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發表於 10-7-7 21:22 |只看該作者

Thanks cutecutetown for your reply. In case we want to do a IVF - with this sperm report, would you suggest IVF+ICSI to maximize the chance and hopefully a healthy baby I can carry to term.

原帖由 cutecutetown 於 10-7-7 14:51 發表
Dear lee028,

Although your hubby's sperm morphology is low, the density and motility probably compensate. It's hard to tell whether morphology affects success rates or contribute to miscarriages, be ...

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404^#

發表於 10-7-8 09:51 |只看該作者

Dear Pooh2008,

Have you been on any 安胎 injection in the last few days? Only if NOT on 安胎 injection, your beta-hcg showed that you are pregnant at this point. Is today your "official" bingo test given by your doctor?

cutecutetown

原帖由 Pooh2008 於 10-7-7 17:45 發表
Hi cutecutetown,
我今日FET(26/6)後第十一日, beta-hcg 47.75, 指數OK嗎? 再一次說句謝謝!

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405^#

發表於 10-7-8 09:57 |只看該作者

Dear dingsmama,

Glad that the spotting stopped and you had the injection. Take some rest and all other things lightly, do not get stressed.

Best wishes, cutecutetown

原帖由 dingsmama 於 10-7-7 19:22 發表
Thanks much, cutecutetown! Yes, I have the 塞藥 all along. FYI, my spotting kinda stop after bedresting for 2 days (even with bedrest, the spotting last time was 2 weeks long), and I went back to cli ...

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406^#

發表於 10-7-8 10:27 |只看該作者

Dear lee028,

To be simple, treating you as if I don't know you at all, and assuming your eggs are now retrieved in my lab and your husband is giving me this sperm, my lab would first process the sperm. By processing the sperm, we can often "concentrate" the better-quality ones (i.e. with improved motility and morphology). If the prepared sperm is optimal, we would do a straight IVF.

However, some labs are doing ICSI for all cases regardless of sperm quality. Just a quick note that whether it is a straight IVF or ICSI, we always use prepared sperm.

The advantage of doing ICSI is that in normal circumstances, fertilization is almost ascertained. Given the same eggs, ICSI should achieve similar rate of fertilization as IVF. Fairly speaking, we in the lab 'unite' the sperm and egg together so that the number of embryos derived from your retrieved eggs can be maximized. We all hope that everybody can take home a healthy baby, and for those who become pregnant, many of them do. But still, keep in mind that the health of ivf/icsi babies is similar to that of natural babies; i.e. there will still be a very small chance the babies may not be born or born with disabilities.

cutecutetown

原帖由 lee028 於 10-7-7 21:22 發表
Thanks cutecutetown for your reply. In case we want to do a IVF - with this sperm report, would you suggest IVF+ICSI to maximize the chance and hopefully a healthy baby I can carry to term.

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Pooh2008

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407^#

發表於 10-7-8 11:09 |只看該作者

我今朝report了給診所, 姑娘話5050, 叫我明天再驗多次, 看指數有否上升, 我由放胎開始每日打針同塞藥, 真係唔明點解兩次都係甘, 上次hcg得13都打定輸數, 今次又比個希望我...但可能最後都要失望, anyway多謝你~

原帖由 cutecutetown 於 10-7-8 09:51 發表
Dear Pooh2008,
Have you been on any 安胎 injection in the last few days? Only if NOT on 安胎 injection, your beta-hcg showed that you are pregnant at this point. Is today your "official" bingo test ...

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粒粒豆

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408^#

發表於 10-7-8 14:40 |只看該作者

Cutecutetown,

你好, 我6月11號做FET, 好幸運地我bingo咗, 請問預產期應該點計呢? 我嘅雪胎係抽卵後計Day3雪嘅, 我6月8號驗到有LH surge, 6月11號放胎。last period 5月22。

我7月4號晚流血, 第二日去急症室即刻入院, 當日照超聲波只係見到yolk sac, 請問yolk sac係咪其他人講嘅胎囊呢? 醫生話由於個胎太早, 所以未見到個胚胎, 請問以我當日嘅周數, 只係見到yolk sac而見唔到胚胎係咪正常呢? 因為我仲係好擔心呀!

另外初孕流血係咪一定係作小X呢? 有冇其他正常嘅原因會導致出血呢?

我下星期一, 即7月12號再去醫院照超聲波, 咁到時嘅周數又應該見到心跳未呢?

對唔住我咁多問題, 因為我真係好擔心, 多謝你嘅解答!

