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Baby Kingdom - 親子王國香港討論區 › 首頁 › 想生BB› ivf Q & A

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樓主: cutecutetown

ivf Q & A

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積分: 854

521^#

發表於 10-8-12 16:47 |只看該作者

Dear cutecutetown
我因為宮外孕而切掉右邊輸卵管, 今年六月因為肚痛又照到左邊輸卵管口有5cm大水瘤再做手術切掉個水瘤, 醫生話幫我通咗左邊輸卵管但都話比較難懷孕所以寫咗封介紹信叫我去做IVF. 我已經排緊政府醫院, 但係兩年後先見醫生. 我同我先生去過專門人工受孕診所, 佢地話我仲後生所以IVF成功機會都好大. (其實就快30yrs)
我想問下我情況係咪一定要做IVF?
我地想2012生B, 係咪應該2011年中開始做IVF?
咁係咪唔好自己try to have baby?

Thank you.

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cutecutetown

男爵府

積分: 9496

522^#

發表於 10-8-12 19:31 |只看該作者

Hello Peanutqbi,

IVF will give you a better chance compared to waiting for a natural conception. However, you should continue trying on your own while waiting in line for ivf in 政府醫院.

In theory, if everything happens as wished, then yes, you will need to do ivf around mid 2011 in order to have your baby in 2012. However, couples doing their first time ivf may find lots of unknowns and it is very difficult to set a time line like yours.

cutecutetown

原帖由 Peanutqbi 於 10-8-12 16:47 發表
Dear cutecutetown
我因為宮外孕而切掉右邊輸卵管, 今年六月因為肚痛又照到左邊輸卵管口有5cm大水瘤再做手術切掉個水瘤, 醫生話幫我通咗左邊輸卵管但都話比較難懷孕所以寫咗封介紹信叫我去做IVF. 我已經排緊政府醫院 ...

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Peanutqbi

別墅

積分: 854

523^#

發表於 10-8-13 09:32 |只看該作者

Is my pleasure to get your answer. Actually I was planning try to having a baby by natural conception in next year, but somehow there is no one I can ask and no clear direction to lead me to go for it, I am really glad to hear that, thank so much

原帖由 cutecutetown 於 10-8-12 19:31 發表
Hello Peanutqbi,

IVF will give you a better chance compared to waiting for a natural conception. However, you should continue trying on your own while waiting in line for ivf in 政府醫院.

In theory ...

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Annie888

禁止訪問

積分: 10633

524^#

發表於 10-8-13 10:21 |只看該作者

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cutecutetown

男爵府

積分: 9496

525^#

發表於 10-8-13 10:55 |只看該作者

Dear Annie888,

Embryo quality is quite consistent over time. Let's see your bingo test and do not worry too much ahead at this point. Tackle one thing at one time.

Try to relax and be optimistic.
cutecutetown

原帖由 Annie888 於 10-8-13 10:21 發表
Thanks for your support.

I'm awaiting for my bingo test of 3rd IVF with the use of Saizen. As I think I'll fail this time and consider if I should go further IVF.

Dr said that the reason of past f ...

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bingoc9

民房

積分: 15

526^#

發表於 10-8-20 11:15 |只看該作者

all 3 embryos grow

Dear cutecutetown,

I had my ET on 2 July. All 3 grade 1 embrys transferred are successful. Now I have 3 bbs inside me. Doctors advised me to consider embryo reduction because of the risk of too early delivery & undeveloped BBs. Now I must make a extremely difficult decision.

By the way, I am 40 and it was my 1st ivf. The doctor said it is very little chance to have all 3 success.

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cutecutetown

男爵府

積分: 9496

527^#

發表於 10-8-20 23:43 |只看該作者

Dear bingoc9,

Indeed you are both lucky and unlucky. Having all 3 implanted is very rare; and you may really have to consider embryo reduction as your doctors suggested. There are real health concerns for you and the bb's to be born.

However, fetal reduction cannot be done until you are into your 10-12 weeks of gestation (actually you will soon be 10 weeks). It is not uncommon that women at your age or those with 3 fetuses may naturally miscarry 1 or even 2 of the fetuses before reaching 12 weeks. If not, your doctors must have explained in details the medical side of things about triplet pregnancy and you should seriously consider what they said.

cutecutetown

原帖由 bingoc9 於 10-8-20 11:15 發表
Dear cutecutetown,

I had my ET on 2 July. All 3 grade 1 embrys transferred are successful. Now I have 3 bbs inside me. Doctors advised me to consider embryo reduction because of the risk of too ea ...

