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發表於 18-7-8 23:50 |只看該作者

cutecutetown 發表於 10-2-12 11:02
Being in the ivf field for >10 years, I hope to help in a discussion format any of your questions or ...

本帖最後由 Hapi2017 於 18-7-8 23:50 編輯

Hello 樓主

我嘅情況係，周期好短，平均24至26日，排卵非常早.

例如今個cycle ,
紅d Day 11 midnight 深粗

Day 12 早上 Basel temp 最低，夜晚去照卵泡，醫生話已經排咗卵

Day 13 早Basel temp 已經升左0.4度。

In my case, does ivf help?
Thz ar

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GoodLau 發表於 18-7-8 23:45
Hi Cutecutetown,

最壞的打算是有機會宮外孕嗎？

Dear GoodLau,
看看今天指數如何吧！

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tt2014tt 發表於 18-7-8 23:46
Dear Cutecutetown

你好，我做過2次刮宮，之後內膜有黏連已經做左手術，但術後內膜都只有7-8mm (最厚只有8 ...

Hello tt2014tt,
這是子宮內膜問題，做與不做ivf也好，胚胎著床後也比較容易流產。

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tt2014tt

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發表於 18-7-9 08:09 |只看該作者

cutecutetown 發表於 18-7-9 08:07
Hello tt2014tt,
這是子宮內膜問題，做與不做ivf也好，胚胎著床後也比較容易流產。
...

Dear Cutecutetown,

多謝回覆，即是我的希望不大(emoji)(emoji)我應該怎樣做？

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發表於 18-7-9 08:14 |只看該作者

Hapi2017 發表於 18-7-8 23:50
本帖最後由 Hapi2017 於 18-7-8 23:50 編輯

Hello 樓主

Hello Hapi2017,

排卵早，但周期準嗎？如果準，可早一點開始「做功課」，把握排卵前時間。
視乎年齡和有否其他不孕原因，醫生可給排卵丸，又或iui；ivf固然也是方法，但要自己試咗一年以上而又不成功才會做。

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發表於 18-7-9 08:24 |只看該作者

tt2014tt 發表於 18-7-9 08:09
Dear Cutecutetown,

多謝回覆，即是我的希望不大(emoji)(emoji)我應該怎樣做？

Dear tt2014tt,

其實內膜都有8mm,不是最差的情況，但黏連就比較復雜。手術過後就把握這半年至一年時間，你以前做過括宮，即胚胎是可以著床的，但也須看多久以前。如果黏連手術前已多年嘗試懷孕未果，就可盡快考慮ivf.

但自然也好、ivf也好，都要有心理準備流產風險比其他人高。

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tt2014tt

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發表於 18-7-9 08:37 |只看該作者

cutecutetown 發表於 18-7-9 08:24
Dear tt2014tt,

其實內膜都有8mm,不是最差的情況，但黏連就比較復雜。手術過後就把握這半年至一年時間， ...

多謝你既意見，我是17年做刮宮的，之後年尾發現黏連問題。前前後後都做過2-3次宮腔鏡。6月做過最後一次宮腔鏡檢查已經確定剪開晒黏連部分，只是內膜谷不到9mm以上。我已經定了月中開針做IVF，只是擔心做IVF都有困難.(emoji)

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Hapi2017

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發表於 18-7-9 18:09 |只看該作者

cutecutetown 發表於 18-7-9 08:14
Hello Hapi2017,

排卵早，但周期準嗎？如果準，可早一點開始「做功課」，把握排卵前時間。

Hello Thz for your reply!
想請問排卵藥可否延遲我的排卵，延長我的周期？因為其實我很擔心，太早排卵，卵子質素不會好。

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發表於 18-7-9 23:39 |只看該作者

tt2014tt 發表於 18-7-9 08:37
多謝你既意見，我是17年做刮宮的，之後年尾發現黏連問題。前前後後都做過2-3次宮腔鏡。6月做過最後一次宮 ...

Dear tt2014tt,
在你來說，ivf不難，難度在於如何令胚胎著床後不流失。內膜若有8mm就不錯了，不要强求9mm+。
即管試一試，但要有心理準備未必一兩次就成功的。其實若有胚胎，最終亦可考慮代母，但香港沒有中心有牌照做這個服務，要在外國才有。

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發表於 18-7-9 23:45 |只看該作者

Hapi2017 發表於 18-7-9 18:09
Hello Thz for your reply!
想請問排卵藥可否延遲我的排卵，延長我的周期？因為其實我很擔心，太早排卵， ...