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409^#

發表於 10-7-8 19:22 |只看該作者

Hello 粒粒豆,

Your 預產期 is still quite far away, and once your pregnancy is more stable, your doctor will tell you the expectant date. Just to help a little with how to calculate the "days" in a pregnancy, somewhat treat your day of LH surge as a mark of the 14th day. So, your day of bingo test is somewhat equivalent to the 4th week of pregnancy. The day is hard to be exact, so give and take ~2 days is ok and you should not get stressed out.

On July 5 you were in the Emergency room and only the yolk sac (卵黃囊) could be seen. (I am looking at a calendar to figure out the weeks.) Your bingo result was probably on June 25, which means that by July 5 you were roughly on your end of week 5 and early week 6. In most other pregnancies, only yolk sac can be seen at this stage. Fetal heart beat (cardiac activity) will be visible soon, usually ~6 weeks and on. Sometimes it depends on the resolution of the ultrasound machine as well.

初孕流血係咪一定係作小X呢? Likely. Has your spotting/bleeding stopped? Does your FET doctor know and give you any direction/instruction? My last few postings also talked about spotting and early miscarriages. You may find something helpful there as well.

By next week July 12 when you will get an u/s, there should be 心跳. From now till then, try to relax and be well rested. Take it as a good sign if your bleeding has stopped.

cutecutetown

原帖由 粒粒豆 於 10-7-8 14:40 發表
Cutecutetown,

你好, 我6月11號做FET, 好幸運地我bingo咗, 請問預產期應該點計呢? 我嘅雪胎係抽卵後計Day3雪嘅, 我6月8號驗到有LH surge, 6月11號放胎。last period 5月22。

我7月4號晚流血, 第二日去急症室即刻入 ...

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粒粒豆

積分: 704

410^#

發表於 10-7-8 19:41 |只看該作者

多謝你呀Cutecutetown,聽完你講我安心好多喇, touchwood我只係4號晚同5號朝有流血, 血量唔多, 同埋5號朝早10點後touchwood都冇再流。

聽完你講話好多人都只係見到有yolk sac我都冇咁擔心。我會追返你之前啲post嚟睇。

我未同FET嘅醫生講呀, 因為我喺瑪麗做FET, 但係屋企住得遠, 所以果日見紅唔敢去得遠, 去咗屋企附近嘅醫院, 呢幾日病假唔敢周圍去, 所以諗住下星期一覆診期先同醫生講。

真係好多謝你呀cutecutetown, 你真係好好好好人, 你幫咗我哋好多好多呀。

原帖由 cutecutetown 於 10-7-8 19:22 發表
Hello 粒粒豆,

Your 預產期 is still quite far away, and once your pregnancy is more stable, your doctor will tell you the expectant date. Just to help a little with how to calculate the "days" in a p ...

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發表於 10-7-9 10:01 |只看該作者

Dear 粒粒豆,

You are very welcome. Glad to know your bleeding has stopped; but be careful that if the bleeding returns before your next clinic visit, give QM IVF centre a call. At least the nurse can tell you what you should and can do.

Take care,
cutecutetown

原帖由 粒粒豆 於 10-7-8 19:41 發表
多謝你呀Cutecutetown,聽完你講我安心好多喇, touchwood我只係4號晚同5號朝有流血, 血量唔多, 同埋5號朝早10點後touchwood都冇再流。

聽完你講話好多人都只係見到有yolk sac我都冇咁擔心。我會追返你之前啲post嚟睇 ...

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sukudo

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412^#

發表於 10-7-9 12:58 |只看該作者

cutecutetown
我早上7:00起身塞藥, 之後已經sleep多2小時到9:00起身, 不過都仍然有藥渣滲出, 想問會唔會吸收得唔夠架?

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413^#

發表於 10-7-9 14:41 |只看該作者

Dear sukudo,

It's ok even if you find some discharge/small white globules. Direct quote from Crinone website:
"It is common, and not harmful, to have some gel residue buildup. Gel accumulation may be less likely to occur if the gel is applied in the morning because activities like walking may help spread the gel on the vaginal walls. If gel accumulation becomes bothersome, talk to your doctor."

I've also asked my nurse that activities actually help absorption; so, you may not need the 2-hour bed rest if you really have things to do.

By the way, how many embryos did you transfer?
cutecutetown

原帖由 sukudo 於 10-7-9 12:58 發表
cutecutetown
我早上7:00起身塞藥, 之後已經sleep多2小時到9:00起身, 不過都仍然有藥渣滲出, 想問會唔會吸收得唔夠架?

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jactse

複式洋房

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414^#

發表於 10-7-10 00:01 |只看該作者

Dear Cutecutetown,

Thanks very much for your advice on my hormone 分秘失調. After consulting the QM nurses, I will have the nasal spray on 18/7, and start the injection on 31/7. As I am in the public queue, the doctor asked me to confirm which method I would prefer for the injection. I can either choose to take out the hormone and ask someone for injection, or use another hormone for injection by myself (on the belly).

