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發表於 11-3-31 21:55 |只看該作者

回覆 littleantant 的帖子

cutecutetown,

謝謝你一直不厭其煩的為我們的解答問題

littleantant

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littleantant

積分: 6513

783^#

發表於 11-3-31 22:13 |只看該作者

回覆 littleantant 的帖子

咁係咪即係話, ivf既時候醫生抽到幾多粒卵只係反映既卵巢本身有幾多粒卵, 而唔係代表你合共有幾多粒卵可以用黎嘗試與精子結合？醫生之前幫病人打既針, 係想maximize成熟卵子既數目? 如果醫生用藥既份量過高，d卵子就會大得過快，如果醫生用藥過少，卵子就會成熟得慢?

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784^#

發表於 11-3-31 22:21 |只看該作者

回覆 bbbabybb 的帖子

Hello bbbabybb,

When miss M returns, you may call the clinic to arrange. It depends on your doctor whether he/she would like you to have your FET with a natural cycle or a hormone replacement regime.

cutecutetown

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785^#

發表於 11-3-31 22:39 |只看該作者

回覆 lollybb 的帖子

Dear lollybb,

Likely you won't have an ovulation this round, don't waste $$ buying too many 排卵棒

Did the clinic tell you when to call in again? Keep waiting for miss M, it may not come for as long as 2months after your ET day. If miss M still won't come by that time, then you can call the clinic again and I am sure the doc will give you medication to help bleeding.

So, I don't think you (in fact, it's your endometrium) will be ready for an FET in April. Try May perhaps, and there is no reason to rush that one-month or so timing.

Relax, it will come.
cutecutetown

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lollybb

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發表於 11-3-31 22:50 |只看該作者

回覆 cutecutetown 的帖子

thanks cutecutetown,

i've called the clinic and they said that when miss m comes, i can call them and arrange medication to control the cycle for FET.
as my workplace was terribly busy in feb and march and i don't know whether this affects my cycle this round. As my day 1 was on 2 March, when should i see the doctor to help miss m to come?

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787^#

發表於 11-3-31 23:38 |只看該作者

回覆 littleantant 的帖子

Dear littleantant,

Every female is born with a fixed number of eggs. These eggs are all sitting in the ovaries in immature form, so they are very very tiny and will not take up much space. When we enter puberty, hormonal changes become more pronounced, triggering growth, changes in body shape, and the beginning of menstrual cycles. In each of these m cycles, a bunch of the immature eggs will be recruited as I mentioned before. Only when the eggs are recruited, they will grow, encased inside follicles, just a little larger. Eventually one will dominate over the others to be ovulated. In achieving domination, this one follicle actually produces estradiol to try to signal the other ones not to grow.

While in a natural cycle you would picture only one big follicle in one of the 2 ovaries, in ivf, you would see multiple follicles growing at similar pace (appeared as dark "bubbles" on ultrasound). Because all follicles are getting FSH from your daily injections, they all grow and produce estradiol. Although I probably put things in too simple terms, you can see that the more eggs you have, the higher the estradiol level. When the follicles are ready to be harvested, you get a trigger shot (which is hCG). If estradiol level is low, there is no problem; but when it gets too high (say ~20,000), OHSS becomes a risk.

I would say when a woman has retrieved ~20 eggs, doctors start to get cautious and will take her estradiol level into serious consideration (well, other factors may kick in too, but don't want to complicate things here). I suspect when 30-40 eggs are retrieved, there is a high chance of ohss and it is very possible that she is not suitable to have a fresh ET. Whether her ohss will be a mild one or a severe form willl depend.

You are logical that when a woman has 40 eggs retrieved, these eggs can't be all mature. Not only the ovaries cannot house them altogether, with such a big group they don't all grow at the same pace. Just like a class of 40 students, not all will learn at the same pace although they all stick to similar time tables.

So, ivf既時候醫生抽到幾多粒卵只係反映the number of eggs recruited in that particular cycle, but also keep in mind that how many eggs will be recruited in each cycle is more or less the same because this is the natural state of the body which varies slightly among women even of the same age.

