Thank you for your reply. I will try to relax and let the statistics determine my next move. In the meantime, I am thinking some alternatives. I heard that there is a IVM? Is it situtable for patient that has poor egg quality like me? I just think maybe my ovary is not functioning well and an IVM that can culture the follicies in the lab maybe suituable for me? Am I correct? Any IVM procedure avaliable in HK? Also, Is egg donation avaliable and legal and in HK?
You have such a life story and courage, I am very proud of you.
As your doc said, your embryos are of good quality; I think you just need a bit of luck. Perhaps the embryos this time weren't good enough, or if you believe in fate (just like how you got your lovely son), maybe this is not the time yet. Go for your frozen embryos and you still have a few chances there.
Not just to comfort you, but I have too many cases in which the women don't bingo until her very last 2 embryos. We in the lab always say, "the jewel is hidden in the last straw".
Take some rest & I wish your son to have a playmate real soon!
cutecutetown
原帖由 Creamother 於 11-3-10 22:20 發表
醫生說我的胚胎質素好almost g1 and 2. I was put two embroys and the bingo rate is 40%, twin rate is 4%, failure rate is 60%. The probability of fail is greater than successful rate.
I have 8frozen embr ...
If you would ask your doc about IVM, you may just as well ask for milder stimulation.
I know IVM gets some attention in the news not too long ago because a celebrity (Miss HK) might have got her baby using IVM. Firstly, I don't believe she actually got her baby using IVM method; in fact, I doubt if she's using her own eggs....but of course, this is only my personal opinion, I never try to verify it nor have I got any inside info. Secondly, not all centres in HK have IVM available; even on a worldwide scale, only a very small proportion of centres offer it. In the "common" IVM treatment, you may still need to receive a few days of low-dose stimulation and an egg retrieval procedure will be done to harvest immature eggs. The immature eggs are cultured, not the follicles, until they are mature. Then they will be fertilized just like a regular IVF treatment.
Well, I can see one of your ovaries is not functioning well; but your "functional" ovary is doing fine. It continues to give >15 eggs each time. Imagine how many eggs you might get if both ovaries were fine! I don't know how much stimulation you received each time, but with lower dosage, it's reasonable to expect that ovary is probably still capable of giving some 8-10 eggs. I won't go into too much of the details as the number of eggs, your hormone levels, etc. all help monitoring the follicular growth in a timely manner. I simply believe that if all indicators fall within good ranges, your eggs would have grown under a better environment and therefore of better quality. So, it's easier and more practical in your case to use milder stimulation than thinking about IVM.
Egg donation... as far as the law in HK goes, it is legal as long as it is not commercial, i.e. the donor doesn't donate her eggs in exchange for money. Usually, egg donors (in HK) are relatives or friends of the recipients. The potential egg donor will be assessed by medical doctors for her physical and emotional readiness, and the donor will also receive professional counselling before actual donation. In my center, we have done quite a few IVF's with egg donation; and at the same time, we have also declined some cases because the egg donors are not suitable candidates.
cutecutetown
原帖由 parker123 於 11-3-11 10:47 發表
Cutecutetown,
Thank you for your reply. I will try to relax and let the statistics determine my next move. In the meantime, I am thinking some alternatives. I heard that there is a IVM? Is it sit ...
Believe your Dr, it is poor egg quality in majority of cases. Unless you have failed many times with ET of good-quality embryos, you do not need to complicate your life worrying about your immune system.
cutecutetown
原帖由 Annie888 於 11-3-11 14:51 發表
For recurrent IVF failure, do u think it is related to immune system problem? Dr said the failure is due to poor egg quality. Should I do some tests on immune system?
If you did not need to stay in the hospital, your OHSS was probably mild. The risk of OHSS certainly exists in women with a high E2, but not all will develop into OHSS or develop a severe form of it.
Before this IVF, do you have regular menstrual cycles? If yes, then it is worthwhile to go through 3 regular periods before 放雪胎. This is reasonable time frame and you do not really need to "rush" for one month. Because of the extra hormones used during your ovarian stimulation, your body is very "confused". It is much better for your body to return to its normal state so that your endometrium is truly ready for the embryos. As for the embryos, they are already frozen and they won't deteriorate over time; so again, no rush for them either. You know, 欲速則不達. Be nice to yourself in these 3 months - rest well, eat a balanced diet, and do moderate exercises. Not easy, especially the exercising part. Try your best.
Cheers, cutecutetown
原帖由 littleantant 於 11-3-11 23:08 發表
HI Cutecutetown,
I did the scan on Friday. Not twins but 3 sacs have been seen in the uterus. They were of slightly different in size. The largest one was 5w2d. The rest were 5w0d and 4w6d.
