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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

34 353637 38...344

積分: 304

701^#

發表於 11-3-11 10:47

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 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?

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Annie888

禁止訪問

積分: 10633

702^#

發表於 11-3-11 14:51

提示: 作者被禁止或刪除內容自動屏蔽

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cutecutetown

男爵府

積分: 9504

703^#

發表於 11-3-11 21:36

Dear Creamother,

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 ...

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cutecutetown

男爵府

積分: 9504

704^#

發表於 11-3-11 22:25

Dear parker123,

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 ...

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Creamother

複式洋房

積分: 306

705^#

發表於 11-3-11 22:25

多謝您。您的工作十分有意義，生命影響生命。用錢做善事很多人能做到，但您用您的專業及時間給了我們那麼多的資訊及鼓勵，實在難得。
多謝。

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cutecutetown

男爵府

積分: 9504

706^#

發表於 11-3-11 22:30

Dear Annie888,

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?

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cutecutetown

男爵府

積分: 9504

707^#

發表於 11-3-11 22:35

Ha ha Creamother,

Thanks to you & all jm supporters here too!

Well, you see, I got no money ma, so I will use some of my time instead :)

原帖由 Creamother 於 11-3-11 22:25 發表
多謝您。您的工作十分有意義，生命影響生命。用錢做善事很多人能做到，但您用您的專業及時間給了我們那麼多的資訊及鼓勵，實在難得。
多謝。

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littleantant

男爵府

積分: 6523

708^#

發表於 11-3-11 23:08

HI Cutecutetown,

我是第一次問你問題的，不過一直有睇你解答jm既問題，
知道你是一個很願意解答我地疑問既好人, 謝謝你。

我2月中做左ivf, 抽左17粒卵, 成功分裂左10粒, 但因為我有ohss, 所以所以胚胎要雪。
其實我想知我既ohss算唔算嚴重?我只知我既e2=28800，醫院要我黎多三次月經之後才放雪胎，但我早一點放, 我可以同醫生bargain早一個月放胎嗎?

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cutecutetown

男爵府

積分: 9504

709^#

發表於 11-3-12 13:12

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 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,

我是第一次問你問題的，不過一直有睇你解答jm既問題，
知道你是一個很願意解答我地疑問既好人, 謝謝你。

我2月中做左ivf, 抽左17粒卵, 成功分裂左10粒, 但因為我有ohss, 所以所以胚胎要雪。
其實我想 ...

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superwife

大宅

積分: 2379

710^#

發表於 11-3-13 09:50

Hi Cutecutetown,

Thank you for your support and blessing :)

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.

Best wishes :)

原帖由 cutecutetown 於 11-3-8 23:53 發表
Dear superwife,

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.

As soon as a prominent sac ...

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kamany

複式洋房

積分: 455

711^#

發表於 11-3-13 19:15

原帖由 littleantant 於 11-3-11 23:08 發表
HI Cutecutetown,

我是第一次問你問題的，不過一直有睇你解答jm既問題，
知道你是一個很願意解答我地疑問既好人, 謝謝你。

我2月中做左ivf, 抽左17粒卵, 成功分裂左10粒, 但因為我有ohss, 所以所以胚胎要雪。
其實我想 ...

我係做IVF FET成功，ET反而唔成功因E2跌得太快。建議唔好心急，有時FET可能比ET效果更佳。

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littleantant

男爵府

積分: 6523

712^#

發表於 11-3-13 23:13

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。

之不過聽到好多同期做ivf既朋友抽卵比我多，ohss既情況好似仲嚴重過我都可以放胎，所以都想可以早d放胎。
不過, 你解釋完後，我既疑問都息失了，我相信醫生都是唔想有不利既因素影響到我既身體。 ^^

不過,我想問打左d排卵針之後，我既胸部比之前脹了，是不是賀爾蒙影響，我已黎了m, 胸部仍比之前脹(但已比打排卵針時有改善)，是否正常呢?

謝謝 ^^

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littleantant

男爵府

積分: 6523

713^#

發表於 11-3-13 23:15

原帖由 kamany 於 11-3-13 19:15 發表

我係做IVF FET成功，ET反而唔成功因E2跌得太快。建議唔好心急，有時FET可能比ET效果更佳。

kamany,

謝謝你的鼓勵，我會積極調理好身體去fet的，你的bb而家幾多個wk呢?

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cutecutetown

男爵府

積分: 9504

714^#

發表於 11-3-14 11:24

Dear littleantant,

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。

之不過聽到好多同 ...

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lollybb

大宅

積分: 1332

715^#

發表於 11-3-14 15:36

Dear cutecutetown,
如果個肚仲有積水，會否影響FET?

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minimeme

大宅

積分: 3248

716^#

發表於 11-3-14 16:04

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?

Thanks!
Minimeme

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Sonatina

男爵府

積分: 7891

畀面勳章環保接龍勳章

717^#

發表於 11-3-14 18:38

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?

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cutecutetown

男爵府

積分: 9504

718^#

發表於 11-3-14 20:25

Dear lollybb,

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.

cutecutetown

原帖由 lollybb 於 11-3-14 15:36 發表
Dear cutecutetown,
如果個肚仲有積水，會否影響FET?

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cutecutetown

男爵府

積分: 9504

719^#

發表於 11-3-14 20:37

Dear minimeme,

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?

Thanks!
Minimeme

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cutecutetown

男爵府

積分: 9504

720^#

發表於 11-3-14 22:10

Hello Sonatina,

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 ...

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