This is what Dr. Sher said - if I don't get intralipid treatment. He went over the results of the NK cell testing. Here are the results, for those of you who know anything about this stuff (believe me, it's gobblygook to me):
Native state: 1:50 8.1% killed; 1:25 4.9% killed; 1:12.5 3.9% killed
IL-2 stim: 1:50 10.3% killed; 1:25 6.8% killed; 1:12.5 6.3% killed
IVIg 12.5: 1:50 9.2% killed; 1:25 4.6% killed; 1:12.5 4.0% killed
IVIg 6.5: 1.50 10.4% killed; 1:25 8.6% killed; 1:12.5 6.4% killed
He said anything over 10% is concerning. If I only had the one (IL-2 stim) over 10%, then it would be ok, but I have two, including the IVIg, over 10%. So what that means is that 90% of the time, I have autoimmune issues, and this would need to be treated with steroids and intralipids. Without this, "I don't think you have a good shot at having a baby." But first we need to get tested for the 10% likely issue - DQ Alpha problem - both the hubs and I need to be tested, and if we have certain genetic similarities, then it's a worse problem, and there's more intralipids, and more steroids. The DQ Alpha problem takes at least 2-3 weeks to get the results.
I explained to Sher our current plans to have IVF, with stimulation starting on Thursday, with a local doc. He didn't like that. He said we could talk to the local doc about this, but "I doubt it if your doctor understands this problem. He can certainly call me, and I can explain it to him, but I doubt he would do that. If you don't get treated for this issue, I don't think it is likely that this IVF will be successful, in that it would result in a baby." I asked if he could order the DQ Alpha test, and he said no, not if I was under the care of another doctor.
I don't know what to do now. I was so ready to do IVF - starting next week! I trust this guy's opinion - he's one of the best in the world, but not everyone gets these tests done before IVF, right? I got off the phone, and now I can't stop crying. I just don't know what to do. I just want to get to the end of the TTC battle - I'm sick of this!