I was secretly hoping that we’d be one of those couples that suddenly, after one baby, crossed over to being able to get pregnant again easily on our own! My new numbers aren’t particularly encouraging… it seems most of the big things have gotten just a little bit worse than before our IVF, successful FET, and healthy pregnancy and birth of our baby girl (who is now 1.5 years old). This is the full table with some of my previous results in the last column for reference. I’ll talk about a few highlights (lowlights?) below.
|immature grans (abs)||0||0.0-0.1||x10E3/uL||0|
|ferritin, serum||43||15-150||ng/mL||67, 62|
|vitamin d, 25-hydroxy||39.1||30.0-100.0||ng/mL||33, 50|
|thyroid peroxidase (tpo) ab||13||0-34||IU/mL||1.5|
|anti-mullerian hormone (amh)||0.391||ng/mL||0.75, 1.1|
CBC: This was sent to a different Dr. so I haven’t talked through it with anyone but the numbers here don’t seem to have changed much. All other tests were talked through with the naturopathic Dr. I worked with before the successful FET.
Iron & B12: She thought these looked fine, I’ve been taking my good old blood builder every now and then (I try to be better about it when I have my period), and my B12 dissolving tablets, but I haven’t been taking either of these super consistently/frequently in the last several months. Seems like that’s ok, but I’ll try to keep taking them every so often.
Vitamin D: She suggested this is a little low so I’ll try to be better about taking this, it’s also slipped a bit- really everything has slipped a bit except for the prenatal, which I’m still pretty good about!
Thyroid tests: And here’s where things start going downhill… my TSH is back up- a little bit higher than it was when I first had it tested and the RE I saw at the time started me on levothyroxine. I was really hoping this wouldn’t happen as I really don’t want to go back on the meds. She suggested an alternative called thyrocsin that would also be safe while breastfeeding (my little one still nurses quite regularly even though my periods seem back to normal). I haven’t looked into it much yet though. I was also really disappointed to see the antibodies level- my only result in the ‘high’ category, which indicates an autoimmune issue. I’ve still been avoiding gluten most of the time but I’d like to not do that forever… I didn’t get much time to talk to her about this, but will try to follow up.
FSH & AMH: Argh. Not what I’d hoped for. They’ve both kept going in the wrong direction with FSH increasing from the 10 and 11 I had before to 13- almost 14. and AMH down to 0.391 after hovering closer to 1 previously. As a quick recap, high FSH indicates my follicles are having to work harder to produce the eggs, and the low AMH indicates diminished ovarian reserve. My Dr. said she thinks AMH consistently comes out slightly lower at the lab where mine was tested this time, and that it goes down after pregnancy/birth and it’s unknown if extended breastfeeding might influence it, but it’s still gone down a bit.
So there it is, not encouraging. She said she thinks we should not give up hope and even if we don’t do IVF again she thinks we have a shot. Because we never learned anything about why things didn’t work for us without IVF before, I’m pretty skeptical. She also mentioned the magical ‘once you’ve had a baby it just seems to make it easier to have another’ idea, which I’ve heard from several people now, but I’m also skeptical of that! I don’t want to regret not doing something as easy as taking a few supplements to see if it might work, so I guess we’ll put in a little effort. We’ve already decided that IVF is on the edge of the table… not completely off, but very much not a likely option for us again.
She suggested a few things that are safe while breastfeeding to help boost egg quality- so back to the CoQ10 I go, and added a couple of new things for me- Inositol, and a combo of vitex, shatavari, and macha tinctures. Still processing it all and where we go from here… and how much effort we should put in while she’s still breastfeeding… Whatever happens, at least we have this amazing little person in our lives. I’d love for her to have a sibling- it’s been so cute watching her interact with other kids, but if it’s not in the cards, we’ll be ok as our little family of 3.