想生BB 今日: 0 | 主題: 109600

積分: 5487

541^#

發表於 10-9-22 16:28 |只看該作者

原帖由 cutecutetown 於 10-9-21 21:31 發表
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 alre ...

我上次7月IVF抽蛋既時候, 醫生已經幫我抽左個水POP架啦, 只不過而家又有, 我下次IVF都係QM, 不過我一向睇開既婦科醫生係養和, 我2年前有子宮內膜非典形增生既病, 所以一直都有覆診

其實我岩岩開始食PROVERA, 本來經期一到既DAY2 就返QM blood test, 其實開始食provera之前既一星期已經feel到有dd痛架啦, 而家唯有m come後照下個水pop有無細到啦

不過我好怕個水pop會令E2高, E2高我又唔可以開始treatment

想問下呢d水pop通常係唔係良性架?

私人傳訊回覆引用

積分: 9496

542^#

發表於 10-9-27 14:13 |只看該作者

Dear sukudo,

Yes, 水pop通常係良性; and very often they come back even after you have got rid of them.

When you will get a chance to see your 婦科醫生@養和, you may ask if you can start an ivf cycle ignoring the cyst. At 養和, 2-3 of its 婦科醫生 actually are also ivf specialists. It is still the best to do ivf without the cyst; but if it keeps coming back, it is really a judgement call by your ivf doc.

Good luck,
cutecutetown

原帖由 sukudo 於 10-9-22 16:28 發表

我上次7月IVF抽蛋既時候, 醫生已經幫我抽左個水POP架啦, 只不過而家又有, 我下次IVF都係QM, 不過我一向睇開既婦科醫生係養和, 我2年前有子宮內膜非典形增生既病, 所以一直都有覆診

其實我岩岩開始食PROVERA, 本來 ...

私人傳訊回覆引用

sukudo

積分: 5487

543^#

發表於 10-9-29 09:21 |只看該作者

原帖由 cutecutetown 於 10-9-27 14:13 發表
Dear sukudo,

Yes, 水pop通常係良性; and very often they come back even after you have got rid of them.

When you will get a chance to see your 婦科醫生@養和, you may ask if you can start an ivf cycle ...

我上次DAY 2返去QM驗血時, 右面卵巢有個水POP, E2 765, 沈日再返去QM驗血, E2仍然高過782, 而家醫生叫我6/10再返去照

doctor話佢地都摸不著頭腦, 我既身體就好似有D野自己去刺激卵巢釋放E2咁樣, 而醫生古計水POP係E2高既後遺症, 我之前一直子宮內膜都有增生情況, 我古E2高係問題既始原

想問下你e2太高做d咩可以有幫助呢? 有無藥可以食?

私人傳訊回覆引用

Sbaby

積分: 3355

544^#

發表於 10-9-30 13:27 |只看該作者

cutecutetown,
你好，我今個cycle 做FET, 醫生每２天幫我照u/s 睇排卵同有食排卵藥。
9月28日﹣卵子size 1.3cm. 內膜1.1cm
醫生當日話未夠大。內膜也未最夠靚。叫我們日9⺝30日再照。點知今日照，可能己經排了。大的卵沒有了。
我9月28日當天，有很多蛋白般分泌。9月30日體溫跌了0.4 度。醫生估我己排卵。但仍立即幫我打破卵針。現在內膜1.3cm 厚。但仍約10月5日先放胎。因為我上一次的胎是day 2 的 4-cell 胎。
想問問你。當做FET 時，排卵後不是３天便放胎嗎？為何醫生要day 5 or 6 先放回。
這樣對這次FET cycle 有影嚮嗎？排卵後內膜會再加厚嗎？我怕1.3cm 己是很厚，不利implant 的了。
謝謝你解答

私人傳訊回覆引用

積分: 9496

545^#

發表於 10-9-30 16:03 |只看該作者

Dear sukudo,

Your E2 is really on the high side. I haven't heard of any medication that can be prescribed to you, or else your doc would have already done so.

Assuming you are overall healthy (except for 子宮內膜增生), do you routinely take any supplements? That's the only thing that comes to my mind. Some of these "health products" do contain estrogen from plant origins; I suppose they are unlikely to cause your high E2, but if you are really taking them, try to stop and see if your E2 will come down.

Note also that soy is also a very good source of phytoestrogen, if you are on a diet rich in soy protein (e.g. tofu, soy milk), then you may try to reduce the amount. Again, my signature line -- moderation is key.

Hope this may help.
cutecutetown

原帖由 sukudo 於 10-9-29 09:21 發表

我上次DAY 2返去QM驗血時, 右面卵巢有個水POP, E2 765, 沈日再返去QM驗血, E2仍然高過782, 而家醫生叫我6/10再返去照

doctor話佢地都摸不著頭腦, 我既身體就好似有D野自己去刺激卵巢釋放E2咁樣, 而醫生古計水PO ...

