想生BB 今日: 5 | 主題: 109604

積分: 2731

1202^#

發表於 11-7-11 14:28 |只看該作者

Dear Cutecutetown,

I've a question on behalf of a friend.

My friend, aged 41, had a miscarriage 5 years ago. Since then, she tried naturally for 4-5 years without success of getting pregnant. She is now doing IVF. She is diagnosed with chocolate cysts which affect the growth and quality of her eggs. She did 4 fresh cycles. 1st: one egg retrieved but no fertlisation; 2nd time: one egg retrieved and fertilised at grade C; 3rd time: two eggs retrieved and one fertlised at grade A; 4th time (now): two eggs retrieved and two fertlised with good quality - she is now waiting for results. Doctor never suggested her to remove the chocolate cysts but just helped her to pinch through it every time (but it will grow again when injection is done).

If this implantation fails again, should she consider removal of the cyst? I see that as a hinderance to her result and repeating the same method again and again is a waste of money unless she does something differently.

Thanks for your advice in advance.
Mother2be

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積分: 9498

1203^#

發表於 11-7-11 15:41 |只看該作者

Dear lungb,

If all these 4 eggs will be successfully retrieved, there should be 2 of them that can develop to reasonable embryos.

Some women do experience a decrease in endometrial thickness; difficult to pinpoint the reason(s). Your doctor will hopefully scan again before ET to see if it's more appropriate to do fresh ET or later FET.

I am sorry that I can't tell you which lab I work in because it will defeat my purpose of doing this forum. Don't get disappointed though, because many embryologists out there are good at their job and work with passion too. Your embryos will be well taken care of.

Have a good rest tonight and hope to hear good news from you very soon.
cutecutetown

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積分: 9498

1204^#

發表於 11-7-11 15:51 |只看該作者

回覆 mother2be 的帖子

Dear mother2be,

How are you doing? Got your first ultrasound scan yet?

If your friend will pursue her 5th IVF cycle, don't worry about removing the cyst; its removal is not going to give her more eggs. The low egg number and variable egg quality are very likely due to her age, not the chocolate cyst(s). Since you and I don't know much of her other fertility details, I strongly suggest that she talks directly to her doctor and discusses all alternatives and possibilities. If she can't talk to her current doctor, get a second opinion from another fertility specialist won't hurt.

cutecutetown

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mother2be Thank you. I introduced my IVF doctor to her. The doctor is not suggesting to remove the cyst. 發表於 11-7-11 18:04

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littleantant

積分: 6513

1205^#

發表於 11-7-12 09:08 |只看該作者

Dear cutecutetown,

i had a miscarriage yesterday morning, actually not very painful, maybe i m used to suffer pain every period. but dr said i still hv some remains inside my uterus and will hv an ultrasound checking 18(29/07/2011) days later.will the remains come out within this 2 weeks? do i need to find an extra doctor to give a checking b4 29/7/2011?

does the low(88) hgc index(checked at the 14days after fet) reveal that the embryo is difficult to develop a healthy baby?

if so, i prefer it became chemical pregnancy to miscarriage.

thanks!!

littleantant

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積分: 9498

1206^#

發表於 11-7-12 14:04 |只看該作者

回覆 littleantant 的帖子

Dear littleantant,

I am so sorry

This is the part I hate most about IVF, that is, a bingo that doesn't stay. But to be realistic, this happens in natural pregnancy as well; I guess life is filled with this kind of tragic so that you will find joy and know how to treasure it.

Do you still have any more frozen embryos? At least this incidence shows that some chances exist in among your frozen embryos, and also very importantly, your uterus is receptive. Through the "fall" this time, I am sure you will learn how to stand up strong again and good things should come.

Before looking too much ahead, I hope the "remains" will come out before your next ultrasound visit. Let's wait and see on 29/7 before seeing another doctor.

The (88) hcg index is just a number and it's too far fetched to relate it to a healthy baby. There are just too many unknowns in between conception to 9-months-later and life is a miracle in itself. Somehow natural selection is at work to allow the strongest one to thrive; and as far as science and technology allow, humans still have lots to learn before being able to overcome many of the health/survival hurdles.