如果醫生用藥既份量過高，d卵子就會大得過快，如果醫生用藥過少，卵子就會grow得慢 or not want to grow.

cutecutetown

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發表於 11-3-31 23:46 |只看該作者

回覆 lollybb 的帖子

Dear lollybb,

I assume your day1 (March2) means the 1st day of your last menstrual period.
Just making a reasonable suggestion, if miss M won't come by the week of April 11, call and see what your doctor may offer.

cutecutetown

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littletwinkle

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789^#

發表於 11-4-1 00:14 |只看該作者

Hi cutecutetwon,
I do FET this cycle, and have blood test for E2 & LH start from Day10. However, the data is not good. Doctor told me LH rise very slowly from 14 to 20 in Day 10-16 but E2 remains 2xx to 300 (not much rise). He did the u/s in Day 17 and found 3 follicles in small size (<10). This explains why LH have not yet risen. However, P4 is 6.x in Day 16 and seems to be high when ovaluation has not yet happened. Why this happens? Is it due to unbalanced hormones? Doctor asked me to take clomiphene x5 days and see if the follicles can grow up? I want to know if P4 is high or already rise, is it useless to continue the treatment?

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發表於 11-4-1 11:07 |只看該作者

回覆 littletwinkle 的帖子

Hello littletwinkle,

Do you normally have regular menstrual cycles? Have you just done an IVF a month of 2 months ago? These may be the reason(s) for your anovulation this month.

My advice is to trust your doctor and follow his/her advice. It is almost time for your doctor to decide whether it is better to continue or stop treatment for the upcoming FET; either way, your doctor will help you in your best interest. At this point, it is a little too early for you alone to decide on your own. Give yourself a few more days and see, do not panic. By what you told me about your doctor's monitoring on you, you are in good hands.

cutecutetown

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littletwinkle

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發表於 11-4-1 12:07 |只看該作者

Thanks cutecutetown. I did IVF-ET in Dec and have rest for 2 cycles. My menstrual cycle is normally 28-35 days but delay to 41 days after ET cycle. I think the body is confused by high injection dosage in IVF cycle. It seems to be ok as my cycle back to 30 days in Feb.

I had u/s this morning, Doctor told me two follicles grow to 16+ and ovaluation will take place in coming days. Thanks GOD. But my P4 has been risen to 8. I am worry about the data (not good for 胚胎著床).

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發表於 11-4-2 00:57 |只看該作者

回覆 littletwinkle 的帖子

Dear littletwinkle,

Sometimes I wonder why your doctor told you about all the hormone results without explaining what those numbers really mean.

I think you will still have to see your doctor tomorrow or the day after. With another blood test on your P4, which we can't predict the level at this point, do not be shy to ask him/her if this cycle is good enough or if another cycle with better optimization should be used. Also, IF this cycle were not very ideal, how well would you accept stopping now and waiting for another month or two?

If your P4 won't change too much around the time of your ovulation, you should still have a reasonable success chance.

cutecutetown

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shirley00171

洋房

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發表於 11-4-2 09:35 |只看該作者

請問放胎後第八天便來月經,會這麼快嗎..

Cutecutetown

我第一次做IVF,3月11日抽卵,3月14日放胎,但可惜療程失敗,3月21日M小姐便來了,我想問:

(1)放胎後如療程失敗,一般都是2-3個星期後才會來月經,但我為何會第八天便來經呢?

(2)放胎當天,一般要求放胎後要休息1小時才可下床離開,但當日醫生為我放胎時我已經很急小便,放完胎後我已經忍得很辛苦,不到半小時便去了大小便.之後情況更差,2個小時後小便頻密,赤痛難當,無奈吃了兩片特效必利痛,才能舒緩痛楚.這樣折騰了一天,是否已注定失敗,又或者我在去大便的時候,是否已經將胚胎迫了出來?

(3)原本約了3月28日返回中心驗孕,後來姑娘知道我3月21日已經來經,便取消了不用回去,我需要去看另外的婦科醫生嗎?我需要吃藥將卵巢內剩餘的藥清掉,才能再做第二次ivf?