私人傳訊回覆引用

積分: 9496

546^#

發表於 10-9-30 16:26 |只看該作者

Dear Sbaby,

In FET cycles，it is not a must for 排卵後３天放胎; the day of ET depends on your embryo stage of development when it/they were frozen.

To roughly calculate the "days", after 排卵or 打破卵針 you will need to add about 1.5 days to your embryo's day of development and also usually 1 day for the lab to see if the embryos survive freeze-and-thaw. So, let's take your case as the example. You had 破卵針on 30/9, +1.5 days, +2 days, +1 day, that means your FET day will be around 5/10.

排卵後內膜 is somewhat stable, at least for the implantation window. 1.3cm 不是很厚, and usually we only worry about it being too thin. You are definitely fine.

Take it easy, fertility specialists are very good at calculating the correct days for patients. Relax and enjoy Oct 1 :)

cutecutetown

原帖由 Sbaby 於 10-9-30 13:27 發表
cutecutetown,
你好，我今個cycle 做FET, 醫生每２天幫我照u/s 睇排卵同有食排卵藥。
9月28日﹣卵子size 1.3cm. 內膜1.1cm
醫生當日話未夠大。內膜也未最夠靚。叫我們日9⺝30日再照。點知今日照，可能己經排了。大的卵沒有了 ...

[ 本帖最後由 cutecutetown 於 10-9-30 16:35 編輯 ]

私人傳訊回覆引用

minimeme

積分: 3248

547^#

發表於 10-9-30 17:08 |只看該作者

Hi Cutecutetown,

Is there any way to thinner the 子宮內膜? My 子宮內膜 was 16mm after the 1st ET I have done last year in Sept. I'm in my 3rd IVT attempt, and now under injection period. If the 子宮內膜 is thick like 16mm, this is no good for implantation, right? Then what can I do to avoid this? Should I stop taking any 花膠湯? I'm worry that this is one of the causes for a thick 內膜. I usually drink the soup once a week, I'm thinking of increasing the number of time taking the soup to help the eggs to grow. Please advise. Thanks!

[ 本帖最後由 minimeme 於 10-9-30 17:10 編輯 ]

私人傳訊回覆引用

積分: 9496

548^#

發表於 10-10-1 12:26 |只看該作者

Dear minimeme,

Long time no see, hope you will do fine with the injections.

I doubt if there is any way to "thin" the 子宮內膜 in the context of ivf. I don't know if 花膠湯 helps or not, whether for the endometrium or for egg growth. However, if you are only taking it once a week, I don't think it matters.

From your posting it looks like you have failed implantation previously. So, maybe we should look at the root(s) of the problem. Do you have a reasonable number of mature eggs retrieved (say 6 or more)? Then what is the embryo quality like? Is it the endometrium not accepting your embryo, or is it the embryo not compatible enough to implant?

If, and only if, it is the endometrium being too thick, your doctor would have noticed. He/she would have chosen alternative methods, such as freezing all the available embryos for later transfer so that your endometrial thickness can be optimized. So, my suggestion for now, is to stop worrying your endometrium and maintain a balanced diet. Because you have started injections already, there is no quick-fix recipes that can do magic within ~10 days. The outcome will reflect a combination of all your biological factors plus a bit of your diet and lifestyle.

Having said that, you have been doing well the best you can (花膠湯 included) :) and maintain a positive mind. Good luck.
cutecutetown

原帖由 minimeme 於 10-9-30 17:08 發表
Hi Cutecutetown,

Is there any way to thinner the 子宮內膜? My 子宮內膜 was 16mm after the 1st ET I have done last year in Sept. I'm in my 3rd IVT attempt, and now under injection period. If the 子宮 ...

私人傳訊回覆引用

Sbaby

積分: 3355

549^#

發表於 10-10-1 14:34 |只看該作者

cutecutetown,
Thank you so much for your reply. I feel more comfort after reading your reply.
Other sisters, esp, Sukudo. Add oil and don't give up.

私人傳訊回覆引用

ychoho

積分: 791

550^#

發表於 10-10-1 16:53 |只看該作者

Dear cutecutetown,

Since I retrieved lots of eggs and had OHSS, I took 2 months's rest and finally had FET on 29 Sept. But after thawing, my eggs grow slowly. They were 4-cell when being frozen, but when they were transferred, they only grew into 5 or 6 cells in oval shape. The lab (Union Hospital) gave them Grade 1 or 2 according to their appearance.

I was given medication for vaginal insertion. On the 1st day after FET, most medication was absorbed. Last night, I used pretty warm water to soak my feet. This morning, I found much powder of the medication leaked out (i.e. it seems the medication was not absorbed well as previously).

