I recalled you were considering Dr Loh too? Are u starting with him or staying back at KKH. I rem you are a lady who has tried very hard for this TTC journey, feeling tell me it will be your turn soon. Don't give up... U are nearing your goal!
IVF/ICSI Support Group
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rainflower
Active Member
Congratulations sis! Finally.all your patience n preservarance paid off. Pray hard that all go smoothly your way from now on. Big hugs for u.
Baby dust... wo hoo!!
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pammm
Member
Hi Ladies
Today is day 7 of my stimms. The doctor did a scan for me this morning and as of today, I have 30 follicles of approximately 10-13mm big. I may be at risk of OHSS and the embryo transfer might only take place next month. Despite having high follicle count, the nurses said I still have to continue with the injections as they needed my follicles to grow to 17mm. Has anyone here had their doctor go ahead with the embryo transfer despite having at least 30 follicles? Also, should the doctor decide to perform the transfer next month, how many days MC/HL will we be given for the egg retrieval alone? I was also wondering whether there's any way I can increase the rate of follicle growth so I can stop the injections as soon as possible.
Cheers
Pam
Today is day 7 of my stimms. The doctor did a scan for me this morning and as of today, I have 30 follicles of approximately 10-13mm big. I may be at risk of OHSS and the embryo transfer might only take place next month. Despite having high follicle count, the nurses said I still have to continue with the injections as they needed my follicles to grow to 17mm. Has anyone here had their doctor go ahead with the embryo transfer despite having at least 30 follicles? Also, should the doctor decide to perform the transfer next month, how many days MC/HL will we be given for the egg retrieval alone? I was also wondering whether there's any way I can increase the rate of follicle growth so I can stop the injections as soon as possible.
Cheers
Pam
DawnBB
Well-Known Member
I learned in this journey that having number is just that, ultimately egg & embryo quality is very important and lastly the physical, emotional & financial stamina to battle the daunting uncertainties to go through cycles after cycles to get to that one chromosomally normal one that will work. It gets even more challenging when we are ready to have a child yet have to race against aging.
Trying to hang on to hope & have faith is really tough especially when faced with repeated failures & understanding the facts of what odds are stacked against you. There have been real cases of success on first or second try but how to count on being that lucky? I scour success stories online to remind myself that for the majority, the sweetness comes against the odds, after much sacrifice & tears.
I'm also only human & I'm not in the most hopeful of moods all the time. We can only do our best, hope for the best, yet make backup plans & prepare for the worst. Ultimately hubby & yourself agree what is enough to have no regrets & find peace together. Jia you k.
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daybreak_rose
Member
Hi,
I did FET and fresh transferred before at KKH.
At 20 eggs, they were already worried that i will have OHSS and did not transfer fresh. Let alone your case of 30... But ur health is top priority. Don't risk OHSS. If touchwood, hospitalized, the eggs might get wasted too with their chances being affected... I had mild bloatedness and was walking like pregnant woman even though no embies in me.
During my ER, i was only given 3 days HL. Which was fine for me, coz no embies in me, stay at home also will begin to think alot.
I don't know of any other way to increase rate of follicle other than injection. Coz u want the follicles to all grow at the same rate and all to reach 17mm. My case, some reached, some did not, out of 13 follicles, only 9 were matured, and only 2 workable ones. You want quality, girl!
Take care! Drink plenty of water and I heard royal jelly and egg whites help to prevent OHSS.
DawnBB
Well-Known Member
Dearie, follicle growth usually start out slow but once they reach about 12mm, they usually are expected to grow more predictably at almost 2mm per day under stims. You prob have another 2 at most 3 days of jabs to go.
Take more protein rich foods. Egg whites are recommended as they give the most protein per whole food. Get adequate hydration. Have good rest & try to go to bed earlier at night to enhance cell growth & rejuvenation.
I had mild OHSS for first cycle and always at high risk for subsequent cycles. OHSS can be prevented with conscious effort but need to start as early as possible even before the hcg trigger jab. Increase intake of protein rich foods (I had up to 4-6 egg whites towards & after ER). Also drink at least 2L water daily (some suggest drink electrolyte balancing drinks like H-Two-O).
At TFC they have a checklist to check your condition and usually go ahead with ET unless you have symptoms of moderate OHSS. This is because OHSS can be managed. It is a time limiting condition that should subside overtime and rarely escalates to severe OHSS. I went ahead with ET in all my fresh cycles. I agree with daybreak_rose that your health is most important. I would say go with what the doctor advises for your case as they will know what suits you most.
Good read on OHSS - http://www.path2parenthood.org/article/are-you-at-risk-for-hyperstimulation-syndrome/
Jia you & All the best!
