Dear SMoon,
Since you failed the fresh transfer, your period returned and should be almost over?! You may wait this cycle out and when your next period comes, call your IVF doctor/clinic to arrange for your frozen embryo transfer.
For a 39-yr-old woman with 13 eggs retrieved, this is not a bad result. The egg quality may continue to be the issue, but your quantity compensates for it. A second attempt at IVF is reasonable, especially if you are financially ok.
Thanks cutecutetown!!!
Do you means I should do FET in December ?
Again, Thanks for your support,I knew 13 eggs is not bad however I got 2 finally.... It is a problem...
If failed, I have to pay more 80K at least, financial is also one of a issues .... >_<
Yes, you may do FET in December if timing is right.
There is no point in lingering with the stored embryo. If it is a good one, get your bingo now; if it is not good, then you don\'t keep a false hope which only wastes your time.
As for financial situation, the 80K+ indeed is costly. You are certainly getting your treatment from the most expensive centre! You may consider other doctor/center that you can afford.
hi, this is my first ivf. today is the 28th day of my cycle, the day-5 embryo was inserted on the 19th day. my last vaginal gel medication just finished today, and i still have my oral and vaginal tabs. I noticed a few brown spots on my undies 2 days ago. It's only been a week since the insertion and I saw some brown already (looks like M).
Hi yimyim_paul,
Spotting happens even in some successful cases. Since you are not yet due to check bingo, keep using the oral and vaginal tabs until the day of bingo check or a full bleeding if failed.
If your bleeding begins, or has already started, you may do your FET this cycle (in about 14 days or so). But discuss with your clinic first to have the schedule planned out. Of course, if you don't want to rush this cycle, it is ok to postpone one month.
Thanks in advance for your kind sharing with all the jms here.
I and my hubby both 34 yrs old. Unexplained infertility. Balanced diet and exercise. Non-smoker. Non-drinker.
I\'ve gone through 5 ET + 1 FET, still never successful implantation yet. Luckily to me, I still have a few frozen embryos, and I\'m wondering anything I can do before the coming FET to increase my chance. May I have your advice on some areas:
1) I only got quite few eggs each time and the fertilization rate was 1st ivf (5蛋3胎),2nd (4蛋2胎), 3rd (4蛋2眙), 4th (5蛋3胎), 5th (9蛋7胎）. Do you think the fertilization rate is low or average? Can we say that fewer eggs imply poorer egg quality due to poorer function of the ovaries?
2) What factors affect implantation? I do think I should 照子宮內窺鏡 to check thoroughly to see if 內膜有冇any 息肉which affect implantation。But every time I mentioned it to my doctor, he think it is unnecessary. He said checking via ultrasound is reliable enough to understand the condition of 子宮內膜。 But 如果照後可找出問題所在 and as long as no harm, then i think i really should do it. I also heard that 照子宮內窺鏡 can stimulate 子宮內膜to help implantation. What do you think? Any possible adverse effect of this surgery?
3) What else procedure or testing you would advise me to do before the next FET?
4) Do you have any knowledge in Taiwan ivf? Is there any technology or practice over Hong Kong?
Hello BabyGaga21,
1) Your doctor might be doing milder stimulation for you; that's why each time you had relatively few eggs. You received probably a larger dose of drugs in your 5th IVF, resulting in more eggs. Fertilization and the no. of available embryos seem ok to me. The few no. of eggs does not always imply poorer quality, especially in your case you are still relatively young.
2) Indeed, there are many factors that can affect implantation. You may call me biased, as I think the main issue is in the embryo, not the endometrium. Embryos are often affected by aneuploidy (carrying an incorrect no. of chromosomes). When an embryo's grade is poor, it is almost always an aneuploid; when an embryo looks "perfect", it may still be an aneuploid, although the chance is much lower. This is from my past experience working in a lab that does genetic screening for most IVF cases, and also from published literature.
I have to agree with your doctor that if your endometrium appears normal on ultrasound, it is not necessary to do a hysteroscopy (子宮內窺鏡). Some doctors may do an endometrial biopsy for you in the cycle preceding embryo transfer, which is believed to "stimulate" the uterus to become more receptive. You may check if your doctor will do that for you.
There could also be other factors affecting implantation, and I can't go through each and every one. Have you checked your fallopian tubes? Do you have hydrosalpinges (tubes that appear fluid-filled)?
3) No extra procedure is absolutely necessary. You may have an endometrial biopsy (which is not exactly a biopsy, but just a small stripping on the endometrial lining to encourage repair mechanism, therefore stimulating growth and receptivity). If the frozen embryos were of good grade, you may also consider assisted hatching, if not already being done.
4) I would consider the practices in Hong Kong generally safer in terms of patients' health and medication dosage. Technology is very similar anywhere in the world.
I must thank you for your quick response and professional advice. To follow up:
1) I was under gonal-f with dosage 225 for first time increasing to 375 for the latest time. Do you still think the dosage is mild? Should I ask the doctor for more \"aggressive\" amount?
2) As per my understanding from your reply, incorrect no. of chromosome in embyro contribute the main reason for implantation failure. So, should I ask the doctor for a DNA/ genetic checking? Can this help?
I have my Fallopian tubes checked with no blockage when I did iui before. How is it related to implantation? Should I re-check it thoroughly?
3) I already done ICSI and assisted hatching. So, for my case, do u think what I can do is keep on trying ivf in the same way as before with nothing else to change, waiting the chromosome good embyro to appear? And at last, anything we can do to help the chromosome issue? I know it\'s a stupid question, but I still need to ask to make myself clear.
Dear cutecutetown,
I will 放胎in next cycle, my doctor prefer to proceed in 人工cycle. I would like to ask what are the pros and cons of 人工cycle and natural cycle? What is the effect and side effect of oral drugs and vaginal drugs taken in 人工cycle? And the doctor said the drug need to take until 12weeks if pregnant, is it true?
Also some people said to eat folic acid and vitamin E are benefit. I know the effect of folic acid, but how about vit E?Is it worth to take vit E? Can I take folic acid, vit E, and the drug for 人工cycle at the same time? Will they have interaction?
Sorry for so many questions.
Thank you very much!
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