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大宅

積分: 2365


2081#
發表於 13-11-27 13:47 |只看該作者

回覆:ivf Q & A

Dear cutecutetown,

I plan to have FET in my current cycle. Today is day 4. My doctor asked me to have ultrasound on day 10-11 . May I have your advice on the following:

1) 怎樣知道哪個cycle 身體的狀態適合或較有利放雪胎?我的意思是例如做ivf前要驗fsh,如太高那cycle便不宜開針。咁做fet前又有冇嘢可check到那個cycle宜或不宜放胎?我只知內膜要夠厚(是否最好10mm?)

2)我今個cycle day2去醫生度照,卵泡數目不多(4粒),今次m量亦少,是否代表身體荷爾蒙不夠,會否影響放胎着牀?

3)做些什麼可幫助放雪胎成功?

4)之前你提過在preceding cycle做子宮腔biopsy可刺激內膜more receptive,是什麼原理?傷口收復?血液循環?免疫因素?

Sorry, too many questions. Thanks a lot in advance!!

Regards,
Babygaga21




男爵府

積分: 6528


2082#
發表於 13-11-27 16:28 |只看該作者
想問有ivf經驗的jm,我AMH大約得0.46,係唔係應該直接做IVF機會大d?應day幾番去打針開始treatment?
one fine day  


珍珠宮

積分: 40541

有「營」勳章 畀面勳章 BK Milk勳章


2083#
發表於 13-11-27 17:52 |只看該作者
本帖最後由 imconfusing 於 13-11-28 00:23 編輯

Hello cutecutetown,

May I know normally how often will a person do her blood test during the IVF process? I was reading all the posts and replies and it seems to me that patients are often required to have blood tests. But for me, I only have 2 blood tests for the whole process. 1) The first time seeing dr right before IVF starts and 2) 2 days before Egg retrevial process. I feel a bit strange to have so little blood test

I have embryo transfer last week. And I went to visit Dr again yesterday. I assume Dr will give me blood test for certain hormone for pregnancy? but I was not required. I see many JM saying they'll go back for blood test... I feel strange. but I am subscribed with endometerin virginal tab, 2 times a day and 2 hormone injections...and I'm only told to have preg test 14 days after transfer and report it

p.s. this is my first IVF, first fresh embryo transfer



大宅

積分: 1566


2084#
發表於 13-11-28 17:11 |只看該作者
Hi cutecutetown,
I did my first IVF last August. Was very lucky to have 8 embryos. 3 embryos were implanted fresh and 5 were frozen.

I was extremely lucky and had 1 baby out of the 3 embryos. My family is now thinking of heading back to our home country and is wondering if we can bring the 5 frozen embryos with us so that if we chose to have another baby later we can use the the frozen insteading of starting a whole new cycle.

Thanks


男爵府

積分: 9500


2085#
發表於 13-11-28 18:23 |只看該作者

回覆:BabyGaga21 的帖子

Dear BabyGaga21,
1) 你這次FET是用natural cycle自然周期,故只會到Day 10-11看看卵泡大概是長大到什麼程度。
試想想自然懷孕的女士在那個懷孕的周期也只不過是如常排一粒卵子,卵子在輸卵管路上遇到精子,若受精就繼續行程到子宮著床,要到受精後兩星期,女士發現M不來才驗孕。基本上身體無須要在什麼特定狀態,只要這個周期無異樣,正常排卵就可以了。
亦因為是利用自然周期,若是28日一周期計算,排卵約在day 14,所以醫生會早一點點為你預備,照照你自然周期那卵泡是不是如預算中長大。

2)這是自然周期,所以在一開始照倒的4個卵泡不是每一個都長大的,在無額外高劑量賀爾蒙催促下,只會有一個「勝人一籌」。醫生替你照完超聲波後,會有兩個做法,一是監察你自然排卵,二是打排卵針,兩方法皆可;然後按排卵日推算出放胎日。返回你的問題,身體會否賀爾蒙不足,其實能夠自然排卵即代表有足夠賀爾蒙,不過有些醫生依然會給你塞藥,但這不是必須的。

