Thank you for your encouragement to me on my rough road.
Yes, I don't have great expectation on this attempt but at least giving myself one more chance. I hope a private doctor can define and tell me what is my major problem. The doctor in PWH had not adviced me about this e.g. the grade of embryo but rejected my 3rd (last) attempt on public queue even I was not too high age at that moment. Their comment were that the chance will become more low after few attempts.
Hi little icy,
With the advanced age issue, I suspect you may not be accepted anywhere to the public queue. If you would like to try private (I hope you are financially OK), then PWH may be a good choice because it has your past records and you are familiar with the place. I know their private clinic is relatively more affordable compared to some 'famous' private hospitals.
原帖由 little_icy1 於 10-3-3 19:42 發表
Hi cutecutedown,
Thank you for your encouragement to me on my rough road.
Yes, I don't have great expectation on this attempt but at least giving myself one more chance. I hope a private doctor c ...
I had tried 3 times in private queue & 2 times in public queue in PWH. The 1st attemp in public queue was changed to iui as my poor response to the HMG. So I had spent much money in their private queue.
It seems no different of both the services. The worst was finally rejected by them for my last attempt in public queue without clear explaination of my major problem, although I understand that some of the infertitily are caused by "uncertain reason".
I am so sorry to hear about your experience. If you will be starting another cycle anywhere, feel free to ask any question here. I will try to help you the best I can. Good luck!
原帖由 little_icy1 於 10-3-4 15:54 發表
Hi cutecutetown,
I had tried 3 times in private queue & 2 times in public queue in PWH. The 1st attemp in public queue was changed to iui as my poor response to the HMG. So I had spent much money i ...
Hi Kandice,
I am sorry to know about your miscarriage. Please take care of your well-being before worrying about other things. I hope you get good support from your husband and close relatives.
To answer your question, 流產 happens in natural conception too, and no particular reason can be found in most cases. If you or your family do not have a history with genetic diseases, you do not need to worry about the later use of your frozen embryos.
cutecutetown,
thank you very much for your sharing. Just want to ask you about the successful rate of IVF and ICSI. My hubby's sperm count and mobility is not up to standard, but the doctor just suggested us for IVF. From your experience, to what extend doctor would suggest ICSI? do you suggest us to go for ICSI instead?
jamie mama,
I think your doc's suggestion was for you to receive in vitro fertilization (ivf) instead of other simpler treatment such as IUI, which means the treatment will be more elaborate in terms of time and costs.
As for your hubby's sperm quality, I am not sure where he had his semen analysis and the standard being used in that particular lab. Nowadays, especially if you are ok to pay that little extra and understand the extra manipulation on your eggs, you may request ICSI to be done regardless of sperm quality. Very generally speaking, if a sperm sample is of good enough quality for IVF, by doing ICSI may not add extra benefit.
To share with you my experience in the lab, if on the day of egg retrieval the sperm sample is suboptimal (the sperm may not fertilize the eggs by conventional IVF), I will definitely inform the doc and he/she will check with the patient(s) to come to an agreement to use ICSI instead. Most patients will agree; but believe it or not, it happened once in my entire career that the couple did not agree and the lab could only do IVF.
原帖由 jamie_mama 於 10-3-4 20:45 發表
cutecutetown,
thank you very much for your sharing. Just want to ask you about the successful rate of IVF and ICSI. My hubby's sperm count and mobility is not up to standard, but the doctor just s ...
原帖由 cutecutetown 於 10-3-4 17:03 發表
Hi Kandice,
I am sorry to know about your miscarriage. Please take care of your well-being before worrying about other things. I hope you get good support from your husband and close relatives.
To ...
Thank you for your reply!我會好好照顧自已的了。我和老公的家族沒特別的問題,希望下次無太大問題,不過亦不敢抱太大期望,希望越大失望越大,平常心好了,哈哈!
Is it a normal practice for IVF lab to dissolve frozen embryo at the day of embryo transfer? Can the successful chance be improved if the lab can have one or two days observation to make sure the embryo can growth?
Thank you very much!
原帖由 cutecutetown 於 10-2-12 11:02 發表
Being in the ivf field for >10 years, I hope to help in a discussion format any of your questions or concerns with my relevant scientific knowledge and experience.
Hi Junly,
Some labs thaw ("dissolve"?) embryos on the day of transfer and some thaw one day before. In general, embryos frozen on day-2 or day-3 are thawed the day before transfer and cultured overnight; this will help the lab to assess the embryo growth. Embryos/blastocysts frozen on day-5 or day-6 are thawed on the same day, but some labs may thaw them the day before transfer. Blastocysts often look "collapsed" upon thawing and may re-expand in a few hours (an imaginative way to describe it is that a collapsed blastocyst is like a raisin/dried-up grape; when it re-expands, it will resume its grape appearance.)
