scar tissue from my 2 D&C’s. There are about 50 documented cases of sever non-symptomatic endometriosis cases presenting in the same way that I am. That said, the only way to know is through surgery.
  • This cycle, I am producing follicles at the rate of someone who is currently taking stimulation medications such as clomid or letzerol. In fact, I am producing 3 follicles this cycle – indicating that we could have ended up with triplets naturally!

We also spoke to Dr. B about a few of the recommendations we are receiving from our current RE:

  • Our RE is suggesting clomid/letzerol (and possibly IVF eventually) to encourage the production of more eggs. Dr. B felt this was absurd and not even worth discussing at this point. Clearly we get pregnant easily, and evidently my body is able to produce multiple eggs all on its own. And, as we suspected, taking these medications or doing IVF will not help reduce our chances of miscarriage.
  • Our RE’s current practice is to start prometrium once a pregnancy is confirmed. Once we begin trying again, Dr. B absolutely recommends that I take prometrium starting 4 days after I detect an LH surge. This must be done, but is likely not the only reason we have experienced so many losses.
  • Acupuncture will not hurt our chances, but there is no proof that it will help.
  • Chinese Traditional Medicine will not hurt our chances, but there is no proof that it will help. That said, he wants me to stay away from herbal supplements.
  • Our RE does not believe in a link between miscarriage and gluten. Our immunologist has recommended reducing my intake significantly. Dr. B suggests remove gluten completely from my diet. 80% is not good enough – it needs to be 100%.
  • Currently, as long as we are trying and/or pregnant I am banned from engaging in anything more strenuous then walking our dog. Dr. B believes this is crazy, and recommends that I can engage in non-high impact activities – I am allowed to run for 30 minutes a day, but I am not allowed to train for marathons. This means, I can officially start running and cycling again! (I’m disappointed that it is now October and snow will fall soon enough forcing me inside, but I will still take it).

Dr. B’s initial recommendations:

  • I have to have a laproscopy and hysterocopy with a skilled surgeon before we can try again. This is a must given the significant problems within my uterus and the high likelihood of endometriosis. He suggests having the surgery now, rather than waiting for the blood results.
  • IVIG will almost be guaranteed to be a requirement for us to achieve a successful pregnancy given the likelihood of immunological issues. That said, this cannot be confirmed until we receive the results of the blood tests.

Our Next Steps:

  • We will not proceed with the surgery until we have the complete results. If we cannot afford the rest of the requirement treatment, then there would be no point on having surgery. Additionally, as Canadians with no USA medical insurance, we are almost certain we will not have the surgery in the US given the potential for complications from the surgery itself or the recovery. The costs of any unforeseen complications would have the potential to financial ruin us. We can and will look for a qualified surgeon in our Province, but it could take a few years to get a referral, and it is also unlikely that they will do a surgery for non-symptomatic endometriosis given that only 50 similar documented cases exist. Ultimately given all of this we rationally know that the chances of this surgery happening in our future is slim to none.
  • If we cannot afford the full recommended treatment, it is unlikely we will proceed with another attempt. I have no desire to half ass it, just to have another miscarriage. I’m so done with having miscarriage after miscarriage after miscarriage. Right now, I cannot imagine jumping onto a partial protocol that will not have significantly better results then what we have already been doing. It’s one thing to risk another miscarriage knowing we are using the best possible medical protocol, it’s another thing to try with a half attempt.  Note that at this point we have not discussed the financial constraints with Dr. B – we intentionally have left this out of the conversation as we want to know exactly what treatment he would design in a perfect world without any constraints.
  • We will continue to actively not try until we know receive the full results and recommended protocol design.
  • We will be looking more seriously at adoption again. We still have significant concerns, and very real fears. I am not sure that we will overcome these and choose adoption, but we need to be certain in our decision and more thought and investigation is warranted.
  • I will be researching surrogacy options and costs. Now that we understand that our problems are with me and not a genetic flaw in our babies, surrogacy is suddenly a much more real possibility. Surrogacy in Canada is hard because it is illegal to pay a surrogate, so if we choose surrogacy we will likely turn to international surrogacy.
  • Our full results and recommended protocol will take up to 6 weeks to receive. So, in that time we will not make any final decisions on anything, because we don’t have the complete picture. That said, I know my husband and I are both bracing for the worst as all the preliminary findings paint a rather bleak picture.  We both understand that this could very well mean the end for our attempts to have a successful pregnancy.

