4 failed FETs, loss, silent endo
TW: pregnancy loss
I'm 36 years old, AMH 1.36, and have had four failed FETs with euploid embryos. The first two completely failed to implant and then I had some additional testing done, including a Receptiva Dx with a result of 2.9. I did two months of Lupron and letrozole, had success at the third FET, but then there was no heartbeat at 9 weeks. RPL panel came back all normal. For my fourth FET, I repeated two months of Lupron and letrozole and am in the process of losing the pregnancy due to blighted ovum.
I'm truly at a loss. I had two high level mosaics left which I'm not comfortable transferring at this time and plan to do another ER in the fall after taking some time off. I'm just worried that I'm going to keep transferring euploids and going through this nightmare of losing them. I tolerate Lupron well but it's certainly not easy on me and I don't want to just keep going through the motions.
Has anyone been through a similar fact pattern? What ultimately worked? I'm seriously considering exploring the option of an actual endo diagnosis and excision surgery but what I've been able to find on the subject doesn't seem to support that it will change the outcome.