IVF/ICSI Support Group


Morning gals :D

J03, clb and Serene, actually I tested yesterday morning since i start to have on and off AF cramp since Sat night. I tested on clearblue and the there was faint line but on guardian brand, it only show up after some time. Yesteray was feeling very moody so did not comment anything at all :D This morning I tested again, for clearblue, it is still the same line as yesterday and it did not get darker. In fact after 30 min, the line almost gone for clearblue so I think not much hope ba. I tested on watson brand HPT, there is faint line also. But based on my experience from past 3 IUI, most probably could be the HCG jab from my wed last jab.Mine is 1000iu so I do not know when it will leave the body. Anyway must test again tomorrow then know. But don't put too much high hope hor.

Serene, have you tested? All the best to you. :D
 
ya, yesterday esp at night also on and off having af cramp. Sigh everytime go toilet really scare to see after wipe. So far nothing yet. But really don't like the last few days of 2WW.
 
Melodi, all the beeeest!
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May u see real positive soon!
 
Hi melodi
Got faint line means hv chance k.. Urs is day 13 today right.. Both clb and me also test faint line that day so is ok.. Today i test the 4th time using clearblue for the first time this wk (KS).. And the line is darker than control line as it is already dpt16 so u dun hv to worry much.. It will gets darker k..;) jy!!

Hi valteen
No.. Not yet.. Very stress on the reading.. Tomorow will be the big day.. So i am still skeptical till they tell me the reading.. Cant sleep well past few nites.. Think tonite going be more stress.. Hope i can sleep well tomorrow nite after the result.. Btw, is normal to hv cramp, me cramp quite many times these few days.. Hope my bb is growing well inside and is normal to cramp...

Hi lamby
Yes, i hv been doing that, no water.. Today will make the chicken stork again.. As when working last wk.. No time to made..;( now then i know it equals to 8 chick essence..
Woah...;) that means we must drink daily when not on jab?thks for ur wishes but not consider bfp till bt result out..;)

Hi ltjabi
No worries, u will bfp too.. And we (clb and goh and me and serene) will spread bbdust after result is out tomorow..

Hi gals
Any advise on at wht dpt, the hcg reading shd be what to consider result is ok? Thk u..
 
Melodi- there's hope. Keep the faith. Coz u tested last week no line all when u expected line due to pregnyl jab. How many days past previous jab then u tested negative last time?
 
joanne
are u still working? No mc? my mc is for 15days till my BT...Wah, i think i v kia si, everything also cannot...hahhaha..my last pregnancy, i was banned from climbing staircase by gynae coz i had some problems...so i was exempted from attending meetings thatneed to climb staircase.
anyway, i v problematic one lah..what other pple can do i cannot do..
Lamby
becos of my problematic-ness, i cant do many 'normal' things that other ladies can do...e.g shopping...in fact, the nurse in the OT specifically says no shopping, only within the house...these few days, i only touched my boys when they sit on the hi chair,....i dare not go close to them when they are running abt..this is hw kia si i am.
 
i think its due to the pregnly jab which i took yest....just wondering how come FET and fresh different in the sense that FET no need to take pregyl jabs...hmmmm
 
Hi 76
Yes, i didnt use the mc though my hl leave is till tomorow.. As i dun want anybody to suspect so take 5days leave for my first wk of 2ww which is the implantation wk, take 3days gp mc during my er/et period and go back to work last monday..;) this release my stress as i wont think so much when working too..;)
 
clb, hee i tested again using 45min urine on CB and the line darker a bit. funny right morning urine line lighter. Anyway the line on first CB this morning disappear le.
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I test negative on 9dpt, which is wed before I took my last jab. yesterday and today faint line. So might me evil Clearblue making fun of me. I will not trust too until BT.

J03, hopefully the line will darker lor. Yesterday and today same.

