IVF at NUH--feedback pls

Blue - I'm going to Prof Ng. I saw him this week and did BT for his evaluation before he decides what protocol for me.
 


hi ladies. TGIF!!

blue, prof suggested long protocol for me as my 1st failed is short protocol. so can try long tis time. u know prof actually forgotten i developed cysts when i was on suprefact. think he seen too many patients, so dun remember my case. i got to remind him. Therefore he decided to put me on bcp then long protocol. But i told him i would prefer short protocol coz less jab n less waiting time.

pink, andreanie, i going CHR to do my AMH bloodtest later. They only run the test every tue n result will b out on wed. Just in time to start my short protocol.

mel, tat time my cysts was caused by the suppression jab. they actually disappeared after 2 af cycle n i also took tcm med to help to minimise the cysts.
Prof told me he prescribe bcp to me if the cysts were still there after 2 cycles. bcp can help to get rid of cysts.
 
Serene, I be going down to repeat AMH on Monday, becos I felt that would be nearer to Tues testing.
Gd luck for yr AMH test.
I was thinking of 2nd opinion if my AMH still low. As I still can't accept that why is went so low within 6 months.
 
Mel & Pink-I was wondering when yr went to Prof Ng, did yr ask from NUH any report to bring over? Becos all my history like IUI & lapro done were in NUH.
 
blue, dun worry. ur AMH level should not drop so drastically within few mths. good luck to ur AMH test too.

mel, do u hav cysts b4 ur 1st ivf?? coz normally if u hav cysts, ur E2 level will b extremely high n prof would have discovered when he did the scan for u during ur stimulation stage and ask u to abort tat cycle to prevent the cysts from growing bigger. So most probably ur cysts appeared after ur 1st ivf isst?? If the cysts r veri small n prof give green light to proceed, he will hav help to suck out the cysts when he did the er for u. N y did u need to do laparoscopy unless ur cysts r too big n won't go away after medicine treatment?
 
Blue - If u want ur med records from NUH u got to call/email NUH medical records to purchase. I did not get from NUH. I didn't have much info of my last fresh and FET but during the jabs, I keep track of the different meds and dose and days on them on paper cos I worry I miss or over jab. Luckily I still have paper. Hee... And for lining, no. of eggs, etc I rem them when Pof read to his nurse. That was all I shared with Prof Ng regarding my prev ivf. The rest of BT and diagnostic tests I have copies.

Serene - I can't be sure if I had any cysts prior to ivf but I believe I don't cos prior to ivf the pelvis U/S and IUIs I had should have detected if I had any. And I did not feel anything wrong. I know this sounds ridiculous but I can 'feel'. That was why after ivf 2 wks I went to my gynae to confirm as NUH dismissed my symptom citing as due to ivf meds. So my gynae did U/S and found a 1cm endo cyst. From the size, it cannot have been there for a v long time right? I confirmed with another gynae and there was no mistake. So I did laparoscopy to remove.

Honestly, during ivf and ER I was not told of cyst neither was there any advise...that time I just do what was told...
If I had been informed, I won't be surprised, turned paranoid over cysts... In the end all I got was "... Now we know better how your body respond..." I o respect Prof and like the CHR team but I just find my case not well handled.

To be fair, one month plus after my natural FET my menses didn't come but spotted for weeks. I went to see Prof but he was on leave. I saw another Dr(not to mention the Dr's name). This Dr said was due o ivf med. I told him I was on natural no med taken. He told me to "... Wait fir my menses to come..." ????!!! I went off and home felt it was v stupid. I made appt with my gynae and told him. He gave me progesterone to induce my menses. How can I be left to spot and spot and just wait for AF?! Haii... I'm sorry. I thought it was myself, my body thats why i got all these. But asi read wht you sll shared, i realised its not me, its how they handled. I just have so much (and more) to say... Thank you for listening.
 
Serene,

I always thought they appear due to stimulation. Suppression will suppress E2 so by right no cyst mah? I think my E2 is high cos I had akmost 2 weeks of suppression.
What TCM did you take and where? Dr Zuo? I go to Thong Chai TCM since Jan and recently I had that 'cyst feeling' inside me again and went for U/S with my gynae and found a 9mm endo cyst at same site. I thought was the TCM herbs that stimulated this and stopped taking TCM. Now I am scared... I'm scared of another round of ivf causing this endo cyst to GROW and GROW and the 'discomfot' I felt...
 
pink, wish you luck and please keep us posted about your protocol. Do you have the copy of your results from NUH? Does your new doctor Prof Ng is working in the evinings? Actually it is very difficult for me to go through ivf process due to I'm working and have very stric rules at work. I heard that some girls in other clinic can have appointement at evenings.
 
Hi Hi,
Just curious. Did you all get the pictures of the embryos transferred to you? Saw in post of one of the sisters from IVF/ICSI support group.
 
