The question
Hi Dr. Sher,
I finished a uterine lining check mid April for admittance to a refund insurance plan and we got to 9 mm thickness on oral, patch and shot forms of estrogen. This was after a previous mock cycle the month prior that only got to 5 mm on oral estrogen only. I did not have any bleeding after the first mock cycle. On ultrasound it just seemed to resorb going from 5 mm to 1 mm in a week or two. This second round, I’ve had 6 days of light bleeding and it looks like it is about to stop. I’ve also had a week or two of clear discharge. We have embryo creation set for this Wednesday the 24th. Does 6 days of bleeding almost a month after the estrogen was stopped sound normal ? I had a lab confirmed positive for an infection in March/April as well and was on 5 days of oral Flagyl. My OB/GYN feels the bleeding is normal and related to the hormones. I always worry and make myself crazy. We did have a little girl 2 years 9 months ago with this practice and same egg donor and with my husband’s sperm and trying for a genetic sibling. I also have 3 older children 19,16,14 from my first marriage. I carried them all to term. All 4 healthy kids. Just a little worried and letting my mind wander. Thank you for your time! I can see you are thorough !
Answer from Dr. Geoffrey Sher
I am not sure I fully comprehend what you are telling me. It seems that you are on a natural cycle FET, that t after 6 about days of bleeding you started to experience a clear discharge (probably a sign of an estrogen effect) which is appropriate) which is still present . The presence of a thin discharge could mean that you as yet have not ovulated and if so, doing an FET tomorrow is more than likely too soon . You need about 6 days post ovulation (or post progesterone administration in hormone -induced cycles) before the transfer (otherwise the endometrium would not be ready to accept the blastocyst.
This comment is based upon my interpretation of what you are saying. I could of course be way off!
Geoff Sher
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ADDITIONAL INFORMATION:
I am attaching online links to two E-books which I recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure:
1.From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) “
http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- “Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link
https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
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General information only, not medical advice for your own situation. For that, book a consultation.