I hope you are coping ok. Take good care of yourself in the mean time.
cutecutetown

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littleantant

積分: 6513

1207^#

發表於 11-7-12 22:07 |只看該作者

cutecutetown 發表於 11-7-12 14:04
回覆 littleantant 的帖子

Dear littleantant,

我心情好返好多啦，其實一直都有預感，所以到真係流產O個刻反而個心舒服左，
而家反而想快D清晒D野，再努力過，謝謝你

知道自己原來可以BINGO到其實已經好開心架啦

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cutecutetown Have confidence, and I will pass you some luck too! Add oil!! 發表於 11-7-13 23:36

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siushuk

積分: 1292

1208^#

發表於 11-7-12 22:45 |只看該作者

Dear cutecutetown,

I have done a pregnancy test myself this morning and got a positive result. I called back the clinic and the nurse did't ask me to do blood test to confirm, just asked me to go back to get some medicine tomorrow (no need to see dr as well). Is it really ok? Frankly speaking I don't feel safe about the result without taking a blood test....

I dare not to be happy yet as I know it's far too soon. Even if I really get pregnant, too many uncertainties would be there ahead.

Besides, I am not sure what happened to my 上腹腔痛/胃痛 which has come along with my big belly till now. Maybe this is the side effect of the medicine? The nurse suggested me to eat some 梳打餅. Do you know why?

Cheers,
siushuk

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積分: 9498

1209^#

發表於 11-7-13 23:29 |只看該作者

回覆 siushuk 的帖子

Dear siushuk,

This is very good even though you were not asked to do a blood test. I am sure your home pregnancy test gave you a very solid line indicating a bingo, correct? Usually, for most clinics/doctors, we don't do a blood test too early unless your bingo test only gave a weak line (the kind that makes you doubtful). I would save the blood test until your ultrasound scan by the 5th or 6th week of gestation (roughly in 2-3 weeks time from now). As of this point, with or without the blood test, you are pregnant, lady!!! There will be a whole 9 months for you to feel unsafe if you choose to

You should still be happy, but cautious. You have gone a long way and should be proud of yourself!

Only my thinking, the nurse suggested 梳打餅 because she may think you have 胃痛. If you read this message soon enough, see if you can get to see your doctor tomorrow when getting the medicine. I hope your doc will give you a quick look to see if there is any other cause for the pain.

Well done! Take care,
cutecutetown

點評

siushuk My dr said the pain may due to the use of aspirin which I have taken since the day of egg extraction 發表於 11-7-14 22:33

siushuk Got it, cutecutetown.Now that I believe this is real :D Thks so much for yr advice & thoughtfulness 發表於 11-7-14 22:29

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lungb

複式洋房

積分: 164

1210^#

發表於 11-7-14 19:41 |只看該作者

回覆 cutecutetown 的帖子

Dear cutecutetown,
I have put only one embryo today, the embryo is grade 1 minus with 4 cells which is same as
my 1st IVF (miscarriage)

The doctor said that there will be a blood test on 19 Jun 2011 to check the LH and

another blood test will take on 26 Jun 2011 to check the HCG

Now, my most concern is my uterus thickness which is unstable with 8mm today

May I ask you
1) the embryo on grade 1 minus with 4 cells is it good enough ?

2) What can I eat to improve the quality of the embryo at this moment ?
Actually, I don't know what type of food I can not eat

Would you like to provide your professional advice to me

Thanks a lot !

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積分: 9498

1211^#

發表於 11-7-14 23:11 |只看該作者

回覆 lungb 的帖子

Dear lungb,

Don't let your last IVF experience haunt you. The embryo(s) from each cycle should be independent of each other, and embryos on day-2 should be at 4-cell; so, you have your embryo at the right stage, something to be happy with.

There is nothing we can eat to improve embryo quality [if I know that, I will be opening a restaurant designed for jm's

] As usual, a balanced diet is the most important; I suppose you don't smoke, if you do, quit now. A balanced diet means you need fruits and vegetables, some carbohydrates (rice and whole grains), some proteins (lean meat/dairy), and a little oil/sugar/salt. Don't over-eat or under-eat; for a while, my thread here is filled with diarrhea concerns, which made me feel that all jm's develop some stomach upset sooner or later after ET. Try to relax if you can, or at least do not give yourself extra stress. Sleep well. When you feel good about yourself, everything comes easier. And of course, take your medicine (Crinone/Endometrin) on time. That's about all you need to do.

