Hi 小Sin子,
Hope you don't mind my reply in English. In your case, your PGD is a genetic screening which select embryo(s) that contain the correct number of chromosomes (we call it aneuploidy screening). It is widely used with plenty of world data showing that it dramatically reduces recurrent miscarriages. By transferring an embryo with a normal no. of chromosomes, your success of giving a live birth is much high than trying by natural conception.
Since the chance is good, we in the field usually recommend the transfer of 1 embryo only after PGD.
Dear cutecutetown,
I am doing IVF because my Poor ovarian reserve, I am 29.
My husband SA is normal . The doctor suggested to have half oocytes for ICSI and assisted hatching.
Why do I need ICSI with normal SA?
Hello Homebb,
Because of poor ovarian reserve, it is expected that your ovaries are harder to stimulate and the final egg number is probably low. Since ICSI directly delivers one sperm into each egg, this will almost ascertain fertilization; however, you also said that your husband SA was normal. Therefore, your doctor suggested half ICSI, so that the ICSI portion should give you nearly as many fertilized as ICSI injected. Then your IVF half should be fertilized as you thought. But in case your eggs or your hubby's sperm have functional problems and are not fertilized, you will still have embryos derived from the ICSI half.
Thanks for keep answering jm's question here in this thread. I just failed my 1st ivf treatment and do have some questions in mind...
I was diagnosed with bilteral bolcked fallopian tubes thats why I have started my ivf treatment. I just wonder if fallopian tubes 積水 or 水腫 can be found by ultrasound or HSG? or only 腹腔鏡檢查 can found out this problem? I did talked to the nurse about my concern but she replied the HSG report didnt mention about this situation.
I do some reserach from the internet that both 積水 or 水腫 may lower the chance of implantation. Should I do something about this before I go for FET?
After a few days of injection, I suffered from mild OHSS that I don't feel like to eat and bloated tummy like already 4-5 month pregnant after the 破卵針. My dr suggested me not to do ET this cycle cuz he worried this will even worsen the OHSS situation. But I insisted to do the ET in the same cycle, cuz he's just worrying about OHSS, he never mention about the early stage OHSS may lower the success rate. So is it really lower the success rate if I suffer OHSS as early as just few days after started injection?
I was given relatively low dosage of drugs and on the day of ER I just extracted 9 eggs, it's comparatively less eggs extracted but why I still suffered from OHSS? If HCG further triggers OHSS, does it imply that the embryo carry no implatation given that the bloated tummy felt much better 7 days after ET?
Sorry for the long questions and thank you so much for reading it!
Dear Cutecutetown,
I wrote you a couple of months ago asking for your advice on whether traveling and time zone changes would affect my hormones and IVF outcome, ring a bell?
To update you, I've just started my first IVF cycle. I'm now on Day 5. My hubby and I went through the initial u/s, blood tests and sperm analysis. The u/s on day 2 showed 3 follicles on left and maybe 3 on right. The 3 on right is not too clearly shown so my doctor said "maybe 3". My blood test on day 2 shows FSH level of 11.7, LH 3.0 and Oestradiol 91. On Day 3, I started Pergoveris 150/75 injections daily.
My hubby's sperm results showed normal total sperm number and normal motility but his morphology is less than 1%.
I want to ask your advice on the following:
1. My period became a lot less after the Day 3 injection of Pergoveris; almost stopped at day 5 (today). Normally my period runs for 7 days. Is that normal?
2. After the injections, would the number of follicles differ from the initial U/S? Would I have more than the 6 follicles i saw on day 2?
3. My hubby's morphology is not good, would the lab perform ICSI or normal IVF?
Hello Knq,
If fallopian tubes 積水 or 水腫 (hydrosalpinges), it can be diagnosed by HSG. As your report did not mention it, there is no reason for concern unless your doctor suspects it for you.
Different women respond differently even to the same dosage of stimulation drugs. OHSS does not necessarily lower success rate, but it threatens the woman's life who has the condition; and OHSS will become more severe if the woman gets pregnant. Therefore, it is you whom we worry about, not the embryo.
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