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發表於 10-6-4 17:26 |只看該作者

Hi cutecutetown,
今日驗血Beta HCG個result係13.05mIU/ml, 我24/5 FET, 醫生放假, 姑娘叫我星期1/2再驗, 其實個指數是否好低? 或者有咩問題? 現在好煩...

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303^#

發表於 10-6-5 08:37 |只看該作者

Dear Pooh2008,

Why did you do a bloodtest only ~1 week after transfer? Were you on any kind of luteal medication after the transfer? If not on any medication, you can be 'cautiously' happy with your HCG results

On Mon/Tue when you check again and if the level has at least doubled (I assume you are not on any medication as mentioned above), then you have it! But as I said, it is still very early and stay 'cautious'.

cutecutetown

原帖由 Pooh2008 於 10-6-4 17:26 發表
Hi cutecutetown,
今日驗血Beta HCG個result係13.05mIU/ml, 我24/5 FET, 醫生放假, 姑娘叫我星期1/2再驗, 其實個指數是否好低? 或者有咩問題? 現在好煩...

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ThomasMing

民房

積分: 25

304^#

發表於 10-6-5 10:38 |只看該作者

Cutecutetown 你好，想請教一下那一種卵子受精的方法比較好：自然的方式，亦或是微型注射？那一種方式對太太及未來的孩子比較安全？

謝謝。

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發表於 10-6-5 13:52 |只看該作者

Hi ThomasMing,
When sperm quality is ok (usually we look at concentration, motility, morphology), whether ivf or icsi should not result in any difference in terms of fertilization, embryo quality, the pregnancy, or the child.

When icsi is required due to poor sperm quality, then depending on the cause(s) of this sperm issue, it may be passed on to the child.

As for safety, if you are not having any infectious disease, ivf or icsi should not pose any risk to your wife. Pregnancy risks associated with multiple gestation (twin, triplet, or more), higher blood pressure, pre-eclampsia, etc. are not associated with the method used for fertilization.

Safety for the child -- some claim that icsi children may have a higher chance of abnormalities and/or epigenetic issues. But most of these concerns are from icsi babies from fathers with very poor sperm. To avoid discussing the heavy biological details here, I suggest if you have poor sperm and are very concerned, talk to your doctor and he/she will give you better explanation relevant to your family-planning.

Cheers, cutecutetown

原帖由 ThomasMing 於 10-6-5 10:38 發表
Cutecutetown 你好，想請教一下那一種卵子受精的方法比較好：自然的方式，亦或是微型注射？那一種方式對太太及未來的孩子比較安全？

謝謝。

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ThomasMing

民房

積分: 25

306^#

發表於 10-6-5 21:27 |只看該作者

原帖由 cutecutetown 於 10-6-5 13:52 發表
Hi ThomasMing,
When sperm quality is ok (usually we look at concentration, motility, morphology), whether ivf or icsi should not result in any difference in terms of fertilization, embryo quality, the ...

非常感謝你的意見。

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Pooh2008

積分: 377

307^#

發表於 10-6-6 16:53 |只看該作者

cutecutetown,
先多謝你, 係醫生叫我fet後11日bloodtest的, 我放胎後每日打progesterone oil針, 塞兩粒藥, 唔知是否對hcg值有影響, 我明天會打電話比醫生, 如果星期二m唔來我先再bloodtest, 不過就算hcg結果有double都只是26, 這代表甚麼呢? 實在令我困擾...再次多謝你.

原帖由 cutecutetown 於 10-6-5 08:37 發表
Dear Pooh2008,
Why did you do a bloodtest only ~1 week after transfer? Were you on any kind of luteal medication after the transfer? If not on any medication, you can be 'cautiously' happy with you ...

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發表於 10-6-7 10:00 |只看該作者

Dear Pooh2008,

When you are not given any luteal support in the form of hcg, the hcg detected in your blood would be (produced) from the embryo. Progesterone has no effect on hcg value.

An increase of double or more in hcg value means the embryo is growing; I wish you all the best in this test result. It is better to have your doctor to interpret the amount of the actual increase in hcg with you.

Good luck, cutecutetown

原帖由 Pooh2008 於 10-6-6 16:53 發表
cutecutetown,
先多謝你, 係醫生叫我fet後11日bloodtest的, 我放胎後每日打progesterone oil針, 塞兩粒藥, 唔知是否對hcg值有影響, 我明天會打電話比醫生, 如果星期二m唔來我先再bloodtest, 不過就算hcg結果有double ...