Assa, thanks. Yes I got my medical report emailed to me. However, it took them 2 weeks to get it to me and i have to keep reminding the nurse to chase up for me. perhaps you can get it quicker if you go down to NUH to pick it up? Not sure if Prof Ng sees patients in the evenings, most specialists don't I reckon. You may call them to check: 64797267
Cool cool, NUH doesn't give us a picture of our embryos.
 
hi mel, yup by right stimulation jab might cause cysts. But for me is the opposite. I did not hav cysts b4 i started the long protocol. After 2 weeks of suppression jabs, i went for u/s and E2 bloodtest. Prof found 6 cysts in both my ovaries and they were of 2-3cm. My E2 was few over thousands. Prof told me hav to abandon tat cycle. When my 1st af came, i went bk for u/s, cysts were still there. Prof told me if the cysts did not go away after my 2nd af, he will prescribe me bcp. During this period, i also took Dr Zou's tcm medicine which will help to reduce the cysts. Luckily the cysts were gone after 2nd af. Prof proposed short protocol for me as no suppression stage, straight go into stimulation stage. Do you hav any symptoms when u suspect u hav cysts? Coz i dun feel "anything" different when i had cysts. No discomfort at all.

Mayb u can check wif Prof why u r so prone to hav cysts even with Natural FET. See wat he can advise u? U may also seek 2nd opinion from another doc. Perhaps ur cyst might disappear after 2 af cycle like mine? Hopefully u can find the answer b4 u embak in ur 2nd fresh ivf.
 
Serene - I fd I had cyst right after my failed 1st fresh. Natural FET no cyst but spotting. During the fresh, I have left right pelvic pain. Not major pain but it's not normal. It can go up to left right of ribs area. Then after I had lap, I no longer have that feeling. That's how I know and I hv such 'feeling' again lor. I'm now waiting for Prof Ng (o&g partners) to return fm leave to see me cos the BT results were out. I need to hear what he says and how to ivf wo causing cysts to me.
 
Vi4n - did u tell dr? I feel if it's delayed then just wait a while more. It's better to be natural than induced by medi. My previous was cos I spotted for weeks.
 
Blue, so u waiting for next cycle?
Sorry I don't have a clue on what is amh.
happy.gif


Yeah I just wait it out la.
 
Hi ladies! Today I went to for BT and US and found out theres 6 follies on each side, about 5-6mm. So now after the E2 result, they up my GonalF dosage to 187.5 for today and tomorrow. Gonna wake them eggs up! hahaha...

Blue - u went to NUH CHR just now? What time?
I was there also around 8.40-9plus.Update us your AMH results!
happy.gif
 
Vi - yap have to wait another cycle.
Sometimes u wan af to come they will hide & be shy.
Just don think abt it, it will come.
Andreanie-I was in CHR at 7.55hrs. So don think u able to see me, hehe, left there at 8.20 like that.
Hope yr follicles will grow swee swee.
 
Blue, you are so funny to say AF will hide, it's so ironic that we hope AF won't turn up when we are TTC naturally, now we can't wait for AF to come so we can start stimms!

Vi, hope your AF will come soon.

My AF came early this mth so today is already D3, 3 more days and I can see the Dr and know whether I can continue with the cycle. Praying very hard that I will have a few follies...

Andreanie, your follies no. looks good, all the best!
 
ladies, can u actually feel ur ovaries drumming away while on stims? i just felt like drumming sensation on my right ovary..like for a few seconds and then no more. dont knw want to laugh or want to be worried haha...
 
hi, i am a silent reader of your posts here and I found it very helpful.. I started seeing prof wong last March for bloodtests and I even attended his IVF seminar end of march. I am starting my IVF this period after my consultation 3mos ago. I am quite nervous as I have to prepare myself emotionally, mentally and financially. The nurse asked me to call the clinic on the 1st or 2nd day of menses, I am not sure if it is the short or long protocol. I am 32 y.o and my AF is expected on the 7th or 8th. Thanks
 
Hi May! Welcome to our forum!
happy.gif


If I remember correctly, when u have your menses, call CHR on your 2nd day and they will calculate for you your Day 21 of your cycle. That's when you will start your Suprefact injections. In between Day 2 and Day 21, you will have to go down to CHR to sign the consent forms for ivf.

Good luck to you!
happy.gif
 
Welcome May, sounds like yrs is long protocol.
Andreanie-maybe the follicles are growing so the sensation? Just my thoughts la
 
Welcome May, it is quite daunting to self-inject at first, but not to worry, you will get the hang of it after a while. Now I inject like a pro, done within a minute. If you are unsure of anything, can always come here to check with the sistas. It helps a lot to have support.

