Dear cutecutetown, I went to see doctor on thur and he did another dilatation(which I don't really want to). And finally my 肚皮瘀咗and it keeps bleeding. I went to see another doctor on thur immediately and after u/s she said everything is ok. However it's still bleeding (with deep red in color). What should I do?
I suppose you are referring to 2 different things - (1) 肚皮瘀咗 and (2) M bleeding; is it correct?
Although I don't know why your belly was bruised [肚皮瘀咗], I hope 肚皮 is not bleeding. And for your M bleeding, it's probably due to the dilatation procedure.
If you think the bleeding has become very severe and uncontrollable, I suggest you first call your doctor (the "he" in your posting, or your orginial ivf doc). If he is unreachable, call your 2nd doctor ("she"); she seems to be good at attending to details. However, I suspect they may not be available today; talk to the nurses and see if they can help you or at least book you an appointment as soon as possible.
If no one can be reached and severe bleeding continues, I am afraid you may need to go to Emergency to get some medical attention.
Drop me a word later today if you are ok.
cutecutetown
Dear cutecutetown, i don't know whether my bleeding is severe or not. The blood is sometimes red and sometimes deep red in colour, and the volume is not like m. I'm just using 1 sanitory towel right now. As I told you before, my m did not come since mar 2nd, but my ivf doc thinks it's suitable to proceed the fet. And I'll be taking estrofrem from this coming thur onwards. I'm just worrying if the bleeding continues, whether it's suitable for me to continue fet, and I'm afraid that the uterus is 傷咗 which destroys my future chances. I'm really in panic now.....
Btw, I asked my ivf doc yesterday when will my bleeding stop. He just said may be a week. But according to my past experience including et, the bleeding is not like this. I'm so afraid that the bleeding will continue but no one can actually help. Another doc (the "she"), said that she did not know what the ivf doctor has done, so she cannot give me any advice in how to deal with the situation.
I will be transferring day 3 embroyos (i.e. I will have the transfer tomorrow). ICSI was used. I finally got 4 fertilised embroyos. 5 eggs could be used, but 1 of them didn't develop further. Last time, I got 5 fertilised embroyos. Assisted hatching is not suggested by the doctor. She does not see a need of that.
But if you think it's necessary, I would go for assisted hatching to increase my chance.
I very much want twins (to save time)! Also, I feel that my body is in good condition. After egg embroyos, I recovered rather quickly. If I catch a cold, I could usually recover overnight by sleeping earlier (without taking medicine). So, I am quite confident and look forward to carrying twins.
But I don't want triplets, we can't handle it physically and mentally. I am a short girl (5 ft) with normal body size (neither overweight nor slim). My job is not "sun fu" and provide us with stable income. So, I think I can handle twins mentally, physically, and financially.
Since I don't have many embroyos to try with, I am taking each step carefully.
1. I believe putting three embroyos does not greatly increase pregnancy chance than two, while two is a significant increase from putting in one. right?
2. If that's the case, i will transfer 2. I will ask the doc to cultivate the remaining 2 until blast. I may turn out have no embroyos for storage. But I could maximize the remaining 2. I don't know how good my lab is doing day 5 - i think it's not common for them.
3. Or should I simply freeze the two day-3 embroyos?
4. If two are good, two are so-so, should I transfer one good and one so-so? I know how many to transfer depends on quality. But if it doesn't stick, the quality no longer matters.
Don't panic, the dilatation itself should not harm your uterus. I also believe your doctor is a licenced specialist in HK, not some illegal clinics in the mainland where dilatation and curettage could sometimes be carried out so crudely that you don't even want to think about it.
I suspect that this is your M, is the volume more or less than your normal M? You have been bleeding since the 1st dilatation; perhaps that's why the volume is less?! When your bleeding is not the out-of-control type, you should be fine to start estrofem on Thur. (In hormonal replacement FET cycles, estrofem is given some time during a menstrual period; so you are on the right time line.)
Will you see your doctor again on Thur.? I hope so, if not, at least give him a call, remind him of the dilatation done, and tell him about your bleeding condition on that day to get some reassurance from him.
Another side issue, is the "she" doctor also an ivf doctor? From the same clinic or another?
cutecutetown
Thank you. Happy Mother's Day to you too, and wish you a very different Mother's Day next year!
I think the "she" doctor is your embryologist, right? If she doesn't see the need for assisted hatching, I agree with her.