Dear Hapi2017,
其實你只是24天周期，仍屬正常。但一直以來也是周期短，還是與年齡有關？
卵子質素跟周期長短關係不大，反而年齡、輸卵管有沒積水、賀爾蒙指數等等都反映到卵子質素。

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GoodLau

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發表於 18-7-9 23:56 |只看該作者

cutecutetown 發表於 18-7-9 08:02
Dear GoodLau,
看看今天指數如何吧！

Hello Cutecutetown,

今日驗HCG 已跌到8.9 了，化學懷孕了，好彩的是應該不是宮外孕.
有喜亦有悲.

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發表於 18-7-10 00:00 |只看該作者

GoodLau 發表於 18-7-9 23:56
Hello Cutecutetown,

今日驗HCG 已跌到8.9 了，化學懷孕了，好彩的是應該不是宮外孕.

Dear GoodLau,
對的，不要灰心，也不要輸了信心。重整心情再來，為你打氣！

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tt2014tt

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發表於 18-7-10 07:47 |只看該作者

cutecutetown 發表於 18-7-9 23:39
Dear tt2014tt,
在你來說，ivf不難，難度在於如何令胚胎著床後不流失。內膜若有8mm就不錯了，不要强求9mm+ ...

好的，我都會試一試，盡我能力。謝謝(emoji)(emoji)(emoji)(emoji)

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tamoneone11

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發表於 18-7-10 09:41 |只看該作者

cutecutetown 發表於 10-2-12 11:02
Being in the ivf field for >10 years, I hope to help in a discussion format any of your questions or ...

I have my first FET done in June but failed. I transferred a d3 embryo with 8 cell graded as 1. I lost my confidence knowing that the HCG is <1 as it implied the embryo can't even implant.
I have acupuncture and chinese medicine during my FET. I also took bromelain for 5 days. Before FET, I have blood test on ANF, Anti-TPO, Anti Tg and d-dimer, 打水超聲波 which are found normal.

This failure has defeated me quite a lot as I thought I have prepared enough. I planned to have my second FET a month or two later, is there any advice you can give me for better preparation? Thanks a lot in advance!!

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發表於 18-7-11 17:59 |只看該作者

tamoneone11 發表於 18-7-10 09:41
I have my first FET done in June but failed. I transferred a d3 embryo with 8 cell graded as 1. I lo ...

Hello tamoneone11,

No need to feel defeated. When an embryo is not competent, there is nothing you can do. And with all the “preparation” you mentioned, many are redundant and no one really proves they are useful.

Think of it this way, when you take a road test for your drivers license, some people pass in one attempt but many need to take it twice or even more times. Similarly, one good-looking 8-cell embryo that doesn’t implant is not unusual in this IVF journey. Not every embryo can make a baby, this is a fact that you need to know.

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liuwyk

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發表於 18-7-16 00:38 |只看該作者

回覆 cutecutetown 的帖子

Hi Cutecutetown,
Thanks for your sharing and assistance over the years to us, you are really resourceful, helpful and experienced.

I tried to read through your posts but seems not possible and therefore I would like to post my questions now. We planned to do my first IVF in my next cycle but we cannot decide the doctors, so i would like to seek for your advice. Below please our details:

Husband and I are not young, our biological clocks start counting
We have one child by natural birth
My AMH result was 14.17 pool/L
Semen test: classification of Hypospermia and Teratozoospermia (morphology <1 )

Questions:
1) Supposing we will be using same lab, what do you think is the most important factor when choosing ivf doctor?
2) what is the cert. H.K.C.O.G. (Repro. Med)? One doctor was recommended by my colleague with this cert, but my husband and I feel that we have some difficulties in dealing with her. I am a bit hesitated as the doctor did the test and spent about 5-10 minutes for consultation. All I got is we should do IVF not IUI. Then, asking us to go out and decide whether to do IVF. Though her nurse is very professional and explained the rest to us, I just feel missing something and not sure if we should go for her.
3) I then consulted another IVF doctor, she is much more patient and explained to me in details. As compared between two, the second one does not has that cert,is it really matter?
4) Menstruation starts not getting stable this month, usually it is 28 to 30 days, but just the last one it Took 35 days. Anything I should take to stablize my menstration cycle for the upcoming IVF?

Thanks for your assistance and advice in advanced!

Best regards,
Klaus

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發表於 18-7-16 21:41 |只看該作者

liuwyk 發表於 18-7-16 00:38
回覆 cutecutetown 的帖子

Hi Cutecutetown,

Hello Klaus,

1) Choose someone you are comfortable with, as you will be under her care for about a month from start to finish.
2) The cert. HKCOG Reprod Med is granted to 2 types of clinicians: those who were already doing ivf before the Council on Human Reprod Technology came into play in 2007, or those who were/are trained by a HKCOG-approved training centre, ie currently, just the 2 university hospitals (QM or PWH).

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