It was a bit surprise for us to hear that those 3 embryos were sucessfully implanted, which was mentioned by the doctor of only 1% of triplet in ivf 3 embryos ET. We will see how they grow. Too surprise and now also worry again....unexpectedly...
Thanks again for helping us here in the forum..I learned a lot from you.
Thanks for telling me your progress. I still think the chance of an ectopic is relatively small, although we will need to confirm with a scan on Friday.
原帖由 cutecutetown 於 11-3-12 13:12 發表
Hi littleantant,
If you did not need to stay in the hospital, your OHSS was probably mild. The risk of OHSS certainly exists in women with a high E2, but not all will develop into OHSS or develop a ...
Cutecutetown,
thanks for reply.
yes ar, i hv regular menstrual cycle b4.
其實我都好信任我既主診醫生,佢一直都好細心同好溫柔的跟進我既case.佢成日都強調盡量用d最mild既方法去達到目標。
I can almost tell who your doctor is by the way you described him.
胸部比之前脹 is likely due to the high hormone level; it probably feels like the few days before your menstrual period comes. Has your M come yet? If not, it will hopefully come soon and once it comes, the symptoms will subside.
Thanks also to kamany; she is a good example of failing the fresh ET but succeeded with FET.
Cheers,
cutecutetown
原帖由 littleantant 於 11-3-13 23:13 發表
Cutecutetown,
thanks for reply.
yes ar, i hv regular menstrual cycle b4.
其實我都好信任我既主診醫生,佢一直都好細心同好溫柔的跟進我既case.佢成日都強調盡量用d最mild既方法去達到目標。
Dear Cutecutetown,
Let me brief about my siutaion: I'm 37 & have PCOS. On the 1st day, OPU collected 33 eggs while 19 success fertilized. On the 2nd day, I was told 18 eggs were "good", grade 1 or 2 eggs. On the 3rd day, there's 14 eggs were considered "good" and I requested to freeze 7 eggs and let other 7 eggs continued to "culture" to 5th day. I was hoping to have some "stronger" eggs for E/T, even if I may risk to lose half of them. Alas, out of my expectation, none of 7 eggs can be put back to my womb. Some of them stopped grow after 3rd day.
My question: Is that mean my batch of eggs are with sub-standard quality although they were grade 1/2 at the beginning?
Is my chance for conception rather low?
Do you mean in the peritoneum, such as in the case of OHSS? In that case, it is not the 積水 that does not allow you to have an ET; it's your body reaction to the stimulation drugs that may threaten your well-being. Suppose you had an ET and a good embryo had implanted, the condition will go even worse, threatening your life and your fetus.
So, we need to make sure the risk of OHSS is eliminated (usually we will see the 積水 disappear). Then an FET can be arranged.
Don't worry about it, marginal pass is still a pass!
The most important is that your doctor let you have the FET. If things are not good or the chance is too slim, you won't be given the FET.
How many embryos did you transfer yesterday? Hope they looked good. Best wishes,
cutecutetown
原帖由 minimeme 於 11-3-14 16:04 發表
Hi Cutecutetown,
I did FET yesterday, the 子宮內膜 was 15, the nurse said it is marginal pass. Is my 子宮內膜 too thick for embryos to implant?
Need to straighten out a few things before I can truely answer your questions. After 33 eggs were retrieved,
(1) did your doctor still plan to give you an E/T on day 5?
(2) Any idea on your last E2 measurement?
(3) Were you on any vaginal progestone up until the 5th day?
(4) did you mean none, or some, of those 7 embryos were good on the 5th day?
(5) you did not have an E/T on day 5; did you mean you had no embryo on that day, or simply no E/T procedure on that day?
Very generally speaking, the longer the embryos are allowed to grow, the more they can show their potential. Therefore, it is normal to see natural selection at work and a decrease in the number of good embryos.
Embryo grading is simply a morphological assessment. While we know grade 3 or 4 means very little to no potential, grade 1 or 2 (in relative terms) should have good potential. Just like running a beauty pageant, you probably have a bunch of good-looking girls, but not all of them can get the No.1 crown. However, the good news with embryos is that in a group of embryos, there may be 1 winner, or multiple winners.
cutecutetown
原帖由 Sonatina 於 11-3-14 18:38 發表
Dear Cutecutetown,
Let me brief about my siutaion: I'm 37 & have PCOS. On the 1st day, OPU collected 33 eggs while 19 success fertilized. On the 2nd day, I was told 18 eggs were "good", grade 1 or 2 e ...