想生BB 今日: 0 | 主題: 109600

積分: 9498

762^#

發表於 11-3-23 09:59 |只看該作者

Thank you for your kiss, Myb.

There are some who believe in DHEA and inositol (肌醇?). I must say I haven't followed much of the scientific literature and I don't see a lot of doctors recommending them.

However, it is the best to consult your own ivf doctor because he/she knows your medical background and has the expertise to decide for you. And trust me on this, not all doctors will say no to these supplements. Whether or not to take DHEA/inositol can be very individualized treatment. These supplements are definitely NOT a one-size-fits-all type of "health products".

I wish I know the magic to "one ivf = one baby". We do overcome some hurdles set by nature, but still, nature has its own course.

cutecutetown

原帖由 Myb 於 11-3-23 00:22 發表
Cutecutetown

多謝你無私為我地服務..俾個你....

我兩次IVF失敗,一次無卵,一次一個,失敗,
全因朱古瘤作怪,想再戰一次成功,
食DEHA同肌醇,卵子會好D嗎..

你有無見過有試管,食咗係成功呢..
如想一次OK,要 ...

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sukudo

積分: 5487

763^#

發表於 11-3-24 17:14 |只看該作者

cutecutetown

唔好意思, 想問多1次, 係唔係塞藥唔會影響preg test result架?

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jols

積分: 1116

764^#

發表於 11-3-24 19:10 |只看該作者

Cutecutetown: 想請問IVF嘅BB會唔會比正常自然bingo易流產/小產? 我上年12月初做IVF放咗2個胎, 驗血hcg指數得七十幾, 過2日再驗跌到五十幾,醫生話係miscarriage. 之后再放3個雪胎, 其中一個得咗, 但一路size都偏細, 追唔到正常, 到9週幾出血小產, 醫生話兩次failed都因為胎兒自已染色體問題. 因此, 我想問IVF會唔會特別易有問題才孝慮是否再做IVF, many thanks for your advice!!

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積分: 9498

765^#

發表於 11-3-24 21:11 |只看該作者

Hi sukudo,

唔使唔好意思,塞藥一定唔會影響preg test result. Why do you think so??

塞藥 is both convenient and biologically appropriate; in fact better than getting hcg injections.

cutecutetown

原帖由 sukudo 於 11-3-24 17:14 發表
cutecutetown

唔好意思, 想問多1次, 係唔係塞藥唔會影響preg test result架?

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積分: 9498

766^#

發表於 11-3-24 21:24 |只看該作者

Hello jols,

The miscarriage rate from ivf is similar to that of natural conception.

In natural conception, we won't test bingo so soon. In ivf, we check bingo by the 4th week; naturally, we usually don't check until we figure our period has come late, which is some time like the 6th week or even later.

胎兒自已染色體問題 (aneuploidy) happens fairly frequently. Again, in natural pregnancies this happens too. Of course, this type of miscarriage comes as a bigger trauma to us because we have to go through a lot to achieve the bingo.

Do not hesitate to discuss with your ivf doctor if you should proceed with another ivf or if other options are acceptable.

cutecutetown

原帖由 jols 於 11-3-24 19:10 發表
Cutecutetown: 想請問IVF嘅BB會唔會比正常自然bingo易流產/小產? 我上年12月初做IVF放咗2個胎, 驗血hcg指數得七十幾, 過2日再驗跌到五十幾,醫生話係miscarriage. 之后再放3個雪胎, 其中一個得咗, 但一路size都偏細 ...

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jols

積分: 1116

767^#

發表於 11-3-24 22:04 |只看該作者

Cutecutetown:
謝謝你的回覆, 因我想在小產後睇中醫調理一下身體, 我的不育醫生提議最多4至6個月要再start新一次IVF療程. Because of the previous painful experience, I am hesitated to start the IVF again. If the miscarriage rate is more or less the same as natural conception, I will have to seriously think about it (i.e. start the IVF soon).
Thanks for your professional advice!

原帖由 cutecutetown 於 11-3-24 21:24 發表
Hello jols,

The miscarriage rate from ivf is similar to that of natural conception.

In natural conception, we won't test bingo so soon. In ivf, we check bingo by the 4th week; naturally, we usually ...