If you like this post, please feel free to share it and please return to myperfectbreakdown.com to follow my journey.

 Category: Recurrent Pregnancy Loss      Tags: , , , , , , ,

75 Comments on “Our Preliminary Reproductive Immunology Findings”

  1. Wow. Kinda sucks that it will take 6 weeks to get all the results, but looks like you have a lot to work with already. I’m sorry that the solutions are so very expensive. (Years ago, when I was with a now ex-boyfriend, he developed Guillain Barre Syndrome, and had many rounds of IVIG. I almost fell on the floor when they told me how expensive it was!) I remember reading someone’s comment on your post yesterday about a temporary medical insurance you can get in the US…maybe while you’re waiting for the blood results you can research that too? I’ve been thinking about you and hoping you can find answers, and also some peace with everything that you’re dealing with right now. Oh…I’m also sorry that your current RE isn’t doing all that he could/should be doing. What a huge disappointment!! Hang in there, and know you have so many of us rooting for you along the way!

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    • Yup, is the IVIG component of this that will make the solutions out of reach for us. Spending upwards of $100,000 just for a better chance, without any guarantees, simply doesn’t make any sense. If it were purely a financial decision, we wouldn’t even be considering it.
      As for travel medical insurance, we have been looking into it. The problem is, they consider anything pregnancy or fertility related a pre-existing condition and exclude it from my coverage. Further, I’m not really sure how you could successfully make the claim that endo surgery is an emergency need. We definitely plan to keep digging on this one, but so far all the companies we have contact have indicated that its not really a viable option.
      Thank you again for your love and support. It truly means the world to me.

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      • Hi,
        I recently came across your blog. So very sorry about your losses and the current diagnosis! I suffer from immunological issues too (and two autoimmune conditions including hypothyroidism) and basically was told that my over active immune system is probably attacking the fetus. I have been receiving Intralipids treatment instead of IVIG and so far they seem to be working. My immune bloodwork came back normal after the Intralipid transfusion and they continue to monitor it and will give me more intralipid transfusions as needed. It costs about $450 total for each transfusion and is a much cheaper option to IVIG. Please consider this, do some research and ask your dr about it. Hope you find your solutions! Wishing you the best!

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      • Thank you so much for your comment!! I am so happy to hear that intralipids are working for you!
        Based on our initial consultation with Dr. B, he doesn’t believe intralipids will be the solution for us, That said, we wont know for sure until his team finalizes our treatment plan. Interestingly, we cannot get intralipids locally (they do not do them here at all), so we would have to travel out of country to receive the treatment which of course would make it more expensive, but still substantially cheaper then IVIG.
        Again, thank you so much for sharing your experience and for your kind words of encouragement!

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  2. Thank you for sharing this, i’m so hoping that things work out happily for you. I’m in a similar position now after three losses, so it’s really helpful to hear possibilities so I can discuss these with my doctor too. Thinking of you and hoping for the best xx

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    • First thank you for your hope and lovely thoughts.
      Second, don’t waste anytime with your doctor and push for every single possible test asap. Based on our visit with Dr. B, I strongly suggest not accepting unexplained as an answer – there are reasons, it just might take some digging. I am so sorry about your losses and am wishing you the best as you work to figure out whats going on.

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  3. Wow. So much information, but such a good thing. I am a firm believer in knowing the data and literature out there as well as how this plays a role in my own health in order to make the best possible decisions for me. That said, though it is a lot of information…not all of it good…at least you will have more concrete answers with which to make your life-decisions with, and be able to make them confidently.

