FET 5 follow up appointment

I met with our RE yesterday to discuss next steps. While I left optimistic, he didn't give us any new information. He doesn't count the losses as implantation failures as I had originally thought. The chemical pregnancies are borderline implantation issue, but last one was definitely a pregnancy loss. My RPL workup came back negative and he doesn't have anything else to test for. The reason I'm hopeful is because as awful as treatment is, not doing anything felt worse. I'm happy to get back on the wagon to try again. It was a necessary break and it had to happen, but I'm glad it's over. Our options are to keep trying or to stop. So for now we're trying.

I made sure to mention that the way things were handled at the last loss were not ok. When we went in for our ultrasound on that Friday morning, the doc on call gave us the bad news and told us our doc would call us. We left and then spent the day at home crying, trying to figure out what the hell to do next. We didn't know if we need a second opinion; we didn't know whether to stop meds; we didn't know our options for what to do next; we were completely lost, not to mention emotionally devastated. My RE called at 4 pm. My nurse didn't email until Tuesday with condolences. I told him that was just not ok. That's too much time to go by after such a thing happening. He apologized profusely and said that's not how things should happen. He said that even though it's a big clinic, it's a small team and they have protocols in place for this. I told him that I'm not looking for someone to hold my hand, and that the medical aspect of treatment has been excellent to date, but that the way things are handled at losses leaves much to be desired. I don't know if anything will change, and I hope this never happens again to find out, but it needed to be said and I'm glad I brought it up.

We discussed IVF 6. The plan is to get an IVF in before Rosh Hashana and aim for a transfer after the holidays, in October. We will stay with the protocol including blood thinners and anti-inflammatory meds, not because he believes in it but because he doesn't want to change something else. We talked about doing the endometrial scratching. In our clinic they do two scratches in the same cycle of the transfer. I've read mixed reviews about them, anything from people swearing by it to as extreme as leading to Asherman's. It's hard to know and I don't know what we'll decide, but we have time to make a final decision before a transfer.

As for the second opinion, we're still waiting to hear back. We sent over the records but that doc went on vacation before having a chance to review them. I was told I'd hear back by end of  next week. Unless we hear something completely new that our current clinic refuses to try, I'm not sure a move is the right way to go especially with such a significant cost difference.  Keeping an open mind and looking forward to trying again.