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little12

積分: 1251

768^#

發表於 11-3-27 23:51 |只看該作者

Cutecutetown:
請問one side 輸卵管塞咗積水，是否一定要before ivf 做手術？？

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積分: 9498

769^#

發表於 11-3-28 15:12 |只看該作者

回覆 little12 的帖子

Hello little12,

Not a must. In many cases the docs won't recommend to remove the fluid yet if it does not affect ivf outcome.

cutecutetown

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Sonatina

積分: 7891

畀面勳章環保接龍勳章

770^#

發表於 11-3-28 16:12 |只看該作者

我最近改左高血壓藥, 因為原本的藥可能對胎兒有影響(用原本的藥可以keep得幾好BP: 130s/70s.) 可是改左藥之後, 1. 有副作用, 心悸, 心跳促, 2.血壓未能控制, 仲好高 BP:160s/100s. 內分泌科醫生決定幫我再改藥, 佢解釋一般孕婦都係40歲以下, 而40歲以下冇咩人好似我咁高血壓, 加上我對藥物副作用反應好大, 我得2-3種藥可以用, 但我已經2種有副作用反應, 如果今次都唔得, 真係唔知可以點. ? 我正準備FET中, 想知中藥/針灸降壓係唔係可行?

囡囡於2月14日(36周2日)出世, 重2.96公斤

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littleantant

積分: 6513

771^#

發表於 11-3-28 22:40 |只看該作者

回覆 cutecutetown 的帖子

cutecutetown,

我想問做完ivf之後o個個cycle係咪有可能唔排卵架? 我而家已經係第二十日, check排卵棒都未有反應，
如果唔排卵, 會唔會黎m架?

其實都唔係好明, 卵巢一個月通常會排一粒卵，但其實卵巢一個月會生產幾多粒卵?
o個個月排左一粒卵之後, 其他已生產出黎既卵係咪都會被卵巢吸收番?

ivf一次過抽晒卵巢生產o係o個個月生產出黎既卵，點解會可能令到下個月無得排卵既?

littleantant

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little12

積分: 1251

772^#

發表於 11-3-29 00:16 |只看該作者

Dear Cutecutetown,

Thank you so much for your prompt reply. May I know under what status this problem will affect the ivf outcome / successful rate? Any clue I can have?

If after 抽卵s, doctor say my problem is serious and require to do the operation. How long that can be keep in the refrigerator? And how long I have to be rest after operation before the process can be continue?

Sorry to have so many questions...

Many thanks, little12

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積分: 9498

773^#

發表於 11-3-29 09:18 |只看該作者

回覆 Sonatina 的帖子

Dear Sonatina,

Because you need medication to control your blood pressure, it may not be a good idea to take off the meds altogether and go with Chinese medicine and/or acupuncture alone. Hypertension can have a long-term implication, both in pregnancies and your overall health wellbeing. Please consult your ivf doctor as well as the endocrinologist to give you the best chance in your coming FET.

cutecutetown

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774^#

發表於 11-3-29 12:27 |只看該作者

回覆 littleantant 的帖子

Dear littleantant,

做完ivf之後o個個cycle好有可能唔排卵, because all the injections for ovarian stimulation have likely confused the body and the ovaries. However, even if there is no ovulation (唔排卵), miss M may still visit, or delayed for some time.

In a natural cycle, very simply put, most women only ovulate one MATURE egg. In reality, it all begins from day 1 of a cycle (take this as the 1st day when miss M starts). There are a number of tiny eggs, sitting in small follicles, being "recruited" into this one cycle. Why or on what basis the ovaries would like to recruit them is still a mystery. These tiny eggs compete to grow until one dominates over the other; eventually, it wins the game and being ovulated. Again, whether this "winner" comes from the right or left ovary is another random event. Those who lose the game will just regress as if they are "reabsorbed" by the ovaries. Compare this to, for example, having a paper cut on your finger. The wound will heal and you don't even remember where the wound was given enough time for healing. Similar situations happen in the ovaries.

Now in IVF, although your particular one cycle still recruits a number of tiny eggs, we give you extra injections to encourage the growth of all tiny eggs so that we can have multiple winners (i.e. multiple mature eggs). Notice how we can only stimulate these eggs after they are recruited; we cannot increase the number of eggs being recruited. That's why you see some women with 20+ eggs while some only have <5 eggs. Yes, we do not know why your ovaries recruit how many eggs, but we can estimate how many by checking your blood (the famous day-3 FSH level) or doing an ultrasound at the beginning of your cycle (antral follicle count). With also your fertility history at hand, then the doctor can decide what kind of treatment and injection dosage will be the best for you.