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Pooh2008

積分: 377

309^#

發表於 10-6-7 10:25 |只看該作者

cutecutetown,
Thank u very very much~

原帖由 cutecutetown 於 10-6-7 10:00 發表
Dear Pooh2008,
When you are not given any luteal support in the form of hcg, the hcg detected in your blood would be (produced) from the embryo. Progesterone has no effect on hcg value.
An increase ...

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chichiho

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310^#

發表於 10-6-8 08:25 |只看該作者

cutecutetown, hello I am new to this thread.
I wonder if IVF has higher chance of "producing" girls than boys? Is it because Y-sperm moves faster so that the lab technician tends to more catch X-sperm? Thanks!

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發表於 10-6-8 11:19 |只看該作者

hello chichiho,
No, there is equal chance of getting girls or boys. There is no evidence that icsi gives more girls simply because X-bearing sperm swims slower than Y-bearing sperm.

Some interventions (during sperm preparation)claim that they can increase the % of X- or Y-bearing sperm; however, they are not absolutely reliable. Many countries, including Hong Kong, prohibit sex selection for non-medical reasons.

cutecutetown

原帖由 chichiho 於 10-6-8 08:25 發表
cutecutetown, hello I am new to this thread.
I wonder if IVF has higher chance of "producing" girls than boys? Is it because Y-sperm moves faster so that the lab technician tends to more catch X-sper ...

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Happyeverafter

積分: 118

312^#

發表於 10-6-8 17:30 |只看該作者

Cutecutetown,

You are so amazing! You started this post since Feb (you have also answered very professionally a number of the questions I had when I did my first ivf in Jan) and answered all questions raised by jm going through the ivf path. We have so many questions in mind and are lucky to have you to address them all. Your passion is deeply appreciated.

I decided to do another ivf after 4 failure of embryo transfer and determined that this will be the last attempt.

I disscussed with my dr. the other day whether to do day 2 (as in the previous attempts) or day 5 transfer. My problem is ezcema. Although it is not clinically proved to have a link, I somehow feel that the ezcema may have the effect of expelling the embryo when it tries to implant which is seen by the body as a "intruder". Dr. kind of agreeing with this analysis.

I understand that comparing test tube with the body, the latter is supposed to be a better environment for embryo. But with the ezcema, I suspect that may be test tube is a comparatively better environment for the embryo.

Dr. said I can make the decision at the time of eggs retrieval when I know the no. of embryo available. But I am incline to do day 5 transfer no matter what is the no. of embryo because if the embryo is not strong enough to survive till day 5, day 2 transfer will only create false hope.

It would be good to know your view on this.

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發表於 10-6-9 12:40 |只看該作者

Dear Happyeverafter,

How do you normally take care of your eczema condition? Do you need medication to ease the redness and/or itchiness?

Your "intruder" theory has its logic, but the problem is that whether the embryo is a day2 or a day5, it has to be transferred into your body one day. I am somewhat glad to hear from you that " if the embryo is not strong enough to survive till day 5, day 2 transfer will only create false hope". I believe this statement, although many disagree.

Since you are emotionally prepared that you may have nothing for ET on day 5, as your Dr. suggested, you can make the decision when you know how many eggs will be retrieved. I may even wait and decide on day 2, when you will know exactly how many "good-quality" embryos you have. If you have plenty of them (e.g. more than 6 embryos of 4-cell or more), then culture to day 5 will give you some hints in retrospect whether it's the embryo or some other factors affecting implantation. If, on the other hand, you only have 2 or 3 good embryos on day2, ask if the lab can culture to day3 and do assisted hatching on them before ET.

A good plan? I hope you don't get too stressed out. Stress is one of the main factors that can worsen eczema.

I am equally thankful for those who ask questions here. I hope the questions & answers posted can help those who are a little shy or afraid to ask.

cutecutetown

原帖由 Happyeverafter 於 10-6-8 17:30 發表
Cutecutetown,

You are so amazing! You started this post since Feb (you have also answered very professionally a number of the questions I had when I did my first ivf in Jan) and answered all question ...

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Happyeverafter

積分: 118

314^#

發表於 10-6-9 14:27 |只看該作者

Thanks Cutecutetown for your advice.

I took piriton at nite to ease the itchiness and steriod cream if the condition is unbearable.

