想生BB 今日: 0 | 主題: 109612

積分: 9500

1942^#

發表於 13-5-17 00:42 |只看該作者

回覆：partner059 的帖子

Hello partner059,
是沒有著床了，否則驗孕棒棒會顯示bingo.
單以年齡看，失敗的原因多是aneuploidy,即胚胎異常。女性的卵子在出生時已存在卵巢內，隨著年紀成長，卵子的數目與質素都相對下降。
年過40要成功懷孕兼順產是較年紀輕的難，始終輸在卵子質素，但我看你的個案也不須太氣餒，因你似乎放了鮮胎還有extra可雪，希望「真命天子」只是被雪起了未用到。
基本上，利用自然周期放雪胎的最快可於這個或下個周期再放，不要等太久。

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partner059

積分: 1682

1943^#

發表於 13-5-17 17:55 |只看該作者

回覆：cutecutetown 的帖子

多謝你的回覆，心情現在平復下來後唯有隨緣，有些事情真的不能強求的！

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imconfusing

珍珠宮

積分: 40541

有「營」勳章畀面勳章 BK Milk勳章

1944^#

發表於 13-5-24 17:30 |只看該作者

hello Cutecutetown,

I am planning to have my first ivf trail soon. May I know anything I need to be aware. I read the note my doctor gave me and it has very little advice with my daily activities.

Is there any food I need to avoid?

Is caffeine really affecting the procedure?

do you think free of stress is an important factor for success?

I heard in the forum that there're labs having higher successful rate than other, so do doctors. Is that really the case?

thanks alot

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laybb

積分: 1359

1945^#

發表於 13-5-24 18:37 |只看該作者

回覆：ivf Q & A

Hi 請問放day 2 同day 3 胎有無分别架？係咪 day3 胎好D？ thanks

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積分: 9500

1946^#

發表於 13-5-25 15:11 |只看該作者

回覆：imconfusing 的帖子

Hello imconfusing,
There is not much to change in your daily activities. That\'s why nothing is on the written advice.

Overall, a healthy lifestyle is important. You won\'t have to be a vegetarian to be healthy; meat is a good protein source, just need to pick lean meat & light consumption. If there is food that you should avoid, then it\'s more of a healthy concern instead of a treatment (ivf) concern. Maintain some exercises and also have enough sleep.

Caffeine... If you are a coffee addict, 2 cups a day is ok; unless you regularly have 6-7 cups everyday, I don\'t find caffeine affects anything. Watch out most tea contains some caffeine as well.

No one can live without stress. It\'s a matter of how you cope with it. E.g. Waking up by an alarm clock is also a stress. So, it helps when you stay positive & be a little easier on yourself.

Certainly there are differences in labs & doctors; we somewhat treat different patients with different backgrounds in fertility, culture, financial capacity, etc etc. To some extent, I believe if one couple goes to my lab versus to another lab, actual outcomes based on fertilization rate, pregnancy rate, live birth rate may probably be very similar. It is often the experience that is different, ie whether the quality of care suits your need. So my suggestion is to get a doctor with whom you are confident & comfortable, instead of blindly follow a doctor simply because he/she is famous!

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imconfusing

珍珠宮

積分: 40541

有「營」勳章畀面勳章 BK Milk勳章

1947^#

發表於 13-5-25 15:24 |只看該作者

thanks Cutecutetown, thanks for your information!

yea I was struggling to pick a doctor who's really famous here or another doctor who seems to make more sense and be very informative.

i'm still... thinking.....

點評

cutecutetown Since the entire process of ivf takes a while, pick a Dr who can guide you through. 發表於 13-5-25 23:52

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積分: 9500

1948^#

發表於 13-5-25 23:33 |只看該作者

回覆：laybb 的帖子

Hello laybb,
Day 2 or day3 的胚胎分別不大。

基本上，day2,3,5的目的是讓實驗室觀察胚胎，培養愈久，觀察到的也愈多，只求能夠將最有潛力的胚胎選出，令你在最短時間內成孕。

希望姊妹們真的要明白，當你有10個受精卵，不是10個都能成孕的、更加不會是10個也是BB.譬如10個之中，只有3個是BB，機會是定了，但在day2我真是很難選，因10個胚胎可能都好靚。到了day3，可能只得8個靚，從8個中能選到那3個BB的機會是高了。若再去到day5，可能是剩下5個胚胎了，那選中至少一個BB的機會又大了。