Wow!! Congrats to u dawn!!!!! So happy for u.. grabbing some.baby dusts.. n looking forward to my next cycle..
U are such a well informed person in IVF n procedures..
May i ask how old r u?? And yr FET is how long after yr fresh cycle?
Just measuring the odds.. i got 4 more..
I wanna pm u..and know u more...love inspiring women!!!
ChasingRainbow
Active Member
Hi Pam, I had 20 follicles at day 7 stim. i continued stim jab till day 10 stim. like you, i also cannot do fresh ET this month. i just had my ER yesterday and got HL till 4 Jan. By the way, I'm at KKH. The protocol might be different in other hospitals. Tomorrow need to go back to take blood test to make sure I don't get OHSS.
so great to hear good news, i hope my mrs and i will be abled to be blessed too for our first IVF round. Still in the 2ww period and i know my mrs is nerouvs about the results as she says no feel ... but am trying to help her to be positive and feel relax .. hopefully all will be good.
DawnBB
Well-Known Member
Woah...thanks lol
I'm 38 years "young" going 39 very soon.
My last medicated FET was about 2.5 months after fresh cycle in Sep. Had to abandon the natural Fet in Nov because a 15mm follicle on CD10 didn't grow beyond 16mm on CD19 and AF started on CD20, a freak cycle considering my previous regular 33 days natural cycles. So on to med FET in Dec. Sometimes after doing all you can, you can't fight fate as my doc said.
All the best to you!
Dreamscometrue
Well-Known Member
Congrats!! What else can be more joyous than this before the end of this yr!Woah...thanks lol
I'm 38 years "young" going 39 very soon.
My last medicated FET was about 2.5 months after fresh cycle in Sep. Had to abandon the natural Fet in Nov because a 15mm follicle on CD10 didn't grow beyond 16mm on CD19 and AF started on CD20, a freak cycle considering my previous regular 33 days natural cycles. So on to med FET in Dec. Sometimes after doing all you can, you can't fight fate as my doc said.
All the best to you!
Dreamscometrue
Well-Known Member
Any sisters heard of or went to Hua Mei acupuncture before?
clairechua
Active Member
clairechua
Active Member
Sisters in e tww, I was persistent that I do not want to symptom spot this cycle. But, I'm feeling nausea every few hours & appetite isn't good when I'm only 2dp3dt. Anyone feeling the same? Is it the utrogestan?
pammm
Member
Hi,
I did FET and fresh transferred before at KKH.
At 20 eggs, they were already worried that i will have OHSS and did not transfer fresh. Let alone your case of 30... But ur health is top priority. Don't risk OHSS. If touchwood, hospitalized, the eggs might get wasted too with their chances being affected... I had mild bloatedness and was walking like pregnant woman even though no embies in me.
During my ER, i was only given 3 days HL. Which was fine for me, coz no embies in me, stay at home also will begin to think alot.
I don't know of any other way to increase rate of follicle other than injection. Coz u want the follicles to all grow at the same rate and all to reach 17mm. My case, some reached, some did not, out of 13 follicles, only 9 were matured, and only 2 workable ones. You want quality, girl!
Hi @daybreak_rose
Oh so they give only 3 days HL after the retrieval. Is there any drugs prescribed to prepare for your following month's transfer? I'm also wondering if all the drugs taken this month will affect (delay or miss) my period next month. Did you encounter any delay or missed periods on the following month?
I'm taking 3 egg whites a day and I'm drinking coconut water and have been taking Royal Jelly, Folic Acid and Prenatal Conceive Well tablets.
pammm
Member
Hi @DawnBB
Thank you for your advise!
I will increase my egg intake and drink more isotonic drinks!
Yes, health is most important. So far the doctor didn't mention anything to me. He is a man of few words. It was the nurse who told me that I might have to do the ET next mth.
Cheers,
Pam
Mdm Chua G P
New Member
Hi I just want to share and encourage all of u here. I have 2 ICSI children, one frozen.
they are now 10 and 8 yrs old, tall and big.
so push on!
they are now 10 and 8 yrs old, tall and big.
so push on!
pammm
Member
Hi @ChasingRainbow
I'm seeing Dr Stephen Chew from NUH. I suspect my ER will be scheduled this coming Mon. I'm experiencing bloating and mild cramping occasionally.
So for the following month, to prepare for ET, do they prescribe drugs to control ovulation? Or we are suppose to wait for our mensus to arrive and ovulate naturally?
You mentioned that you had 20 follicles at day 7. How many did you have on day 10?
Take care and rest well babe!
Cheers,
Pam
DawnBB
Well-Known Member
Hi Claire, you are very likely still experiencing mild OHSS lingering on at this point. Can refer to the article I posted in reply to pamm earlier.
