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發表於 10-8-4 22:36 |只看該作者

原帖由 cutecutetown 於 10-8-4 10:23 發表
Dear ABCMum,

I have worried about this scenario and warned about the cancelling of your cycle (you had odd bleeding while you were on hormonal injections). Although the time clock cannot be unwound, ...

Dear cutecutetown,

thanks for your advice. i met with my dr today and should start another cycle in oct.

he said will change the medicine for me (hope can have some improvement) and will not have any nasal spray this time. i also told him that i got bleeding during my injection (as my dr in charge will not do the u/s in early morning in qm), he said that will not cause any problem at all. only that i may have a bit too long of injections (total of 14 days) and the follicles were getting old when retrieved.

all i can do now is to take the supplement for improvement, and now taking rest. i just told myself, at least i dont need to wait for 2 more weeks before i know i have to take another ivf cycle.

once again, thanks for your advice and care, hope can give u good news later la!

abcmum

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ychoho

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發表於 10-8-5 09:30 |只看該作者

Cutecutetown.

Really thank you for your professional advice and unconditional help to u. U are a great comfort to us undergoing the stressful process. FYI, yesterday I saw my Dr and was diagnosed of OHSS. I was urged not to go to work this week.

BTW, another question: since both husband and I are in high age, we worry some genetic issues (e.g. Down sydromes) though our embryos look good on Day 2. Do u think we should have genetic analysis on the embryos before implantation? Is the analysis available in Union Hospital?

Thank you for your kindness.
ychoho

原帖由 cutecutetown 於 10-8-4 10:10 發表
Hello ychoho,

(1) Grade usually refers to the degree of fragmentation only. Grade 1 is none to little (~10%) fragmentation; grade 2 is ~10-25%. I know some centres also have grade 1-/grade 2+/grade ...

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發表於 10-8-5 12:50 |只看該作者

Dear ychoho,

To my knowledge, the analysis (PGD) is not available at Union Hosp. However, it may be available in other centres. I won't recommend it to you yet because I personally am not very confident with the current method of analysis.

cutecutetown

原帖由 ychoho 於 10-8-5 09:30 發表
Cutecutetown.

Really thank you for your professional advice and unconditional help to u. U are a great comfort to us undergoing the stressful process. FYI, yesterday I saw my Dr and was diagnosed o ...

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發表於 10-8-5 12:56 |只看該作者

Dear ABCMum,

Glad with your positive attitude :)

While you allow yourself a break, I hope the supplements you mentioned are just vitamins. Check my earlier reply (on Aug 3,4) to "snoopy333" with reference to those health products she mentioned.

Take care, cutecutetown

原帖由 ABCMum 於 10-8-4 22:36 發表

Dear cutecutetown,

thanks for your advice. i met with my dr today and should start another cycle in oct.

he said will change the medicine for me (hope can have some improvement) and will not have ...

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發表於 10-8-5 13:19 |只看該作者

Dear cutecutetown,

Thanks for your previous reply.

Last cycle I took only 10 days to shrink the cyst. Then, cyst disappeared but the AFC only 4 follicles & cycle cancelled.

My ovulation normally happen on day 14. Today is day 18, I tested red d this morning & no LH surge at all! I think my ovaries were still over-suppressed by the BCP...I remember the cycle right after IVF, ovulation was delayed by 4 days only.

Do you think when M come, my ovaries will be back normal & also the initial follicles? Please advise. Thx!

原帖由 cutecutetown 於 10-7-20 19:56 發表
Dear 幸福大少奶,

No need to regret, I still think you have done the right thing taking the BCP. If you had rested without the BCP, your next cycle/next egg cohort might still start asynchronized (wi ...

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發表於 10-8-5 16:26 |只看該作者

Dear 幸福大少奶,

Do you mean you had tested your LH surge on day 14? Did you test in between day 14 and day 18?

When your M comes again, your ovaries should have recovered, but AFC (initial follicles) is hard to predict. Do you plan to start this month when M comes? If so, an ultrasound scan by day 1 will help you & your doctor to decide whether to start or not.

cutecutetown

原帖由 幸福大少奶 於 10-8-5 13:19 發表
Dear cutecutetown,

Thanks for your previous reply.

Last cycle I took only 10 days to shrink the cyst. Then, cyst disappeared but the AFC only 4 follicles & cycle cancelled.

My ovulation normally h ...

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發表於 10-8-5 17:19 |只看該作者

Dear cutecutetown,

Thanks for your advice.