總括而言，隨著各種因素，如年齡、卵子精子質素等，能成BB的胚胎比率各有不同，當比率高，那day甚麼也沒大分別，反正就算今次失敗，很快到放雪胎總會bingo。但當比率低、甚至是不幸是零的話，放day2是有得放胚胎的，但可能就費點時間才放到「真命天子」，而若是零機會的，就白白花上時間了。

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irene0502

積分: 1448

1949^#

發表於 13-8-9 11:42 |只看該作者

Hi, so glad that u r always standby us offering professional advice and explanations.
I hv just started my 1st IVF n got 10 embryos & the embryoist suggested me freezing them at day 3 since I m old aged 37. I will hv FET on next next cycle since this cycle hv high E2.
The embryoist told me that I hv some grade 1 & 2 embryoes . I wonder the difference between grade 1+, grade 1 & grade-, these made me very confused about their intrepretations. Can u explain further to me?
Can I request the Dr to defrost the 2 or 4 embryos and let them grow to Day 5 to ensure which one really hv gd potential？I don't want to waste so much time to do the FET repeatedly in order to find out the best of the best! Just wonder if he embryo once being defrosted and couldn't be thawed again?
Thank you in advance for your kind reply! Really thanks indeed to clarify so many queries from us!

Don't try so hard, the best is least expect to come

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baby525

積分: 1286

1950^#

發表於 13-8-9 11:58 |只看該作者

回覆：cutecutetown 的帖子

Hi, 我見人人都係day 3打針，但我要day 11先打針，咁樣成功率係唔係會好低呀

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Audrey8226

別墅

積分: 873

1951^#

發表於 13-8-9 12:09 |只看該作者

回覆：ivf Q & A

Cutecutetown, 您好, 我剛雪了6個 day2, 但因為內膜息肉, 所以未能放胎, 前天剛做宮腔鏡切除息肉2粒, 醫生話我是內膜息肉樣增生。。要於來緊的兩個周期的day10開始食14天黃體酮以利內膜脫落得乾淨啲, 然後第三個周期先放。。
我想問我這期間有什麼最好不要食?要注意什麼?

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taml

積分: 1982

1952^#

發表於 13-8-10 00:13 |只看該作者

CUTECUTETOWN,我等緊放雪胎,想問未放胎前可否dodo？會唔會影響之後放胎架？謝！

點評

cutecutetown It should not cause any problem. Relax & enjoy

發表於 13-8-12 13:58

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積分: 9500

1953^#

發表於 13-8-12 17:27 |只看該作者

回覆 irene0502 的帖子

Hello irene0502,
Different labs may use different grading systems to give scores to embryos. With the grade 1+, grade 1, and so on, the easiest way to interpret is to take it as if grade 1+= grade A+, grade 1 =A, Grade 1- =A-, Grade 2=B, and so on. Whether we use A,B,C or 1,2,3, it is simply a way to describe the degree of fragmentation and overall evenness of the spatial orientation of the cells inside an embryo.

Now you probably want to ask what "fragmentation" means? These are cell debris trailed behind after each cell division; sometimes these fragments remain outside of the cells and sometimes they get "re-absorbed" by the cells. The more we find fragmentation, the poorer quality is the embryo. However, day-in and day-out we embryologists see fragmentation. When they are nothing major, i.e. the embryo still scores grade 2 or above, the embryo may still implant. Its only when the grading is very poor that we start to say the success chance is compromised. Since you have grade 1&2 embryos, you should not be worrying yourself :)

Your next question is whether you should request your Dr to thaw a few more embryos and let them grow to Day 5 before transferring them into your uterus. This is of course one of the options; however, I see this is your very first IVF and you never get to know the potential of your embryos yet. To begin with, we can take the "usual" approach of transferring a max. of two day-3 embryos at your upcoming FET. Unless you ABSOLUTELY want only one baby and cannot accept twins from a pregnancy, follow the routine procedure of your Dr and/or his lab.