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yokada

大宅

積分: 2515

528^#

發表於 10-8-21 10:13 |只看該作者

Dear Cutecutetown,

我已做過几次IVF, 有兩次成功著床, 但唔长胎, 没有心跳, 最后小X。最近醫生suggest 我去驗immune system, 發现有Anti-Nuclear Antobotics及有其他抗体, 懷疑這是經常失敗的原因, 故refer我去個血液科專科醫生, 刚抽血再驗多少少野, report返來就start treatment, 這個血液科醫生说会用IVIG去reduce抗體, just want to know if this really works, 有人成功而懷孕嗎? 有没有危險? Please advise.應该係start treatment 后再去放胎, if success 要keep 住打針食葯。

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cutecutetown

男爵府

積分: 9496

529^#

發表於 10-8-21 12:23 |只看該作者

Hello yokada,

Seems to work, but I know the treatment can be very expensive because you need to continue the treatment even during your pregnancy.

I have seen patients getting pregnant because of the treatment, but the few I came across didn't get any pregnancy/implantation before IVIG; this is a little different from you.

For those other jm's reading this post; IVIG is not the "magical" solution. You can't just have it done because you want it or you can afford it. Only if you have highly elevated ANA (anti nuclear antibody) and/or other immune factors as proven and therefore measurable from your blood, will you then consider such treatment. Again, it works for some but not for all. Your immune system is a relatively rare reason for failing to get pregnant, and most reproductive specialists are aware of this and that's why they will not suggest this to you as a first-line treatment.

cutecutetown

原帖由 yokada 於 10-8-21 10:13 發表
Dear Cutecutetown,

我已做過几次IVF, 有兩次成功著床, 但唔长胎, 没有心跳, 最后小X。最近醫生suggest 我去驗immune system, 發现有Anti-Nuclear Antobotics及有其他抗体, 懷疑這是經常失敗的原因, 故refer我去個 ...

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yokada

大宅

積分: 2515

530^#

發表於 10-8-21 17:58 |只看該作者

Hi Cutecutetown,

Thanks for your info. Hope this can work on me.

原帖由 cutecutetown 於 10-8-21 12:23 發表
Hello yokada,

Seems to work, but I know the treatment can be very expensive because you need to continue the treatment even during your pregnancy.

I have seen patients getting pregnant because of th ...

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bingoc9

民房

積分: 15

531^#

發表於 10-8-21 19:48 |只看該作者

回覆 4# cutecutetown 的文章

Dear Cutecutetown,

Thank you for your reply. My doctor said that I can check BBs neck skin at 11 weeks to choose which embryo to reduce. He said there will be 5% risk to lose all BBs due to the reduction operation. I hope one BB will lose naturally before the deadline.
Beside, I really want to do 絨毛or洋水test to confirm my BBs health because of my age. Do you think it worths to do so?

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cutecutetown

男爵府

積分: 9496

532^#

發表於 10-8-22 00:07 |只看該作者

Dear bingoc9,

Note that the procedure (CVS or amnio) has some risks too. In your case, I think it is worth to do. Your doctor will give you further advice when you are into your 12+ weeks.

cutecutetown

原帖由 bingoc9 於 10-8-21 19:48 發表
Dear Cutecutetown,

Thank you for your reply. My doctor said that I can check BBs neck skin at 11 weeks to choose which embryo to reduce. He said there will be 5% risk to lose all BBs due to the red ...

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Annie888

禁止訪問

積分: 10633

533^#

發表於 10-8-24 11:46 |只看該作者

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cutecutetown

男爵府

積分: 9496

534^#

發表於 10-8-24 12:07 |只看該作者

Dear Annie888,

That's an encouraging news and I am very happy for you!

There is really nothing you should do or you should not do; moderation is the key. I don't know how many times I have said so but it just doesn't register in many jm's mind :)

The medicine and hcg injection given by your doc do help; keep using them as your doctor instructed. He/she will decide when you can stop those medication. When will you do the hcg test again? If you will do so in a few days and the level has at least doubled, your bingo should be quite safe. Your doc will help you to interpret the hcg result.

I am not a big fan of Chinese herbs, but if you want to drink some, make sure you inform your doctor first to avoid any unknown side-effect(s).

Take care, cutecutetown

原帖由 Annie888 於 10-8-24 11:46 發表
Miracle happens to me. I bingo finally. It is 4w2 yesterday. Dr count from the the day of egg retrieval (Aug 7). I just think it counts from embryos transfer (Aug 9).

