Low Morphology & Uterine Septum: Tammy’s Story [SUCCESS]

August 19, 2019

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Today’s success story is about a woman named Tammy. She is a 39-year-old filmmaker who enjoys going to the movies, traveling, and hiking. Following several chemical pregnancies during their first 6 months of trying to conceive, they sought the opinion of a reproductive endocrinologist. Due to low morphology and two detected varicoceles, IVF was recommended. Their first retrieval resulted in 4 PGT normal embryos. After her doctor discovered some polyps, she underwent a hysteroscopy, during which a uterine septum was also resected. From there, she had several frozen embryo transfers that were either cancelled due to a thin lining, unsuccessful, or ended in a miscarriage. Join us to hear how Tammy switched doctors, had an adhesion removed by a uterine specialist, underwent additional testing and another retrieval, and ultimately became pregnant with her son.

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What you’ll hear in this episode:

  • Before infertility, Tammy was funny, optimistic, ambitious, irreverent, compassionate, and goofy
  • How she met her husband through a mutual friend, and when they hit it off, she followed up on Facebook, and they fell in love quickly
  • As a couple, they have a strong sense of humor, talk through things, and are more in love than ever
  • How Tammy loved taking care of her younger brother and loved babysitting, but motherhood seemed far away until she met her husband
  • The decisions they made to plan for their family
  • When they tried on their own, she had a chemical pregnancy on the second cycle
  • Why Tammy saw an acupuncturist, stayed healthy, tracked her cycles, and then had a second chemical pregnancy
  • When her husband was sent for a sperm analysis, the results showed low morphology
  • Ironically, Tammy had been an egg donor ten years earlier, so she was familiar with the egg retrieval process
  • When she met her first RE, IVF was confirmed as their best option, and a recurrent loss panel showed the MTHFR gene mutation
  • The first retrieval yielded 27 eggs, and 4 were PGT normal
  • A hysteroscopy showed a uterine septum that was resected
  • High plasma cells required antibiotics as Tammy prepared for her transfer, but her cycle was canceled when her uterine lining didn’t cooperate
  • Tammy had her first positive pregnancy test, but the ultrasound showed an empty sac, and she miscarried at home
  • She jumped to the next cycle and thought she was pregnant–but she wasn’t
  • The doctor recommended a natural transfer and ERA test, and then the cycle was canceled
  • Why Tammy lost faith in her doctor and considered getting a second opinion
  • A hysteroscopy was done to clear fluid, and Tammy saw her second RE, who suggested a hysteroscopy and a uterine specialist
  • When the next transfer was unsuccessful, Tammy was disappointed, and the uterine specialist removed a uterine adhesion
  • The doctor did the Yale EFT test to check timing and other uterine issues
  • With only one embryo remaining, they did a second egg retrieval, Tammy hyperstimulated, and out of 38 eggs, only 3 were normal embryos
  • After a break for healing, Tammy had a 5th hysteroscopy and then the transfer that became her son, now six weeks old
  • What Tammy noticed about her initial trouble in conceiving
  • At the first clinic, Tammy had a great impression but felt like the doctor over promised and under delivered
  • Why Tammy switched doctors and how she selected a new doctor and a smaller clinic
  • The steps Tammy took to try to thicken her uterine lining
  • The support Tammy received on her journey and why she wishes she had acted sooner
  • How Tammy went through a time of bleeding during her pregnancy
  • How Tammy’s family helped pay for their treatments, and why she is passionate about advocating for treatment to be more affordable
  • How infertility changed Tammy: “I’m awesome now! I’m stronger than I could ever imagine. I’m a better mom and more flexible, although I’m still bossy and particular. I have a lot more compassion for those who are suffering.”
  • Tammy’s advice to her past self: “Don’t wait to get help, and don’t be afraid to take breaks.”

References:

Thanks for listening!

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