Please continue the measures to prevent and relieve OHSS. Do have plenty of rest and take foods that are easy to digest at smaller portions. Pls take care & hope that you feel better soon. All the best!
ChasingRainbow
Active Member
I also had a bit of abdominal pain and as the other sisters suggested, I drank 100plus and drank more water, which helped me feel better. I haven't been prescribed any meds after ER, maybe I'll know more tomorrow after my blood test. This month is my first IVF cycle. I might have more than 24 follicles on day 10. The sonographer stopping measuring the size after 12 on each side. Exactly how many, I didn't ask... coz was too disappointed when the doc say I cannot do ET this month.
clairechua
Active Member
Thanks dear.
I was feeling alright before e transfer but it seems to be have gotten worse after that.
milogal88
Well-Known Member
Hi @Dreamscometrue, I was with Dr Zhu Ping at Hua Mei acupuncture for quite some time. She does moxibustion with acupuncture. Nice and clean environment and everyone is friendly over there. Her oral medication is in powdered sachet form. No brewing required. Short waiting time as it's by appointment basis. She was recommend to me by a friend but I was told that some of the patients under Prof PC Wong from NUH actually refer them to her.
pammm
Member
Yes, I was equally disappointed when the nurse told me they might have to do the transfer only on the following month.
My acupuncturist from Thomson Medical at NUH told me he had one patient who had 30 over follicles and they went ahead with the transfer. I'll see what my doctor says this Sat when I go for scans again
Take Care!
dramaqueenie
Active Member
Hi dear, one of the side effects of utrogestan suppositories is vomiting and nausea.
You can Google for more side effects. Off hand I can remember is cramps, headaches etc
Hi ter, well I share yr wife's experience. Me too don't hve anymore feelings below. Do hve slight very slight twinge here n ter. Very nervous too as its my 1st ivf. Wen is ur blood test?
clairechua
Active Member
Yes, I was equally disappointed when the nurse told me they might have to do the transfer only on the following month.
My acupuncturist from Thomson Medical at NUH told me he had one patient who had 30 over follicles and they went ahead with the transfer. I'll see what my doctor says this Sat when I go for scans again
Take Care!
Aft the transfer I was informed that I got 39 follicles, I was pretty shocked as my last scan dr Loh mentioned I have got 21... Explains what DawnBB said that, I may have OHSS now? I just bite the bullet and went ahead w e HCG shot, I guess it really depends on individual and doctor?
clairechua
Active Member
I had those when I done my IUI but it was just once a day so I guess the impact wasn't as great. Adding on, I guess it's mild OHSS. It slipped my mind that I may have that as well...
for my mrs is next week. thus i told her well prep for worst but dun feel too bad is not the first time of BFN since we on IUI camp
pammm
Member
Wow 39 is a lot. How many days did it take to increase from 21 to 39?
I am already at 30 follicles and I was wondering why they did'nt further reduce my injection dosage.
I guess it is to help in follicle growth but would it influence follicle production?
clairechua
Active Member
The 21 was just a rough gauge. It was 4 days apart? Ya jus let them grow! The more the merrier!
pammm
Member
But if there's more it puts me at risk of OHSS haha
Nope. I was under Dr Zou Yumin at Amk and she's specialized with infertility and accupunture. Her accupunture is not painful at all. You may consider
Hi If you found out that you are pregnant, continue to drink isotonic drink and eat eggs so as to reduce soreness as soon as possible. Even though I had no OHSS but Cyst grew around my womb after pregnancy. My IVF is alr over with 11 eggs retrieved and I'm 5 weeks into pregnancy...
Initially my left lower abdomen was super painful and I was so afraid I had ectopic pregnancy so I went O&G 24hrs clinic but ended up its multiple cyst in my ovaries. Doc said its normal as Its side effect of IVF.
Ytd I went for ultrasound scan and was still in pain on my left lower abdomen. I found cyst subsided on right ovaries but there's a 4cm cyst on the left ovary even though it is not OHSS. 4 Cysts was found in my uterus so Dr Tan HH gave me additional HL.
So it may not just be OHSS. The growth of cyst is due to production of HCG during pregnancy.
Take care!
tsf0205
Active Member
Hi, I jus failed my 4th cycle with dr Loh. Due to cost consideration, I went back to KKH. I hope u r right on reaching my goal soon... Not only to me, but everyone here
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Woah...thanks lol
I'm 38 years "young" going 39 very soon.
