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發表於 11-3-19 17:44 |只看該作者

Dear sukudo,

I'm not familiar with the bingo test you use; I presume it's a home-test stick?!

While there is no need for vaginal progesterone (塞藥) if no pregnancy is established, some doctors also stop vaginal progesterone when you have a positive bingo test. I could be wrong, but I think at least one of the QM doctors is like that.

The reason (I try to simplify the biology here) is that the implanted embryo(s) should be capable to influence the womb so that the endometrium will sustain the optimum condition for the pregnancy. When the embryos and endometrium are in fact “communicating”, then whatever medication we give seems redundant.

Then, why do many jm’s who got bingo continue to receive vaginal progesterone? It is more of a psychological peace; and indeed, the stimulation drugs (when your ovaries were pushed to give eggs) did confuse your body. There is always a very very small chance that such confusion still lingers on, so, many other doctors like to play safe and continue塞藥just in case the bingo may be affected.

Arguments always go both ways, and my suggestion is, believe in your doctor because he/she is helping you with what he/she believes in with his/her expertise.

cutecutetown

原帖由 sukudo 於 11-3-18 23:10 發表

我打算26/3用曼秀雷敦CHECK, 因為QM叫我30/3先返去

[ 本帖最後由 cutecutetown 於 11-3-19 17:46 編輯 ]

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743^#

發表於 11-3-19 17:49 |只看該作者

Dear littleantant,

1. Natural cycle is as easy as it can be, but remember, not all jm’s have a regular and ovulating cycle; therefore, some need hormonal replacement. And yes, using hormones can be very systematic; however, it may require more medical supervision and monitoring, which at the end will cost the patients.

2. Now, it is not the hospital policy to塞藥; in natural cycle, 塞藥 is not required. So, it really depends on whether the natural cycle or hormonal replacement is used.

Not sure if 針藥對人體始終都唔太好; when you need it, it works and no alternative really. When you don’t need it, then of course it becomes just a painful prick.

cutecutetown

原帖由 littleantant 於 11-3-19 12:02 發表
hello cutecutetown,

我想問:
1.點解有D醫院會安排有病人FET 既時候用NATURAL CYCLE, 而有D人就用藥物控制賀爾蒙放雪胎，
既然用藥物控制可以咁準確計算出周期時間, 點解唔個個都用用藥物控制賀爾蒙來放雪胎。
2. ...

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littleantant

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744^#

發表於 11-3-19 19:19 |只看該作者

原帖由 cutecutetown 於 11-3-19 17:49 發表
Dear littleantant,

1. Natural cycle is as easy as it can be, but remember, not all jm’s have a regular and ovulating cycle; therefore, some need hormonal replacement. And yes, using hormones can be ...

CUTECUTETOWN，謝謝你的回覆，我己明白了很多，祝你身體健康，每天都開開心心

LITTLEANTANT

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littleantant

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745^#

發表於 11-3-19 19:19 |只看該作者

原帖由 cutecutetown 於 11-3-19 17:49 發表
Dear littleantant,

1. Natural cycle is as easy as it can be, but remember, not all jm’s have a regular and ovulating cycle; therefore, some need hormonal replacement. And yes, using hormones can be ...

CUTECUTETOWN，謝謝你的回覆，我己明白了很多，祝你身體健康，每天都開開心心

LITTLEANTANT

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sukudo

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746^#

發表於 11-3-19 19:21 |只看該作者

原帖由 cutecutetown 於 11-3-19 17:44 發表
Dear sukudo,

I'm not familiar with the bingo test you use; I presume it's a home-test stick?!

While there is no need for vaginal progesterone (塞藥) if no pregnancy is established, some doctors also ...

thank you so much for your explanation. 我會加油好好休息

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dorisk

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747^#

發表於 11-3-19 21:50 |只看該作者

cutecutetown,

謝謝你之前的回覆。另外有野想問，醫生叫我今日check但我check過無，咁我仲是否需要再繼續塞藥呢?
同埋fail ivf m期係咪都會delay?

thanks!

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Rabbitbear128

複式洋房

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748^#

發表於 11-3-20 09:35 |只看該作者

Hi Cutecutetown,

Is there any cases which transfer grade 3 or 4 embryos who finally bingo and get a health baby ?

How is the probability of bingo compared with grade 1 or 2 embryos. Thanks.

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blythe_kiss

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749^#

發表於 11-3-20 15:27 |只看該作者

Hi cutecutetown

Can you tell me what the meaning of "lysis cell"?

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750^#

發表於 11-3-20 21:53 |只看該作者

Dear dorisk,

If today is the day your doc asked you to check bingo and your result is negative, then no need to continue 塞藥. I am sorry about the bad news you just found out.

Yes, some who do not bingo also have delayed M. Usually miss M will just delay for a few days; but there are a few with >2 weeks of delay.

cutecutetown

原帖由 dorisk 於 11-3-19 21:50 發表
cutecutetown,

謝謝你之前的回覆。另外有野想問，醫生叫我今日check但我check過無，咁我仲是否需要再繼續塞藥呢?
同埋fail ivf m期係咪都會delay?

thanks!

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751^#

發表於 11-3-20 22:06 |只看該作者

Hello Rabbitbear128,

In my experience, I did see a few cases with grade 3/4 embryos only and gave live birth. Now, this is based on grade 1 being the best and 4 being the worst. Take note that some places may grade or score differently; and the grading should also be considered together with the embryo's cleavage stage.