One last note on your endometrium. 8mm is ok, I asked my doc not too long ago that anything >7mm is acceptable; you have been fine and the fact that your doc did ET for you means he/she also thinks your endometrium is fine.

Good luck & hope the good news will come soon, cutecutetown

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saralok

積分: 4558

1212^#

發表於 11-7-15 10:22 |只看該作者

找了很久終於找到這個貼,很開心,希望可以為我提供一些意見.
我的個案是這樣的:
我已經有一個兩歲多的囡囡.
去年(32歲),我懷了第二胎,可惜,抽血驗唐氏不合格,最後抽羊水確診了是唐氏,做左引產,當時已23週.
由於我已有一個囡囡(正常),加上家族沒有唐氏患者,所以醫生說基因突變,算是我"唔好彩".
之後,我去看中醫調理身子.
半年後,我再懷孕.因為有上一次的事件,今次我於十週多就抽絨毛,希望早一點確定阿b正常.可惜,上天再一次同我開玩笑,今次同樣驗出有相同的問題.
想請教:
1.我第三次懷孕的時間是否跟第二次太接近?
2.我是否適宜再懷孕?
3.如適宜,再計劃懷孕前,先事需進行甚麼檢查,或我應去見哪方面的醫生?
3.我是否可選擇做ivf,再進行pgd,這樣就可以將正常的胚胎殖回子宮內.在甚麼情況下醫生才會幫病人做pgd?
4.如果真的可以進行pgd,整個療程的收費如何?(我不是香港居民,我澳門的)

很感謝你/你們的耐心閱讀.

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lungb

複式洋房

積分: 164

1213^#

發表於 11-7-15 11:00 |只看該作者

回覆 cutecutetown 的帖子

Dear cutecutetown,
Thank you for your support and I think you are the idol of many jm

It is a good idea to have a ' CUTECUTETOWN RESTAURANT ' which is crowded of babies

I am happy to have your professional opinion in this IVF making me to know what's going on and my current status

Now, my confidence is back and I promise you will hear my good news soon

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ABCMum

積分: 3919

1214^#

發表於 11-7-15 13:38 |只看該作者

Dear Cutecutetown,

is a long time haven't chatted with you, not sure if u have any idea about me.

i failed in 2 ivf cycles already, in the first ivf i dont have any chance for ET, even though had it in last try, finally ended up with biochemical pregnancy with no FET.

i intend to try for another round, should be the last time, in Sept, but my dr said i have 輸卵管積水 in both ducts (right hand side be more serious as he said is swollen), and asked me to consider to have surgery to block both ducts before the next round if my ultimate goal is to have bb.

really very unhappy to hear so, seems once i have blocked them, i can only trust on ivf for bb in future, no more hope or miracle on natural pregnancy, i havent had any 盆腔炎(dr guessed i have it before then caused 輸卵管積水) and without any pain, i m still struggling to have surgery or not. wish u can give me some advice.

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bbcathe

別墅

積分: 672

1215^#

發表於 11-7-15 14:18 |只看該作者

I have done ivf in KWH before and has 4 frozen embryo. I have just put one but fail.

之前睇forum好似有3種方法做FET,
1. natural cycle,
2. 食排卵丸
3. 打gonal-f 針
我係食排卵丸, 之後就塞藥, 打針, but 無抽血follow up check hormanne. Is it the problem?
Do you know which method is better?
pls share your experience.

Could you also let me know your lab's name. Thanks.

http://lilypie.com]

[/url]

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積分: 9498

1216^#

發表於 11-7-15 23:08 |只看該作者

回覆 saralok 的帖子

hello saralok,

1. The time in between 2 pregnancies has no effect on the genetics of the fetus.

2. I understand that the upbringing of a child with Down Syndrome (唐氏患者) could be quite a challenge to the parents and also for the child; however, the child is physically healthy and probably living quite happily without knowing the hurdles he/she has to face. As long as the parents can overcome the "pressure" of "not being the norm", the pregnancy itself is not a health threat. So, you are physically fit for a pregnancy, but whether the baby is "normal" is your acceptance based on social values and prejudice. It is hard to predict whether your next pregnancy will have similar genetics because the chance is random.

