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- Fri Jan 01, 2010 1:17 pm
Hi my husband and I want to try IVF again. I was told the lining of my uterus does not thicken that is why I miss carried and the IVF did not take (twice). No tests were run nor have I been told how to correct this. No one wants to treat the reasons I miss carry they just want to have us try IVF. We do not wish to be disappointed again.
What type of work up should our OB/GYN do before we pursue IVF again?
| Debbie Miller, RN
- Sun Jan 03, 2010 9:08 pm
A general preconception workup would be advisable and your doctor could check for polyps or any infection or underlying problem but other than that, your fertility clinic who does the IVF should be able to advise you on any necessary preparation or treatment for the suspected endometrial problem.
Most miscarriages are due to unknown causes and many are thought to be the result of chromosomal problems with the embryo itself and it's nature's way of taking care of what is not progressing as it should. In some cases a cause is determined or at least suspected and it sounds like this is the case for you where they felt the process of implantation was arrested due to inadequate uterine lining preparation. This is a hormonal issue and perhaps they can help you with that next time. But, the experts in the fertility clinic should be well versed on the options available to you.
Because of the high rate of miscarriage in all pregnancies, nobody can guarantee that you will not be disappointed again this way. There is a certain amount of luck involved after you do everything possible.
Meanwhile, make sure you are at a healthy weight and eating a nutrient-rich diet supplemented with a good multivitamin containing at least 400 mcg folate or folic acid. If you smoke, quit. If you drink alcohol, stop. The same goes for recreational drugs. Then, try to relax and reduce stress even though you are in a situation likely to create stress.
Good luck in your efforts.