IVF/ICSI Support Group

Hi Lyn

Sorry to hear what happened. You must rest more and meanwhile use TCM to help.

Hi Jude

Normally men problem are easier to cure than women. We women always very poor thing. Heard about Dr Tan Siew Lan before but Tan Siew Buoy is the popular one i think.
 


hi ladies,

would like to check if any of u guys have bleed after injecting puregon, coz this is the first time i have encountered this. any advice ladies?
 
baby
I'm sorry for your bfn. But would still wait for BT to confirm. Am really glad that u are already making effort for your next try. Can sense from this that u are a strong woman. U will definitely succeed one day.

Lyn
Don't be disappointed, continue to press on. IUI is still an option. It's just a change in strategy. As long as u see something on the screen, there is HOPE and your chances are still pretty good.
 
hi lyn

dun give up. all it takes is 1 good egg to succeed. there's still hope

did the doctor say why there is poor response? i tot doctor will monitor u and increase dosage if necessary?
 
Hi ladies,
Can advise what is the normal E2 level during the lucrin stage BT?
Also, is it true that usually on D14 when doing the BT, you are suppose to be having your menses? Thanks!
 
Lyn,
Don't get dishearten. Did Dr Loh says anything about increasing dosage? I thought usually they can increase dosage to enhance eggs developments?

I just went for my 1st Jab of Puregon today and will start to inject offically by DH tomorrow. I asked my E2 BT and the nurse told me it's 81. I don't know if I got hear wrongly or what but then I know 81 seems to be on the higher side. I asked her if that is okay she just says, very good! Sigh.. now all the worries start to flood in again
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bubbybear
Thks... Im not that strong lah.. Just that i already know its negative way before i test.. So kind of expected it liao.. Wouldnt be so calm if i have no clue abt gng to be negative and only knew it thru bt results...
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Cant wait to do fet ah.. Haha.. But got to rest one to two cycles before trying again.. Got to chk with dr on this..
 
Hi everyone,
Thank you for all ur concern. I think i will let my parents koe after I go for my first scan and first appt with gynae. Me very blur one. I dont even koe I'm pregnant for how many weeks now. Wanted to call KKH but their line always enaged.

Hi Irene,
I'm feeling ok except backache. Not sure whether is this normal or not. Thought only later stage then will have these backache symptoms.

Hi Wensi,
U dont think too much abt being emotional now ok? Not coz of ur coming AF lah. Tat time after my ET, I'm also very emotional and bad mood. Cried 2-3 times per day for at least 2 days. Maybe its those hormones injection also. So dont think too much and relaz urself ok?
 
Orangey
D14 is after Ovulation or ET ?
E2 levels too low may mean menopause, I think less than 30. High is still not that bad, it could be due to stimulation. Different from FSH. Don't worry too much. As long as Dr not worried, means yours is in acceptable range.
 
baby
Once your AF is back to normal. There is nothing stopping u from FET. But if yours is medicated FET, Dr may want u to wait a little longer for your body to have a rest from stimulation.

labbitpj
Congrats on the pregnancy ! When u have your ER, u are already 2 wks preggy, so just continue to count from there
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Hi chocpockie,

Yap agreed...maybe we have more 'spare part' so more troublesome...hai...good to hear that you succeed naturally and thank for sharing. Give us more baby dust okay!!!
 
Hi orangey, dr loh didnt say anything abt my poor response to the dosage coz didnt even get to see him at all. I feeling so sad and tearing at kk, still got to wait so long to see the dr wats the next step. Anyway went to dr foong in the afternoon, from his ultrasound can see another few more follicles but not so good size. So wat does it says abt kk dr skill in scanning? Disappointed with kk for their service. Was so already sad and the nurse can still talk to u abt money, WTF!
 
Hi orangey,

our E2 level are the same !! before the scan then nurse told me less than 50 for e2 is good but when she called me and tell me mine is 81 i was like HUH ...... then she said don't worry 81 is very good start your puregon tomolo !! i also blur already then dare not ask too much .

by the way how many units of puregon you need to take ?
i also wonder any sister here can help us.
 
Lyn,
I am sorry to read about your cycle but I thought that Serene still went through the ER although she only had 2 eggs. She was also with KK if I am not wrong. Did KK explain to you why you can't proceed further?

Otherwise, what was Dr. F.'s advice?
 
hi all,

me want to share a piece of good news. did BT this morning. its BFP!!! i cant believe it. act, i did HPT yesterday, and its positive but i just don want to put my hope up too high.

i did FET. so my advise to all, even if ur fail e 1st time, try FET. it works. if u need any clarification abt FET, ask ok will try to share wat i know.