3. I suspect it could be just 2 unfortunate coincidence in a row; however, the incidence of Down Syndrome pregnancy should be relatively low for your age group. Although you do not have any family history of such, you may check with your doctor (family doctor or your obstetrics doctor) to see if you and your husband need to have karyotyping done.

4. Indeed, you can do ivf + pgd, but ivf itself is costly, and pgd will further add on extra cost. Besides, there are limited ivf centres in HK that provide pgd service.

5. You will be paying "private" fees. Different centres have different charges, ivf alone ranges from HK$40,000-$80,000 (could be higher depending on drugs, add-on procedures, hospital stays,etc.). I don't know how much PGD will further add.

cutecutetown

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積分: 9498

1217^#

發表於 11-7-15 23:37 |只看該作者

回覆 ABCMum 的帖子

Dear ABCMum,

I always recognize jm's names if you have posted here before, but I must say I always need to go back and read your previous postings in trying to recap and recall my memory :)

I shouldn't give you any medical advice especially this is about surgery. However, you may want to get a second opinion (if you haven't already done so) with one more ivf specialist. My limited knowledge about 輸卵管積水 is that it quite often affects ivf outcome; in reviewing some of my patients who mysteriously didn't bingo with good-quality embryos, they somehow often have 輸卵管積水. Of course there are many other factors that can cause a failed ivf/fe cycle, but it does look suspicious.

Other factors you may want to take into consideration are your age, ovulation regularity, and your endometrial thickness (just some obvious factors I picked up from your previous posts). Again, when you get a proper consultation, you will have a much better idea than just guessing & struggling.

cutecutetown

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積分: 9498

1218^#

發表於 11-7-16 00:08 |只看該作者

回覆 bbcathe 的帖子

hello bbcathe,

All 3 FET methods you mentioned are equally good; which method to use depends on your doctor's judgement, which is based on whether the patient ovulates normally and/or regularly.

食排卵丸 is to induce ovulation; I think your doctor must have tracked your day of ovulation (ovulation home-check kit, ultrasound, bloodtest, etc., just one of these methods suggested is sufficient) before deciding your FET date. After FET, it is not a routine to check hormone.

I can't tell you where I work, simply because my original purpose of holding this thread is to help by providing some scientific knowledge, through discussion, which hopefully can relieve jm's anxiety and self-doubts. I don't intend to recruit business.

cutecutetown

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jamiemeowmeow

積分: 7588

1219^#

發表於 11-7-17 14:12 |只看該作者

Hi Cutecutetown,

Thanks for your kind help to offer advice to our sisters.

I have a difficulty and would also like to seek your advice.

I and my husband are both 37 now, and have been trying to conceive for 2 years but failed. My husband did the semen test and the result is horrible:

morphology is less than 1%
motility 7% (rapid is less than 1%)
density is 2.8X(10^6)/ml

As the result is too horrible, and I am afraid even I did the ICSI, the chance of success is v low with too few normal sperm. I brought my husband to see a 泌尿外科doctor and my husband did a blood test on the hormonal level and the result as as follow:

FSH: High in the normal range (reading is 10.86, while the normal range for male is 0.95 - 11.95)
Prolactin above normal range (reading is 23.22, while the normal range for male is 3.46 - 19.4)
Testosterone is low in the normal range (reading is 2.14,while normal range is 3.46 to 19.4)

To summarize, my husband's hormonal level is not balanced, having too much female hormone and male hormone is too little. Also, the doctor said the testis are under developed and the size is smaller than the normal size. The 泌尿外科doctor has prescribed some medicine to suppress the production of too much Prolactin.

Cutecutetown, do you think it is a good idea that I bring my husband to see a Endocrinology doctor for further diagnosis and see if he needs to undergo Gonadotropin Therapy to inject testosterone into the body to normal level such that the amount of sperm is back to normal for ivf purpose. Currently, I just afraid that the quality of his sperm being too bad that even ISCI cannot succeed. You know, I am 37 already and don't have much time left. If you think it is ok to see a Endocrinology doctor, do you mind to PM me to introduce a good doctor to me?

Your advice and help is greatly appreciated. Thanks a lot!!

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