hi hi, i went for scan today...got 4 eggies at 9mm...the rest small small. So increase dose again and scan on Monday....
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hi hi, i went for scan today...got 4 eggies at 9mm...the rest small small. So increase dose again and scan on Monday....
anamika87
Active Member
Kool123 happy to hear. Before Wat was ur egg size? U can ask them to change the medicine bcz many of our friends in this forumtold aafter changing the medicine there eggs grow very fast. Tomorrow I am going for scanning. I wil ask them to change medicine.
ohh i didnt tot of asking them to change med..since the eggs seems to be growing, just slow..i leave it. hope they will chiong and grow bigger over the weekend...before that think the eggs were so small till they didnt even measure size. hope the small eggs also grow...4 too little.
anamika87
Active Member
Yes kool123 I agree with u. Wat food u r having? Anything special? U r on which day? How about lining? Mine was 6.5 on Thursday. Sorry asking u too many questions. I am suffering with pcos, 26 yrs, TTC from 2 years. Husband poor morphology. Nurse in Kkh told pcod people's egg growth will be slow
ron8129
Well-Known Member
Mrs_tann: I am 38 this year, was 35 when I started. I hv abt 16-20 eggs each cycle too, fertilised abt 12-13. By transfer day left 3-5 embryos. So my 2 BFN cycles I had 2-3 left behind. My doc ecommended I go for fresh. And I agree coz age is catching up. If fail the FET, need to wait another 3 months minimum. Might as well try another fresh. If There are extras from the 2nd fresh u can do a FET from the combined snowbabies.
My little one coming to 2yo and I am using my few snowbabies for FET this round. At least the embbies are "aged" 35. This is just my personal opinion, I know alot of sister prefer to finish and not waste the embbies. For me, I am sure I will come back for FET w the snowbabies (unless I striked triplets before that hahaha) so I went for another fresh.
Did dr loh suggest what he would do differently for next fresh to try to improve the survival rate to transfer?
My little one coming to 2yo and I am using my few snowbabies for FET this round. At least the embbies are "aged" 35. This is just my personal opinion, I know alot of sister prefer to finish and not waste the embbies. For me, I am sure I will come back for FET w the snowbabies (unless I striked triplets before that hahaha) so I went for another fresh.
Did dr loh suggest what he would do differently for next fresh to try to improve the survival rate to transfer?
ron8129
Well-Known Member
Anamika: not 100% sure but I dont think can change stimulation meds half way thru cycle. If the eggs r still small, chances r the dosage was too low to begin with. But I could be wrong abt the changing meds thing. Update us if really able to do so! That would be quite cool to hv that option
pingpingzoe
Member
Hi Ron8129, My doctor changed medicine half way for me as I am not responding well to gonal F.
jklim4642
Well-Known Member
Is either puregon or gonal~f for stimulation mediCine
When dr loh was still in kkh, cash outlay was like 1k. The rest abt 7~8k paid by govt grant n medisave.
Noe he is in tmf, will cost abt 15k, no subsidy. But can use medisave. But medisave is capped at 15k per life time. That means can only use medisave for one fresh cycle. Those previously claimed medisave in kkivf, will not hv enough balance of 15k for a fresh cycle in tmf. Must pay by cash.
When dr loh was still in kkh, cash outlay was like 1k. The rest abt 7~8k paid by govt grant n medisave.
Noe he is in tmf, will cost abt 15k, no subsidy. But can use medisave. But medisave is capped at 15k per life time. That means can only use medisave for one fresh cycle. Those previously claimed medisave in kkivf, will not hv enough balance of 15k for a fresh cycle in tmf. Must pay by cash.
pingpingzoe
Member
Was on 375 IU gonal f initially, but not growing well, then changed to puregon. My doctor was satisfied with the result.
sunflower09
Active Member
Ron how's your lining n this fet? Can I pm you?
lynx_sea
Active Member
when u chg to puregon, was it oso the same dosage as gonal F??
my first fresh was done when I was 35 under doc loh, yield 5 usable out of 20 retrieved. fresh result in bfn. then I went fet n used the last 3 as 1 after thawing did not make it. I had my bfp n hv a little girl now delivered by doc loh. then at 37 went for second fresh under dr sadana using some protocol but higher iu of purgeon as im older, which yeild 3 usable out of 20 plus retrieved. fresh cycle also turn out to be bfn n left 1 frozen now. i gone.to see doc loh after i failed so he made that suggestion. im more tuned to doing a 3rd fresh again. I think I shld use the grant on the 3rd fresh right? fet pay cash better?
