I woke up this morning with swollen eyes from yesterday and feeling like I’m in a bad nightmare. I wanted to go back to sleep just to escape this feeling but my thoughts are keeping me awake. I’m hoping I can get someone’s insight or advice as to what we should do next or if my protocol is missing something. My doctor and I are at a complete loss.

I’m 30 years old. My husband is 31. We’ve been TTC for almost 3 years and have been diagnosed with unexplained infertility. In March, we transferred a 5AA embryo and miscarried at 7 weeks. However, my hcg kept going up. In April, scans showed an empty sac but my hcg went from around 32000 to 55000 within a few days. He gave me methotrexate to “abort” the pregnancy and told me I should have stomach pain in a few days. Well a few days later, my hcg increased to somewhere around 62000. The whole staff and I were all confused. We did an injection to terminate it but it didn’t work. To avoid surgery, I asked for another dose of methotrexate. Still nothing. I had to go to the hospital the next day for an emergency d&c since it’s been weeks since my “miscarriage” and he feared I had internal bleeding which could take my life. So that was my first experience with pregnancy.

Come August, we transferred an AA boy and miscarried him early on. Fortunately, it was a natural miscarriage. My doctor decided to take some autoimmune tests. These are tests he would never really take on every patient but he did not want to miss anything. I drew 13 vials of blood and one came back slightly high. Antiphosphatidylserine?? He wants it below 25, and mine was 28. So for our third transfer, he added lovenox, a blood thinning injection, to prevent blood clots. Even though it was barely high, he did not want to risk anything and neither did I. We also did a hysteroscopy and a saline sonogram..both had normal results.

On 12/4/19, we transferred 2 AB embryos and my first beta 9dpt was a 109. Yesterday my doctor called me at work and I knew instantly something was wrong. My hcg was at a 42 and he told me I’m losing both babies. I’m devastated. He told me there’s two specialists he refers out to one in Utah and one in Tennessee) and would like an extra set of eyes because on paper, I’m “perfect.” He mentioned the only test we haven’t done is a genetic test for my husband and I. He said it’s super rare that one of us carries a gene that is making this happen. It’s expensive. And since he’s done everything but that, maybe it’s time to do it. (Although with everything else normal, he wouldn’t be surprised if it came out normal as well.)

So are any of you ladies doing anything different with your protocol? They checked my levels and my body is absorbing my PIO shots normally. I’m taking estrace 3x a day and lovenox once a day. Is my doctor missing anything else?? Should we switch doctors? Should we do a consult with the specialist in Utah or TN? We live in Texas by the way. We have exhausted all 4 embabies and we only have one more AB embryo left. Do I do another retrieval? SOS 😞