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lollybb

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發表於 11-4-2 09:42 |只看該作者

cutecutetown, thanks a lot ah!!! you're so nice!!

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bbbabybb

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發表於 11-4-2 21:11 |只看該作者

本帖最後由 bbbabybb 於 11-4-2 21:15 編輯

cutecutetown 發表於 11-3-31 22:21
回覆 bbbabybb 的帖子

Hello bbbabybb,

cutecutetown,

多謝你解答我既問題呀!
我現在29歲, 過多半年就30歲. 醫生幫我做過子宮輸卵管造影&驗血, 報告無問題. 佢話我年輕加上完全無任何婦科問題, 成功機會好大, 但最終都失敗左. 我有d問題想請教下:
1) 我老公就精子形態5%, 活躍度15%, 咁會唔會影響胚胎質素呢?
2) 我放day2胚胎, 一個4個cells & 一個5個cells, 當放入子宮後佢地會唔會唔識再分裂呢? 還是係唔能夠著床?
3) 有無可能我個子宮會排斥胚胎? 有什麼因素令胚胎未能成功著床? &有什麼因素令ivf失敗呢? 我放胎後day6腸胃炎, 肚痾&發燒是令今次ivf的失敗原因嗎?
4) 當我在去大便的時候,會否將胚胎迫了出來?
5) 我有6個胚胎雪藏, 3個grade 1 & 3個grade 2. 全部做icsi, day3 有一個6個cells, 三個4個cells, 一個2個cells, 另外一個2個cells係遲一日做icsi所以係day2. 我想問下day3只有4個cells & 2個cells, 另day2只有2個cells, 會唔會分裂得太慢呢? 如分裂得慢, 會否代表個胚胎有問題呢?
唔好意思呀! 因為第一次做ivf, 所以有太多問題. 好多謝你用你既專業咁有耐性解答我地呢班做ivf既jm既問題!

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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796^#

發表於 11-4-2 23:41 |只看該作者

回覆 shirley00171 的帖子

Hello shirley00171,

放胎後第八天便來月經, it may seem a little too soon, but it happens.

(1)放胎後如療程失敗,一般都是2個星期or less 會來月經; this happens because there is no embryo implantation. Because different doctors may prescribe different form and/or dosage of luteal phase support (vaginal progesterone such as Crinone, Endometrin; or hCG injection), some women may wait longer before menstrual bleeding resumes.

(2) I believe you were very nervous before and after ET; however, 去大小便 should not affect anything. Remember, the reproductive tract and the digestive tract are two separate systems. I am a little concerned about your pain though, as you needed Panadol to relieve the pain. Was your ET procedure an easy one, or a painful one? Did the procedure take long?

(3) No, you won't have to see another 婦科醫生, unless you suspect of a urinary infection or other concerns outside of ivf. There won't be any medication remaining in your ovaries. Have you called your ivf clinic about starting another ivf? Seek your doctor's advice and see if you can start when your next period comes or if you may wait one more month.

cutecutetown

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797^#

發表於 11-4-3 00:22 |只看該作者

回覆 bbbabybb 的帖子

Dear bbbabybb,

Yes, you should have a good success chance. As you have a few embryos still in storage, your "golden key" may still be hidden there.

In answer to your questions:
(1) Maybe, chance not high.
(2) Both possibilities are valid, and we really can't tell because there is no implantation.
(3) 子宮排斥胚胎 is rare. There can be plenty of reasons for no implantation; so, your embryos might not have implanted in the first place, or the fever might have affected the process.
(4) unlikely.
(5) since you had your ET on day 2, are you sure your embryos were frozen on day3 instead of day2? If the frozen embryos were day3, they appeared a little slow. In young patients, the cell stage does not matter as much when the embryo grade is good.

Have you arranged for your FET?
cutecutetown

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littletwinkle

子爵府

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798^#

發表於 11-4-4 00:57 |只看該作者

回覆 cutecutetown 的帖子

cutecutetown,
thanks for your kind advice.

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bbbabybb