Also, good luck and BFP for you, ClB and Goh tomorrow. Did I miss out anyone? Hope this cycle we can have many BFP :D K i go makan first. Hungry liao.
 
Itjabi, thanks! Yes I think must lor cos i still think could be the jab that I took on wed. Hopefully line will get darker tomorrow instead of disappearing. The last few days of 2WW really very sian. Good luck to you too hor. Hopefully we can join them for BFP soon.

Serene, have you tested? I tested but not really confirm cos I took more jabs then you.
 
Hi queenie, actually I can't remember is 20 or 21 April... Haha me blur queen... Tom will call kkh to confirm the date...
You have started the journey! 2/3 days will be my turn!

Congrats jo3, melodi and those tested positive on hpt! Remember to share your tips!
 
hi gals, i tested negative tis morning @ 12dp3dt
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i realised my hpt has expired jan 2011 but test it anyway. woke up at 6plus to pee n test. see negative n wenr bk to zzz. woke up at 8plus, take a look at e hpt strip n tink i saw a veri veri faint line. asked my hub too see. he agreed e line look almost invinsible. just nw went to check e same hpt again. e line was gone. i tink is negative for mi
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Hi serene
At 12 dpt still early to check if singleton.. Try check again tomorow first pee.. U will bfp too k..;) lets all hold our hand and pray hard that our hcg reading is high high all the way till our bb is/are born..;)

Hi Bingo and valteen
No problem for the bb dust if i really strike with high hcg..;) frankly, still feel the stress for tomorow bt.. Thk u gals for ur wishes..;)
 
Not to dampen anyone's spirit. Pregynl jabs will give false positive. The effects can stay in the body for as long as one week. The website has more info. My fresh cycle I was on pregnyl jabs after ET, I dun use hpt at all coz i dunno If the effect of jabs still there. I just wait till BT date. For FET I was on inserts. So I started testing on d8. Coz inserts wun give false positive.

As for hpt, clearblue lines r forever faint. Use the cheapo brand like guardian where the lines are red colour. Though it takes a while for the lines to appear, it is much clearer than clearblue, wun go away & will go darker with days.
 
Serene like what they said until BT then is confirm. I don't feel any confident at all too cos I am having more jab then you and my grading is currently the lowest too in this cycle. But I must have faith in them so you too. You are only 12dpt n using an expired HPT. Don't worry either you buy a new one to test again later or wait for BT. Your BT tomorrow?
 
Clb, j03,
Thanks for info on soya sauce.. Will try cut down though can't do completely w/o.. Esp. whn eating outside..
Best of luck for ur coming BT.. Glimmer of hope too.. Spread lots of baby dust.. & pls don't leave us aft BFP, k?
 
Hazel don't worry. I already fully prepared it is fake positive just in case. I will still test hopefully can see the line darker and miracle happen to me. To me, when sf loh told me my eggs grading are not good and only 3 to choose, where none of the sisters here this cycle have, I already very sad n know this cycle no hope already. But I am happy to be given a chance to try. Already promised myself to try harder for the next fresh cycle.

Serene, really don't give up hope. I really hope to see you have good news too as I know you gone through a lot too. Let's Jia you :D and don't lose hope yet.
 
hi j03, melodi, thanks for e console. i m not pinning on too much hope. i will buy a brand new hpt to test tomolo morning as my last hpt strip also expired on jan 11. yup tomolo my bhcg test.
 
Melodi, dun be discouraged by the grading also. My last fresh cycle embyro grading was not bad but I still miscarriage. Sis with poorer embyro quality strike twins n all went well. So, u nv know, it cld be a success. Things happen when u least expect. Pp hv been telling me dun think negative thoughts. I know is hard at times. But must try okay.

My next fresh cycle dr loh ordered luveris on d5 of gonal-f. Have been googling on the website wat this injection does.. Read it hurt much more than gonal-f & the needle is very long. But coming used in overseas fertility centers to improve egg quality & hence pregnancy where aspirins will be used also after ER... No choice, since I hv miscarriage twice already.... Sigh..
 
