hi tub, my experience was with Dr Stephen Chew in NUH, not with Dr Lim, the medicine and jab name and the procedure may abit diff, i heard my iVF Doc said tat young women will take long protocol, above 35 women will take short protocol. so during tat time i oni 28 yrs old, mine is a long one! below is my best answer to u:
1. When do I see dr if I want to do ivf?
ans: if u not yet do any report or specific on the hormones blood test, u better go on the 2nd day of ur mense, so doc can take ur blood test and examine r u lack of some hormones tat which may affect ur ovaluation and womb lining! two test will be taken, one is on 2nd or 3rd day of ur mense, another one will be on 21st of 22nd of ur mense cycle. if ur hubby not yet take sperm test, doc sure ask ur hubby to do sperm test, best for ur hubby to keep his sperm for 3 to 7 days, to have best result, too short, little sperm volume, too long quality not good. if all test report u have it and result is within one year then must see when u decided to do it, if provided tat the hospital or gyna can let u do immediately, u dun need to queue up, then u may go on ur cycle start or after mense. if u need to queue up then anytime u want lor bcos u r on waiting list mah!
2. How long is the process?
ans: mine is long protocol, till u know the result whether u preg or not is total ard 6 weeks.
3. What medication both oral and jab are we expecting? How many jabs?
ans: if u decided to do on oct, example: ur CD1 is on 1ST OCT, then doc will give u superfact a jab to suspress ur hormones on 21st of OCT, jab for 14 days continuously, till 3rd of NOV, then change to Gonal F jab for another 14 days, if u got PCOS or ovaries disorder like me, the dosage will be higher and more jab, mine is ard 17 days of Gonal F tat time, in between u will need to see doc for scan to check on ur follicles quantities and size and take hormones blood test too ard 3 times, if u have enough follicles in right size and hormones test passed then give u a jab which must take exactly 35.5 hours before ur ER. then ER lor.
4. What is er or et and what are the procedures like? Can we be up and going after the procedures?
ans: ER is egg retrieve process where doc will put ur to sleep as the procedures is quite painful i heard, bcos i oso sleep during process so i dunno the level of pain can be endure anot! ER is always at ard late morning or early noon, on the day of ER, hubby will go take up their sperm in clinic, then late morning then u come for ER, as the lab need time to prepare hubby sperm, which ard 2 to 3 hrs. then they will take out all the eggs u have in ur follicles except those r too high up on the ovaries then cant retrieve, not all of ur follicles contain eggs, mine got 18 follicles oni 6 eggs, i got a problematic ovaries, heehee... then eggs will sent to lab with ur hubby sperm to do lab procedure which let the sperm go into the egg, if u doing normal ivf, lab will placed ur hubby sperm on the eggs in a dish(small plate) to let the sperm invade ur eggs naturally under mircoscope, once the egg is fertilised, they will keep it in a fridge kind of look thing to keep it under room temp. if u choose ICSI ivf, which mean ur hubby sperm test result is not good, then u must choose icsi ivf, the lab will choose the best of the best sperm ur hubby have then inject it into ur eggs to fertilised it, bcos if ur hubby sperm not good, the sperm may not able to fertilised the eggs itself! after ER, ard half hours to 1hrs u will wake up, but u must be on bed for another 3 hours to let the ma zui yao gone, a doc will come visit u, after 3 hrs, and doc will informed u, u got how many eggs retrieved just now. then u may go home then wait for 3 days later come back do ET, Eggs transfer loh. within 2 days, clinic will call u to confirm u r fine after ER, then the lab will call u to updated u on the fertilised eggs condition, mine 6 eggs oni 2 fetilised, other all cannot make it and die off. then 3 days later, u go back to clinic for ET, u r fully aware of wat doc during ET bcos u r not put to sleep on ET, 1.5 HRS before ET, Pls drink at least 2 litres of plain water to make ur bladder full, oni full bladder can do ET, dun urine 1.5 hours before u ET, full bladder will press on ur uterus to make ET eaeier for doc, so ur precious embryo can insert in smoothly! after ET, the nurse will ask u to continue hold ur urine till u cant tahan, u cannot push urself or use strength after ET for 2 hours to make sure that the embryo was not push out by u!!! then u will sleep on a inclined bed, which head below and leg up position for 2 hours, then u may go home, then take care of urself, ur mc will be given since the day u ER, so 19 days after ER or 16 days after ET u will go back for work. on the 14 days after ET, if u nv see red, then go back clinic take preg blood test to confirm BFP! if u see red before day14, faster call clinic for emergency blood test to test whether ur ivf has failed or u r near to miscarriage, so if u BFFthen try again, if u BFP, u might need to take hormones jab to protect ur babies lor! tats all! jia you!!!! and hope u got good news to share wif me and other gals here soon!!! very soon!!!