It's like a gel form. Was told to empty bladder and lay flat for at least an hr without going to toilet first, think the concept which nurse told me was totally wrong, that why my first fresh cycle failed? Devastating!!!
IVF/ICSI Support Group
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muff
Active Member
no elsie... i highly doubt it.... actually the progesterone for crinone is quite ok. even if you never really walked about, it will still be absorbed somehow just that walking helps to expedite and not waste any.
I have lied down during cycles after crinone (nurse didnt told me about walking) and also walked in last cycle but also no result la. so dont be too hard on yourself that you didnt walk...
muff
Active Member
crinone easier to apply, has an applicator no need to use finger. Utrogestan i super hate... the ones that i used needs to use finger, no applicator very troublesome and messy... especially when you are outside or working.
Goingcircles
Active Member
Totally agreed with you! Utrogestan is very messy & troublesome. Crinone is such a breeze to use and apply 2x per day nia.
But for my last 2nd fresh cycle I insisted japs for the support during my 2ww (doc gave pregnyl which I japped myself at hm). My body just don't response well or asorb well to utrogestan and crinone as my menses always came on time or earlier when I'm on both medication.
Curious for utrogestan, some are in oral form right, since all of these medication supporting pregnancy, we can ask doctor for crinone gel instead Lor, as really requires lesser effort especially for my chicken feet hands, I got no problem at all. Maybe during my next visit to the doc, will ask further n clearer regarding crinone
Haha but I still have doubt on crinone, Muff nvr give up hope, perhaps can ask for jabs to support ur 2ww for your next cycle
Goingcircles
Active Member
Yah some prescribed Utrogestan as oral form. Reason is most docs prescribed as an insert is because it's easier for your body to absorb through your V area and the side effects are minimal as compared to oral form. Crinone is more ex than Utrogestan if I'm not wrong but its definitely less hassle than Utrogestan.
Yes crinone gel is more ex and slightly more bulky as well cos its shaped like tampons (stick like).
I requested for crinone gel for my second fresh as I do not have the time to lie for 20mins after insert for the utrogeston.
Crinone is definitely more convenient and less messy for me especially if your out and about.
Karen yap 76
Member
Yes... Crinone help to absorb by v area.... N utrogestan will more side effects... Like bloated stomach n feel like vomiting
Karen yap 76
Member
Crinone gel after put in v area cannot lie down Must walk for 10 to 15 mins instruction from nurse
Karen yap 76
Member
Be positive maybe that one embryo will be best ....as for me er for three egg n only one embryo is fertilised n I am pregnant on June
DawnBB
Well-Known Member
I think side effects of using Utrogestan depends on individual and whether taken as v inserts or orally. I had Utrogestan inserts as support for all my cycles but never experience bloatedness, giddiness or nausea due to it. The first cycle I had bloating after ER was due to mild OHSS and nausea before BT in my last FET was due to bfp. Doc did advise that inserting via vjj is more effectively absorbed by body and less risk of side effects than taken orally.
Do u ladies usually have d3 or d5 transfers?
I wonder if the embryo left is very little and not so good quality do they do d3 transfers? Cos maybe some embryos can last till d5. So better let it try to survive in womb?
Also did any of u had ur transfers cancelled bcos the embryo didn't reach d5?
I wonder if the embryo left is very little and not so good quality do they do d3 transfers? Cos maybe some embryos can last till d5. So better let it try to survive in womb?
Also did any of u had ur transfers cancelled bcos the embryo didn't reach d5?
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Will ask the nurse the correct way again as was told to lie down for 1 hr.. Confusing
the_spinsterella
Well-Known Member
Immediately after inserting Crinone.
the_spinsterella
Well-Known Member
I only had 1 normally fertilized embryo and it was only an average 4 cell one. It had to be frozen cos of my high progesterone. But here I am with my son on my lap as I'm typing this. So don't be disheartened. Be positive. Tell yourself it will happen. You just need 1 embryo! Jiayou.
aurelie1812
Member
Hi ladies, need some advice and apologies in advance if this is controversial. After my first failed IVF (16 follicles, however only 6 above 17mm so retrieved only 6. 5 fertilized but only managed to transfer 1 8 cell embryo), I did a review with Prof PC Wong at NUH. His views were that the IVF might not have work for a number of reasons (poor egg quality, chromosomal errors, implantation failure) and it's hard to pinpoint why. He feels I should try again as he thinks my chances will be quite good. Our infertility diagnosis is low sperm morphology (other parameters are above average).
I thought I might seek another opinion so I went to see Dr SF Loh, since I read that many of you ladies here go to him.His response to me was that Prof Wong doesn't do IVF well and based on the dosage I've been put on, he thinks it was all not properly done. He thinks I can either try again naturally or if cannot I should come back for IVF. He also says that morphology is not an issue. My diagnosis is unexplained infertility.
Kinda perplexed with these differing views! For ladies who are familiar with both doctors what do you think?
