My endometrial biopsy! It has been all the way to California, and now it has sent me a postcard!
Item – Late secretory endometrium POD 9-10. Which is interesting, because I vaguely thought I was 12 dpo that day, but then, I am not very sure which day I ovulated that cycle. Really, I’m not. I could’ve been 9-10 days. But then I’d've had a ten-day luteal phase and I tend not to, you know. How accurate are these tests anyway?
Item – No evidence of inflammatory changes. Yay!
Item – No evidence of necrosis. Yay!
Item – No evidence of hyperplasia or atypia. Yay!
Item – 1-2 CD57+ cells identified. Now these (I have been googling) are the uterine version of killer cells of doom, I think, and the fewer there are the better. The ‘comment’ part of the results reports that ‘CD57+ cells are not increased and goes on to mention ‘appropriate tissue reactivity with the CD57 monoclonal antibody’. This is a yay, right?
Item – 4-5 FoxP3+ cells identified. These are regulatory cells that contol immune reaction, and are therefore things one rather does want wandering about the uterus. The comments state that they sugest ‘adequate stromal regulatory activity’.
Therefore Cute Ute the Destroyer is not actually that destructive an environment for tiny embryos in and of herself. My immune system generally is the mimsy, bastard, quisling fuck in this one. That, or I am consistently making embryos out of dead trees, bits of mud and spit. Or possibly both. *Wanders off into the middle distance to bang her head on the side of the bath for a while*

All right! Yay for results. Does this mean The Plan that commenced with the Metformin can proceed unhindered?
Well, that seems like good news? The immune system can be suppressed into submission…
Yay for results! At least they take you somewhere.
Yay as well that the cute ute is a hospitable environment
and boo to the immune system.
It’s frustrating that there is no brilliant diagnoses that will be easily fixed and transformative though.
Well, Cutes. You did good. Keep it up, girl.
Er…. good? Maybe? On the whole? On account of the things that could have been wrong would probably be harder to fix than, ah, taking a steroid. So, yay! I think.
Hmm. That seems interesting. Like maybe your results are indeed coalescing into a general direction? I am completely over my head as far as next steps and treatments and all that, but am paying avid attention to the other commenters in that regard.
I’m fully baffled but I am err on the side of this being Good News.
Me too, baffled, but somehow feeling it’s good news. Right?
Yes, no, I think good.
Well, if you’re baffled, I think we’re all allowed to be! But it seems you do have some kind of a plan? I think? maybe?
Well that sounds…good? Though I’d secretly have preferred if they’d found an “A-HA! Here’s the problem: and it’s an easy one to fix! Painlessly!” sort of thing.
I don’t follow that, but it seems there is news, which is better than continuing we don;t have a fucking clue why? Good.
[...] and months of TTC have merged into years, however, I think this needs reevaluating. Firstly, we now know a lot more about what we are dealing with/are up against. Secondly, we are seriously starting to run out of [...]