Endometriosis & Low Morphology: Giulianna’s Story [SUCCESS]

June 8, 2020

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Today’s success story is about a woman named Giulianna. She is a 33-year-old social worker who enjoys exercising, hiking, and spending time with her husband. Two years before Giulianna and her husband got married, he was diagnosed with a varicocele. However, they were told it might not impact their fertility. They began trying to conceive shortly after their wedding. After 14 unsuccessful months, they were referred to a fertility clinic. A workup revealed that her hormone levels were normal, but her husband had very low morphology. He had surgery to hopefully repair it, but it was unsuccessful. Their doctor recommended trying IUI. However, an HSG showed signs of a hydrosalpinx. Right before her surgery to remove the impacted tube, she became pregnant spontaneously. Unfortunately, after hearing the heartbeat, she miscarried at 7 weeks. She then moved forward with the surgery, which revealed endometriosis, not a hydrosalpinx. Join us to hear how Giulianna and her husband decided to try medicated timed intercourse before IUI, which resulted in her current pregnancy.

Episode Sponsor:

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What you’ll hear in this episode:

  • Before infertility, Guilianna was optimistic about her life and family plans
  • How she and her husband were set up on a blind date by a mutual friend
  • As a couple, they like to tease each other and have laid-back personalities
  • For Guilianna, having a family was always the next step after marriage
  • How decisions about buying a car and house were affected by the desire for kids
  • The first moment when Guilianna knew something was wrong and her husband’s varicocele diagnosis
  • Guilianna started tracking her cycles and researching varicocele
  • When they both saw doctors, the sperm analysis was OK, but Guilianna broke down completely when the doctor suggested seeing an RE
  • After AMH, HSG, thyroid tests, and another sperm analysis, the doctor leaned toward a diagnosis of unexplained infertility
  • Later, the sperm morphology wasn’t good; the doctor recommended Clomid and IUI, but Guilianna wanted to move slower and trust her intuition
  • Why Guilianna inquired about the varicocele ligation surgery and the doctor consented
  • With still no success several months later, Guilianna went back to the RE and took a break from treatment
  • With the next sperm analysis giving better results, the recommendation was to use Clomid and IUI
  • Guilianna’s uterine lining was thick, and the ultrasound showed a dark mass that the doctor suspected was a hydrosalpinx
  • As she went through the painful procedure to confirm the hydrosalpinx and plan to remove the tube, Guilianna became spontaneously pregnant
  • At the ultrasound to check for ectopic pregnancy, Guilianna heard and saw the baby’s heartbeat; spotting sent her to the ER, where an ultrasound showed an empty uterus
  • The RE wanted to go ahead with surgery, but there was no hydrosalpinx; both tubes were OK, and there was mild endometriosis
  • Guilianna was ready to move forward with IUI and Clomid, but she was worried about how to afford it, so the RE recommended medicated timed intercourse as an option
  • Surprisingly, Guilianna got pregnant on the first timed intercourse cycle; she found it hard to get excited because she was so scared about losing the pregnancy
  • Now, Guilianna anxiously awaits the birth of her baby as she nears the end of her pregnancy
  • Why we say negative things to ourselves that we would never say to someone else
  • How Guilianna made the choice to try medicated timed intercourse before moving to IUI
  • How infertility has changed Guilanna: “Infertility has opened my eyes to a bigger world that can be scary. There are so many things that I wasn’t aware of before.”
  • Guilianna’s advice to her past self: “Let go of some of that control. This journey will be long, hurtful, and painful.”

References:

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