I thought I might seek another opinion so I went to see Dr SF Loh, since I read that many of you ladies here go to him.His response to me was that Prof Wong doesn't do IVF well and based on the dosage I've been put on, he thinks it was all not properly done. He thinks I can either try again naturally or if cannot I should come back for IVF. He also says that morphology is not an issue. My diagnosis is unexplained infertility.
Kinda perplexed with these differing views! For ladies who are familiar with both doctors what do you think?
hajar
Well-Known Member
Lots protein intake esp egg whites water 2L perday....Mayb varies frm other ladies but this is the only ting that helps me kerb my bloatedness...
lovetohavekids
Active Member
Be positive! Try again tomorrow morning on your first morning pee.
Dreamscometrue
Well-Known Member
Hi how much was your dosage? Mind sharing how old are u?
Har.. How?? I don't dare to test tomorrow .. I scare the line disappear
i got my first clear bfp on clearblue digital on 9dp5dt but line was very faint on the cheap tests. if u need assurance, can test on the digital ones
but yes, try tmr morning!Drink more water n take more egg whites. I took 100plus n egg whites
DawnBB
Well-Known Member
When Dr Loh identify that your hubby's sperm morphology is not an issue, one consideration is that the WHO and Kruger's ref range for normal morphology is extremely strict and there are studies indicating that many men who are able to conceive naturally do not meet this criteria too. The other consideration is with above average motility and concentration, there is really a good chance that a sizable number of normal sperms still get to the egg in the tube in natural cycle eventually. Perhaps that's why he is suggesting that there is still hope to conceive naturally. If time is of essence then resorting to ART is an option but bearing in mind there is ultimately no guarantee as many factors affecting success are involved. Also, ART may give hope but does not necessarily provide higher pregnancy rates than normal conception depending on the causes of fertility challenges.
My hubby has severe sperm quality issues, including concentration, motility & morphology all way below normal. However doc & embryologist didn't identify his sperms as issue for fertilisation rates through ICSI. Then the other side of the equation, ie the quality of eggs do matter and affect quality & quantity of normal embryos that can be achieved that boost the chance of viable pregnancy though no issue on my side apart from risk of advance age affecting egg quality.
Based on my experienced having gone through 3 fresh cycles under Dr Loh, I do believe there is a level of dependency on the doc's expertise to tweak the protocol in order to achieve the highest yield of mature eggs possible out of the potential pool of eggs that can be recruited per cycle. That is if you have potentially good number of antral follicles to start with, the aim of stimulation and good timing of trigger jab is to get as uniform growth as possible across the eggs and thereby highest possible yield of mature eggs viable for fertilisation. Unless your hormone levels indicate you have low or diminished ovarian reserve to start with which relates to poor response to stimulation but unlikely for your case, as you had 16 follicles suggesting otherwise. Over the 3 fresh cycles, I did see improvement in my egg quality and with highest yield in the last fresh cycle and the embryo that got me my bfp in a FET came from the last fresh cycle.
I can't comment on Prof Wong as I do not have personal experience with him. That aside, ovarian stimulation is trial & error to certain extent. A doc should be able to tweak the protocol for better results 2nd time round based on the response in 1St round. So if you decide to pursue next Ivf cycle, it is worthwhile to give Prof another chance?
Thanks spinsterella. When was ur transfer done?
Wah SF Loh said that abt PC Wong? I saw both before. Sf Loh for iui and now PC wong for ivf. Sf loh very blunt but i know he's skillful. I'm sure pc wong is too but he's conservative with his treatments i think. And he's very clinical not much warmth too. So for me it boils down to govt subsidies, wanna use them all before going private. But i heard Dr Yu Su Ling fr sgh is also good too. Like sgh is hv better cultures for the embryo to live in and allows pgd/pgs. My friend who sees her says that. Anyone in sgh? I might try out another govt hosp if this doesnt work.
aurelie1812
Member
Thanks Dawn! From my first experience it does seem like IVF dosage administered can be quite trial and error. My antral follicle count and AMH levels are good according to Prof Wong and I also had 16 follicles so like you said it was about getting them all uniform size and maturity. Prof Wong is also more conservative and told me for my age and ovarian reserve, he recommends a low dose. I was on gonal f for 10 days at 150 iu. personally, I prefer a lower dose too and I still feel uncomfortable with all these hormonal jabs! only disappointment is results weren't that great. Dr Loh seems to suggest the dosage is too low and trigger drug (suprefact) used my Prof Wong isn't that suitable since I'm not at risk of OHSS.
During my review, Prof Wong says for the next cycle he will tweak the protocols slightly, which is good. So maybe I might continue with NUH. Or maybe I might also give Dr Loh a try. But anyhow, I've decided to take a break for 4-6 months. So I can take my time to decide. Trying for a baby is quite draining! I reall admire the perseverance of you ladies. And for you Dawn too, I read from previous posts about your experience. Very encouraging. All the best for rest of your pregnancy. Looking forward to hearing about your baby.
tryingforbaby
Active Member
Stay positive! I was like you! Tested on day 5 and saw faint line!!
the_spinsterella
Well-Known Member
lovetohavekids
Active Member
Have you tested again?