I hope you have found at least some answers from above. In answer to your last question (ivf一次過抽晒卵巢生產o係o個個月生產出黎既卵，點解會可能令到下個月無得排卵),
this is because most of the injections given to you during ivf are the same hormones that your natural cycle would experience, although in much much higher doses. In a natural cycle, different hormones have specific "jobs" and interact with each other to give you a complete cycle with follicular growth, ovulation, luteinization, endometrial thickening and/or sloughing off. So, you can imagine, when in ivf, you are given much much more hormones, they are indeed confusing the whole system. Just like you over-eat after a buffet dinner, you don't feel like eating the next day; similar logic applies to the ovaries.

cutecutetown

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積分: 9498

775^#

發表於 11-3-29 12:44 |只看該作者

回覆 little12 的帖子

Dear little12,

Not until you have had the ivf, we really don't know the effect of hydrosalpinges (fluid-filled fallopian tubes). In some, it doesn't affect ivf outcome at all; in others, it may affect egg/embryo quality; yet in some others, it may affect good-quality embryos from implanting.

Please note that I am only very generally describing it as if the hydrosalpinges are severe. Your doctor will know better how severe the condition is in your case and recommend according to his/her expertise.

The doctor usually won't operate right after 抽卵; in most cases, ET will still be routinely done a few days after 抽卵. If the doctor thinks you need an operation to fix the problem, the operation will usually be offered after failing the IVF. After the surgery when your normal period returns, IVF or FET can be scheduled. The in-between resting time can range from a month to several months, very much up to you and the return of a normal menstrual cycle.

Embryos can be frozen and last forever. We keep them in -196 degrees Celsius, a temperature that is much much lower than your home freezer, and therefore, the embryos won't "turn bad" once they are frozen.

cutecutetown

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susumi123

珍珠宮

積分: 31153

hashtag影視迷勳章

776^#

發表於 11-3-29 16:52 |只看該作者

hi cutecutetown,

我上次做fet時, 解凍咗2個胚胎, 其中1個7cell, 醫生話解凍完後, 佢有繼續分裂到8cell. 但我今次做fet時, 解凍咗3個胚胎, 醫生話解凍完後, 3個胚胎都完整, 咁我問醫生胚胎無繼續分裂嗎? 醫生話今朝早解完凍只係2個鐘, 佢地無咁快繼續分裂, 係唔係真的? 還是d胚胎quality太差, 並不會繼續分裂, 不過照放?
另外, 醫生話我d胚胎好多碎片 (2個grade 2, 1個grade 2-), 醫生話多碎片means 胚胎不能繼續生存, 咁我嘅機會係唔係好低?

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積分: 9498

777^#

發表於 11-3-29 20:10 |只看該作者

回覆 susumi123 的帖子

Hi susumi123,

If the embryo(s) are thawed only 2 hours before FET, indeed we don't see cell division in most cases. Last time your 7-cell becoming an 8-cell could be a rare but nice observation, or the lab perhaps had thawed the embryos for more than 2 hours.

To decide on when we thaw your embryos in the lab, the timing is often coordinated with your endometrium; in other words, the doctor often communicates with the lab on the time of thawing and the time of actual FET. In general, we time and try to fit everything within the implantation window.

With fragmentation (碎片), a small amount won't hurt. When there is too much, however, it means the embryo is probably falling apart. The grading we give to embryos is just a snapshot during the short time we look at the embryos. Again, very generally, we think embryos with poor grade have lower success potential. Bear in mind that lower is not equivalent to no chance.

I have seen some very nice videos which captured the growth of embryos over the entire time before ET. Many embryos will give more 碎片whenever they undergo cell division. The fascinating part is, during the time after one division but before the next division, the embryo can reabsorb the fragmentation. My point is, because we don't know when the embryo divides, we could have graded it at the time when it just finished one cell division, or we could have graded it at the time when it just reabsorbed those 碎片. So, grading provides a reference, but it never 判定生死.

Take it easy, cutecutetown

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little12

積分: 1251

778^#

發表於 11-3-29 22:19 |只看該作者

Hi Cutecutetown: 好多謝你無私的奉獻！！
雖然我的問題比自己預期多，不過我巳經拾好心情，再向前邁進，加油啊！！為自己繼續打氣！！

Thank you, little12

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bbbabybb

積分: 3254

779^#

發表於 11-3-31 02:27 |只看該作者

Cutecutetown,
如果ivf放胎後未能成功懷孕，最少要隔多久才可再放雪胎呢？

5w 胎囊 0.97cm
6w 胎囊 1.87cm 胎長 0.48cm (閃閃)
8w2d 胎長 1.9cm
10w2d 胎長 3.7cm

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lollybb