I started testing the LH surge from day 13 to day 18 and no response at all.

Last time I followed my doctor's suggestion to take a rest due to over-suppression of the ovaries. So I will try naturally in current cycle. However, I have been testing for 6 days but no LH surge. I guess the ovulation would delay for a few days or even a week.

I will consult my doctor when M come next cycle to see if I can start my 2nd IVF. Hope the initial follicles will be good in number!

原帖由 cutecutetown 於 10-8-5 16:26 發表
Dear 幸福大少奶,

Do you mean you had tested your LH surge on day 14? Did you test in between day 14 and day 18?

When your M comes again, your ovaries should have recovered, but AFC (initial follicl ...

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發表於 10-8-6 12:27 |只看該作者

Dear 幸福大少奶,

I suspect you may not ovulate this month, but still keep checking and try a natural cycle even if your LH surge comes late.

Do give your doctor a call if you can't detect your LH surge (say by day 24) and seek his advice.

cutecutetown

原帖由 幸福大少奶 於 10-8-5 17:19 發表
Dear cutecutetown,

Thanks for your advice.

I started testing the LH surge from day 13 to day 18 and no response at all.

Last time I followed my doctor's suggestion to take a rest due to over-suppre ...

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titatium

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發表於 10-8-6 14:50 |只看該作者

Dear cutecutetown,

I did embro transferred on 24 Jul. I started bleeding on 3 Aug and have been lasting for 4 days 4 nights. I had a pain in my stomach from time to time. The amount of bleeding is much more than the normal M come. Althrough my urine test on 9 Aug, I knew that I failed this time.

I want to know how long for the bleeding while the IVF is failed? I'm afraid of bleeding because it's abnormal compared to M come.

What can I do right now? The nurse of QM said need to wait for the next appointing date for the urine test. That means nothing to do right now.

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發表於 10-8-6 17:26 |只看該作者

Dear titatium,

After the embryo transfer and if the embryo(s) didn't implant, M will come ~2 weeks (counting from the day of ET). For some people, M may come sooner; while for others, M may come close to the day of urine preg. test. Since it is similar to a regular menstrual period, this "post-ivf" M will generally last from 4-7 days.

Did you call the nurse of QM when you started bleeding (~Aug 3)? Since you mentioned your bleeding was much heavier than your usual M, I think they should know about it too.

I hope you did get some instructions from the nurse. Has the bleeding stopped already?

cutecutetown

原帖由 titatium 於 10-8-6 14:50 發表
Dear cutecutetown,

I did embro transferred on 24 Jul. I started bleeding on 3 Aug and have been lasting for 4 days 4 nights. I had a pain in my stomach from time to time. The amount of bleeding is m ...

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Annie888

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發表於 10-8-6 18:53 |只看該作者

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發表於 10-8-7 16:53 |只看該作者

Dear cutecutetown,

Thanks for your advice.

Yesterday (day 19) I finally detected LH surge that came a few days later than my normal cycles (day 14 or 15). In the previous cycle right after ivf (LH surge on day 18). My doctor said it is still normal right after ivf.

I wonder if it's slightly due to the BCP. Perhaps my ovaries have just "woke up" and produced the egg a bit slowly...my FSH was 5.7 in the 1st IVF cycle. Do you think my FSH will be higher now? I'm a bit worried about the eggs reserve / poor quality / poor response in coming IVF cycle. Please advise! Thx!

原帖由 cutecutetown 於 10-8-6 12:27 發表
Dear 幸福大少奶,

I suspect you may not ovulate this month, but still keep checking and try a natural cycle even if your LH surge comes late.

Do give your doctor a call if you can't detect your LH su ...

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發表於 10-8-8 13:21 |只看該作者

Hello Annie888,

Saizen is a growth hormone. I don't have much experience with it; one of the doctors I worked with used it in patients with poor ovarian response to encourage follicle growth (in numbers and hopefully in quality). No harmful side-effect was seen in the women's ivf processes and outcome.

cutecutetown

原帖由 Annie888 於 10-8-6 18:53 發表
Dr suggest me to inject Saizen as my embryos can not survive to day5 in last IVF. Does it has any side effect? I have 子宮內膜異位. Does it affect the quality of the follicles?

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發表於 10-8-8 14:51 |只看該作者

Dear 幸福大少奶,

Maybe it's still due to the BCP; it may seem somewhat longer for you, but the day (day19) of the LH surge is within the normal range for most people. And I won't be too worried because you did ovulate.