    I wonder though if you should take having surgery off of the table so quickly? Is it possible to take this gathered information to your primary care physician who could then simply refer you to a standard OB/GYN. Since your RE is so uninterested, I agree it is not an option there, but an Exp. Lap. for endometriosis can be done by a skilled GYNE as well, it doesn’t necessarily have to be an OB/GYN. Just a thought, and pardon my ignorance for how the healthcare system works there.

    Please be confident that you are supported. Whatever decision you make is yours and we can only support whatever decision that is. You both are the ones struggling with loss after loss. No one else is in your shoes. No one else can say when enough is enough OR I’m not done trying yet. That, respectfully, is you and your spouse’s decision alone. You are in my prayers as you continue this journey. I pray you find clarity and peace in whatever you decide. Big (((hugs))).

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    • Thank you so much for sharing your perspective with me! I am so unbelievably grateful for all that you have shared with me.
      A few thoughts – you are right, it is a lot of information, but at least it is information which will enable us to make educated decisions. This is why we went to Dr. B in the first place, and I shouldn’t forget that.
      As for surgery, you are right, we shouldn’t take it off the table so quickly. We will be looking into local options in the next few weeks. If we get a bit of luck, this might be something that can be done in a timely manner locally, where it would be completely free under our medical system. While this wouldn’t change the exorbitant amount of money required for IVIG, at least we’d be a step closer.
      Thank you again!!

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  5. I know this is rough but my gentle encouragement would be to get an appt with your amazing GP and ask him to refer you to a local endo surgeon. Her first name starts with a J, I will look it up and email. The wait to see a surgeon where I live is a couple of months not years. I have the list of things Dr. B wanted a surgeon to confirm he or she would need to do in the lap and can send that if you decide to pursue this. Of course I understand if you want to avoid all of this for the next 4-ish weeks until you get the report and follow up consult with Dr. Braverman. Love and big hugs as you face the coming weeks and more research.

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    • I’m glad Spiritbaby had a helpful suggestion for you, as I have no resources to offer (re: surgeons in CA).
      Your prognosis does sound overwhelmingly negative, but not without some “silver lining”, which is…
      You make great eggs! How many women with IF/RPL would kill for a good egg?! And you make them in abundance. If all else fails, I hope surrogacy works out for you–that would be something.
      Of course who knows how this all will play out, but I still have so much hope. And of course there’s nothing wrong with adoption, save for the fact that it is difficult and by no means the “easy way out”.
      Wishing you the best. *hugs* XOXO

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      • Yes, evidently I do make great eggs and evidently lots of them!! This was pretty much the only good news we received. And it also now helps explain why we have had such an easy time getting pregnant!
        Thank you for pointing out the silver lining! If we can fix everything else or find appropriate solutions (i.e. surrogacy), at least we know that is going well for us. 🙂

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    • Thanks for the suggestion. This is definitely something we are looking into right now and we will see how it plays out. If you can send me an email with the info from Dr. B it would be greatly appreciated. Either that, or I can just bug him myself. 🙂

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  6. Woozers that’s a lot of info to take in! But it definitely must feel good getting answers and confirmations to some of your hunches. I’m not sure if you’ve already looked into it but there’s a center at BC Women’s called the center for endometriosis and pelvic pain. They have some of the most highly skilled docs in the country that deal with endometriosis. I won’t be allowing a local obgyn to do another lap, I’ll be going there. I’ve had gf’s go there and have very positive experiences. The wait times aren’t horrible either – less than 6 months from consult.

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    • It is absolutely a lot for us to take in – and yet, so simple for him to figure out! We were both amazed at how confident he is in knowing based on our history and the sonogram. It was fascinating actually to be able to talk with someone who knows something!
      Thanks for the info about the BC clinic – it may be a cheaper option then Dr. B, but our first preference is a doctor in our province where the surgery would be fully covered by our medical system 🙂
      Thanks again for everything!!

