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男爵府

積分: 9500


1661#
發表於 12-5-30 22:59 |只看該作者
回覆 kakakaju 的帖子

Dear kakakaju,

Blastocysts are more advanced embryos where they have shown their growth potential, which certainly also have a good potential to implant. We don't want to see multiple pregnancy (carrying twins or more); whether or not twins are "medically manageable", multiples pose risks on both the mother and the fetuses.

If an embryo is developmentally competent (good to give a live birth), laser hatching helps in cases where the "shell" is the only impediment to embryo implantation. Not a lot of labs do assisted hatching on blastocysts; you may need to express your wish to your doctor first.

cutecutetown


男爵府

積分: 9500


1662#
發表於 12-5-30 23:17 |只看該作者
回覆 littletwinkle 的帖子

Dear littletwinkle,

不要洩氣,there must be a reason why your doctor doesn't do day5 for you. I can almost guess who your doctor is. Some doctors in this field are stubborn, and when they have good results with day2, it is very difficult to convince them to think and do otherwise. And if you have at least one good embryo in among all, you will eventually come to it, perhaps take a little more time. As professionals, other than knowledge and experience, we also have to balance patients' need to have an embryo transfer and time to achieve a pregnancy.

cutecutetown


子爵府

積分: 10045

畀面勳章 環保接龍勳章


1663#
發表於 12-5-31 00:41 |只看該作者
回覆 cutecutetown 的帖子

噢... 你估到我邊個醫生呀!!!!

醫生話好多人mis-understand 放Day5會增加pregnancy rate, 但其實研究數據 放Day2/3 同Day5的cumulative pregnancy rate 相若 (他說應該計累積, 唔係計單次), 只不過做Day5時會有胚胎流失, 少d可以用, 提早放完所有胚胎/ 胎囊, 變相時間用少左就可以成功(假設成功的話). 我唔係好明, 佢就舉例: 如果有10個Day2胚胎, 每次放2個, 要做5次才有一次bingo, 但如果做Day5, 可能已經流失4個, 剩餘6個, 放3次就完成,可以get一次bingo, 所以只可以話縮短時間去achieve bingo, their cumulative pregnancy rate is still same or almost same, but not increase pregnancy rate. 但好多人就mis-understand 放Day5會增加pregnancy rate.

我好似明佢講什麼, 但又好似唔明,
醫生就是用這個例子解釋給我聽和convince我。

But my point is 如果可以縮短時間來achieve bingo, 不是很好嗎? 沒有potential的胚胎放入去都是無用和浪費時間吧!


別墅

積分: 585


1664#
發表於 12-5-31 10:56 |只看該作者
Hi cutecutetown,

我放胎後第13日 hcg 是 31, 第15日是54..
今天是第16日, 醫生約了我下星期三回去照...是不是多數照唔到個胎???
我想問, 以你的經驗個胎是否多數保不住???? 我有宮外孕的機會高嗎?? (之前照過, 一邊輸卵管是塞的, 另一邊醫生說是塞塞地, 又未塞得晒)

我要去到第幾週才可決定人工流產....或可以放心bb 無事????
呢件事真係令我覺得好苦惱....
多謝你的解答....

br,
baby0226


洋房

積分: 71


1665#
發表於 12-5-31 12:19 |只看該作者

回覆:ivf Q & A

Dear cutecutetown,

Really find your information useful and I should have read more before my IVF treatment. Any chance you could PM the names of lab that can provide embryo laser hatching? I am interested to know if my current lab can provide this technology so that I can discuss with my doctor next time! Thanks!



點評

cutecutetown  If you are in HK, I think all IVF labs have a laser to do assisted hatching.  發表於 12-5-31 12:29


男爵府

積分: 9500


1666#
發表於 12-5-31 12:26 |只看該作者
回覆 littletwinkle 的帖子

Dear littletwinkle,
You have got the point already --> 如果可以縮短時間來achieve bingo, 不是很好嗎? 沒有potential的胚胎放入去都是無用和浪費時間吧!


Your doctor is correct that cumulative pregnancy rate will stay the same. However, as a woman who is desperate to have a child, I would want my bingo to happen now rather than later. If there is at least one good embryo compatible with a live birth, day5 can increase the chance of finding this embryo in among a batch of embryos. And if it is so unfortunate that there is none in this batch, at least I can find out sooner so that I can plan ahead.


