想生BB 今日: 3 | 主題: 109543

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6802^#

發表於 25-3-10 15:52 |只看該作者

Pancake_Lover 發表於 25-3-10 00:56
H there,

Hello Pancake_Lover,
1. Elonva is usually used in “good or normal responder”. Depending on how confident your doctor is with Elonva and how you accept “one shot and no need to inject in 7 days”. The medicine is proven safe to use and effective in ovarian stimulation.
2. I don’t know what you mean by 口服拮抗劑, although I remember reading something related to an oral type of ovulation trigger. Sorry that I have no experience in seeing its use.
3. My clinic does PGT-A for most patients, and the majority of them have only 3-4 blastocysts. Sometimes they only have 1. The euploid/normal rate very much depends on the patient’s age, although in theory, you have a better chance of getting a euploid if you have more embryos.

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sandylau_21

大宅

積分: 1039

6803^#

發表於 25-3-14 09:01 |只看該作者

cutecutetown 發表於 25-3-6 04:22
Hello sandylau_21,
取消原因就係驗血某啲指數太高，而呢「啲」指數是什麼、一種或多過一種，就真係要醫生 ...

Hello樓主，姑娘再回覆是P4 指數去到19，應該就是黃體酮?! 佢話正常是up to 15。而我平常經期頗準的，每29-30日一次，每個月都會有，亦沒有PCO

請問有咩可以讓黃體酮快d降番低?因為feel 到體溫長期高。同埋快d黎番M?

另外下次打針有甚麼可注意？以防再次發生同樣情況？謝謝(emoji)

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積分: 9490

6804^#

發表於 25-3-17 13:08 |只看該作者

sandylau_21 發表於 25-3-14 09:01
Hello樓主，姑娘再回覆是P4 指數去到19，應該就是黃體酮?! 佢話正常是up to 15。而我平常經期頗準的，每29 ...

Dear sandylau_21,
對的，P4是黃體酮。其實你一向經期準、又沒PCO的話，應該都係IVF 抽卵打過賀爾蒙，周期仍未完全復常所致。自然周期時，黃體酮會跟隨周期升跌，一般在排卵後才升高，如果之後並未有懷孕，P4自然會下降，M亦會來。但在iVF因為要谷卵而用了一定劑量嘅賀爾蒙，做完抽卵後的來經會比較「奇怪」，受了針藥影響，各人適應度與復原速度都各有不同，所以很多時醫生都會建議抽卵後等一兩個周期才安排放雪胎。因此，你也只有讓周期自然回復，沒有什麼可以令回復更快的。又或者可以考慮用人工周期，但公立醫院未必會給你安排。

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6805^#

發表於 25-3-31 23:17 |只看該作者

回覆 cutecutetown 的帖子

thanks for getting back!
口服拮抗劑 = Provera
in the current cycle, i only need to have 7-8 days injection of Menopur (in last 2 cycles,i need to have 2 injections per day after day 4/5), so i am really amazed about this "new" med offered by doctor

I learned about some new lab tech for IVF, like IMSI, ZyMot, Piezo-ICSI, are they not common in Hong Kong? i briefly search online, and not able to find any clinic using it

Would u recommend back to back IVF cycle? lets say I do egg retrival in March, and do it again in May

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卡小姐

積分: 139

6806^#

發表於 25-4-1 17:28 |只看該作者

本帖最後由卡小姐於 25-4-1 17:35 編輯

cutecutetown 發表於 25-1-4 05:37
Hello 卡小姐,
成績其實很好了，只欠少許運氣。
AMH和D3FSH都係反映卵子儲備；而女性在出生起卵巢有幾多卵 ...

Hi cutecutetown,
繼我上次放完鮮胎唔成功後, 岩岩3月19號再放Day5雪胎,
係28號時係威記抽左血驗hcg, 指數得37。
係29號我用綠d(晨v) 試下, 得一個好淺好淺既控。
之後我岩岩今朝再用綠d驗, 已經變做白板, 而家等緊4月4號再番威記抽多次血.
不過我估應該都好大機會係化學左, 我呢個指數係咪屬於好低?
想請教下其實化學左有無話多數有咩原因? 同埋佢係代表都有著過床而最後唔成功定點的?