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      • You may actually get coverage for the centre – it’s not private. I know that when we went to Calgary for IVF #1 we had coverage both provincially and through our benefits providers. Unless you’ve already looked into it (then I’ll shut up!), it might be worth a shot asking your GP even for a referral. Can’t hurt to ask 🙂

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      • Our benefit providers have already written me off for anything pregnancy or fertility related due to the number of losses we’ve had! (Just one more way I’m feeling slightly screwed by the Canadian system right now).
        And you are right, it is probably worth a shot! I’ll keep you posted on what we find out. 🙂

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  7. It sounds like you got the information that was really truly lacking in your experience up here in Canada. I’m glad for you in that respect. It seems like you have much clearer plan. I think that surrogacy is still very much possible for you, and could happen faster than adoption (I’m not sure if you are particular about the age of the child, but babies can take 8 years. Friends of mine adopted a 12 year old after waiting two years). In either case, you have time to rebuild while you wait for your results. Go for a run! Exercise always helps me process important news.

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    • You are right, we did get the information that was lacking here in Canada. That said, I do wonder if it’s a Canadian thing, or just an issue with our clinic and our doctor specifically?
      You are likely right about surrogacy being quicker. In our province, the average wait-time for an infant through an open adoption is 3 years, thankfully not 8! And, we understand that to get a young child (although, not an infant) quicker, the best option is international adoption. We don’t know where we will land on all of this, but it is all good information to consider.
      Yes, a run is definitely high on my list of priorities, now that I’m allowed to run again!! It’s amazing how something so simple as removing exercise from my life has made such a significant impact on me – I’ve always been an active person, so this inactivity has been brutal for me. Anyways, It’s pouring rain right now, so I plan to go once the rain stops. I’m excited to feel my muscles again and hurt from being so out of shape! 🙂

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      • Honestly, I didn’t get the exact list of tests, but I’ll send him an email and find out. I’ll let you know. (If I don’t email you in the next few days, just remind me – I can be forgetful sometimes). 🙂

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  8. Wow, it sounds like you got a lot of great information and input from Dr. B. Just reading this update makes me feel like you might be in great hands there. I wish that the news was more encouraging. I’m hopeful that something great can come out of this whether it’s surrogacy, adoption, or whatever is best for you guys!

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    • We are definitely in great hands, and absolutely loved talking with someone who knows something about RPL – it was a breath of fresh air!
      And thank you so much for your hope for us. I am grateful for your love and encouragement these last few days! Thank you.

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  9. Okay so her name didn’t start with a J because I suck. Emailed you her name. Go to CPSA (College) website and search for her particulars and print to take to GP if so inclined. Love and hugs, my friend.

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  11. That’s a whole lotta information, but at the very least it is all ACTUAL information. I agree that “unexplained” should never be an acceptable diagnosis. Regardless of the outcome, I’m happy that you’re finally getting some answers. You can make informed decisions about your life this way.

    Stay strong, my friend.

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    • You are so right. At least is is ACTUAL information! No matter what, we needed this to be able to move on in some way shape of form. We needed to be at peace with stopping trying, and if that ends up being our final decision, at least we will be making an informed decision. And for that, I will be grateful.
      Thank you from the bottom of my heart for your love and support!

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    • Thank you so much for your thoughts and best wishes. And you are so right – “No stone left unturned, no doubt at the door.” And, I hope you are right, that given time we will choose the right path.
      Thank you again.

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  13. Unfortunately, I don’t have much to add to what the other ladies have been saying. I don’t know if you would be comfortable with the surrogate being someone you know, but with the people I have been open with about our struggles, I’ve had 3 different ladies offer to be our surrogate. It’s not an option we are considering but I was kind of surprised that more than one person has mentioned it to us. I hope that you can figure out a way to get the lapro done on the quicker and free side. I had it done in June and the surgery itself wasn’t bad at all. The worst part about recovery was the air they use during surgery. My chest, shoulder, and back hurt like crazy for about 2-3 days and then I was all good pretty much. Good luck!!!

