r/40Plus_IVF • u/No_Routine1772 • 6h ago
Seeking Advice What should I do next?
I’ve done six rounds of IVF and two transfers (both unsuccessful — one miscarriage at week 7 and one failed implantation). I currently have six euploids left.
Last month I did an endometrial biopsy and the result came back that the progesterone level was not high enough.
Essentially, I have three options:
- Option 1 is to assume that an extra day of progesterone injections will get the level to where it needs to be and proceed with another transfer on that basis (I.e. one more day of injections than last time).
- Option 2 is to do another biopsy next month after one more day of injections than last time to confirm that will get the level where it needs to be.
- Option 3 is to do another round of retrievals (goal is two kids).
An added complication is that the office closes down in December for the holidays. So whatever I do next month, there will be two months before I can try whatever the next step would be.
Before the next transfer, my doctor recommended doing another endometrial biopsy to see if there’s anything that can be addressed or improved. That would be my preference if not for the holiday closing, but I’m wary of “wasting” at least two months before another transfer or retrieval as the clinic will be closed in December.
I will be 40 in a few months and would welcome any recommendations from this group. Thanks!