I am down with running nose, couldn't take it so took some cold tablets, hope it'll not interfere with the growth hormone that I'm taking. Of all times, I have to fall sick now....sigh...
 
Thanks Mel. I won't be seeing Prof Ng this Thu, will be another dr standing in for him. He'll back next Monday, 11 Jul. Which day are you seeing him?
 
Blue - maybe so! gonna have another US tmr to see how well they have grown. *cross fingers*

Pink - rest well, i just started to sneeze also. have an early night!
 
I don't have an appt yet. The nurse told me NOT to go on 11th as there would be many patients. I wanted to ask Prof Ng what's next now after the BT. I want him to advise on the cyst thingy before I start my 2nd fresh.
 
Hi Blue, didn't quite know to reply to a PM so have to reply you via a post. In any case, you've done what you possibly can do to improve the situation and good things do happen. Will pray for you to have good results and to smoothly move to the next stage : )
 
Hi, I'm newbie to IVF, seen Prof Wong last month, just completed all necessary investigative tests he ordered, next appt in 2 weeks' time. Soooo long...is this their usual practice?

I heard from the clinic manager that the whole process of stimulation to egg transfer is 6 weeks, does it mean that we have to be on leave through out these 6 weeks + the 2 weeks thereafter?

Also, does it mean we can put in more embryos if we choose not to use govt grant?

Need some enlightenment from you sistas out there, hope someone can answer my questions
 
Jamp - Hi. No need to be on leave. U just have to go for ur scans in the mornings when u are already on ivf meds. Frequency of visits may increase during stimulation stage and as your oocyte recovery day nears. Then after embryo replacement, you will be given minm 2 weeks hospitalization leave from the date of ER. During the 2 weeks u rest and self administer crinone gel which is a vaginal pessary med of progesterone. Hope this is clear
 
Pink & andreanie-, pls take care. Do take more Vit C.
Think is the weather. Very hot outside, lucky I'm working in aircon room, hehe.
Fuzzy-Thanks. I also very kan cheong now to know what is the result, but has to wait for the call.
Welcome, jamp.
For gov grant, confirm that U can transfer max 2 embryos.
But even with no gov grant, think now they have a new rule. If U are 37 & above, prof might consider transfer in 3 embryos.
U can discuss with Prof or ask CHR nurses abt t his.
To understand more for IVF, maybe U can attend the IVF talk in NUH on 9/7, is free. Call up CHR & they would be able to register U for this. Attend with yr hubby, then yr can understand more from there.
 
jamp: my wife didn't use the government grant and she put in 3 embroys. That's all we have. But if we have 4 embroys, then maybe we will put in 2 and freeze the other 2. So, it will depend on the number of good embroys you have, I think.

If you put in 3, the risk of multiple pregnancy will be high, and the insurance cost will be much higher than putting 1 or 2 embroys.
 
Hi dadawannabe, u r back! How's ur wife coping? Hope all is well
BTW, can I ask those who got BFP, did u get implantation spotting / pain during the 2weeks? What other common symptoms? I rem CHR nurse said most who succeeded have symptoms if they observe.
 
andreanie: How was your US results today? Having 6 follies on each side to begin with is very good, because 六六大順 ma. You should be able to see another 1-2 more follies before your ER.
 
hi, I'd like to share the good news. I went for detailed scan yesterday. My empty small sac (it's only 3-4 mm last week) was growing well and it reached the size it should be. And bb's heart beat can be seen (not by me but by sonographer). I later found out from the report. I think they should show us la..
sad.gif
And one more surprise thing is they found another small sac. Possible twins! I am quite excited.. don't know it can catch up his elder one or not. Looking forward to next scan after 2 weeks.
 
hi coolcool, this is really good news : ) hope the smaller sac will catch up n u can see the heartbeat in 2weeks time. once again, congrats to u.
 
Congrats to u Cool!  Dun worry so much, sure will. Keep up the happy spirits and good news again in 2 week's time! Cheers!
 
Thank you for all your generous sharings, sistas and bro. Yes, bluenosebear, we've signed up for the talk this Sat. Hope can get some insight from talk.
 
hi blue, pink, update my status. i m starting the gonalf jab tonite. af came yesterday. tis morning went for u\s n bt. Prof gave the greenlight to start the short protocol. BTW, my AMH level dropped to 27.6. Almost half my previous level. So sad : ( but prof said still good.
Hope both of u will embak ur 2nd try soon : )
blue, how is ur amh result?

hi andreanie, i m ur cycle buddies
happy.gif
starting my gonalf today.
 


Cool- that is good news. So happy for u.
Update from me- my amh is 25, so will do long protocol.
Heng ah, false alarm.
So I be patiently waiting & collect all the baby dust here.
Don forget me when yr graduate here wor.
Serene- great that eveything is ok for u
 

Back
Top