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    • Wow – it sounds like you have an amazing group of friends! We have been pretty open with all of our friends about our struggle – once one offered in passing to be a surrogate, but we know it’s unlikely to happen given a lot of factors including the fact that they are currently growing there family.
      Also, your experience of the lapro sounds very similar to everything I’ve been reading. So the surgery itself doesn’t scare really scare me.
      Anyways, as always, thank you so much for your love and encouragement.

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  14. This is a LOT of information and I know you’re waiting for more! My thoughts are with you and I am sending hugs your way! ❤

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  16. I am so sorry you had just devastating hit after hit with news! However, I am glad you are finally starting to get some educated answers. Positive thoughts coming you’re way!

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    • It really was just one hit after another, eh? But yes, I am working really hard to hold onto the fact that we are getting educated answers, even if they aren’t the answers we wanted. I know we need this in order to make any sort of future decision.
      Thanks so much for your positive thoughts! We need all positivity we can get! 🙂
      And FYI, I love that every time you comment, your name shows up as Finding Hope. It makes me smile every freaking time, because that’s exactly what we are doing right now. 🙂

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  17. Wow that is a lot to take in. I admire your dedication and perseverance. I hope you find the answers you are looking for.

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  18. Wow! I am stunned by all the things your local RE did not test for, like Lupus. That was one of the first things I was tested for because of my history of HELLP and then all the losses, and to not have done a doppler ultrasound is crazy to me too. I know you have a lot to figure out, but glad you are not ruling out the surgery just yet. I am hoping you can find a local (or at least one in Canada) endo surgeon or OB/Gyn who can do the surgery for you and hopefully within a few months not years. As for everything else, I am praying there will be more options in Canada available to you then it seems right now. Continuing to think about you and sending you all the strength I have to get through this hon. I hope your research and Dr. B’s complete report bring you clarity. I’m also thinking about your lost little ones today on this day of remembrance and sending you and them lots of love. Huge hug.

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    • Yup, we too are stunned to learn about the true extent of errors that our local RE has made – we knew there were a few, but we really didn’t know the true extent of it. We are stunned and angry. Really angry because I’m directing a lot of blame at him for our last 2 losses – we would NEVER have tried again aimlessly if we knew then what we know now, and instead we just have two more lost babies. Anyways, I’m trying to work through that, as I am really not a fan of being this angry. And i know at some point, I know I just have to let it go and accept it for what it is/was.
      We too are hoping that Dr. B’s complete report will bring us clarity. Even if the final answers are all as bad as we are expecting, at least we will know and we can make educated decisions about how to move forward.
      As always, thank you so incredibly much for all your love and support yesterday, today and always! I too am thinking of you and keep hoping that everything continues to go smoothly for you!

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      • I would be so angry too hon. I’m always here. Always. Sending you peaceful energy as you await your final report. Huge hug hon ❤

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  19. Hi there, I am a silent reader of your blog for last few weeks and I can so relate to what you are going through given my own history of 3 early pregnancies, the last one was through an IVF-FET and I lost the baby 3 weeks back! Most of our results have been fine and this time infact we did the pre-implantation genetic screening to transfer only the chromosomally normal embroys! But again the same end to the story and our doctors have no answers for this loss too.

    I am just wondering if you have ever tested for PCOS? In my research, I have found out a link between PCOS and RPL even though most of the common symptoms of PCOS might not be present. I am wondering the same thing for me too so thought you may want to think about.

    As regarding IVIG, please be sure this before getting into it as its still a topic of much debate around its benefits for RPL. Its banned in many countries because of its possible side effects.

    Can you kindly also share the lists of tests Dr. B made you go through? Are these the ones done for autoimmune diseases, thrombophilia profile etc.?

    Have you considered IVF ever?

    Take care hun and please dont loose hope. There are a lots of us going through this never ending journey of infertility and someday we will find our families!