同埋因為當初全部胚胎都無做過pgs, 而家仲有2個day5胎, 1個4AC, 1個5BB。
我唸緊BB個個可唔可以解凍佢去驗,1516。
同埋仲有個問題想問, 其實如果D胎無做過PGS, 而放左3,4次到最後都唔得, 都係化學懷孕既,
咁會唔會對我身體唔好, 好似次次都用自己身體去試。所以我更加1516

唔該哂你

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卡小姐

積分: 139

6807^#

發表於 25-4-2 09:04 |只看該作者

本帖最後由卡小姐於 25-4-3 11:35 編輯

卡小姐發表於 25-4-1 17:28
Hi cutecutetown,
繼我上次放完鮮胎唔成功後, 岩岩3月19號再放Day5雪胎,
係28號時係威記抽左血驗hcg, 指數 ...

Hi cutecutetown,
另外想問埋呢如果真係化學懷孕左, 而要去開一個新ivf 療程, 即係打排卵針, 抽卵個d,
有無話要休息幾耐?定可以等佢黎完第1次M後就開始?
另外自然週期同人工週期有無話邊個好D?
同埋唔合格既胚胎係咪一定唔可以成功順利懷孕的？

唔好意思太多野問, 謝謝你

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6808^#

發表於 25-4-3 17:12 |只看該作者

Pancake_Lover 發表於 25-3-31 23:17
回覆 cutecutetown 的帖子

thanks for getting back!

Dear Pancake_Lover,
It’s ok if you want to try Elonva, especially your doctor recommends it and you are not reluctant to give it a go.
The “lab tech for IVF” are not new, and they are more or less related to sperm selection. These methods have their pros and cons in a clinical IVF setting, and they definitely carry an expensive price tag and yet may not give better results.
There’s no problem doing an egg retrieval in March and then again in May. I see it fairly often.

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6809^#

發表於 25-4-3 17:34 |只看該作者

卡小姐發表於 25-4-2 09:04
Hi cutecutetown,
另外想問埋呢如果真係化學懷孕左, 而要去開一個新ivf 療程, 即係打排卵針, 抽卵個d,
有 ...

Dear 卡小姐,
HCG指數低通常都係化學懷孕，尤其係第一次驗完、隔幾日再驗時指數更下跌，那就確認為化學懷孕。醫學定義下，要超聲波看到胎囊才算有著床；化學懷孕即是沒有著床。現今似乎要令病人心中好過一點，才有「淺著床」這叫法。其實著床是一個過程，胚胎不是一碰上內膜就能「黐實」。
M來就可以再開始新一個IVF療程,冇話要休息幾耐。
自然周期同人工周期，冇話邊個好啲。
PGT唔合格嘅胚胎一般都唔會着床，又或着床之後會流產。

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卡小姐

積分: 139

6810^#

發表於 25-4-3 18:39 |只看該作者

本帖最後由卡小姐於 25-4-3 18:53 編輯

cutecutetown 發表於 25-4-3 17:34
Dear 卡小姐,
HCG指數低通常都係化學懷孕，尤其係第一次驗完、隔幾日再驗時指數更下跌，那就確認為化學懷 ...

Dear Cutecutedown,

謝謝回覆, 那想再問一下, 因為之前放鮮胎時, hcg指數完全係0, 今次第2次放, 就37指數,
咁其實今次呢個指數係代表佢有掂過下內膜? 定其實最後著床唔到既,本質37同0其實係無分別ga?
那一般hcg指數幾多為之比較理想的?
同埋化學懷孕其實對身體係咪唔會有唔好既影響的? 謝謝

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積分: 9490

6811^#

發表於 25-4-5 03:45 |只看該作者

卡小姐發表於 25-4-3 18:39
Dear Cutecutedown,

謝謝回覆, 那想再問一下, 因為之前放鮮胎時, hcg指數完全係0, 今次第2次放, 就37指數 ...

Dear 卡小姐,
0同37其實都係冇著床，不過驗孕嘅指標HCG係胚胎製造出來的，母體唔會因懷孕而釋放HCG,所以估計這次的胚胎有繼續生長，但放胎幾日後就冇再生長，可能會是胚胎本身有問題又或其他因素而令著床不成功。
視乎放胎後哪天驗HCG,實在冇話要達到某一水平才叫理想，一切都要等照超聲波見到胎兒才可作準，這大概會是踏入第6周懷孕，亦約是放胎後4星期。
化學懷孕對身體應該不會有什麼影響，可能只是M會遲咗少少來。

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積分: 305

6812^#

發表於 25-4-5 23:39 |只看該作者

回覆 cutecutetown 的帖子

Just had my third retrievalfirst 2 time, i got 6 and 9 eggs
this round I got 15, but only 10 mature and 6 fertilised even with ICSI (age 36, AMH:1.5)
I just learned that I can do a sperm DNA fragmentation test, which is common in China but not a standard test in HK, I am planning to do it, to try to find out why the fertilisation rate is lower than my previous round (70%). Whats ur read on this?