Melodi: come think of it, u may not be the worse lah. I wasnt even told the grading and i had forgotten to ask too. At consultation after bfn, i asked him. And he sortbof beat around the bush saying they dont do grading, its not impt, etc etc. So i never knew mine.
 
Valteen, don't worry i just want to prepare myself for the BT. Sometime never know is a good think too cos will feel lesser stress. Hee bacause I am his first patient that day so he talks more ba. :p

Hazel, thanks!
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Jia you, since you BFP before, you have high hope this time too.
 
Hi ladies
mum boiled chicken drumstick with wolfberry, huai shan soup for me today...dunno can take or not..so she just put a bit of each...i drank half for lunch and dinner...later hubby buying durian...as recoomended by sistas here...going all out liao since this is my last cycle...any more to suggest? today i only up for 2 hours+...
 
Hi 76, admire your determination to bedrest with 2 kids running- i think j03 also takes chix essence?

melodi- hugz.. coz i was thinking u took a jab last sunday right... then tested -ve on wed...means the jab effect takes abt 3 days to wear off.. then u took a jab this wed... so effects shld wear off by today? So there's hope ah...keeping fingers crossed for u de.... test tomor morn better... ur cramps more intense... hopefully is good sign de.. coz mine is more intense at night too...

Serene- test again tomor morn...no AF is no good news..dun give up hope

Hazel- when 'll u be starting on the cycle? =P
 
j03- can i ask you how to make the chicken soup? trying to piece ur info and Lamby's info 2gether, but still confused...tks in advance! (i rarely cook, so mountain tortoise in kitchen)
 
clb
no choice lor..got to rest while i can...nw my hubby making the small one sleep in my room..i sneak out coz when he see me in the room, he v gan kor..wana me carry...sigh...got to harden my heart for the next 12 days...sigh sigh...
 
clb, tks
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Same like you my cramp is more intense at night too. Daytime seems alright. Yesterday really feel af coming, so scary. Will test tomorrow again.
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76, I start drinking chicken essence everyday in my 2WW too. My friend who BFP through IVF time drink that too.
 
76- ur boys will understand next time that you have undergone so much to let them have another didi or mei mei...they are still young now...ren now, 12 days will b4 u know it!
 
Clb, starting lucrin end of this mth.

Well, I try not to take soy products & chicken when cycling. Soy products affect implantation. Chickens hv too much hormones & I dunno how it helps or interfere with my own hormones
 
thanks melodi and clb...
btw, why is taking durian good for 2ww? Can anyone advise? If bu, then can take chocolate biscuit also bu right?hahahhaha..and v heaty too...
 
I found this info on another forum which another lady had kindly written up and I thought it might help us :D

Implantation Bleeding 

What is Implantation Bleeding? 
Implantation bleeding is lighter than menstrual bleeding, and consists of pink or brown colored blood. Implantation bleeding occurs when the trophoblast, or tissue that surrounds the egg, attaches to the endometrium and slowly eats its way into the lining. As it does so, it eats through the mother's blood vessels, forming blood lakes within itself. When these blood lakes form near the surface of the trophoblast, they often cause implantation bleeding. 

Remember, the difference between period and implantation bleeding is the amount; implantation bleeding is considerably lighter than menstrual bleeding. Menses and implantation bleeding should be different enough so that you can tell. Here are some frequently asked questions about spotting: 

When does implantation bleeding occur? 
In natural conception, implantation happens around 5-12dpo so with assisted conception you need to take into account how old embies were when put back eg day 2 transfer, day 3 transfer etc. Only once embies have reached blastocyst stage at approx 5 days will they be ready to start implanting. 

What does implantation bleeding look like? 
Implantation bleeding signs are a light pink or brown colored spotting 

Can I still get a BFP if I don't have an Implantation Bleed? 
Yes.....absolutely. Symptoms vary enormously and there are many people on the site who have had BFPs with no spotting/bleeding at all. 