3)看看胚胎是否有質素吧,你預備不到、亦擔心不來

4)無人真正知道,但根據近年來的文獻,大概是刺激倒傷口修復,令免役系統產生輕微變化(當中其實有很多比較深奧的生物免役學被我省略了),從而令下一個周期時內膜環境更適合胚胎著床。




男爵府

積分: 9500


2086#
發表於 13-11-28 18:28 |只看該作者

回覆:luvluvpeonybaby 的帖子

Hello luvluvpeonybaby,
AMH很低,ivf雖然比iui合適,但卵子數目不會多。理論上約第三天開始打針,這是要你跟你的主診醫生預約安排的,不是謬謬然開始。




大宅

積分: 1707


2087#
發表於 13-11-28 19:09 |只看該作者

回覆:ivf Q & A

我想問下如果雪胎植入後駛唔駛多啲訓床對著床有幫助呢?

點評

cutecutetown  No need, it is only a psychological comfort.  發表於 13-11-28 23:36


男爵府

積分: 9500


2088#
發表於 13-11-28 23:18 |只看該作者
回覆 imconfusing 的帖子

Dear imconfusing,
There is no strict rule on how many times you need a blood test during ivf. Afterall, blood test results only provide an extra tool for the doctor to assess your ovarian response and stimulation progress. If your doctor has gathered enough information from the ultrasound scan alone, he may or may not want a blood test to verify such info.

Again, it is not a must to do a blood test one week after embryo transfer. You mentioned that you are getting endometrin and hormone injections; for whatever hormones the blood test is for, it would only tell you are taking the medicine and nothing else. Don't over-worry yourself, the hardwork on your part is done. Once the eggs are retrieved, there will be minimal needle pricks.

Good luck on your preg test. cutecutetown


男爵府

積分: 9500


2089#
發表於 13-11-28 23:30 |只看該作者
回覆 hoshi88h 的帖子

Hello hoshi88h,
Generally you may export your embryos. HK does not have much export requirement, although there may be import requirement by your home country. You will need to first find an IVF center in your home country where you want to keep these embryos; and then you can contact your IVF center here to check out the administrative procedures.

As long as the receiving center is decided, your involvement will be kept to paperwork only. The actual arrangement and shipment of embryos will be done by professionals; the clinics will contact each other to facilitate the transfer by international courier.

cutecutetown


別墅

積分: 518


2090#
發表於 13-11-28 23:56 |只看該作者

回覆:cutecutetown 的帖子

想問我FSH 19,dr話卵巢功能衰退,這case 做IVF 成功率是否很低?




男爵府

積分: 9500


2091#
發表於 13-11-29 13:27 |只看該作者

回覆:FREDC 的帖子

Hello FREDC,
That is day3 FSH? How old are you?

A high FSH is an indication of diminished ovarian reserve, 卵巢卵子的存量很少,所以ivf的激素針也沒法刺激多卵子生長。當卵子不多,成功率也低。




複式洋房

積分: 481


2092#
發表於 13-12-2 10:19 |只看該作者

回覆:cutecutetown 的帖子

Hi cutecutetown,

今次又有野想請教你,我做咗 ivf, 7 weeks 4 day 時驗到有胎 long, 但照唔到胚胎,醫生話要安排做流產,會唔會因為個胎太細照唔到? 如過多 1~2weeks 去照情況會唔會有好轉? 我感覺到個醫生態度好肯定,係咪真係一d机會都無? 距離上次照陰超都差不多4天,我肚一點感覺都無,應該點做好呢,好驚做錯決定


別墅

積分: 518


2093#
發表於 13-12-2 17:35 |只看該作者

引用:Hello+FREDC,That+is+day3+FSH?+How+old+ar

原帖由 cutecutetown 於 13-11-29 發表
Hello FREDC,
That is day3 FSH? How old are you?
我今年34,打了14天針只有3個卵泡。成功機會是否很細? 我不是打Gonal F, 醫生不想我太刺激卵巢,所以用微刺激方案。




男爵府

積分: 9500


2094#
發表於 13-12-3 10:35 |只看該作者

回覆:Pekoccc 的帖子

Dear Pekoccc,

一般在懷孕六至八周便會照倒心跳,若只見胎囊不是好現象。既然醫生也這麼肯定,錯不了那裏。真抱歉,只有接受;因是早期的流產,身體容易康復,反而心理上較難平復。希望你一切順利!