While we think this way, we can't stop doctors and other patients think another way. Many old-schooled doctors still think that lab culture conditions are suboptimal to embryo growth and therefore, it is the lab causing an embryo to stop growing. There are also patients from different cultural or religious background who believe that life begins at fertilization and therefore, no embryo should be "de-selected". I respect one way or the other, and as long as the pros and cons are well-understood, a couple should have the right to be involved in the decision-making process.


cutecutetown

點評

littletwinkle  Agree   發表於 12-5-31 14:32


男爵府

積分: 9500


1667#
發表於 12-5-31 12:45 |只看該作者
回覆 baby0226 的帖子

hello baby0226,
Is this pregnancy from a transfer of fresh or frozen embryos?

There is no way to tell until your ultrasound next week whether you only have a biochemical pregnancy, a normal pregnancy, or an ectopic.

Don't think so much ahead about 人工流產yet, you don't even know what pregnancy you have. Since you are still very early in your pregnancy, the abortion process probably only involves taking some medication; only when medication can't do the job, surgery may be needed.


Let's take things one step at a time. From pregnancy to term delivery is a 9-month+ process. Even natural conception contains the same risks during the gestational period. I understand your worry, 準父母少不免都很多担心和苦惱,但有d位真的只可順其自然,放輕鬆心情吧!


cutecutetown


複式洋房

積分: 475

畀面勳章


1668#
發表於 12-5-31 13:07 |只看該作者
HiHi Cutecutetown,

我第二次驗o既報告出了, 比上個cycle更差...

AMH 0.09 ng/mL 0.6 pmol/L (其實應該係睇邊個數字?)
FSH 17.6mIU/mL 17.6 IU/L
E2 22 pg/mL 82pmol/L

d數字差到咁, 係咪可以打定輸數喇?

thx~


別墅

積分: 585


1669#
發表於 12-5-31 14:29 |只看該作者
回覆 cutecutetown 的帖子

謝謝你的回覆.....
我也明白即使我如何擔心, 也改不了事實...
只是第待結果的過程真的令人很累....

我是做 FET 的...


大宅

積分: 4576

認識瑞士牛牛第一回


1670#
發表於 12-6-1 05:24 |只看該作者
cutecutetown,你好!
當放胎日係DAY1,我放胎第12日,子宮位間中yuen住痛,我放工返到屋企小便抹時有粉紅色,要抹3次先無!我果晚去多2次小便,又係抹時有!我第13日無返工,杲日就無粉紅色了,同埋只有1~2次yuen痛,我第13日驗綠d有綫;到第14日,下午去小便又有粉紅色(抹時),我用曼秀雷敦驗係有明顯綫,到夜晚塞葯用捧捧塞,蚊返支捧出來後,有啡色跟出,仲滴了3大達在床單!到半夜4點幾去小便,M巾有一大達深啡色,抹時小小粉紅,E院叫我第16日先返去驗小便!我想知會否塞藥整損下陰??令到間吾中有啡和粉紅色出現!我是15/5抽蛋,18/5放胎,放了2個8cells如GradeA!我先生形態得2%!其他都差!想知塞葯會否影響結果?和我其實是吾成功定作小產?我今年已39!我應點做?是否不要返工休息?我很擔心!

點評

cutecutetown  塞葯不會影響結果,亦不應會整損下陰。你的情況似唔成功多過作小產。返工一般都不影響結果。  發表於 12-6-1 11:33


男爵府

積分: 9500


1671#
發表於 12-6-1 11:03 |只看該作者
回覆 夏兒 的帖子

Dear 夏兒 ,
I am very sorry to say that based on those numbers alone (and particularly your AMH), even if your doctor lets you start on ivf, your response to ovarian stimulation will be very poor. After seeing your report, I hope your doctor will still explain a little more of the results and also advise you of other options.

cutecutetown


複式洋房

積分: 475

畀面勳章


1672#
發表於 12-6-1 11:17 |只看該作者
cutecutetown 發表於 12-6-1 11:03
回覆 夏兒 的帖子

Dear 夏兒 ,

Thank you for your reply!

醫生都話o係呢堆指數下, 實在無咩可以做到. 唉~
佢叫我食下DHEA睇下可唔可以改善到, 如果唔得都無咩辦法喇.

點評

cutecutetown  I truly hope it may help, but it will take some time if it works at all.  發表於 12-6-1 16:59


大宅

積分: 1607


1673#
發表於 12-6-1 20:50 |只看該作者
妳好CUTECUTETOWN,

多謝你晌BK呢度SHARE咁多IVF既Q&A...如果唔係都唔知邊度問好

我33啦,試左4年都唔成功,今個月終於開左針做第一次IVF. 我自己身體就CHECK唔到問題,但C6丁丁型態就4%,醫生就SUGGEST唔好做IUI,係做就做IVF,其實我想知點解呢??