Testing 

Do I need a blood test or can I use a HPT? 
The BETA hcg blood tests are qualitative which means they check the actual level of hcg in the blood. 

An HPT detects to see if there's a certain amount of hcg in the urine...many will only show +ve if there's a level of around 25 miu or more, although some may detect as low as 10 miu, it depends on the actual hpt. However, even tests that say you can use early as they're more sensitive are only about 65-69% accurate when used early. 

With a blood test checking the level of hcg hormone in the blood they will be able to detect much earlier as they will obviously show the actual amount eg whether its only 1 miu or 301 miu etc etc so are obviously way more sensitive than a peestick !! 

The hcg hormone is released from the embryo once its implanted...so it would depend on whether early or late implantation (which happens around 5-12dpo in natural conception...with assisted such as ivf then you need to take into account how old embie was when put back). So if early implantation then some women may get +ve result on HPT early but if late implantation then may not show until at least 14 days after transfer (or ovulation if natural conception)...but with hcg blood test then would be able to detect the level of hormone even a day or so after implantation. 

When should I test? 
Most clinics advise to test around 14 days after ET although they do tend to vary. If you have had blastocysts transferred you will probably be asked to test after approx 10 days as the embryo is older when it is transferred. 

How long before HCG is out of my system? 
The HCG injection can stay in your body for approx 10-14 days but obviously we all eliminate the drugs from our systems at different rates. As a very basic approximation, 1000iu of pregnyl eliminated from body per day so gives you a rough idea. 

Can I test early? 
It doesn't matter that the hcg injection may have left your body...its whether theres enough hcg released from the implanted embryo for the HPT to detect. Implantation happens around 5-12 dpo and only once its complete will the hcg hormone be released. If you have late implantation then it may not show up on an HPT. The reason clinics give you testing dates is because you're far more likely to get an accurate result then. The possiblity of a false result may cause added stress at an already anxious time but it is ultimately up to personal choice. 

Useful links: 

http://www.peeonastick.com/hpts.html 
http://www.fertilityplus.org/faq/hpt.html 

Food and Drink 

What should I eat on the 2WW? 

The usual advice is to eat as though you are pregnant so a fairly healthy balanced diet. It's also important to drink 2-3 litres of water. This helps flush out the empty follicles which will keep filling with blood & helps prevent OHSS as well as flush out all the drugs from treatment & during EC...and obviously ensure you're hydrated. 

http://www.food.gov.uk/multimedia/pdfs/life02eatingwhenpregnant.pdf 

Why do people suggest Pineapple Juice? 
Pineapple contains selenium...and selenium (an anti-oxident) helps promote a healthy womb lining which is why it is thought to aid implantation. Pineapple also contains an enzyme called bromelain which is contraindicated during pregnancy as it may cause uterine contractions (many people, especially in Asian cultures, suggest eating fresh pineapple to induce labour if overdue)....however, during processing this delicate enzyme is destroyed which is why its ok to drink pineapple juice in moderation when ttc or pg but not to eat fresh pineapple/pineapple pieces etc . 

The preferred juice to drink is fresh, pressed or "not from concentrate"....although not the best, its still ok to drink "from concentrate"...all this means is that the pineapple pulp has been frozen or freeze dried for exportation and then reconstituted with water. 

A small glass of pineapple juice a day is supposed to be good but there are also many other food sources richer in selenium than pineapple (brazil nuts included!) 

This link provides some info on selenium & a list of food souces: 

http://ods.od.nih.gov/factsheets/selenium.asp 

Pregnancy Symtoms 

We're all guilty of it, in our 2ww - as we know we have our lovely embies on board, we assume that our bodies will suddenly start kicking out all the pregancy hormones and we should all be feeling something 'positive' to say 'YES' we're definately pregnant! 