Other than considering when to thaw, another important point to a successful frozen embryo transfer is to have a synchronized endometrium. Both the embryos and the uterus need to be at the right timing. This timing is taken into consideration when embryos are thawed for transfer.
原帖由 junly 於 10-3-12 13:29 發表
Hello cutecutetown
Is it a normal practice for IVF lab to dissolve frozen embryo at the day of embryo transfer? Can the successful chance be improved if the lab can have one or two days observation ...
I am 33 years old, i have been trying to have baby for 4 years and have tried 4 times iui with different doctors in the past 2 years...all the doctors concluded my case as unknown case...all the time, i think its the pressure from my work, but recently i have visited a new doctor, and he said someting different, its hard to have pressure for 4 whole years and he pointed out one possibility of having a fallopian tube clear but not functioning, he suggested IVF, may I know if you have many cases in your lab having this problem? and having an unknow reason, do I still stand a good chance? many thanks ....
原帖由 cutecutetown 於 10-2-12 11:02 發表
Being in the ivf field for >10 years, I hope to help in a discussion format any of your questions or concerns with my relevant scientific knowledge and experience.
Dear Sally,
Did your "new" doctor suggest you to do IVF? Simply based on your age (relatively young) and your husband's sperm quality being ok, I think you should have a good chance with ivf.
However, your doctor may or may not require you to have a laparoscopy to investigate the inside of your tummy or areas around your ovaries. Some blood tests may also be required. If you decide to do ivf, come to this blog and others to see people's sharing of their experience. They all help by giving you ideas what to do or how it is like.
Good luck :)
原帖由 sally2009wong 於 10-3-14 22:50 發表
Hi cutecutetown,
Thanks for your help.
I am 33 years old, i have been trying to have baby for 4 years and have tried 4 times iui with different doctors in the past 2 years...all the doctors conclud ...
That is what the doctor said, he also suggested to go for IVF, and indeed, I am very concerned about the OHSS...how often it happens? what is the %/ chance of getting an OHSS?
I am now preparing and have started seeing Chinese doctor to get myself warmed up...and also exercise...any other things I should do before teh IVF? or anything I can do now to reduce the chance of having OHSS?
I am planning to have the IVF in June...thanks again for your advise...
原帖由 cutecutetown 於 10-3-15 17:51 發表
Dear Sally,
Did your "new" doctor suggest you to do IVF? Simply based on your age (relatively young) and your husband's sperm quality being ok, I think you should have a good chance with ivf.
However ...
I just had my eggs extracted today and thank God my body didn't react very badly after the operation, except a little dizziness and slight abdominial pain.
My question concerning this ivf treatment is as follows:
I had the last ultrasound scan on last Saturday and I asked my doc how thick is my uterus wall. He said it is 16.5mm. I asked my doc whether my uterus wall is "too thick" already, he then said there is no such thing as "too thick". On the same night, I had injected the 破卵針.
My period is rather short (from 25-28 days) and in last iui, my uterus wall was 14mm and egg size was 17mm and 18mm on day 11.
My question is: is my uterus wall "too thick" for ivf?
I just had my eggs extracted today. My question concerning ivf is as follows:
On the last ultrasound scan on last Saturday, I was told my uterus wall was 16.5mm thick. I then asked my doc if the wall is "too thick", he then said there is no such thing as "too thick".
My period usually lasts 25-28 days. In my last iui, my uterus wall was already 14mm and my eggs 17mm and 18mm on day 11.
My question is: is my wall "too thick" for a smooth implantation?
OHSS certainly sounds scary, but with your age and no previous ivf done before, I think your doctor hopefully won't start you on a high dose of drugs. This is a very small risk, but slightly higher in PCOS patients; however, the doctor will keep you under his/her monitoring more regularly (as compared to iui) and he/she will adjust the medication during the ovarian stimulation process.
There is really nothing you can do to prevent OHSS. If you are still super worried about it, discuss with your doctor; let him/her see your concerns. I think most of the specialists are experienced enough and your previous iui records may also help your new doctor in deciding the right dosage for you.
Sorry I don't quite get what you mean by "seeing Chinese doctor to get warmed up"? Do you have cold feet or something? Regular exercises help, so will eating well (and healthy), no smoking, no second-hand smoke, getting quality sleep....all these do not just help with fertility but a better self. So, good luck and keep a relaxed and open mind :)
That is what the doctor said, he also suggested to go for IVF, and indeed, I am very concerned about the OHSS...how often it happens? what is the %/ chance of getting an OHSS?