I am not so stress in this round of ivf as compared to the previous one as my hubby and I somehow settled on the plan that if this attempt fails, we will aim for an early retirement. In fact, I decided to do a second ivf just because I do not want myself regretting when I turn 40 that I didn't give it another shot.

I will take your plan. Dr. said I can decide on day 3, if just a few embryo survives, we will do the transfer right away without waiting till day 5.

BTW, what do you mean by "assisted hatching on them before ET". Dr. has never mentioned this to me.

原帖由 cutecutetown 於 10-6-9 12:40 發表
Dear Happyeverafter,

How do you normally take care of your eczema condition? Do you need medication to ease the redness and/or itchiness?

Your "intruder" theory has its logic, but the problem is th ...

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315^#

發表於 10-6-10 16:45 |只看該作者

Dear Happyeverafter,

Assisted hatching is an optional procedure that can be done on the embryo's "shell". Technically, we will either open a hole on the "shell" or thin a region of the "shell". An embryo needs to hatch out from its shell ("zona pellucida" is the proper term) before it can implant into the womb, very much like a chick needs to hatch out from the egg shell. Some believe that the shell may sometimes be too hard for the embryo to hatch out; and in published data, it's a mix of some benefits versus no benefit by doing assisted hatching.

My experience is that if assisted hatching doesn't help, it doesn't do any harm either. My center offers it for selected patients, which include those who had ivf many times with good embryos but no bingo. The success among these selected patients is reasonable, implying that the procedure itself does not damage the embryo. Just a little add-on, and see if your center offers it.

Also note that this procedure is only done on day2/day3 embryos. If you will be able to proceed to day5, the embryo won't need assisted hatching on day5 because it should have grown to a blastocyst, and a good-quality one should have a very thin shell, i.e. in a state of getting ready to hatch out on its own.

cutecutetown

原帖由 Happyeverafter 於 10-6-9 14:27 發表
Thanks Cutecutetown for your advice.

I took piriton at nite to ease the itchiness and steriod cream if the condition is unbearable.

I am not so stress in this round of ivf as compared to the previo ...

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chichiho

子爵府

積分: 11241

316^#

發表於 10-6-10 20:25 |只看該作者

原帖由 cutecutetown 於 10-6-8 11:19 發表
hello chichiho,
No, there is equal chance of getting girls or boys. There is no evidence that icsi gives more girls simply because X-bearing sperm swims slower than Y-bearing sperm.

Some interventio ...

thanks for your information

i understand, in theory, that the chance is equal to give boy and girl, i just wonder would the lab technician tend to catch more x-sperm than y-sperm as it is easier to catch?

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Happyeverafter

積分: 118

317^#

發表於 10-6-10 22:56 |只看該作者

Thanks Cutecutetown.

If the hatching will do no harm and might help in impantation, why isn't it being adopted as a protocol as opposed to an option?

I am still in two minds whether to do 3 days transfer + hatching or just day 5 transfer :-(

原帖由 cutecutetown 於 10-6-10 16:45 發表
Dear Happyeverafter,

Assisted hatching is an optional procedure that can be done on the embryo's "shell". Technically, we will either open a hole on the "shell" or thin a region of the "shell". An ...

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susan19771118

大宅

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318^#

發表於 10-6-11 00:28 |只看該作者

回覆 1# Happyeverafter 的文章

Hi Cutecutetown,

I saw there is a sister here mentioned that she failed in several times of FET because of poor quality of embryos which caused by too many (29) eggs retrieved. Please advise if too many eggs retrieved in one cycle would result in poor quality. I asked because I got 26 eggs which is similar to this case. Although majority of embryos are grade one from outlooking, I still concerned this quality and quantity issue. Thank you.

Susan

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發表於 10-6-11 09:43 |只看該作者

Dear chichiho,

Over the years, I don't see ICSI produce more girls than boys; the ratio is still quite balanced. So, I don't think the lab tech. can select an x- or y-sperm based on its speed of movement :)

Besides, when the sperm can swim fast, we also judge its morphology as well. Many abnormal-looking sperm can also swim very fast, but we simply don't use them to inject into the eggs.

cutecutetown

原帖由 chichiho 於 10-6-10 20:25 發表

thanks for your information

i understand, in theory, that the chance is equal to give boy and girl, i just wonder would the lab technician tend to catch more x-sperm than y-sperm as it is easier to ...

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