Develyn,

can i know what is ur HCG level durg ur BT. mine quite high,
take care
 
Dream, kk say its not worth it to go thru ER coz the chances of an empty follicle is there. They suggested iui.

Dr foong advice is to try natural since i have mature follicles, not worth to try iui coz linning is not ideal. According to him the event that lead to my situation now could be too much suppression and too little sitmulation.

Dream, how much did u spend during ur cycle with dr foong and how much puregon dosage did u use?
 
Hi Orangey, Thanks for your explanation. are you in stage 2 at this moment? please update us on your journey with us. baby dusts to all of you ;)

Hi babygalore, when are you planning to start ivf? i am with Dr.Loh too..hope we are in the same cicle..

i been to accup twice liaw with dr.zhou. yesterday found my tummy area got 2 big bruised. is that normal?

anyone will see dr.zhou on this coming saturday ard 3pm? he he..
 
i read someone mentioning Peter Chew... just to share... i went for 2-3 appointments and gave up! no doubt he is very very experience (a bit gross to say this), he can tell by smell if i got any viginal infection or not! but i hate to wait for at least 1.5 hours and see him for only 5 mins and yet hv to pay a bomb. he will suggest to take this test and that test which are all not cheap lor. having said that, i have quite a number of friends who see him and find him really good. so, it is really individual preference la
 
Jass - sorry, only know that you hv bad experiences at NUH and KK and wanted to switch to a private hosp. you can try Raffles or Thomson Fertility Centre... no one can guarantee better chance but i think the waiting time and personal touch may be better than govt hosp. can understand ur anxiety and disappointment but pls press on and look at the bright side! cheers
 
Develyn - am so happy for your twin babies... hang on hang on, it will be over soon and you will be able to laugh, eat and sleep better
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Lyn,
I think I spent close to 15k under Dr. F but my dosage was high at 375 iu. Compared to KK, medicine is more expensive at Dr's clinic. I think difference is about 100+ per vial but from what I gathered from Dr. F, it is because KK subsidized the costs of the medicine. Then, the other expensive fee is Gleneagles hospital fee where ER and ET would take place. The hospital charge 7k. So, overall, Dr. fees are reasonable but the hospital fees are really expensive. Of course, the service goes together! For ER/ET, you stay in hospital for 1/2 day. you can deduct medisave but with Gleneagles, you need to pay first and then Medisave will reimburse you (I am still waiting for this). So, the cost is very different from KK but service as well. Lots of care and attention from Dr. F but at the end, I still BFN!
 
Dream,
Heheeee..I am glad to be back, during this period that could not log on internet, I enrolled my hubby into a spring cleaning spree everyday…because want house to be clean before do IVF and make hubby lose weight! He did a heath checkup for the first time in his life forced by me because his dad and whole family has very high cholesterol and he don’t want to do health checkup as he want to escape from reality. Turned out really got but not as serious as thought. So now more health conscious then me!
Take your time to catch up on your work, work can never be finished, do more, bosses give more. But it seems that the job market in banking is turning for better, so we are beginning to have more bargaining power.
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+ evil smile. I knocked off early today because not feeling well, feel so good to come home early.


Develyn,
Can hear that your appetite is growing better, from drink fluid to can eat a little. Maybe next month, you can eat like a cow...hey, don’t joke joke, my predictions are often accurate, even the gynaes cannot tahan me for out guessing them sometimes....;p

About microgynon, I copied this from a lady's blog on the internet. Can help me insert when menses will come in the middle of these two different protocols I listed below? If mense don't come in the middle then cannot proceed right? Thanks a lot girl!

Protocol with Microgynon
Day 1 : start of menses - call KKH IVF
Day 2 - Day 16 : Microgyon (birth control pills) x 16 days
Day 16 - Day 21 : Microgyon 5 days + subcut Lucrin 10 units x 5 days Total Microgyon 21 days
Day 21 - Day 30 : subcut Lucrin 10 Units 9 days Total 14 days Lucrin - baseline scan & bloodtest for E2
Day 31 - Day 37 : subcut Lucrin 10 units x another 7 days
Day 38 - Day 44 : subcut Puregon 200 IU x 7 days + Lucrin 10 units
Day 45 (8th day of puregon)- Day 53 (16th day of puregon): subcut Puregon + Lucrin 10 units (dosage depends on growth of follicles) - 1st scan on 8th day of puregon; 2nd scan betwen 9th -12th days; 3rd scan between 13th - 15th day. When follicles reach 16mm, STOP Lucrin. Total 16 days puregon
Day 54 : IM pregnyl at night , ER 2 days later
Day 56 : Egg Retrieval
Day 57 - Day 58 : wait for fertilisation
Day 59 : Egg transfer / balance embroyo to freeze
Day 60 - Day 76 - return for progesterone blood tests (x3) - if more than 15 eggs collected, got to return for IM progesterone daily for 17 days. If less than 15 eggs collected, 4 x HCG jabs.
Day 77 : 17 days later, pregnancy test