珍珠宮

積分: 40541

有「營」勳章 畀面勳章 BK Milk勳章


2095#
發表於 13-12-7 20:39 |只看該作者
Hello Cutecutetown,

remember me? I just want to share with you a good news that I confirmed to be pregnant Although it's still a long way to go before everything is getting stable. I just want to thank you for all the advice


點評

cutecutetown  Lovely, congratulations!  發表於 13-12-9 01:02


男爵府

積分: 7612


2096#
發表於 13-12-11 15:05 |只看該作者
dear cutecutetown,

i just heard from doctor that there are some statistics showing that asians do poor than non-asians in fresh cycles, but it's not much difference in frozen cycles. have you heard anything about that? but on the other hand, frozen ones may not survive when thaw. so how do you weigh this tradeoff?

thanks for any input!

JL


子爵府

積分: 10181


2097#
發表於 13-12-12 11:10 |只看該作者

回覆:ivf Q & A

hi, cutecutetown,

又係我呀,我今個cycle放左1個grade 1同grade 2鮮胎,後日due day,但體溫早兩日跌到36.6, 都打定输數,想問雪胎會大d機會嗎?隔幾耐先可以放雪胎呢?我雪胎都只係grade 2, 機會咪好低? 多謝回答。

點評

cutecutetown  體温與放鮮胎、放雪胎、成功與否都扯不上關係,不要自己嚇自己!  發表於 13-12-12 22:12


男爵府

積分: 9500


2098#
發表於 13-12-12 23:59 |只看該作者
回覆 jlin123 的帖子

Dear jlin123,
The information was actually published information in our field, but I personally still think this is inconclusive. I did look at my own center's results as I have some Caucasian patients over the years. They seem to be doing just a little better in terms of absolute percentage, but the difference is not statistically significant -- meaning, there is no difference among asians and non-asians, at least in my center.

The published information you mentioned was merely a finding. This data was based on foreign centers overseas, so their day-in day-out patients were probably non-Asians. Nevertheless, the finding is not going to affect our care and service to our patients.

Don't get confused as the above was a comparison between 2 different groups of patients. The second issue was comparing fresh vs. frozen. These 2 comparisons (asian vs non-asian, fresh vs. frozen) cannot be combined to get an interpretation.

Coming back to fresh vs. frozen, again there are studies showing fresh success rate is not as good as frozen success rate. Maybe it is true, because the endometrium in a fresh cycle is a little "crazy" after all the stimulation drugs. However, as you said, there is a tradeoff if you freeze the embryo(s). My view is that a fresh transfer is not that bad as women can still get pregnant from it. For the moment, I won't recommend a woman to freeze every embryo if she is physically fit (as determined by the doctor) to have a fresh transfer.

cutecutetown


子爵府

積分: 10181


2099#
發表於 13-12-13 00:09 |只看該作者

引用:hi,+cutecutetown,+又係我呀,我今個cycle

原帖由 JB111111 於 13-12-12 發表
hi, cutecutetown,

又係我呀,我今個cycle放左1個grade 1同grade 2鮮胎,後日due day,但體溫早兩日跌到3 ...
但唔係話要keep住36.9以上先有機?但我紅d冇線,一定失敗了。


子爵府

積分: 10181


2100#
發表於 13-12-14 16:03 |只看該作者

回覆:ivf Q & A

多謝你之前解答我,今日派咗成績表,驗血指數152。



點評

恩盈    發表於 13-12-14 23:16

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