Hope this message helps,
cutecutetown

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積分: 9500

1954^#

發表於 13-8-12 17:37 |只看該作者

回覆：baby525 的帖子

Hi baby525,
你所採用的療程應該跟其他day3打針的人不同，所以你先覺得係day11。其實你以為係周期的day11吧!但實在唔係咁計㗎，打賀爾蒙針第一日先至係ivf周期嘅第一日，通常要打8-12日，因人人卵巢反應而異。
成功率唔係睇邊日開始打針，不要嚇親自己。
Cutecutetown

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KWC578

複式洋房

積分: 113

1955^#

發表於 13-8-12 19:50 |只看該作者

Cutecutetown, 您好
我很煩惱, 請求你給凡我些意見, 我39歲, 做第三次ivf, (抽卵三次,放第4 次胚胎)

我20/7放了2個day3雪胎,
28/7 晚上流少少啡血
29/7 驗血HCG 16, 打安胎針, 共2 天 (29-30/7/2013)
31/7 驗血HCG 31
3/8 晚上流啡血, 比28/7為多, 去左急症室睇, 醫生要我驗尿, 照陰超聲波, 話無事, 但未見胎囊, 她說可能太早(4W2D), 找不到是正常的, 叫我回家
5/8 又流流少少啡血 , 打安胎針, 共5 天 (5-9/8/2013)
10/8 用照陰超聲波, 找不到胎囊(5W2D), 再驗血HCG 108,

Question 1
20/7放了2個day3雪胎, 現在(10/8) 找不到胎囊(5W2D), 正常嗎? 胎囊在什麼時候照的? 宮外孕機會大嗎?

Question 2
10/8 (5W2D)找不到胎囊, 驗血HCG 108, 是否要停止用藥Progesterone & Estrofem? 我的主疹醫生正在休假中, 伐假醫生意見是 (a) 立即停止用藥 OR (b) 再用多5 天藥, 看看驗血HCG情況,

Question 3
如果HCG 升, 是怎麼辦?
如果HCG 回落, 是怎麼辦?

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積分: 9500

1956^#

發表於 13-8-12 21:09 |只看該作者

回覆：Audrey8226 的帖子

Hello Audrey8226,
也沒甚麼宜忌，有約3個月時間，飲食適可而止，少煎炸、均衡飲食便可；儘量作息定時，不要給自己太大壓力。讓經期回復正常，也是一個好現象了。

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積分: 9500

1957^#

發表於 13-8-12 21:41 |只看該作者

回覆：KWC578 的帖子

Hello KWC578,
很抱歉，我估計你這回是未有懷孕的。
Question 1: 如有胎囊應在5W左右便照倒。不像是宮外孕，因你有流血現象。
Question 2: 安胎針其實是HCG,所以你連續打了5天後又去驗HCG,估才有108。你的代診醫生知道你打了安胎針嗎?
我不是醫生，不能告訴你停藥或繼續塞藥，但若你又去打安胎針，然後又驗HCG是沒意思的。
Question 3: 如果你停打安胎針而HCG繼續升，你的主診醫生要跟進找找胎囊在哪。
如HCG回落，即沒懷孕，月經應很快便來。周期正常後，視乎你想怎樣，再與主診商量一下吧!

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baby525

積分: 1286

1958^#

發表於 13-8-12 22:10 |只看該作者

回覆：cutecutetown 的帖子

我療程同其他人一樣，不過你講完我有信心la.多謝。另外，唔知點解今日day 9,還有血絲，未打針，只是噴鼻都會咁？？

點評

cutecutetown 噴鼻是要將自己身體的賀爾蒙降到最低，然後醫生才可看倒卵巢對打針的反應發表於 13-8-13 15:53

cutecutetown 可能你有些賀爾蒙未達標，所以要比其他人噴鼻多幾天並且遲點才開始打針發表於 13-8-13 15:49

cutecutetown 你平常經期亦比較長?血絲和噴鼻沒關係。發表於 13-8-13 15:45

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irene0502