I know I may be too anxious, but I want to ask:
1) Does slow cell development after thawing reflect a lower chance of survival for the embryo?
2) If the medication is not absorbed well, does it mean the embryo inside cannot absorb it, say die already?

ychoho

私人傳訊回覆引用

YimYee

積分: 1212

551^#

發表於 10-10-2 14:47 |只看該作者

Hi,
I have done 5 times ivf, fell pregnant 2 times, but miscarriage. I did blood test and uterus biopsy test in the Alan Beer CTR in the US and found that I have NK cell and clotting problems, also low T and B cells, need to have the LIT and IVIG treatment, do you know any dr in HK can do it?

We share, pray and support for each others, come and join us!
哈拿小組　
主辦：香港教會更新運動
對象：經長時間等候生育，經歷懷孕困難的女性（已信主或未信主均可）
日期：每月第二個週六2:00 pm – 4:00 pm

私人傳訊回覆引用

積分: 9496

552^#

發表於 10-10-3 13:17 |只看該作者

Dear ychoho,

Since we don't know the time lapsed from thawing to your actual transfer procedure, the embryos showed signs of growth and that's all we want to see :)

Just my personal experience that many frozen-thawed embryos appear 'slower' (in relative terms only), and because we only observe them in a very short time window (from 4 hrs to <24hrs), it is difficult to tell when they actually start picking up speed. Nevertheless, many of them implant and make it to full-term. If I interpret correctly, Grade 1 or 2 at Union Hospital are good grades.

The vaginal insert (mostly progesterone) is actually for your endometrium, not your embryos. As long as you keep taking the medication as your doc instructed, you will be OK. You may want to check if you insert the gel/tablet properly (well inside). If you continue to find the white powder, you may call your nurse to double-check.

cutecutetown

原帖由 ychoho 於 10-10-1 16:53 發表
Dear cutecutetown,

Since I retrieved lots of eggs and had OHSS, I took 2 months's rest and finally had FET on 29 Sept. But after thawing, my eggs grow slowly. They were 4-cell when being frozen, bu ...

私人傳訊回覆引用

積分: 9496

553^#

發表於 10-10-3 13:25 |只看該作者

Hello YimYee,

Did you have your previous 5xIVF in the US, or only the immunology testings in the US?

I know IVIG treatment is available in HK, although I can't refer you to a particular dr. Do you plan to do another IVF in HK? The easiest way is to consult your IVF doc in HK; he/she may have the connections for you to receive LIT & IVIG.

Let me know if you have trouble from your ivf doc.
cutecutetown

原帖由 YimYee 於 10-10-2 14:47 發表
Hi,
I have done 5 times ivf, fell pregnant 2 times, but miscarriage. I did blood test and uterus biopsy test in the Alan Beer CTR in the US and found that I have NK cell and clotting problems, also lo ...

私人傳訊回覆引用

ychoho

積分: 791

554^#

發表於 10-10-3 22:32 |只看該作者

回覆 552# cutecutetown 的文章

Dear Cutecutetown,

Thanks for your reply and clarification. Your column is really very meaningful to the jms who are under treatment. Grateful.
ychoho

私人傳訊回覆引用

YimYee

積分: 1212

555^#

發表於 10-10-4 00:52 |只看該作者

Hi,

I did all the 5 times ivf in HK, only did the immunology tests in the US, some ivf were done in private hospital, now I am doing ivf in qm public line, I am not sure whether I should tell the dr in qm, as it seems to me, they are not that open minded, and not sure whether they believe it or not. I am just afraid if they realise my situation, they may not give me the last chance of ivf.

If you know any dr who can do IVIg and LIT, can you pls PM me, as I am not with any private ivf dr for the time being.

原帖由 cutecutetown 於 10-10-3 13:25 發表
Hello YimYee,

Did you have your previous 5xIVF in the US, or only the immunology testings in the US?

I know IVIG treatment is available in HK, although I can't refer you to a particular dr. Do you ...

私人傳訊回覆引用

cleaner

積分: 545

556^#

發表於 10-10-4 15:48 |只看該作者

Dear Cutecutetown,

I did 2 times ivf and 5 iui already of course all failed. My last period is on 4/9. This time I have 4 eggs implanted and 3 are frozen. Eggs are above standard. Dr told me to check urine on 1/10 after ivf 2 weeks ago but the hcg indicated was very unclear so I did blood test. Dr told me today that the hcg is so low at 19. It's just biological pregnant and told me to stop medication. New period will come very soon.

I have doubts and please help me:
1. Will hcg become higher to become real pregnant if I insists to take medication (vaginal tablets and chinese medicine)? I did feel very different from last time.

2. Will it too fast to test pregnancy as my period normally longer than 28 days.

3. During this 2 weeks, sometimes I feel like M 痛. Is it not a good sign at all? Indeed, what kind of feeling we shall have during this period? Whatever I did iui or ivf before, I also felt sometimes M 痛. This time is the less.