I think I can manage the logistics of arranging injection by the clinic before going to work. May I ask if there is any difference between these two ways of injection? Would the effect for injection by self (on the belly) better as it's more expensive ($8K-$12K more, someone also said it's more effective because it's near the uterus), or it's higher price is solely for the convenience?

I am quite worried that I'm not professional enough and never have injection by myself. Also I may feel painful or not dare to have the injection.

Thanks for your advice in advance. Your professional knowledge really helps us a lot. And you are so kind to provide so many valuable info to us.

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發表於 10-7-11 14:06 |只看該作者

Dear jactse,

Hello, so your treatment isn't delayed, which is a good news.

For the injections, if you can go to the QM clinic to have it daily, then it doesn't matter which type you choose. Only when you want the flexibility of doing it anywhere or at home, then you have to get the "inject by the belly" type.

The "inject by the belly" type (Gonal-F or Puregon) is a very pure gonadotropin. It is more expensive because its production requires a very sophisticated technology. Other types/brands of gonadotropin also give you the same hormone, with negligible amount of impurities. However, the effectiveness of any one kind will not be affected whether it's injected into the belly or other places of your body.

The design of the belly injection is very user-friendly, both in the dosage adjustment and the way it is injected. You may also ask your husband to help if you are scared.

Hope everything will be easy and smooth.
cutecutetown

原帖由 jactse 於 10-7-10 00:01 發表
Dear Cutecutetown,

Thanks very much for your advice on my hormone 分秘失調. After consulting the QM nurses, I will have the nasal spray on 18/7, and start the injection on 31/7. As I am in the publ ...

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lee028

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416^#

發表於 10-7-11 20:20 |只看該作者

Hi cutecutetown, another update. I just have my first gyn visit on last Fri - i.e. at 6 weeks 1 or 2 days la.
We saw a clear yolk sac with heart beat. Size is around 4.5mm - is it within normal range?

I have asked doctor about the bleeding - he has scanned it for quite awhile but still has no clear idea of what's happening. He said there didn't seem to be any bleeding around the sac. Then he saw another very blur image which he told us it 'can be' another embryo (only 胎囊) but can't be sure. If it 'is' another embryo, it maybe the reason why I am bleeding. Then my question is
- I started bleeding (brownish discharge) since Jun 21. I had my blood test for pregnancy on Jun 24. My hcG is 231. Any chance I am actually carrying twin but one of them is 'leaving'?

The coming two weeks are most critical, coz my last two miscarrages happened on week 8-9 - BB add oil ar

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發表於 10-7-11 21:43 |只看該作者

Dear lee028,

You are really a good proof to other jm's that no one should "feel" defeated by (1) IVF being converted to IUI; and/or (2) a sperm normal morphology being 4%.

The blurry image, as your doc suspected, could be the other implanted embryo but miscarried very early. We can never be sure about it; the remnants of it will be re-absorbed and won't affect the nearby implanted one, in case you do worry. The important thing now is to hope the present one will continue to grow. To help to "add oil", I believe you will get as much rest and bed rest as you can. You probably know better than I do, and got some tips from your doctor as well.

Take care, cutecutetown

原帖由 lee028 於 10-7-11 20:20 發表
Hi cutecutetown, another update. I just have my first gyn visit on last Fri - i.e. at 6 weeks 1 or 2 days la.
We saw a clear yolk sac with heart beat. Size is around 4.5mm - is it within normal rang ...

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lee028

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418^#

發表於 10-7-12 11:05 |只看該作者

Hi cutecutetown, thanks for your reply. I will try to take more rest. My doc doesn't quite believe in bed rest but doing things in moderation will always be best.
So do you think the size 4.5mm at week 6 day 1 or 2 is ok/ within normal range? I saw some website said, it should be 7-9mm

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jactse

複式洋房

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419^#

發表於 10-7-12 12:13 |只看該作者

Dear Cutecutetown,

Thanks for your advice. I'm still considering which medicine & method to choose. QM is quite far away from my home, but since my office is at Admiralty, I can manage to go to QM or find a clinic near office for the rejection before going to office everyday.

So per your advice, is it that Gonal-F or Puregon are "pure" than other types or brands but does not affect the effectiveness? Since I got some problems in the hormone which affect the period & ovulation, I don't know if the "impurity" of other brands are really "negligible" for me.

As long as the "purity" can enhance the successful rate , I can adjust the injection method and money required...

Thanks.

原帖由 cutecutetown 於 10-7-11 14:06 發表
Dear jactse,

Hello, so your treatment isn't delayed, which is a good news.

For the injections, if you can go to the QM clinic to have it daily, then it doesn't matter which type you choose. Only wh ...

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