The question
Dear doctor Sher
I am a 44.5 femal, suffering from secondary repeated miscarriages due to alloiimunity (dq-alpha gene match + extremly elevated nk cells).
Right now I am going through the 7th miscarriage. I had the 6th miscarriage on October 23. Failed on immune protocols.
Cannot use steroids as i had adison crises and ovarian damage due to steroids overload. Took me a lot of time to recover (with a lot of hard work on my side).
I would like to use the service of a gestational carrier with my own eggs.
I get pregnant naturally but barely respond to hormons (if at all).
What kind of medications and stimulation protocol would you offer me to use?
You write about a trigger with 2 ovidral injections, is it in use alongside with 2 decapeptile or just 2 ovidrals?
I am overseas therefore I cannot do the ivf at your clinic.
Your advice is deeply appreciated,
Irit
Answer from Dr. Geoffrey Sher
Clearly you are a candidate for gestational surrogacy, provided that you have competent, euploid embryos available to transfer. Using a gestational surrogate for transfer of such a blastocyst, is pretty straight forward. Most IVF programs that do FET can advise appropriately. However, be sure that the blastocyst transferred is euploid and competent!
Good luck!
Geoff Sher
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General information only, not medical advice for your own situation. For that, book a consultation.