Dear Lord Winston,I just wanted to say a very big genuine –from the bottom of my heart- thank you.I followed your advice and asked my GP to have a look at my immune system, which he did. One of the tests he did came back as positive. I won’t bore you with what happened after but long story short, I am 14 weeks pregnant after 4 long years.We had the first scan at 12 weeks and all seemed well.No need for IVF or steroid injections or expensive treatments.
I would have probably started IVF months ago if it wasn’t for your advice so thank you so, so much.Warm regardsE.
I am very glad that things have worked out for you.
Best wishes and a happy Christmas
I would say you are being eminently reasonable. Firstly you need to know that thrush is extremely common, generally harmless but unpleasant, and often very persistent (which is why there is a multiplicity of treatments available) However, I would say that I have never seen such bad thrush that infertility follows. I suppose it is just possible that you have secondary infection with another organism which has blocked or damaged your tubes but a laparosopy was normal so this seems at best a remote possibility. One issue, though, is why you get recurrent thrush? Do you take antibiotics, for example which can reduce your resistance to fungal infection? Is there any evidence that you have diabetes – often predisposes to thrush infections? Have the doctors made every attempt to rid your gut of any thrush as this could reinfect you? And are there any diets you take which improve your fungal infections (or make the thrush worst?
But it seems to me that the urgent thing is to make absolutely certain of your husband’s fertility. It is ridiculous on the face of it to say the sperm are abnormal without giving you fuller information. Of course quality matters. And yes, whilst IVF might confirm whether there is a problem with fertilisation, this is an incredibly expensive way of making a diagnosis. My first thought is that you should see an andrologist – a male fertility expert – they do exist and they can give you a much better idea of what may be needed. By the way – there is no evidence that the NK test is of any value at all – I cannot advise you to spend this money; it seems a complete waste. The very fact that you are being advised to have this worries me that basic tests which you should undoubtedly have are being ignored – it is even possible you may feel safer by changing the clinic you attend.
Sorry to be so blunt
With warmest wishes
Don’t apologise, I am happy you are being blunt and thank you for replying so soon. The only antibiotics I have had in my life were in Central America when I was 18 years old for a period of 6 weeks for a urinary tract infection. In the end I went to hospital, showed all the different types I had been taken to a doctor and they told me if it didn’t clear up with the final course she prescribed, I had to be admitted in hospital because she was concerned about developing a kidney infection. It did. I have mentioned this to the GUM doctor once as I suddenly worried this antibiotics “fest” but he didn’t seem to be impressed or worried.
The treatment for this candida glabatra I have been given is the occasional oral tablet and lots of pessaries. I went back to the GUM clinic yesterday for some advice. The doctor said she could not see any thrush at all, no signs of anything “wrong” though the initial results came back as profuse again. As I am a-symptomatic now, she was reluctant to prescribe me anything but did give me some oral tablets. She also stated that she could not see this would cause any issues for conceiving. With regards to the diet; I have made some slight changes though I have got quite a balanced diet anyway.
There is a history of thyroid problems, bowel problems (cancer, diverticulitis, Crohn’s) diabetes in my family. I have been tested for diabetes years ago and I have not got it.
When we asked for further details about the morphology the reply continues to be “the lab guys are clearly not worried about it otherwise they would not suggest you are suitable for a normal cycle of IVF” and/or “they don’t foresee any problems”. I checked and there are andrologists in the clinic we attend so I’d like to think they would tell us if there is anything else to investigate. Or could it be that they think that if the morphology does turn out to be a major issue they cannot do anything about it anyway so what’s the point of further investing their time and resources on it beforehand? It just feels like a unsatisfactory reply to our questions. If anything is wrong, I’d rather know it before I inject myself full with hormones.
I moved from the Netherlands 6 years ago to the UK and we are thinking of moving there at some point. I am positive the fertility “business” there is pretty similar but I do have a bit more faith in the whole process there (I am not saying this is fair, this is simply a gut feeling). So perhaps if we make a move to a different clinic, it will be likely to one there.
Thanks again for your very quick reply, I genuinely appreciate it and will have a think how to best approach all this. Even though it has been almost 4 years since I have stopped the pill, I definitely don’t feel the need to rush into anything before it feels like the most sensible option.
One thought that did occur to me afterwards is whether there might be a minor problem with your immune system. It might just be worth getting your immune status checked. Not uncommonly, some people are deficient in one of the immune proteins which can protect you against infection. This could be done through your GP under the NHS.