No formal statistics has been done comparing probability of grades 1/2 vs. grades 3/4. There are many ET occasions where a combo is transferred, e.g. 1 grade-2 embryo with 2 grade-3/4 embryos. Hard to tell when not all the transferred embryos implanted.

cutecutetown

原帖由 Rabbitbear128 於 11-3-20 09:35 發表
Hi Cutecutetown,

Is there any cases which transfer grade 3 or 4 embryos who finally bingo and get a health baby ?

How is the probability of bingo compared with grade 1 or 2 embryos. Thanks.

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752^#

發表於 11-3-20 22:09 |只看該作者

Dear blythe_kiss,

I think you meant "lysed cell", which is a cell that has burst, broken, or damaged.

cutecutetown

原帖由 blythe_kiss 於 11-3-20 15:27 發表
Hi cutecutetown

Can you tell me what the meaning of "lysis cell"?

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dorisk

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753^#

發表於 11-3-20 22:15 |只看該作者

thanks cutecutetown,

我已証實fail了

請問我應該立即再做定休息下先好呢?

我上次唔太多卵，請問有無食物可以多些卵呢?

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754^#

發表於 11-3-21 11:06 |只看該作者

Dear dorisk,

Given a failed cycle, my personal feeling is that you should allow your body to recuperate and your emotional status to recover. This will better prepare and equip yourself for another round of treatment. One to 3 months of rest is very ok.

"上次唔太多卵"? Was that your first-time IVF, and how many eggs did you have? While more eggs give more embryos by logic, quantity and quality need to be in balance in order to give the best outcome. Sometimes don't 介意 the number of eggs you have because that depends partly on your egg reserve and partly on how your ovaries respond to our stimulation.

There is no food proven to increase egg number. If "eating something healthy" makes you feel better, multivitamins and folic acid (folates) won't hurt. Make sure you have a balanced diet and a healthy lifestyle as well. This is a lifetime goal which should be followed whether or not you want to get pregnant :)

cutecutetown

原帖由 dorisk 於 11-3-20 22:15 發表
thanks cutecutetown,

我已証實fail了
請問我應該立即再做定休息下先好呢?

我上次唔太多卵，請問有無食物可以多些卵呢?

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dorisk

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755^#

發表於 11-3-21 11:15 |只看該作者

原帖由 cutecutetown 於 11-3-21 11:06 發表
Dear dorisk,

Given a failed cycle, my personal feeling is that you should allow your body to recuperate and your emotional status to recover. This will better prepare and equip yourself for another ...

thanks cutecutetown,

我上次只抽左3粒卵，只有一粒分裂得好，其他都分得唔好所以醫生唔建議要呀!!
我好擔心再做都係一樣。

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littleantant

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756^#

發表於 11-3-21 21:17 |只看該作者

cutecutetown,

我想問一下，如果人體接觸到輻射，d卵子會唔會都受輻射影響到架?
呢輪d人成日講輻射, 而我又記起我(2009年)上年二月, 我做過一次腹腔既電腦掃瞄(ct)，d人話ct既輻射好勁架。跟住2009年12月又去照輸卵管造影，跟住2月就抽卵啦.....咁我d胚胎其實有無受輻射影響架......好擔心ar....希望你唔好怪我既問題太低能啦.....

....我其實真係有d擔心ar....我最驚生左個心智唔健康既小朋友....

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757^#

發表於 11-3-21 23:09 |只看該作者

Dear littleantant,

I think you are cute, and your question is legitimate

Honestly I am no expert with radiation effect on oocytes. But the eggs in your ovaries reside in very tiny follicles which are so small that you can't easily tell who is who if the follicles do not get the cue to grow. And I remember reading somewhere that when eggs are in this "primordial" form, irradiation (short-term exposure such as in an x-ray) makes little effect if there will be any, especially the radiation is not directed at your ovaries.

And also look at your embryo quality. If radiation has an effect, your ovaries may not even produce eggs, and save from giving you some good-quality embryos. I know if an embryo is exposed to radiation, it won't grow, which means you won't even get a baby out of it :(

Now, I need to also emphasize that if an embryo does not implant, there are plenty of other good reasons than 接觸到輻射.

cutecutetown

原帖由 littleantant 於 11-3-21 21:17 發表
cutecutetown,

我想問一下，如果人體接觸到輻射，d卵子會唔會都受輻射影響到架?
呢輪d人成日講輻射, 而我又記起我(2009年)上年二月, 我做過一次腹腔既電腦掃瞄(ct)，d人話ct既輻射好勁架。跟住2009年12月又去照輸卵管造影 ...

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Annie888

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發表於 11-3-22 16:14 |只看該作者

提示: 作者被禁止或刪除內容自動屏蔽

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759^#

發表於 11-3-22 17:05 |只看該作者

Dear Annie888,

No, your chance won't be lowered. In fact, if the patient is a good responder to ovarian stimulation and had a relatively high E2 around the day of egg retrieval, hcg is not recommended as it may increase the chance for OHSS.

Both Endometrin and Crinone are progesterone commonly used as luteal support (i.e. post-ET medication supporting the endometrial lining).

cutecutetown

原帖由 Annie888 於 11-3-22 16:14 發表
Some Doctors give patients hcg injections after embryos transfer. Will it lower the chance of bingo if Dr don't give such injections but with Endometrin only?

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Sonatina