Hi Nina. Yes, I did a couple of things differently. First of all, I don’t have endometriosis. So that might be a difference between us. I made sure they checked for it during my lap for my ectopic removal. Also, do you know what kind of adenomyosis you have? Focal or diffuse? I have focal, meaning it is in one location in my uterus. It kind of bulges and creates a weird dip in the top right part of my uterus. The theory with my specialist has been that we just need one to implant in a different place in my uterus. If yours is diffuse, it might be harder, because it is all over your uterus. Though I think Mushy has diffuse and she’s been successful.
I tend to ovulate on the later end. Usually between days 21-28. So my doctor and I decided to try a medicated cycle of IUI. I took Femara (aka Letrozole) from days 2-6 to make me ovulate sooner. We confirmed I was ovulating from my good tube with an ultrasound. Then I did an hcg trigger shot to ensure I ovulated on time. And we did the IUI. I started taking progesterone suppositories 3 days after the IUI. I have never been diagnosed with a luteal phase defect but my LP has always been a little short. I think the adenomyosis has created a hormonal imbalance in me. I also was put on a thyroid medication. Normal thyroid levels are considered to be 1-5. Mine was 2.6, so totally normal. But my FS said there is new research linking thyroid levels over 2.5 to miscarriages. So she put me on a thyroid med a month before I started IUI. I’ve been on it ever since and my thyroid is down to 1.3.
Those are the only things I did differently. Who knows if any of them have helped or if I just got one to implant in the right spot.
I was offered Lupron (which puts you into temporary menopause for 3-6 months) but decided against it. I’ve read that it can “deactivate” the hormones that feed adenomyosis, hence stopping it’s growth during that time, but it can’t actually shrink it. I’m so sensitive to hormones already, and I’m 37, that I didn’t want to mess with it. The idea is that you deactivate it and once you go off the meds, you get pregnant immediately before it can reactivate it. Apparently pregnancy is a great “cure” for adeno, in that it stops the growth and symptoms. Your FS may offer you that option. I would suggest doing a lot of research on it before deciding to go that route.
I wish there was a simple fix to this problem. It felt like a death sentence when I got the diagnosis. I already had 3 losses under my belt when I found out I had it. No one told me that there is a connection to adenomyosis and ectopics. I found that out after my 4th loss which was ectopic.
Doctor’s don’t have a lot of information about adenomyosis and fertility. Most women are diagnosed because they are having a C-section and the doctors can see it, or because they are symptomatic and are looking for an answer. Neither of those applied to me. We were doing tests for recurrent losses when they found it. I have barely any symptoms from it.
Let me know if you have further questions. I’ll give you as much info as I know about it. I wish you the best of luck. It can feel like a lonely place to have so many losses and have this diagnosis.