Today was our first appointment with a private immunological fertility consultant in hopes they can help with our recurrent pregnancy loss.
It’s the next step in our investigations. All the other standard RMC investigations have come up clean, bar one: the thromboelastogram. But there are the few that remain.
I was strangely reluctant to take this step because 1) it’s one step closer to reaching the end of our investigative journey and that terrifies me because if everything comes back normal then we’ll be left without a plan of action. And 2) because of the potential to spend my life savings on tests and possible treatment plans when it’s possible they aren’t necessary. Can o’ worms so to speak.
One thing’s for sure: trying to keep up with the jargon is exhausting. Cytokine this, antibody that. Here’s what’s in store for us:
Leukocyte Antibody Detection (male / female)
HLA DQ Alpha Antigens (male / female)
NK Assay Panel
TH1 / TH2 Cytokine Ratio
High Vaginal Swab
Semen Culture & sensitivity
Mycoplasma, urea plasma (menstrual blood)
Karyotyping x 2
Sperm DNA fragmentation
KIR genotype testing
Now comes the test of deciding which of the several possible routes to take. Be armed and get the full picture or forgo the tests and have faith that the thromboelastogram was really and truly the cause for our first four losses and by treating it things will all work out? But what’s our problem? We wanted answers and that’s what we can get.
The RMC doctors’ argument that had our fifth baby not had a chromosomal abnormality then it is quite likely it would have been carried to term is sticking in our minds. It did get further than all the others. Question is whether that’s enough for our peace of mind right now or whether its better to rule out all other options. This knowing comes with a pretty hefty price tag but the benefit of awareness might simply tip the scales.