Well, I've been trying to think a bit logically about this (OK, have the occasional blip - where logic just goes out of the window!). Lets face it, we have our embies put back between 2-5 days post EC, well the day of EC, is classed as the day of Ovulation, so you then need to allow 6-10 days post ovulation, for the embies to implant (or there abouts anyway!). Once implanted, it's not suddenly going to produce mountains of hormones, these will build up over the coming weeks, or months, at which point you may then expect the various symptoms (bare in mind, many women don't experience any symptoms at all!). 

I think we are all so desperate for some sign, that our imaginations run wild, we analyse every twinge, every bit of tiredness etc...... 
So, not sure if this is helping anyone, but I've found the following information about Early pregnancy Symptoms, which I think has to be the most down to earth stuff I've read; 

Q: What are typical early pregnancy symptoms and pregnancy signs? Can I feel the pregnancy signs and symptoms before missing my period? 

Many women have typical pregnancy symptoms even before they miss their period. However, most of the typical pregnancy symptoms and signs are directly related to the pregnancy hormone hCG. Small amounts of hCG enter the blood stream several days after implantation, about 8-10 days after ovulation. Thus, typical pregnancy symptoms typically do not appear until the hCG has reached sufficient levels which is about 1-2 weeks after you miss your period (3-4 weeks after ovulation, or 2-3 weeks after implantation), at a time when the hCG has risen enough. Nothing will really confirm a pregnancy except a positive pregnancy test. 
The first symptoms and the time of their appearance are listed here: 
� Temperature drop (dip) on Implantation day 
� Implantation bleeding or spotting
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a slight staining of a pink or brown color on average 8-10 days after ovulation)) 
� Lower abdominal cramps 
� A positive blood HCG pregnancy test: About 10 days after fertilization/ovulation 
� An elevated bbt curve for 15+ days without a menstrual period 
� A missed menstrual period (amenorrhea): 
� A positive urine pregnancy test (HPT): As early as 10-14 days after ovulation/fertilization or 3-4 days after implantation. The more sensitive the HPT the earlier the pregnancy test will be positive. 
� Nausea: as early as 2-4 weeks after ovulation (BrJObGyn 1989b;96:1304)
� Nipple or breast tenderness: 3-4 weeks after conception 
� Fatigue: 3-10 weeks after conception 
� Vomiting: 3-10 weeks after conception 
� Food cravings: 1-2 months after conception 
� Frequent urination: usually after 1-2 months 
� Softening of cervix: usually not before 6 weeks after LMP 
� Constipation: later on 
� Lower back pain: later on 
� Darkening of areola (breast nipple): After 14 weeks 
� Fetal heart beat on sonogram: 8-9 weeks after conception 
� Fetal movements: 16+ weeks after conception 
The Link for this site is; 

http://www.babymed.com/docs/english/21.asp
 
76, I think is "bu" but must drink lots of water after that. I follow cos I am a durian lover. I have eaten 3 to 4 times during 2WW :D
 
Hi melodi n serene
Dun think so much for now.. Leave it to god.. Since u gals r on jab, is better not to trust the hpt too much as wht hazel says.. As Both clb and me are on inserts this cycle so maybe different fr ur case whether test on dpt13 is correct or not.. lets all wait till the bt to confirm..k..;)

Hi hazel
I hv two mc two yrs ago too so am quite worried abt the current journey.. Did doc loh mention to u wht other xtra support is he going to give to u beside the new jab? Asprin start fr er till?? And any other support after u test bfp? Hope our coming pregnancy will be a smooth sailing one till healthy bb is born..
 
J03, my cause of miscarriage is unknown. I did a few tests after the miscarriages. No reasons were found. Dr Loh, Dr HH tan from KKH all said am unlucky & maybe the embiees' quality not as good. Dr hh tan said If the cause can be determined then miscarriages can be minimized. He suggested baby aspirins the next round I get pregnant.