Just keep on being positive!My own views and sorry if I offend PC Wong patient. I have been in forum for years and come to read many cases when PC Wong told patient their ovary is high and not able to retrieve eggs. Some may be true that their ovary high but the percentage of such cases are too many for me not to think that it is link to either skill or their equipment problem. I know of cases where he cannot retrieve their eggs but when go kkh dr have no problem retrieving it.
towkayneo
Well-Known Member
It shouldn't be! 2 lines means 2 lines! Congrats
DawnBB
Well-Known Member
Oh yes taking about this. If your doc suggests that the position of your ovary is high and thus affects retreival of eggs. Please do seek alternative opinion before you heed the advice to correct the position through lap or surgery. If you do need surgery, please consider having the Ivf doc do it or that he recommends a gynae who knows the implications of such surgery on subsequent Ivf results. I know one gf who went for a surgery without 2nd opinion and her AMH & ovarian reserve was adversely affected. Another gf had same feedback on her ovary and went to a non-Ivf Gynae for 2nd opinion who also suggested surgery. Then she went to another Ivf doc for 3rd opinion who advised her against surgery and told her though it's high, ER is still possible and a matter of skill & experience. Note any surgery involving the ovaries has a potential risk on ovarian reserve.
Gal the one with high right ovary and not able to retrieve was me under prof wong. Somemore recommended surgery. Prof is v nice not man of much words and conservative in his treatment. When I moved to kkh no prob all eggs retrieve from right and left even with cysts. So I guess it's how adventures the docs dare to be. Each has its good. Dr loh v blunt at times said even before ivf should go surrogacy can't bfp. But I managed to bfp thrice but mc. So sometimes it's our own bad luck lor. What to do. Trust your heart and be with the doc you feel you have confidence and comfortable with.
Thanks for sharing! Last month, went to check out dr loh and he suggested surgery too! And we were shocked to hear him opine that surgery will increase our chances of egg retrieval. Dr thh had never commented any issues retrieving. We went back to thh and asked him if it will b a problem and he said definitely not. That laparoscopy would hv cost about $12k in tmc.
I would strongly recommend NO SURGERY and avoid it ad much as you can as it can worsen the situation. I had good uterus and ovaries except one 4cm dermoid cyst on my left ovary and dr loh suggest remove it as will hinder pregnancy. I went for the op and in the end kenna adenomyosis which cannot be treated lifelong and my conception state is big question mark. Not his fault but my bad luck. Then I had developed 3 cysts on my right ovary dr tan HH recommended surgery. He only managed to remove one cyst anf during that surgery my pancreas somehow got injured and I have pancreatic cyst as a present which is another condition I have to monitor. Again my bad luck. Went to Dr Thong at kkh for opinion and she said she other 2 cysts had to be removed else cannot retrieve eggs and said it's a simple surgery y dr tan cud not do it. I have no answers. For.soem reason dr loh doesn't like prof pc and dr thong. Said prof not good for ivf and dr thong not fit to do surgery he told me. So we just hear and ignore la. Each got own politics I think haha.
Hi ladies, im taking folic acid, vit D and COQ10 300mg all in the morning afer breakfast. But somehow i feel abit of heartburn each time i consume all these meds. Anyone feels the same way? Shd i be spreading my medications to eat folic acid in the morning, vit D in the afternoon and COQ10 in the evening? Shd there be hours differnce between folic acid, Vit D and COQ10?
Hi ladies, im taking folic acid, vit D and COQ10 300mg all in the morning afer breakfast. But somehow i feel abit of heartburn each time i consume all these meds. Anyone feels the same way? Shd i be spreading my medications to eat folic acid in the morning, vit D in the afternoon and COQ10 in the evening? Shd there be hours differnce between folic acid, Vit D and COQ10?
aurelie1812
Member
Haha yes he did. I was kinda surprised. Thanks for recommendation for SGH. dr Yu is my mothers gynae and she's very good. only thing for me was SGH is kinda far... can we do pgd in Singapore? the doctor needs to recommend it right? I guess to some extent IVF does depend on the doctors experience in identifying protocols. for example, in the US, some of the top IVF centers like Colorado centre for reproduction have 60% success rates which is like double NUH! and this is on top of them probably taking lots of difficult cases.
muff
Active Member
Vit D and Coq10 are fat soluable vitamins. so they should be taken together with a meal for best absorption. Folic is water soluable, means it will just be flushed out by urine if not absorbed so no problem taking any time of the day. I am eating B,C,D, q10, selenium and folic so it does cause some heartburn if taking them all at once. I removed selenium and it improved the heartburn. some Coq10 can cause some heartburn if not absorbed properly. u can try to remove 1 a day to try to see if any is causing you issue.