sunflower09
Active Member
Kkh should hv a room near the sperm bank side end of corridor directly opposite kkivf. I remember inside even got sink n 'magazines' .. unless it's changed now .. Most hb were producing in there.
sunflower09
Active Member
Blessedzn I was told oral route absorption slower n may hv nausea. Do you hv breastfeeding room in office? Can use that during lunch and lie in there 30min. I used to insert 1 at home in morning then at lunch at work and then last 1 at home at night.
pingpingzoe
Member
different dose for puregon, cannot remember the exact IU. It is one full bottle. You will know what I mean if you also used puregon before.
lynx_sea
Active Member
Hmmm, can't rembr much. But a bottle was used for several days.
jklim4642
Well-Known Member
Mrs tan, pls read my last post not too long ago in reply to one sister.
Sf loh is in pte practice now. So, u cant use govt grant.
U hv used ur medisave i presume plus grant in your last 2 fresh cycle in kkh. Medisave usage is capped at 15k a life time. That wld mean, ur 3rd fresh, most likely the bulk if not at least 50% u hv to pay cash. Dr loh or tmf charges abt sgd15k for fresh cycle.
Is not the quantity of eggs retrieved. But is the quality. That explain why u retrieved alot of eggs last 2 fresh with few surviving embyro for transfer n freezing. U 2nd fresh yield even lesser embyro coz egg quality drops w age. So, be prepared that it will even be lesser for your 3rd fresh cycle. ALl the stimulation yield eggs.. but wun improve egg quality. With ivf, icsi, men's sperms issue has been eliminated. So a poor embyro is a result of poor egg. Nothing to do w the men.
I did 2 fresh cycles at 2 yrs apart. 2nd fresh also 4 embyro, one less than 1st fresh. Now, am 41, past 40, i wun do another fresh anymore coz egg quality will be worse. I dun wan to risk ending up w none to transfer
Sf loh is in pte practice now. So, u cant use govt grant.
U hv used ur medisave i presume plus grant in your last 2 fresh cycle in kkh. Medisave usage is capped at 15k a life time. That wld mean, ur 3rd fresh, most likely the bulk if not at least 50% u hv to pay cash. Dr loh or tmf charges abt sgd15k for fresh cycle.
Is not the quantity of eggs retrieved. But is the quality. That explain why u retrieved alot of eggs last 2 fresh with few surviving embyro for transfer n freezing. U 2nd fresh yield even lesser embyro coz egg quality drops w age. So, be prepared that it will even be lesser for your 3rd fresh cycle. ALl the stimulation yield eggs.. but wun improve egg quality. With ivf, icsi, men's sperms issue has been eliminated. So a poor embyro is a result of poor egg. Nothing to do w the men.
I did 2 fresh cycles at 2 yrs apart. 2nd fresh also 4 embyro, one less than 1st fresh. Now, am 41, past 40, i wun do another fresh anymore coz egg quality will be worse. I dun wan to risk ending up w none to transfer
jklim4642
Well-Known Member
The pressie tt kkh gives is twice a day. One in the morning and one at night at 10 hrs gap minimum. Each pressie contains 400mg of progesterone. I insert before i go to work in the morning and at night after i come bk.
Yesterday, i did it in kkivf toilet immediately after ET. I dun hv to lie down to insert. Is easy for me to do and i dun lay down for 30 mins after insert too. I stand up immediately after inserting.
The purpose of lying for 30 mins is worried tt pressie will drop out It wun drop out as long as u push deep inside and dun push it out
Yesterday, i did it in kkivf toilet immediately after ET. I dun hv to lie down to insert. Is easy for me to do and i dun lay down for 30 mins after insert too. I stand up immediately after inserting.
The purpose of lying for 30 mins is worried tt pressie will drop out It wun drop out as long as u push deep inside and dun push it out
pingpingzoe
Member
So.... My dosage is much higher than yours.
pingpingzoe
Member
Hi Jklim, what's the name of your pressie? Mine is utrogestan. Besides the pressie, do you take any other support?
sunflower09
Active Member
Hazel think ours cyclogest that's why insert twice daily nia and if put in rectum yup not easy to drop out.