Protocol without Microgynon
Day 1 : start of menses - call KKH IVF
Day 21 - Day 30 : subcut Lucrin 10 Units 9 days Total 14 days Lucrin - baseline scan & bloodtest for E2
Day 31 - Day 37 : subcut Lucrin 10 units x another 7 days
Day 38 - Day 44 : subcut Puregon 200 IU x 7 days + Lucrin 10 units
Day 45 (8th day of puregon)- Day 53 (16th day of puregon): subcut Puregon + Lucrin 10 units (dosage depends on growth of follicles) - 1st scan on 8th day of puregon; 2nd scan betwen 9th -12th days; 3rd scan between 13th - 15th day. When follicles reach 16mm, STOP Lucrin. Total 16 days puregon
Day 54 : IM pregnyl at night , ER 2 days later
Day 56 : Egg Retrieval
Day 57 - Day 58 : wait for fertilisation
Day 59 : Egg transfer / balance embroyo to freeze
Day 60 - Day 76 - return for progesterone blood tests (x3) - if more than 15 eggs collected, got to return for IM progesterone daily for 17 days. If less than 15 eggs collected, 4 x HCG jabs.
Day 77 : 17 days later, pregnancy test


Boonboon
No mention please. And if you find a good one, let me know k because my co pays for health checkup and if good, I want to go also. Wei boon, have you tried yoga before? I find that some postures help with ovulation, let me know any time you are interested..

Eskimobaby,
Happy to resume “talking to u”...
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and very soon, hope you, Develyn and Serene and can report to the us the good news of if expecting prince(s) or princess(es) very soon…heeeeheee, I very gancheong spider, also because I find the process of guessing if it’s a boy or girl one of the most exciting during pregnancy journey of a mom.
Yeah, frankly, I am more positive after going through these challenges because learn how to take things easy liao..…

Lyn
Perhaps you are fated to have a child through the easier route of IUI. Who knows…it could be a blessing in disguise..
 
Wensi
I test my hpt 10 days past d3 et... Since i did not take pregnyl injections by now should hv accurate results... Anyway i did not judge only by hpt -ve.. Even before testing i know liao..

Lyn
So sorry to hear yr story.. So u decide to go iui or natural? Didnt kkh give u med to increase yr lining? Cos dr f says yr lining is thin right?

Alyssa
Congrats!! U are my motivation!! I failed my ivf and looking forward to my fet.. Kindly ans my below qn ok..
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- how long after yr failed ivf u start fet?
- what is yr embryo grade for yr ivf and fet?
- how many u transferred for fet?
- yr fet is natural or with supression?
- what did u do extra for fet u think make it work?
Sorry for the tons of qns cos i really no clue on fet cos i nvr tot i will need it..
 
hi alyssa,
congrats, have a smooth journey ahead. You have given us here lots of hope, FET is indeed possible for BFP too. Was it a medicated or natural FET?
 
Hi Lyn,

If I am in ur place, I wud still go for ER the reason being that if chances of Follicles being emtpy are there then IUI & natural way will also not work. But if the follicles are not empty then atleast u can have eggs n fertilise and may use it later stage if ur lining is not ready. I think you can still increase the dose.

I can understand ur frustation re KK service, I also faced similar situation this week with my ER & ET but I didnt move from there without meeting dr Loh. Though frankly speaking even talking to him didnt help much. I think its ur body n u have every right to talk to him n ask wht went wrong. Its not ur fault that u are poor responder , infact they need to monitor the patients more frequently rather than one week n then saying its too late. I know raising this will not get ur cycle back bt still will reduce ur furstation which is due to the hospital protocol. They did the same thing to me. After 7 days I wad excessive response b'coz of which they did ER just after 8 days of stimming with the same reason that it is too late to reduce dose. The outcome was extremely poor quality of eggs.

I think u can decide what u want to do. I know it does not help bt dont blame urself for anything. Some of us are poor responder bt it is doctors work to find wht is optimal dose for us. Thats wht they are for.

Bee thanks for ur response. I plan to see couple of docs this time b4 settling for anyone.
 