Your ivf cycle was not too long ago (I can't recall when it was). Your FSH won't increase or decrease dramatically over a short time. FSH is a very general indicator; when it is below 10, don't be picky comparing any value.

Egg reserve and ivf response are somewhat related --> the more eggs you have in your reserve, likely the better response to ivf drugs.

Egg quality is slightly more complicated; although still very generally, the younger you are, the more likely you have eggs of reasonable quality. FSH nor any other one single factor is a good indicator of egg quality. If the same drugs are used with similar length & dosage, I find that the egg quality of your last cycle is the best predictor of egg quality of your coming cycle.

cutecutetown

原帖由 幸福大少奶 於 10-8-7 16:53 發表
Dear cutecutetown,

Thanks for your advice.

Yesterday (day 19) I finally detected LH surge that came a few days later than my normal cycles (day 14 or 15). In the previous cycle right after ivf (LH s ...

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發表於 10-8-8 20:13 |只看該作者

Dear cutecutetown,

Many thanks for your advice! :)

I've done my 1st IVF in May 2010. I injected 225iu (Gonal+Puregon) for 5 days and then 300iu with Cetrotide for 2 days before HCG shot. I just produced 6 follicles; retrieved 5 eggs & 4 mature; Fertilized 3 & transferred all 3 embryos (2 grade 1- & 1 grade 2).

My doctor last time suggested me to inject 300iu to produce more eggs in coming ivf. I wonder if this protocol can produce more eggs but compensate with the egg quality.

Also, sometimes don't know when Day 1 is? With bloody secretion or heavy blood flow? Last time I had 2 days of bloody secretion but I did not count it as day 1. I did consult with another embryologist in other ivf centre, she told me that with bloody/brownish secretion is day 1 & should call the centre to have u/s on day 3; otherwise, it's too late for injection to produce more eggs in ivf cycle. If it is correct, I did delay injection 2 days & that's why I produced only a few eggs!!! I'm so confused now. May I have your thoughts? Thx!

原帖由 cutecutetown 於 10-8-8 14:51 發表
Dear 幸福大少奶,

Maybe it's still due to the BCP; it may seem somewhat longer for you, but the day (day19) of the LH surge is within the normal range for most people. And I won't be too worried beca ...

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發表於 10-8-9 13:50 |只看該作者

Dear 幸福大少奶,

300 iu for this round should be ok for you. If the same medication (Gonal-F?) is used, I don't think it will compromise egg quality. Besides, your embryo quality from the last ivf looked good to me; this is a good sign for the coming cycle if everything goes smoothly.

Yes, for a better egg cohort recruitment, it's more logical to treat the bloody/brownish secretion day as day 1. However, in reality, even without that 2-day delay in your last cycle, the outcome would have been very similar in terms of egg number. Every cycle is independent, so it's somewhat up to your body to decide how many eggs to recruit in each cycle. Now that you know how to do day 1 and also your doc will give you 300iu to begin with, you will hopefully have more eggs. I am guessing it will be ~10+/-2 follicles. Don't expect too many. All you need is a few quality embryos that can give you a baby or two.

Good luck, I am confident with you.
cutecutetown

原帖由 幸福大少奶 於 10-8-8 20:13 發表
Dear cutecutetown,

Many thanks for your advice! :)

I've done my 1st IVF in May 2010. I injected 225iu (Gonal+Puregon) for 5 days and then 300iu with Cetrotide for 2 days before HCG shot. I just prod ...

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titatium

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發表於 10-8-9 16:24 |只看該作者

原帖由 cutecutetown 於 10-8-6 17:26 發表
Dear titatium,

After the embryo transfer and if the embryo(s) didn't implant, M will come ~2 weeks (counting from the day of ET). For some people, M may come sooner; while for others, M may come clo ...

Thank you very much of your advice.
I started bleeding from 3 Aug and lasting for over 1 week. On 6 Aug which I wrote the message for you, I went to visit chinese EC for stopping my bleeding and relieving my pain. I told him my situations, EC said 宮寒、氣虛血弱、著唔到床等.
As nurse of QM said nothing can do, the period will stop finally and uncertain whether how long of the bleeding. Up to now, I still have a little bit bleeding but much better now.
I will take Chinese medicine for improve my health first and will wait few more months to start again. This is my first IVF and only got 1 embryo cryopreservation. I don't want to waste money and opportunities for doing IVF in QM. Thanks.

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Annie888

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發表於 10-8-10 12:53 |只看該作者

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