IVF #6 Frozen Embryo Transfer

I am currently underway with IVF #6. We are doing a mostly natural frozen embryo transfer.

My doctor suggested trying another transfer after our recently failed cycle. His thought was my lining may not have been receptive enough for implantation. He suggested taking estrace and doing an endometrial biopsy on CD 5. Prior to this phone call my husband and I had discussed taking a break and instead do testing for immune issues. I know I have endometriosis and often times that can carry with it additional immune issues. We have decided to hold off on the immune testing and try one more transfer.

CD 3 my labs were off a bit. My E2 was really high at 145. Although, my antral follicle count bounced back up this month and was at a respectable 16. I started taking estrace twice a day.

CD 5 was endometrial biopsy. I have a history of cervical stenosis. The last time I had a laparoscopy for my endometriosis the doctor did a cervical dilation procedure which supposedly would help with future procedures that required a catheter to be pushed through my cervix. Supposedly. Well, let's just say that my endometrial biopsy was way more excruciating than an unmedicated egg retrieval. It took everything I had to hold it together while the doctor tried repeatedly to get the catheter threaded through my cervix. She even dropped one on the floor while trying. The second she finally left the room, I burst into tears. I had taken some ibuprofen prior to the procedure, but that did nothing for the pain I endured. My husband was at the appointment with me, but he had to leave from there to go to work, so I had to drive myself home. Tears sprang in my eyes at every bump in the road. I spent the rest of the day curled up on the couch in front of the fireplace. The pain and cramping pretty much subsided by the next day.

CD 10 was Wednesday and included an ultrasound and blood work. My E2 was up to 319. I was a bit concerned as my Lh was up to 17, but my largest follicle was only 13.5. I think the E2 was probably suppressing things a bit. My lining was lower than the same time of my previous cycle. It was 6.3 compared to 8 from last time. I'm guessing the endometrial biopsy likely played a role. My doctor had me start tamoxifen that night in addition to the estrace. I have had the strangest side effect from the estrace (or at least I'm attributing it to that) and food just does not taste good to me right now. I can tolerate most things, but some foods I would normally enjoy I find myself choking to get them down. We ate at a restaurant the other night and I had a dish I would normally devour. I ate about three bites of chicken and gagged on each one of them. I couldn't even eat the rice and I love rice.

Next monitoring will be tomorrow on CD 13 for another ultrasound and bloodwork. Originally when this cycle started we booked my flight out to California based upon how I have responded previously. Now we need to push it back. That could end up interfering with a lot of plans we had scheduled for the week of Thanksgiving. Hoping my body cooperates and is ready for trigger shot tomorrow night.