I went to see dr Paul Tsang from tmc, fertility gynae of CARE paragon too. He said the same as the 2 Drs. He told me if wan to be aggressive can start taking aspirins even before pregnant.. And all the way..

In Jan this yr, dr loh wrote aspirins on ER date on the memo. I dunno he wan me to take until when. But I will ask him to give me until I m abt to deliver. If he does not give me, I will go see dr Tsang at tmc. I already plan to see both Drs if I get pregnant. Dr Tsang more accessible & I can go every 2 weeks for follow-up. Dr loh's appointment dates r always too far apart. That said, I will still let dr loh deliver. He is very gd & accurate. Not just on fertility. Of course he is adding luveris to gonal-f on d5.. He didn't tell me why.. I realized no sisters here took luveris. So I goggle online & found out tt it may helps to improve egg quality.. At least this is wat the overseas forum says.. We will see if that is true...

As for other hormones support, i dun think it is necessary unless I hv spotting issues. Which I nv had. In my case, The foetus can be gone but my body still didn't know. There was no bleeding at all & in my 2nd m/c, I continued to hv bad morning sickness somemore! I only knew I had m/c from the ultrasound. 2nd m/c, I even waited for more than 1 wk for dr loh to return from overseas course to terminate for me though dr hh tan was covering him. I scar easily, I can't let my womb scar from d/c. So I wun let anybody touch my womb unless is dr loh if I can wait.

So if preg, other than baby aspirins, I dun think I need additional support other than wat KKH is giving now unless got bleeding..
 
Hi 76
Understand fr other sis that durian aids implantation and doc zou say durian is tonic so is gd..But no need take for the whole 2ww as dun want u to fall sick.. Take fr dpt3-10 will do.. Chocolate got caffine so better dun take tOo much..;)

Hi gals
I agree with hazel that no soy products and chicken during cycling.. As the hormones in chicken may affect us.. But u can still take chick essence.. Best is u make ur own essence as we use kampung chicken which without injection.. Dun choose normal chicken to double boil..;)
 
J03, are u with KKH? If I do get preg this time, I will be very careful. I itch easily down there.. The skin outside.. Preg & not preg.. Can be due to hormonal change. KKH does not check for infection at all. Dr loh always says is hormonal change as long as discharge looks okay. Dr Paul Tsang will definitely does swap test to rule out infection. That is y I said I will see 2 Drs in next pregnancy.
 


Hi 76
Just take 2-3 seeds of durian will do.. Much much will cause heatiness.. U wun want to fall sick this 2ww.. Continue more water n vit c

Hi Hazel
I feel sad when reading ur stories above.. Thats why i am very worried even if now test positive hpt.. I pray hard that is due to soiui which cant choose gd embroye and sperm so easy mc.. I pray hard that ivf will be different stories for me.. And thats why am headache nOw.. As our case need more attention fr gynea and more support too.. Can kk provide us these? Hence, i wonder when is the best time to change gynea? As i will want to deliver in Thomson medical if possible.. Shd i change gynea after i test hcg bt confirm to get more support immediately or shd i change only after first scan? I understand that in kk, gynea only provide duphaston n folic acid after confirm hcg bt positive.. Which i feel is not enough for our case.. I hv request asprin fr doc loh this time myself on et day as he usually wont give his patients unless request.. Last time when i did my soiui under doc Foong, he gives me asprin follow by the fraxi injection after i test bfp.. Bec i very scare to do injection on my tummy since already pregnant so i didnt administer.. Not sure is it due to that and 2nd mc happens..;( so this time, i will request flexi injection fr doc Loh.. I hope he will gives me.. Fraxi works the same as asprin to thin the blood flow to uterus.. But there is danger that if u bleed, ur blood will flow nonstop.. Seeing that even care provides flaxi so i no longer afraid it will harm my bb.. Shd i see two gynea at same time too? But who is gd gynea in tmc to handle ivf patient?
 

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