But some are given utrogestron which is the small round pills to go inside vaginas. Those can easily drop.
But some are given utrogestron which is the small round pills to go inside vaginas. Those can easily drop.
jklim4642
Well-Known Member
Cyclogest. One pressie contains 400mg progesterone.
Progynova, 4mg once a day. That's Oestrogen which should be produced from ovulation. This is required only for artificial FET as no ovulation. THose on Natural FET does not need this as they need to ovulate. No ovulation, natural FET is aborted.
If pregnant, cyclogest is replaced w oral dupaston which is also progesterone. Progynova to continue.
All support stops on entering 2nd tri.
I hv posted this a few times.
Progynova, 4mg once a day. That's Oestrogen which should be produced from ovulation. This is required only for artificial FET as no ovulation. THose on Natural FET does not need this as they need to ovulate. No ovulation, natural FET is aborted.
If pregnant, cyclogest is replaced w oral dupaston which is also progesterone. Progynova to continue.
All support stops on entering 2nd tri.
I hv posted this a few times.
jklim4642
Well-Known Member
Utrogestron is also progesterone. I am not sure how many dosage in total the sister take a day.
Cyclogest can be via vagina or backside. Latter less messy. Was told to lie for 30mins coz scare it may drop out per the nurse.. but Where got time, i hv a young toddler at home!
I take 800mg of progesterone a day.
Cyclogest can be via vagina or backside. Latter less messy. Was told to lie for 30mins coz scare it may drop out per the nurse.. but Where got time, i hv a young toddler at home!
I take 800mg of progesterone a day.
iwantahealthybaby
Well-Known Member
Pingpingzoe utrogeston is also progesterone support. One day must insert 3x cause the dosage per pill is smaller at 200mg and per inserts must insert 2 pills. This is done vaginally. I was given utrogeston during fresh cycle. And yes this is more messy and troublesome after inserts must lie down at least 30 mins seriously even after 30mins I find the pill will still "drop" out but the nurse say not to worry much the medicine is being absorbed already. Personally I prefer cyclogest more. Insert anally but really no mess nothing and no need to lie down 
nervous_babe
Member
Lynx_sea and pingpingzoe
So do you use higher dose of puregon or gona f?
Hello i want to add this depends HIGHLY on your doctor
I retrieved 1mature egg in nuh with Pc Wong and 5 with Loh in TFC 3 months later
Sooooo its not only a problem of age
lynx_sea
Active Member
Was using 200 n a day2 trfr, but Dr said will likely increase my dosage to 250 n a day5 trfr for nxt fresh.
jklim4642
Well-Known Member
Pls read all our postss carefully to know the history.
I was w dr loh in kkivf in my 2 fresh cycle.
Mrs tan"s first fresh was w dr loh too. N her 3rd fresh going bk to dr loh again.
Anyway, egg quality will not improve on puregon or gonal f dosage. Thats stimulation drugs only. Unless prior to ivf, the sis took dhea or something else like going for accupuncture, etc coping to improve quality. If so, it may not always work
Egg quality is not dependent on dr's skill at all. Is dependent on our body which may improve if we r lucky. The dr is not God. U look at the med we r given, all hormones n stimulation drugs to increase count n not quality of egg. This is a fact. U can ask dr loh to confirm if he can do magic just based pn theses hormones med alone.
I was w dr loh in kkivf in my 2 fresh cycle.
Mrs tan"s first fresh was w dr loh too. N her 3rd fresh going bk to dr loh again.
Anyway, egg quality will not improve on puregon or gonal f dosage. Thats stimulation drugs only. Unless prior to ivf, the sis took dhea or something else like going for accupuncture, etc coping to improve quality. If so, it may not always work
Egg quality is not dependent on dr's skill at all. Is dependent on our body which may improve if we r lucky. The dr is not God. U look at the med we r given, all hormones n stimulation drugs to increase count n not quality of egg. This is a fact. U can ask dr loh to confirm if he can do magic just based pn theses hormones med alone.
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pingpingzoe
Member
nervous babe, we cannot compare the dosage of puregon with the dosage of gonal F, as they are different medicine. For my 1st fresh cycle, my dosage was 150 IU of gonal f (resulted in 7 eggs). For for my 2nd fresh cycle, the doctor started with 375 IU of gonal f and later changed to puregon (one bottle dosage --- cannot remember how much IU it is). In the end, I got 10 eggs.
jklim4642
Well-Known Member
Ah..., dhea! So the complete picture is out! Dhea may not work for everyone, sad to say.