I know jm's perception that having twins is the best. While I see all your eagerness, I must still warn that carrying twins may not be as good and easy as you think. Even if you are physically and emotionally ready, the fetuses may not. As long as your doctor fully explains the risks to you and you accept them, all I want to say is that carrying singleton to full term is the best. But of course, the other side to transferring 2 embryos is that it does not always transform into 2 fetuses. Given your age and your last ET & FET, it's fair for you to transfer 2 embryos this time.
Back to your questions:
1. Right!
2. As long as your lab is capable to culture to day5 and freeze blasts, culture to day5 or day6 if your embryologist agrees.
3. If the lab hesitates to freeze day5, or your day3 embryo(s) are of superb grading, you may freeze your day3 embryos, one embryo per container. This will give you the flexibility that if you bingo this time, you may not want another twin pregnancy next time.
4. If you don't mind twins, transfer two good embryos to maximize your chance. No need to "postpone" your bingo till FET.
You are pretty determined and confident (so, afterall, your doctor gives you good care, right?). Good luck tomorrow and in the 2 weeks to come :)
cutecutetown
Thanks cutecutetown, she is not an ivf doc, just an o&g doc whom I've been consulting before taking ivf. And it's she who checked my ovary tube and said that it's blocked and suggest me taking ivf. But she did not recommend any doc to me.
Actually the bleeding volume is less than my natural m. So is there any problems? And up to now, the bleeding still continues....
Thanks for advising me the risk of having twins. This is something I didn't think too deeply over.
Given three were transferred last time with zero implantation, I consider transferring two is pretty safe for me. It looks to me the chances of all implant are not high. If I do have twins, then it's God's will. =)
My transfer is at 2:30pm. I don't know the quality yet. Only know about it on the spot. I hope I have a clear mind to make the right decision. To prepare myself, I asked these questions beforehand and minimize the time taken on the spot (as my doc is busy).
It is my doctor (not embroyologist) who suggested assisted hatching is not needed.
If I fail in coming FET and there is no embryos left, do u suggest another new IVF cycle right away (my last egg retrieval was done in July 2010)? Or u suggest to rest for 1-2 months in order to let the body clear the medication for FET (e.g. vaginal inserted medication, HCG injection)? Will u have different answers if I use natural cycle or homornal replacement for the FET?
For your more information, I am 39.5 years old. Public hospital will do IVF for me in coming Sept or Oct. So I am not sure whether I should catch time to start a new IVF cycle in July if I fail FET in early June.
I went for the transfer today. To my relieve, all my 4 embroyos continue to develop to day 3. Two at 8 cells with no fragments, one at 11 cells, and one at 13 cells.
Doc said the 11 cells and 13 cells are developing too quickly. Is that true? I thought the more cells, the better. It confirms to me my embroyos can grow.
Doc asked me how many I'd like to transfer. After my talk with you all, I firmly said "Two, use the best quality" as suggested by you all. I can make a decision on the spot.
Implantation is the challenge now. Is there anything I can do? It's God's act I suppose.
Are my two embroyos at 11 cells and 13 cells less ideal than 8 cells on day 3?
Looks like you have been through a few FETs already; is there any chance you may still have a few frozen embryos left after this coming FET?
Please think positive and there is a chance that you may bingo in this coming FET!! Only if you fail, theoretically, you don't need to wait, whether it's a natural or hormonal replacement cycle. The wait is for those who just finished an ivf cycle, i.e. with injections of high dose of Gonal-F or similar.
Simply for practical and financial reason, especially you will have a public IVF in coming Sep/Oct, I will not suggest you start a new IVF in July. Based on your last cycle which generated a good number of embryos and also you had OHSS, this proposed July cycle may give you similar events. Assuming you would have egg retrieval in late July and had embryos frozen again due to OHSS, you might not have any ET until Sept. Then can you postpone your public IVF or not?
Do consider your physical readiness first; then financial perhaps. If both factors are no issues for you, then you may buy some time and squeeze in a July IVF. Otherwise, see what life takes you and go with the normal timeline, much less stressful.
Sorry to tell you that I can't reach the second milestone. Miss M comes today. So nowI plan to have the embryo transfer at next cycle. My doctor said it is ok to do so and I also feel I am psychologically and physically ready for the next one. So do I need to rest one month? As I have mentioned to you, if I fail next time again, I want to start another cycle of IVF as soon as possible because I am afraid my ovary will not respond so well as my age advances because I am going to 41 in two months time. Age is the most determining factor, right?
