pregnancy/loss history

M/C- 2001
Daughter born- 2002
M/C-2005
Son born- 2006
M/C 2007
19 week loss-2008
Daughter born-2009
Tubal ligation-2009
Tubal reversal-2011

May-early m/c
June 2011- early m/c
July/August 2011- M/C @5w
Sept 2011- early m/c
Oct/Nov 2011- M/C@5w3d
Nov 2011- early m/c
Jan 2012-early m/c
Feb/march 2012- M/C@ 5w5d
April- early m/c
May 2012- Ectopic pregnancy
July-early m/c
Sept-2012 Ectopic-
Oct- early m/c
Dec- early m/c
Jan 2013-early m/c
Feb-2013 Possible early m/c (never did beta)

May 2013- cycle with Braverman - for meds: Neupogen/lovenox/pred/femara/follstim/HCH trigger/prog/PIO etc-

 resulted in ectopic- treated with methotrexate- resolved at 11 weeks

August 2013- Surprise BFP- after several beta's and a ultrasound, it revealed we had a 4th ectopic pregnancy. I had a  2 cm  mass on my right tube, I was rushed into surgery, and they  removed my right tube along with the baby in it...I was 5w5d

December 2013- Chemical-

March 2014- Chemical-


we are done trying and are  NTNP...





Below is the diagnosis info from BRAVERMAN- 


Hi Megan , here is a summary of our findings and our plan for treatment

1.       You have a high level of antibodies against your husbands HLA genes and these are complement fixing so we know they cause damage to the pregnancy and may explain your 19 week loss.
2.       You most likely have a HY restricting allele the DRB3 and this causes you to make antibodies against any male pregnancy and if fact when the immune rejection for the male becomes strong enough most of your pregnancies will be rejected , all of this starts usually after a full term male pregnancy has occurred.
3.       You have a combination of HLA genes that predisposes the embryo  to making low levels of HLA G , a molecule the embryo must make to HELP create immune tolerance for your husbands genetics which obviously is not working
4.       You have significant uterine artery flow issues
5.       You do not have enough differences with your husband on certain HLA genes that are necessary to create immune tolerance toward all of his genetics.

To treat this we recommend

1.       Prednisone to decrease the production of the anti HLA antibodies that you have (you should start at 40mg , 20mg twice per day) we discussed IVIG as well but this is very expensive , however we will try and order it to see if it is covered but I would doubt it.
2.       Neupogen for the HLA matching issues and to help develop tolerance toward your husband genetics. It is important to have relations as often as you can while on the neupogen.
3.       Lovenox to improve the uterine artery blood flow and to prevent the activation of complement caused to your complement fixing HLA antibodies that is the root of the problem with these types of antibodies.

The nurses will call you to go over injection teaching.

You must reorder the HLA antibodies and Treg cells with each pregnancy test as well as an heparin anti XA level that we will be sure you get scripts for , you need a CBC with each pregnancy test as well.

Regards,

Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology




7 comments:

  1. I'm sorry for all your losses, I can't even imagine the devastation you have gone through. I want a baby really bad but I don't think I would have the same determination, I have a hard time taking pills/shots whatever if its on a constant basis! I hope you get your miracle soon!

    ReplyDelete
  2. Sorry for you losses and I pray you just happen upon a healthy pregnancy that only God gets the glory! I'm currently going through my 3rd chemical pregnancy. I'm praying that its just a fluke but I'm noticing things in my tww that are the same every time I'm pregnant. I have experience swollen glands and sore throat every time baby implants and have faint positive a few days after but my cycle comes as scheduled. I don't miss a period, but my 2nd chemical brought it on sooner. I wish I had the strength that you have, but the pain is greater than the loss in my case.

    Have you tried a shutdown? That's my next step before trying the antihistamine protocol. Since I saw you are newly diagnose PCOS this is ideal because its been a lot of help to those who suffer with these sort of issues. Get information infertilityworkshop .com I like you what of thinking but with your record it might be time for a good shutdown, if you haven't tried this before. Blessings your way!!!


    ReplyDelete
  3. I had tried a variation of that when we did our cycles with Neupogen etc- Unfortunately our issues are so severe- we need major medications to even have a small, tiny chance at a baby, even if we get ovulation up to par- One day, I hope the meds we need will be covered by insurance, that way we will only have to factor in IVF fee's (with only one tube, and 4 ectopics, they wont cycle with me unless we do IVF now)- BUT, with moving and still paying off fees from cycles from last year, we wont be doing that for YEARS...I wish you luck...Its immensely hard to keep trying after many losses.

    ReplyDelete
  4. Hey stopped back by to check on you. The shut down didn't work so well seeing as I'm ovulating as we speak. I have a question for you if its not too invasive. My question is in 2012 when you tried the Antihistamine protocol what was your opinion of it. I couldn't follow your findings exactly. Wishing you and your beautiful family the best!!! Please know there are a lot of good things in 2014 I just know it!!

    ReplyDelete
  5. I did notice a slight lessening in some of my symptomatic issues when doing the antihist protocol- but it was not enough for us- we still had a chemical, and a ectopic- I found prednisone to be more effective in dampening the immune system- in conjunction with large doses of estrogen and progesterone in luteal phase. If you have real immune issues, you need real meds to help- BUT, that being said, It cant hurt to pop a few bennadryls and anti hearturn meds 3dpo-12 dpo- and see what happens. I know a lot of ladies have tried it, and got a BFP, who knows if it would have stuck anyway though ;)

    ReplyDelete
  6. Thanks for responding you truly are wonderful! I'm 3dpo today and if I could just be able to verify the pregnancy I feel it would be a step in the right direction. (to get real meds) Continue being you lovey. Oh and I'm Essence by the way!

    ReplyDelete

Thanks for any and all comments, I don't always have time to respond, but I appreciate each and every one of them....I also thank you for being respectful while commenting on my blog-