We look at % of fertilised eggs. Logically. The higher the dosage of stimulation drug, the more the no of eggs and hence the more will be fertilised. When we share our history, one embyro (ie fertilized egg), we need to give a complete picture of how mamy eggs retrieved. If 3, that's 30% fertilization rate. Then 2nd fresh, 5 embyros, that is out of how many eggs retrieved? 5 or 10 or 20? That means different rate of fertilization which can range fr 100% to 25%. If is latter, it means dhea is not v effective either. U didnt share that information at all. Based on count of 1 to 5 embyros appear to be leads of improvement. Is tt really the case?
We shld always give a complete picture of our histroy so tt sisters can think thru better.
For Mrs Tan"s case, she has a lot of eggs tt she is at risk of ohss. But yield few embyros. If dr increases her stimulation dosage further hoping to retrieve even more eggs (〉20）n hopefully more embyro, he is taking a big risk. Coz the effects of ohss can be terrible. Not sure if u know, we can die fr ohss. WHen ohss sets in, we can only pray. The dr cannot do anything but just drain water out. Sisters who suffered fr ohss, i come across cant drink n cant eat n were in great pain n cant breathe.
Again, timing of trigger shot is to mature the eggs for fertilization. It does not mean matured egg will become an embyro fyi. I fully agree that timing of trigger shot is impt to yield as many matured eggs as possible. But matured eggs DO NOT mean will be fertilized to be a good growing embyro. The quality of the mature egg is the crux of having a good n strong growing embyro.
We should get our facts and not just anyhow co relate things together. Fertilization rate is constant n shld not vary much unless there r med, eg dhea with may increase that % figure. But how long do we need to take dhea before tt happen? It vary fr person to person?
I have a gf, started ivf before 35 yrs old. Now she is 43 n still trying. Her fertilization rate is v bad and few eggs retrieved somemore. SHe has seen many reputable ivf dr in pte n restructured hospitals. Her last stop is dr loh. Did a fresh cycle under him, also same outcome n no gd embyro. SHe is onto her 2nd fresh cycle with dr loh. Her last try as she is 43 yrs old already.
I m dr loh“s patient. He is open to trying new medicine as long as there's a chance of helping patient. We shld always bear in mind. More does not mean good. It just increases the chance of having more embyro, quality aside. Even if there's just a handful of embyro, as long as they r good embyro, is good enough. So, quality of embyro is more impt than quanity.
All we need is just one good embyro that can lead to a successful pregnancy n a child in our hand. We do not need many eggs for that matter. So, dun hv to envy those w lots of eggs. I know of sister under dr loh, who had 60 eggs. But fertilization rate was bad. Only 10 over embyros out of that. U know how much she suffered from ohss? My close friend yield 40 eggs but only 2 embyros make it to babies. The rest of the remaining 10 embyros all cant survive thaw or even if they did, she ended up w miscarriages. All these sisters were dr loh patients.
We look at % of fertilised eggs. Logically. The higher the dosage of stimulation drug, the more the no of eggs and hence the more will be fertilised. When we share our history, one embyro (ie fertilized egg), we need to give a complete picture of how mamy eggs retrieved. If 3, that's 30% fertilization rate. Then 2nd fresh, 5 embyros, that is out of how many eggs retrieved? 5 or 10 or 20? That means different rate of fertilization which can range fr 100% to 25%. If is latter, it means dhea is not v effective either. U didnt share that information at all. Based on count of 1 to 5 embyros appear to be leads of improvement. Is tt really the case?
We shld always give a complete picture of our histroy so tt sisters can think thru better.
For Mrs Tan"s case, she has a lot of eggs tt she is at risk of ohss. But yield few embyros. If dr increases her stimulation dosage further hoping to retrieve even more eggs (〉20）n hopefully more embyro, he is taking a big risk. Coz the effects of ohss can be terrible. Not sure if u know, we can die fr ohss. WHen ohss sets in, we can only pray. The dr cannot do anything but just drain water out. Sisters who suffered fr ohss, i come across cant drink n cant eat n were in great pain n cant breathe.
