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Recurrentimplantationfailures

DearDr.Sher, Myselfandhusbandareboth38yrsoldstartedourfertilityjourneyattheageof32yrssotryingtoconceivefor6yrsnow. Westartedwithovulationinduction,hadanectopictreatedwithmethotrexate. LaterstartedwithIVFandnoticedIgetonlyfeweggs.Butmanagedtogetgoodqualityembryos.Didfreshtransferfailedtoimplant,didPGTAtestnormaleuploid2embryosoutof3,frozentransferfailedagai. HysteroscopydonefoundIhaveendometrialhyperplasiawithatypia.TreatedwithProgesteronefor3monthsclearedbutcomesbackagainandthentreatedwithmirenaIUDclearedin3monthsdidanotherfrozentransferbutfailedagain. RecentlyhadahysteroscopyandfoundthereisnoatypiaandIhavemirenabackinplace. IhavelowAMH,highBMI,andageof38yrsisnothelping.Istillhave1testednormalembryoandoneuntestedembryo. RecenttestalsofoundthatwearepartialmatchforDQAlphagenotyping. Whatsuggestionsyouhavetohelpusgetpregnant.Wedonothavemuchinformationaboutendometrialhyperplasia.pleasehelp.Wefeelwewalkintoanewproblemeverytimeweseeaspecialistbutarelookingforsomesolutionnow. MostofthespecialistaremoreworriedaboutmylowAMH.WhichisconcerningbuthavingendometrialhyperplasiaisalsoabiggerconcernIbelieve. Also,IusedtohaveregularnormalperiodsuntilIwas31yrs.Idonotwhathappenedatthattime,stresshasbeenapartandatthistimesincethenIhaveputonalotofweight. Iamdesperatelylookingforsomeoptions,suggestionsandhelpplease.Thanksforreadingthis. Couldyoupleasetellme

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RIF

Hi there, We had a son nearly 5 years ago within a few months of trying (cesarian), since then we have had a blighted ovum, 1 chemical pregnancy, 1 6 week miscarriage trisomy 8, and 10 failed implantations (of high quality embryos). What would you recommend as next steps? We have had hysteroscopys to remove

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Positive ANA

Hi, I am ANA positive (as well as Smith (Sm) Ab, Sm RNP and Centromere B Ab Positive), I have had a chemical this year in March, a blighted ovum in June at 7 weeks, and then a MMC in September at 8 weeks. For the MMC I started lovenox a week after finding out

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