for this round I already did a lot compared to last 2 rounds, different vitamins in doc recommended level, Chinese doc, sleep earlier and meditation ..still fertilisation is low. What else would u recommend? or is it really pure luck?
Although today is just day 1, already quite depressed for the initial result
thank you

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6813^#

發表於 25-4-7 17:15 |只看該作者

Pancake_Lover 發表於 25-4-5 23:39
回覆 cutecutetown 的帖子

Just had my third retrievalfirst 2 time, i got 6 and 9 eggs

Dear Pancake_Lover,
You still have a 60% fertilization rate. You mentioned your previous round was 70%, so I guess it was like 7 fertilized out of 9?
Sperm DNA fragmentation test basically tells you how fragmented the sperm DNA is; the higher the fragmentation %, i.e. the more fragmented the DNA, the more likely to have a poorer IVF outcome. This test only tells you a fragmentation %, but it has no therapeutic value.
On top of what you have done (vitamins, sleep early, etc), I think your husband should probably put in some efforts too, especially if his sperm DNA fragmentation is high.
Although you need the egg to get fertilized to have an embryo, it’s equally important to see the developmental progress of the embryo. How did your embryos do in the past?

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6814^#

發表於 25-4-11 23:19 |只看該作者

回覆 cutecutetown 的帖子

cheers for always being so comforting and insightfulwe are going to do sperm DNA fragmentation test + his DNA test (to see if we need any PGT if one day we have more than 4 x day 5 embroys)

for embroy quality, i guess u mean how many D3/D5?
first round was 1 grade 2 day 3 (6 retrieved, 1 x 1PN, 2 x MII ICSI w/Hb sperm)
second round was 2 grade 2+ day 3 (9 retrieved, 5 fertilised)
3rd round is 1 4BC and 1 3CC day 5 (15 retrieved, 10 MII, 6 fertilized, 3 good 3 poor in Day 3)

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6815^#

發表於 25-4-13 04:16 |只看該作者

Pancake_Lover 發表於 25-4-11 23:19
回覆 cutecutetown 的帖子

cheers for always being so comforting and insightfulwe are going to do spe ...

Dear Pancake_Lover,
Based on the results of your previous 2 IVF, fertilization was suboptimal. Your day 3 embryos only had a grade without a cell stage, which I hope they at least had 6-cell. The latest round gave you a 4BC and a 3CC, which are not of very good quality based on grading. You may consider transferring both at the same time.
In the mean time, since your husband will get sperm DNA fragmentation test, we can see what the result may be and work from there as well.

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6816^#

發表於 25-4-14 23:47 |只看該作者

回覆 cutecutetown 的帖子

All my day 3 eggs have 8 cells
my husband sperm DNA test just came out (Kudos to China clinic's efficiency...), his rate is less than 3%, which is very optimal as i see the standard is less than 30%. seems i have done quite a lot ito improve eggs quality this round and didnt see significant improvement, just a bit frustrated

Likely need to do another round, this will be my last try

thanks for the suggestions of transferring 4BC and 3CC together, i likely will follow it. i guess a poor 3CC wont harm 4BC right>

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6817^#

發表於 25-4-16 04:43 |只看該作者

回覆 Pancake_Lover 的帖子
本帖最後由 cutecutetown 於 25-4-16 04:46 編輯

Dear Pancake_Lover,
Do not get frustrated yet, keep up your good efforts (vitamins as doc recommended, sleep earlier, meditation, etc.) as these efforts can never go wrong. Add some exercises if you can, perseverance is the key; all these activities do not give you instant benefits, but they help to improve your overall health in the long run if you can be persistent.
I rarely see, if I have seen at all, a 3CC implants; suppose it would, it should not jeopardize the chance of the 4BC. We worry when people get a twin pregnancy because of the higher risk of complications; but in your case, the likelihood of getting twins from a 4BC and a 3CC is very very low.
Good luck,
cutecutetown

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新手爸爸01

別墅

積分: 694

6818^#

發表於 25-4-17 11:32 |只看該作者

你好！我今日植入啦！想問吓植入嘅時候醫生係咪會開電視睇到顯微鏡下面卵泡，然後會吸走咗佢再睇部細電視機會見到有嘢入咗去子宮度？因為我望住部電視機見唔到任何嘢入咗落去，之前上網睇人話佢哋植入係會見到一粒白色好似一粒米咁嘅嘢會放咗入子宮，但係我就乜都見唔到… 想問吓係咪真係會見到一粒白色嘢㗎？定係都有機會係睇唔到㗎？唔該晒你。(emoji)(emoji)(emoji)(emoji)(emoji)(emoji)

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