    Lots of love
    N

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    • Hello N. Thank you for reading and sharing this wonderful comment.
      First, please let me say how sorry I am that you too have suffered such horrible losses. My heart breaks for you, and I desperately hope you are able to find the answers/solution to have a healthy baby!
      As for PCOS, given that I ovulate and have regular cycles, it is something neither our local RE or Dr. B believe is occurring behind the scenes. So, that has been all but ruled out for the time being.
      As for IVF, our current RE is thinking we should head that route. Dr. B thinks we should stay far away from it right now, given that I evidently produce so many follicles naturally, and he doesn’t believe it will help us stay pregnant.
      Thanks for the heads up about IVIG risks. We haven’t done enough research on it yet to know if it’s something we’d actually consider taking, mainly because we’ve decided based on the costs it wont be an option anyways. But, if we did happen to win the lottery (which is pretty unlikely because I don’t buy tickets 🙂 ), its good to know that we really need to research it before we decide to take it.
      And, I plan to share the list of testing once I get it from him – you are not the first to ask. While we talked about all of it with him, I completely forget to get a hard copy of the list. Since I cannot remember everything and I most definitely cannot spell the ones I remember, I will be sure to share once I get an email back from him. 🙂

      Thank you again for your love and support, and the very, very valuable reminder to not lose hope. Wishing you the best as you continue down this road. Lots of love.

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  20. I read the whole thing and admire your strength for going through with finding an answer out of the country and remembering all the details that you have been provided. I would have been totally overwhelmed with this information and would just want to hide under a blanket. I continue to wish, hope, and pray for the best outcome for you, may it be surgery in your own province, somehow finding money for the IVIG treatment, or gestational carrier. Holding you in my thoughts as you navigate through this maze. ❤

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    • The amount of details has been pretty overwhelming, but I am rather relieved to at least be getting some answers. Even if they are much worse then we expected, at least they are answers and we can make some educated decisions moving forward.
      Thank you so much for your wishes, hope and prayers. I am ever so grateful for the support I have received from you (and the entire blogging community) over the last few days. Thank you.

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  21. wowzas! That was a lot of information and I’m sure it is taking you several days to process it all, but I can’t help but feel hopeful for you after reading it…

    I know it sounds weird but I feel like you are getting some answers and some real possible solutions to the problems you are facing. Keep persevering. xoxox

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    • Yup, it is a lot of information!
      I just keep reminding myself that I have to take this one step at a time, and try very hard not to become overwhelmed by all the negative results. Thank you so much for all your support Elisha. Thank you from the bottom of my heart.

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  22. Sorry, I haven’t read through all the comments. Just wanting to offer an idea – could you take Dr. B report (and recommendations re: having a lap done to check for endometriosis) to your RE and see what he thinks? He may be willing to order one for you.

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  23. I think you’re wise to not get rid of your RE until you can start with another one. Even if you are so done with him, there may be things that he can do for you that could save a ton of money than having them done in the US.

    I believe that someone can be a surrogate in Canada, you just can’t give them cash or a car. I think the couple pays all of the surrogate’s expenses (gas to appointments, food if desiring the surrogate to eat a high end diet, etc). It’s harder to find a surrogate here as not as many are motivated by the big dollars like in other countries.

    Thanks for sharing! It feels like you are on a good path re: getting some answers and coming up with a plan.

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    • Yes, it is possible to do surrogacy in Canada, its just not a common practice. As you said, people here are not motivated by the big dollars, so it is much harder to find someone.
      Thanks for your two cents – it is always appreciated. 🙂

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  24. Sounds like you are absolutely in the right hands now and I have hope that under his guidance, dr B will solve this puzzle. Hoping the next 6 weeks go by quickly.

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  34. Thank you for sharing this! I have had three consecutive miscarriages and am going to see an RE for the first time in January. Your post has given me a few ideas about what to expect. Send thoughts and prayers your way. I look forward to following your journey.

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