4. Did 7 embroyos less for a woman? I did have 9 eggs and 7 embroyos grow. Is it in good condition? 9 big eggs in my tummy are already very 谷to me during 排卵. I feel I can't have more anymore at this time. Is it abnormal?

5. Have u got any figures that sucessful ivf rate for frozen embroyos? Is it the same with fresh one?

6. How to maintain good for the eggs in this 2 weeks? Request more medication? Sleep all day? no activity? I have quitted my job and stay at home already. What can I do to improve the situation. Everytime I did treatment, everything is alright. No 'pop', no 多囊, not thick, nothing wrong. but everytime failed. I asked Dr. before but Dr said nothing at all can't explain. Can you tell me why? I would like to tackle this problem. It's hard to me to redo and redo ivf again. It's a lot of money and public queue upto next year end even some well known private dr not accept new case at all. It's very no hope at all.

Thanks very much. Sorry for so many doubts.

[ 本帖最後由 cleaner 於 10-10-4 15:55 編輯 ]

私人傳訊回覆引用

積分: 9496

557^#

發表於 10-10-5 11:37 |只看該作者

Hello cleaner,

1. As your doc told you, it's a biochemical pregnancy; even if you were to continue your medication, the hcg level is unlikely to rise. I understand it's quite devastating with this result. But to look from the bright side, you still have 3 frozen embryos waiting for you.

2. With fresh IVF cycles, all the injections that prepared you for the egg retrieval and the supplementing medication after ET have already taken over your normal cycling period. That's why after an egg retrieval and ET, the pregnancy test is always scheduled ~2 weeks after the ET event.

3. During this 2-week waiting, many women claim to have different "feelings". Feeling is rather subjective and hard to quantify. In your case, M 痛 feel may not be a good sign (?)

4. Having 9 eggs retrieved and 7 good embryos is certainly a good result. Your "very 谷" tummy was probably due to the ovarian stimulation. Did you tell your doctor about your bloated feeling?

5. The success rate of frozen embryos is equivalent to that of fresh embryos in many labs.

6. You have already done your best during the 2 weeks. I personally won't recommend women to stay home and sleep all day during the time; because when a woman has nothing to do, she will tend to think and imagine, which easily takes her to a higher level of worrying. I'd say, just resume your normal life during the 2 weeks' time. Take things easily, don't overwork, sleep well and do things that make yourself happy. Then no matter what the outcome will be, you can handle it with ease.

Best wishes,
cutecutetown

原帖由 cleaner 於 10-10-4 15:48 發表
Dear Cutecutetown,

I did 2 times ivf and 5 iui already of course all failed. My last period is on 4/9. This time I have 4 eggs implanted and 3 are frozen. Eggs are above standard. Dr told me to check ...

私人傳訊回覆引用

yokada

積分: 2515

558^#

發表於 10-10-6 09:45 |只看該作者

Hi Yim Yee,

You can try Dr. Bernard Chan Tel: 2849 4459 in Central. I also checked to have some problems on my immune systems two months ago. I have ANA (Anti- Nuclear Antibotics) and many others antibodies in my blood but no NK cells. I did a few times IVF before, sometimes failed and sometimes bingo with early miscarriages. I did IVIG this time and Dr Chan gave me some medicine to lower the antobodies in my blood for implantation before FET and I just checked bingo for a few days. Don't know if I can success at the end this time but hope this can help you.

But you should be prepared that it will be very expensive for the IVIG and the blood test done before treatment.

原帖由 YimYee 於 10-10-2 14:47 發表
Hi,
I have done 5 times ivf, fell pregnant 2 times, but miscarriage. I did blood test and uterus biopsy test in the Alan Beer CTR in the US and found that I have NK cell and clotting problems, also lo ...

私人傳訊回覆引用

ononkeke

積分: 2386

559^#

發表於 10-10-6 11:35 |只看該作者

你好，我是一個新嚟報到嘅成員，剛做完第一次ivf，放咗第一次胎，但因BB 從來無心跳而斷定為miscarriage，期間我有一些疑問，
1.為什麼我的醫生由一開始只替我驗過一次血是關於FSH，並沒有你們所講的E2或其他......
2.放胎前亦冇做任何檢查看是否適合放胎？
3.Dr亦無同我講過我在療程中子宮的厚度是否足夠？
4.放胎後亦從無驗HCG等相關項目，為什麼會有這樣的情況？點解我好似什麼也不用檢查，除咗抽卵前要打針，放胎後塞藥，其他就好像自然懷孕般........
5.另外我只餘下三個雪胎，報告寫住S1：5C G1-, S2：5C G2+,4C G2+
這是什麼數字？是否grading？我醫生沒有解釋給我知啊？

謝謝你

私人傳訊回覆引用

cleaner