另外,我想問DAY 2 既 E2 值係<37 , 另FSH 5.7 , 係咪唔理想??

同埋如果C6丁丁型態得4%,做ICSI係咪即係可以最少選到一條型態靚既比每粒EGG??

感激你既幫助!!


大宅

積分: 1607


1674#
發表於 12-6-1 20:51 |只看該作者
妳好CUTECUTETOWN,

多謝你晌BK呢度SHARE咁多IVF既Q&A...如果唔係都唔知邊度問好

我33啦,試左4年都唔成功,今個月終於開左針做第一次IVF. 我自己身體就CHECK唔到問題,但C6丁丁型態就4%,醫生就SUGGEST唔好做IUI,係做就做IVF,其實我想知點解呢??

另外,我想問DAY 2 既 E2 值係<37 , 另FSH 5.7 , 係咪唔理想??

同埋如果C6丁丁型態得4%,做ICSI係咪即係可以最少選到一條型態靚既比每粒EGG??

感激你既幫助!!


男爵府

積分: 9500


1675#
發表於 12-6-2 21:58 |只看該作者

回覆:angelababy0808 的帖子

Hello angelababy0808,
醫生suggest IVF,相信主要原因係lVF比lUl的成功機會高d;不過留意價錢和風險亦相對高d。
視乎你先生的驗精報告在私人化驗所或醫院做,我覺得(純屬個人感覺)私人化驗所的報告差不多個個男仕的精子型態都奇差。所以如果精子數量同活動能力都ok,以你的年齡加上無其他問題,可先用幾個月試試lUI。就算你試足6次都只約用6個月,而且私家醫生若見你是lUl而又不成功,必定會摧促你做ivf的。
你的E2同FSH都ok,不用擔心。
若做icsi,我們都會儘量揀正常型態的精子給每粒卵子的,有得揀我們都揀,放心,如活動的精子數量多,不難揀,放心!
Cutecutetown




大宅

積分: 1607


1676#
發表於 12-6-3 03:42 |只看該作者
回覆 cutecutetown 的帖子

萬分感激你既答覆

其實我已經問始左IVF架啦,我今日已打左打4針,今早打左3針返去照,醫生話蛋蛋都有幾多,仲有4粒比較大...
之後佢就比左抑制排卵藥比我打針,叫我朝早打,我想問係咪個個都要打呢隻針同埋係咪打到抽卵果日先停架? 另外係咪最尾一日仲要打多次于于破卵針架??

麻煩晒你呀CUTECUTETOWN,我唔好意思晌醫生太多問題呀!!


侯爵府

積分: 21612

馬年勳章 母親節2025勳章 2025勳章蛇年勳章 BB防敏心得分享勳章 最關心BB問題熱投勳章 想生BB熱投 DHA勳章 大廚勳章


1677#
發表於 12-6-3 07:39 |只看該作者
Hi~~cutecutetown~

又係我呀!!我又開始IVF了,但打左4日針對針藥都無反應
而家醫生加左藥,我想問點解我D卵子打左針都唔大??我有咩可以做呀

係咪今次我可能做唔到IVF呢


子爵府

積分: 13137


1678#
發表於 12-6-3 10:02 |只看該作者

回覆:ivf Q & A

Hi cutecutetown,
I want to ask a silly question.
Is the sperm washed before putting together with the eggs?



點評

cutecutetown  Yes, standard procedure. Only in very rare occasion sperm is not washed.  發表於 12-6-3 21:37
I just want to have healthy babies!


男爵府

積分: 9500


1679#
發表於 12-6-3 20:33 |只看該作者

回覆:angelababy0808 的帖子

Dear angelababy0808,
Yes, 抑壓排卵針要每天打,直到打破卵針當日。醫生會以照超聲波和驗血斷定眾多卵泡的成熟程況,到要打破卵針(只一針)後約36小時便抽卵了。




男爵府

積分: 9500


1680#
發表於 12-6-3 20:41 |只看該作者

回覆:babytwinstar 的帖子

Dear babytwinstar,
我都知你會有點失望,但日子尚早,第4天加藥亦唔係冇希望嘅,過多三四天要再照超聲波吧?到時再看情形啦,這幾天只要定時打針,放輕心情就ok喇。
為你打氣,加油!加油!
cutecutetown




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