CP - I have answered your PM with more info on what treatment I have been on but for anyne else reading this thread I will briefly overview.
I had NK cell test done for recurrent m/c but biology is much the same as per implantation issues - its just at which stage the NK cells really attack the embryo. The other thing to remember, is that levels can vary a lot with time, concurrent illness etc. I questioned Dr S on why I had already managed
DS without any diaganosis or treatment. Answer basically is that a) maybe NK cell issues are not the reason for my m/c's b) the problem wasn't as bad during that time c)
DS was a particularly strong bubba and managed to "fight back" and keep on sticking
They do think that the NK cells are only really important ( they are actually needed at "normal" levels for correct implanation/placentation) or harmful in the first 12wks or so. After that point they should affect
pg to much
Anyway, I only flew up and had the BT ( results around 21% I think) as Dr S thought this result was significant enough to avoid the biopsy , particularly as this would have been difficult for me ( I don't cycle so would have had to do OI just for test)
Dr S was also a bit hesitant with "interfering" to much as I was under another Dr in Melbourne but I was there with her full knowledge and support so he did ease off a bit. He actually reccomened starting the pred at same time as starting IVF stim meds. My first cycle on it, I didn't get
pg and weaned over next few weeks but started up again pretty soon with another cycle - this
pg.
At 18wks I am now down to 5mg and should be off by 20wks
My most major side effect has been hair loss - losing mountains of hair and starting to become noticeable! Haven't got moonface etc so have been relatively lucky
As for clexane, Dr S said to me he normally only uses pred for NK issues but I had already been using clexane as a trial from my FS ( and had used for
DS's
pg). Came off it at 8wks after much heavy bleeding and loss of this bubba's twin
I hope your current FS can give you the answers you need CP but as the other's have said, change to Dr S if you are not happy as you really have nothing to lose and he is the "expert" in this field