Recurrent Pregnancy Loss [SUCCESS]

June 7, 2021

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Today’s journey story of a woman named Adrienne. She is a 41-year-old architect who enjoys studying Italian, cycling and gardening. Adrienne’s infertility journey began with her first marriage in 2013. Her cycles had become irregular, and she was diagnosed with PCOS and thyroid issues. After multiple failed Clomid cycles, the stress of infertility became a catalyst for the end of her marriage in 2014. She gave up hope on having a family and came to terms with a child-free life. But a few years later, she met and married her husband. They started trying right away. A spontaneous pregnancy ended in a miscarriage, so they began IUI cycles. After a few failures and a clinic change, she became pregnant again, but this too ended in a miscarriage. After three more failed IUIs, they decided to move on to IVF. Two retrievals and a frozen transfer resulted in her third pregnancy and miscarriage. At this point, she started my coaching program. Join us to hear how Adrienne changed her clinic and IVF protocol, had uterine surgery, and did another retrieval cycle, which resulted in their daughter.

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What you’ll hear in this episode:

  • Before infertility, Adrienne was a type-A person who was driven and goal-oriented
  • After being divorced at age 34 and reconciling herself to a child-free life, Adrienne had given up hope of dating when a friend introduced her and her current husband
  • As a couple who married later in life, they prioritize open and honest communication above all else and have more maturity than most couples
  • How her little sister’s birth started Adrienne thinking about having kids someday
  • How other decisions, like college and career choices, aligned with Adrienne’s intention to choose stability and a family focus
  • In her first marriage, in 2013, Adrienne tried to conceive with Clomid cycles and was soon diagnosed with thyroid issues
  • How four Clomid cycles and the stress of infertility unraveled her first marriage
  • Two years later, she met and married her husband, and they started trying to conceive; a spontaneous pregnancy resulted in a miscarriage at eight weeks in 2018
  • They started trying again, going back to the RE for more Clomid and IUI cycles with a different protocol
  • In the first attempt at the new clinic, Adrienne got pregnant but miscarried at eight weeks due to a subchorionic hematoma, but testing following a D & C found normal results
  • Three more IUIs with Clomid and Letrozole brought no success
  • In 2019, a recurrent loss panel gave no real answers, so they were ready for IVF
  • The first round gave them three PGT-normal blasts that were frozen, and the cycle was repeated to get two more normal blasts
  • In early 2020, the first FET brought Adrienne’s third pregnancy, another subchorionic hematoma and seven-week miscarriage, a D & C—and COVID
  • At this point, Adrienne started working with Heather, prompting another clinic switch and a new protocol
  • How Adrienne was diagnosed with a uterine septum, which could have contributed to her earlier problems
  • Another retrieval gave them nine PGT-normal blasts, and then Adrienne had surgery to correct the septum
  • The second FET was in August 2020, resulting in their baby girl, born just five weeks ago
  • What it was like to have the stress of infertility impact her first marriage so significantly
  • How Adrienne came to find peace with the idea of not having children
  • Why Adrienne went to an RE in the first place when her cycle never returned after stopping birth control
  • How her diagnoses impacted her journey and emotions
  • How Graves’ disease may have contributed to her challenges and had to be managed
  • In switching clinics more than once, Adrienne found the first one to be very large, professional and efficient, with little access to the doctors; the second one had more access to doctors and was smaller; the third had protocols specifically tailored to her, new ideas, and a dedicated nurse
  • How recurrent pregnancy loss affected the experience of a positive pregnancy test
  • When Adrienne allowed herself to feel like her pregnancy would actually work out fine
  • How advanced maternal age impacted Adrienne’s infertility experience
  • Why Adrienne chose to keep her journey relatively private until she was ready to share
  • What role the BI podcast and online community played for Adrienne
  • The lowest point for Adrienne was when the second miscarriage made it clear that she wasn’t in control at all
  • A funny moment was when her husband insisted on being with her at her hysteroscopy, and then he almost passed out and required medical attention
  • How Adrienne felt when she found out she would be a mom
  • How Adrienne balanced work and treatment by using clinics that were close to home and mostly weekend retrievals and transfers
  • How Adrienne told her male boss about her journey when she decided to be open about it
  • How insurance covered only diagnostic tests and all IUIs, but their IVF was all out-of-pocket and paid for with their savings
  • How Adrienne’s husband has been supportive through her journey, but they both look forward to taking a break from treatment for a bit
  • How Adrienne told her husband about her infertility struggles when they were dating
  • How Adrienne’s relationships with friends and family have both changed and stayed the same
  • How Adrienne learned how to advocate for herself, even though it was terribly difficult for her
  • Her tips for advocating: “Try to take the emotional aspect out of the process.”
  • How infertility has changed Adrienne: “Infertility has made me more skeptical. I don’t assume that things will work out. I prepare myself for a negative outcome, just in case. On the positive side, it’s made me more empathetic.”
  • Adrienne’s advice to her past self: “ Being so rigid in my thinking made me stick with treatments and clinics that weren’t well-tailored to me. I would say I need to be more open and flexible to all the available options.”

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