H Alyssa ,

First IVF positive is 573 and this time is 407.. Dun worry abt. high HCG level as u have higher chances of multiples
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Hi Bee ,

I hope i will be at that stage soon to laugh..

Hi Lyn ,

We speak on the phone again tomorrow..
Stay calm and hang in there..
 
Jaas, i had the same thinking as u when the residential doc asked me to convert my cycle to iui. I have insisted to go ahead with ER coz i m already half way there. But the malay nurse and the doc says its juz not worth it and say dr loh ask me to do iui, i juz broke down.

As this is my first ivf, we r not so sure abt how kk protocol or rather hows the practice there. I juz gathered info from ladies here and told myself to go with the flow. Never did it cross my mind that i m the 'special' one who will not go well under kk protocol. DH is upset and also feels that its the doc job to find out how well or how bad who r actually responding to the jab. Isnt a d8 puregon scan too late to see the progress??? Of course being a bad responder is nobody fault but i wish kk can pay more attention to our progress rather then juz say the low doseage is not making ur eggs respond, i m sorry u need to terminate ur cycle and try again.

Anyway, gotten a second opinion already. At least had gotten a satifactory explaination abt my experience.
 
Develyn, thks for being so caring and understanding. None of my frds is as understanding as u r. Really appreciate ur effort despite urself not feeling that well now. I have decided to pick myself up and think so the next step. Thks so much, my dear...
 
Lyn, juz pick yourself up and move forward.. Being depressed and negative no longer does any help.. looking forward to the next decision..
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U know i am no better.. haha.. and that's all easy for me to say but hang on there.. we try together...
 
hi all
thanks for e wishes. i really appreciate all ur support her. all of u have been my motivation. so if i can do it, all of u can k. keep e spirit up and strive.

hi baby
these are e answer to ur qns
- how long after yr failed ivf u start fet?
i did not do ET in dec as i had OHSS. so tried natural FET in March but got to cancel it as i did not ovulate. so in june, i did medicated FET. no need to ovuluate, just wait till lining 8 mm, can transfer.

- what is yr embryo grade for yr ivf and fet?
i had 40 follicles during IVF, but fertilised 16. for FET, i thaw 7 embryos, but i request for blastocyst, transfer at Day 5

- how many u transferred for fet?
i transferred 2
- yr fet is natural or with supression?
mine medicated. no need suppression. just take progynova from day4 menses till now. also need to take aspirin to facilitate blood flow.

- what did u do extra for fet u think make it work?
i did accu, with Raffles Hospital, Dr Jin. really, really helps. she is able to give more info abt the process. did 8 sessions in all. Fees ($350 for 5 sessions)
took brazil nuts too.

FET is relatively simple. i only took mc for 5 days and went back to work.

Baby, i am sure ur turn will come. maybe, it could be this cycle. its too early to test now if BT on monday. i only test HPT yesterday, and my BT today.

Stay positive dear. u will make it.

feel free to ask if u need to know anything, so glad to help
 
jass/lyn
Its not yr fault.. I feel its dr job to monitor us closely during ivf.. Kkh only scan once a week? For dr f, first scan is d6 on puregon.. Then afternwhich will scan every 3 days.. In all only abt 3 scans to er... I guess kkh is more on general.. Not so personal.. They give general dose base on bt results.. Its really 一分钱一分货... But kkh has the highest success rate also due to their no of ivf cases...

Lyn
If dr loh & dr f also dont sugg gng thru er.. Maybe u like to just go for iui.. And hope for the best.. If not successful, then try another ivf cycle again.. Then with gd no of eggs.. It make worthwhile to go thru er & et.. I thk u will feel worst if u go thru er & et and turn out not successful... Might as well use the $$ and effort for the next cycle with much higher chance.. Cos its really a v emotional journey when the ivf fails when u went thru so much from injections to er & et... Just my opinion..
 
Baby, wat u mentioned is wat dr f said too.Dr f said he can do an ER to retrieve the 2 follicles and he is quite positive that they do contain any egg. But the question is.. is it worth to spend the money juz to have the 2 pathetic follicles retrieve with no guarantee? I may as well stop everything here and start a fresh cycle. For now i juz have to think very very positively. For this ivf cycle wat i gained the most is the strong support from my hubby.

I agrees with u that its very emotional journey when u went thru er and et and ends the journey with a bfn but we r all learning to cope with the greatest disappointment if it does happens...
 
Baby, when i told dr f and his nurse that they only scanned once and then decide for ET both of them r so shocked. Since now u said dr f scanned so frequent then at least i m rest assured i will be in good hands if i do my nexy cycle under him
 


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