My last medicated FET was about 2.5 months after fresh cycle in Sep. Had to abandon the natural Fet in Nov because a 15mm follicle on CD10 didn't grow beyond 16mm on CD19 and AF started on CD20, a freak cycle considering my previous regular 33 days natural cycles. So on to med FET in Dec. Sometimes after doing all you can, you can't fight fate as my doc said.
All the best to you!
DawnBB, Congrats!!! It such a happy news! Have a safe preggy journey!
queenie122009
Active Member
Hi, dear,
Hope u don't mind me asking. Wat is the rough price difference between kkh & TFC?
Preserve on, dear & m sure good things ll come to u soon.. Jiayou..
queenie122009
Active Member
Bunny33, this is very helpful indeed. Thanks a lot, dear...
queenie122009
Active Member
Ladies with Thomson,
May I ask, how long is the wait from 1st meeting appointment with Dr Loh to the start of the ivf cycle? & does Thomson have a ivf briefing as like kkh?
May I ask, how long is the wait from 1st meeting appointment with Dr Loh to the start of the ivf cycle? & does Thomson have a ivf briefing as like kkh?
Hi... I am a 2x ivf mummy... I start of frm kkivf with 1 failed fresh cycle n managed to bfp on my 2nd fet. 3 yrs later I did another natural fet and am due on this sat.... my doc was frm kkivf n I follow her to thomson which is Dr. Loh clinic for all my ivf. I have endo for my case n blk tubes. All ladies who is trying hard.. pls keep an open mind n stay positive as much as u can.... Jia you. .. gambatte!!!
daybreak_rose
Member
Hihi,
For FET on next cycle, I called KKH on my first day of period and they gave me a prescription of progesterone. Little blue candy coated pills to take. I recalled those r to assist the growth of the lining before they do the ET. After which they asked me to go back and scan my lining twice. Just to make sure the lining is growing at steady rate and no need other medications. Once lining almost 10mm (I think), they will plan the ET 1-2 days later. Depending Saturday or not... That one they gave me 3 days HL too I think. But I believe can take more if u request. Eg 5 days. ET not intrusive like ER. Put tube in, let the embies wet n stick onto the lining and the rest is just 2ww.
BTW, I think the hormones did push out my period for 3-5 days. Gave me false hopes for abit coz I didn't wanna test at home...
Please continue all the vitamins and try to keep a stress free environment. Christmas is coming! Happy holidays ladies!!!
For pte U don't have to wait. You can consult this month and start the next month. U just need to know when he is away on leave. Dr Loh is a workaholic he usually only take leave end of dec or cny period. I remember I have a briefing on ivf process when I first do at Tfc but I don't know is it because that is my first ivf cycle. Maybe if U have done it before it is not necessary?
ChasingRainbow
Active Member
Were you given any medication after ET?Hihi,
For FET on next cycle, I called KKH on my first day of period and they gave me a prescription of progesterone. Little blue candy coated pills to take. I recalled those r to assist the growth of the lining before they do the ET. After which they asked me to go back and scan my lining twice. Just to make sure the lining is growing at steady rate and no need other medications. Once lining almost 10mm (I think), they will plan the ET 1-2 days later. Depending Saturday or not... That one they gave me 3 days HL too I think. But I believe can take more if u request. Eg 5 days. ET not intrusive like ER. Put tube in, let the embies wet n stick onto the lining and the rest is just 2ww.
BTW, I think the hormones did push out my period for 3-5 days. Gave me false hopes for abit coz I didn't wanna test at home...
Please continue all the vitamins and try to keep a stress free environment. Christmas is coming! Happy holidays ladies!!!
the_spinsterella
Well-Known Member
How can I ever forget you!! You are one sister who touched me greatly by selflessly offering and taking the trouble to meet me to lend me your CD. You inspired me to be bold & have faith in encouraging others in this forum as a way to help others and myself. And not least to mention, you & your golden embie journey inspired me heaps! Thank you so much for your well wishes. I believe all's going well with your little boy growing inside you. All the best to you too
Aww.. I didn't do much. You were the one who took the effort to come down here to take it from me. And you inspire me with your never-give-up spirit and advices too! So we all here let's inspire one another!
Yes, so far so good! I'm so excited for you!!!
the_spinsterella
Well-Known Member
*hugs hugs* Sorry to hear that. Go take a break, go on holiday or something. Whatever it is, remember not to give up ok.
Do you have any frozen? Some ppl do better with FET than fresh cycle. So don't give up hope ok! Chin up and stride on! Jiayou sister.
DawnBB
Well-Known Member
*Hugs* Dearie, I hope you recover well physically and mentally soon & try again when you feel ready. Don't give up k. Persevere on and have faith it will come eventually.
Patz patz n hug hug....
Dont give up.....
Joo35
Member
Hugz hugz. Dun give up.