Again, timing of trigger shot is to mature the eggs for fertilization. It does not mean matured egg will become an embyro fyi. I fully agree that timing of trigger shot is impt to yield as many matured eggs as possible. But matured eggs DO NOT mean will be fertilized to be a good growing embyro. The quality of the mature egg is the crux of having a good n strong growing embyro.
We should get our facts and not just anyhow co relate things together. Fertilization rate is constant n shld not vary much unless there r med, eg dhea with may increase that % figure. But how long do we need to take dhea before tt happen? It vary fr person to person?
I have a gf, started ivf before 35 yrs old. Now she is 43 n still trying. Her fertilization rate is v bad and few eggs retrieved somemore. SHe has seen many reputable ivf dr in pte n restructured hospitals. Her last stop is dr loh. Did a fresh cycle under him, also same outcome n no gd embyro. SHe is onto her 2nd fresh cycle with dr loh. Her last try as she is 43 yrs old already.
I m dr loh“s patient. He is open to trying new medicine as long as there's a chance of helping patient. We shld always bear in mind. More does not mean good. It just increases the chance of having more embyro, quality aside. Even if there's just a handful of embyro, as long as they r good embyro, is good enough. So, quality of embyro is more impt than quanity.
All we need is just one good embyro that can lead to a successful pregnancy n a child in our hand. We do not need many eggs for that matter. So, dun hv to envy those w lots of eggs. I know of sister under dr loh, who had 60 eggs. But fertilization rate was bad. Only 10 over embyros out of that. U know how much she suffered from ohss? My close friend yield 40 eggs but only 2 embyros make it to babies. The rest of the remaining 10 embyros all cant survive thaw or even if they did, she ended up w miscarriages. All these sisters were dr loh patients.
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Hi. I am new to the thread. Is this the support group - Matters of the heart? I am currently into the 6th day of the 2ww. My 1st 3 days were terrible with bloatedness but on the 4th day the bloatedness had subsided a bit and today there wasn't anymore just a bit cramp here and there. Anyone experienced that before?
@jklim4642 dhea is not very new but yes Loh is open to new things Thats why i like him
Age is the biggest factor for success rate i agree but i just wanted to add to your first comment that doctor knowledge Plays high role too
I have 3 problems
hb got a cancer And has <1% good morpho
I have low ovarian reserve amh 1.4 afc 4
Am A- positive anti d
Still i got one kid naturally when i was 32 after 5 years ttcing
Now am 38 - 2 miscarriages 3 failed iui 1 failed ivf
Dhea increased my afc from 4 to 7
Loh protocole got me 5 mature eggs instead of 1
Hb sperm with icsi 3 fertilised out of 5 but one poor quality ans 2 embryo transfer
Now it needs to stick And then Loh Will handle my anti d issue (he was really aware of that compared to mount e and nuh )
All in all i think we agree he s great
Age is the biggest factor for success rate i agree but i just wanted to add to your first comment that doctor knowledge Plays high role too
I have 3 problems
hb got a cancer And has <1% good morpho
I have low ovarian reserve amh 1.4 afc 4
Am A- positive anti d
Still i got one kid naturally when i was 32 after 5 years ttcing
Now am 38 - 2 miscarriages 3 failed iui 1 failed ivf
Dhea increased my afc from 4 to 7
Loh protocole got me 5 mature eggs instead of 1
Hb sperm with icsi 3 fertilised out of 5 but one poor quality ans 2 embryo transfer
Now it needs to stick And then Loh Will handle my anti d issue (he was really aware of that compared to mount e and nuh )
All in all i think we agree he s great
@baby_sparkles ok noted. Most importantly I think I need to have a positive mindset and just relax till blood test day. Pray for me too. My blood test is on 6/3/14.
pingpingzoe
Member
jklim4642
Well-Known Member
Go ahead n enjoy ur 2ww. Do things u r comfortable with.
My colleague has thyroid cancer at 22 yrs old n did chemo. But she has no problem conceiving despite that. She has 2 children naturally n just delivered no 3 last yr.. tat was unplanned for.
Life is full of hope as long as we dun give up.
My colleague has thyroid cancer at 22 yrs old n did chemo. But she has no problem conceiving despite that. She has 2 children naturally n just delivered no 3 last yr.. tat was unplanned for.
Life is full of hope as long as we dun give up.
anamika87
Active Member
Hi Ron went to scanning today. Still my eggs r very small so I asled them to change my medicine. They told they can't change but can add some more medicine and gave added menopur to puregon. Must wait and see how it works