Well done!! I suppose you had the 2 8-cell embryos transferred and the other 2 culture to day5, right? In any case, this is a very good result up to this time point. I'll pray for the embryos to behave themselves and do the right thing :)
The 11-cell should still be fine, while the 13-cell is a little odd. They may be too fast, or just fast-growers by nature?! That's why we can wait and see if they can become blasts on day5 to decide.
What you can do now during the 2 weeks of waiting? "Try" to lead a normal life, be careful of what you eat or do. There is nothing you can't eat or do, but keep things balanced; afterall, I don't want questions about what to do with indigestion, stomach flu, or catching a cold. The sickness in itself probably does not affect things, but the anxiety does create panic
Oooooooh, I am sorry. Are you sure you want to have your FET next cycle?
And it is OK without the rest because this will be FET after an FET, unlike FET after a fresh ET. While age is the determinant, the ovaries won't deteriorate within a month or two. Just don't wait for a year before taking action.
I hope your golden key is hidden in among the remaining two blasts!
cutecutetown
Actually sometimes I find it quite difficult to answer the question of readiness. FET is not very demanding and I have been practicing healthy lifestyle for a long time including diet, exercise and regular rest ( tonight is an exception!). After the miscarriage, I have been seeing therapist fir helping the psychological wellbeing. So I hope I am ready la.
My last IVF was in Nov last year and so if I fail ( touchwood) again in coming June, it will be nearly one year for the next fresh IVF and that's why I am a bit concerned if I wait for a few months more.
Thank you so much for your care and hope I can reach the rest of milestones in the next attempt.
I would like to update my condition. Surprisingly I have reached the second milestone. My bleeding stopped yesterday and my doctor suggested me to resume the medication. So I did. This morning I have performed the pregnancy test and the result is positive. Honestly, I am quite scared because of my miscarriage history and the fresh blood bleeding the day before. I will try to relax and rest more. Hope I can tell you with more milestone achievement.
I am new to this topic but have some questions in my mind. I did ivf 2 months ago but no ET that time because of my OHSS. My embryo were frozen with below quality:
2 x Day 5 blao
2 x Day 5 blao early stage
3 x Day 4 (the nurse told me that even they are cultivated until Day 5, they are only in Day 4 stage)
4 x Day 3
During my blao cultivation, i only had 7 remained out of 20 embryo which is quite disappointed. I will do my FET later. i woudl like to see from your understanding, are Day 5 blao early stage or Day 4 embryo have quite low chance of sucess? why they grow so slow as per the normal rate? does this suggest genetic problem? is it better to transfer Day 3 instead of Day 5 early stage/Day 4 ones?
also, i saw some people have quite a good rate of Day 5 cultivation. however, i only got 7 (and even not all under Day 5 stage) remained. is it my the problem of my embryo? does this suggest my embryo quality are not good at all?
i also heard that when lab thaw the embryo, some will die which made me scared. what factor will affect whether they will die when thawing?
anyway, thank you very much for your advises in this topic.
Now, I still had 5 frozen embryo. In our previuos FETs, the hospital thawed 4/5 embryos, and put 3 (usually 1-2 did not further theaved). So I suppose my existing ones can still afford 1 FET. Now I am under a dilemma also: U mention putting 1 or 2 embryo makes a big difference in success rate, but not much difference between putting 2 or 3. I am not sure whether in the coming FET, should I request to thaw 3 embryos (probably 2 can survive) , so I still have 2 embryos left for one more FET? OR since I already failed for 3 FETs, this cohort is supposed to have problems (though they are all Grade 2+ to Grade 1+). I should "used up" them ASAP and start a complete new cycle for another cohort?
What do u think?
Recently, many jms consulted u. I notice u stayed up late to answer our messages. Take rest.
Surprised and not too surprised, relieved but still worried -- that's how I feel for you.
Based on your very positve nature (very few who will admit they seek phychological therapy), I can be more straight forward in talking to you. I do not intend to hurt any jm's, but sometimes the facts are too cruel and I hope to help looking at things from different angles.
For now, you indeed arrived at the 2nd milestone (which I was quite sure before, even after you said you were bleeding). Some who bingo actually cry over the bleeding, but the bleeding does subside and things turn up alright. But your case is a little different; I believe the time from the 2nd to the 3rd milestone is the most critical to you. Please tell me about a strong cardiac activity (strong fetal heartbeats) after your ultrasound visit in ~2-3 weeks time. Did you get your blood level of HCG checked?
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