The hcg test worries me. It is ...

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sukudo

男爵府

積分: 5487

535^#

發表於 10-8-24 15:58 |只看該作者

cutecutetown
its me again.....

我9月開始要食7日通經, DAY 2返去blood test + ultrasound, 如果ok會再開始ivf treatment

其實係西醫角度, 有無話2次treatment最好相隔幾耐架?

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男爵府

積分: 7527

536^#

發表於 10-8-24 17:26 |只看該作者

cutecutetown,

請問一個胚胎會分裂到咩情度先會做雪胎架?? 抽卵後第3日要分裂到幾多個cell先叫及格呀??

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cutecutetown

男爵府

積分: 9496

537^#

發表於 10-8-25 13:46 |只看該作者

Dear sukudo,

係西醫角度, there is no "best" time gap in between 2 ivf treatments. The general recommendation is that do not wait too long (in terms of years). Some docs may recommend resting 1 month in between, but resting 2-6 months or no rest at all won't make much difference in cycle outcome.

cutecutetown

原帖由 sukudo 於 10-8-24 15:58 發表
cutecutetown
its me again.....

我9月開始要食7日通經, DAY 2返去blood test + ultrasound, 如果ok會再開始ivf treatment

其實係西醫角度, 有無話2次treatment最好相隔幾耐架? ...

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cutecutetown

男爵府

積分: 9496

538^#

發表於 10-8-25 13:58 |只看該作者

Dear GB,

If you take 抽卵 day as day 0, the next day as day 1 and so on,
on day 2, the embryos should be ~4-cell;
on day 3, the embryos should be ~8-cell.
It is not unusual to have embryos at 2,3,5,6-cell on day 2 and at 6,7,9,10-cell or more on day 3.
We also look at the degree of fragmentation (as reflected by the grade of the embryo) before freezing.

Different centres have different policies to do embryo freezing. Very generally speaking, most labs will freeze embryos on their day-2 or day-3 of development because the methodology is very well-established. Embryos with good grade and/or average grade will be frozen because these embryos can survive through the freeze-thaw process. I personally do not recommend freezing of low-grade embryos.

cutecutetown

原帖由 GB 於 10-8-24 17:26 發表
cutecutetown,

請問一個胚胎會分裂到咩情度先會做雪胎架?? 抽卵後第3日要分裂到幾多個cell先叫及格呀??

私人傳訊回覆引用

sukudo

男爵府

積分: 5487

539^#

發表於 10-9-20 13:26 |只看該作者

我呢排左面卵巢位置有D陰陰痛, 星期6忍唔住去左養和睇, 醫生照到卵巢有個水POP, 如果你記得, 我上次IVF時都已經發現有水POP, 而上次果個水POP都成半年都唔消失, 最後DOCTOR幫我抽蛋時抽走埋個水POP, 不過今次個水POP比較大, 有成3.58 X 3.15, 而且仲有痛, 點好呢?

想問下IVF既針藥影響係唔係有機會引起呢D水POP呢?

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cutecutetown

男爵府

積分: 9496

540^#

發表於 10-9-21 21:31 |只看該作者

Dear sukudo,

Usually these 水POP pre-exist before even starting ivf. Although I can't be 100% sure, ivf drugs/stimulation won't cause the formation of these 水POP (cysts). However, if they are already present (in smaller size similar to your last ivf), the process of ivf stimulation may make it grow bigger. Most doctors will aspirate any cyst at the same time when they are doing the egg retrieval for you.

Did the doc of 養和 give you any advice? Is he/she an ivf doc, or just a general doc? Since you are still considering ivf, you may seek advice from your ivf doc. I don't know if he/she may suggest aspiration of that cyst to relieve your pain. When was your last period? If it has been a few months since your last M, your doc may prescribe you some medicine to induce your M and see if that cyst may disappear or reduce in size.

I hope you will have some pain relief after seeing your ivf doc (or any ivf doc if yours is busy/away).
cutecutetown

原帖由 sukudo 於 10-9-20 13:26 發表
我呢排左面卵巢位置有D陰陰痛, 星期6忍唔住去左養和睇, 醫生照到卵巢有個水POP, 如果你記得, 我上次IVF時都已經發現有水POP, 而上次果個水POP都成半年都唔消失, 最後DOCTOR幫我抽蛋時抽走埋個水POP, 不過今次個水POP ...