IVF/ICSI Support Group

Happybabe1101 said:
I went for scan with dr tan too and he said my cyst is endo cyst and the size is abt 3cm but he advised against laparoscopy and still said he bet his last dollar that all other docs will advise to go for the surgery. He said since I do not have pain associated with endo, n the surgery may cause reduction in ovarian reserves so he just asked me to proceed with IVF. Too bad the cycle failed. As I never did lap I do not know how bad the endo is in my case hmmmm
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Hmm not sure though but I think it affects ovarian reserves only when the cysts are in ovaries.mine r tiny ones that cluster together overtime and were outside of ovaries. Not visible under ultrasound and I have history of bad cramps. Think he advised me to go for lap cos I tried four iui 1 Ivf but to no avail and the endo may well cause scarring and in my case likely impairs fertility which explains y I haven been successful in conceiving so far even though me and hb are cleared of all other factors. He also did scanning for me during my lap and my linings r fine
 

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Dreamscometrue said:
Hi, is your cramp daily or on/off.. Is it so bad that u need to take meds?
How does ur endometriosis affect fertility?
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My cramps usually start one week before arrival of mensus.the cramps r like gastric pain and intensifies. Even though I nv drink cold or ice water I still get these gastric like cramps. Then once af arrives my cramps will turn to cramping a at abdomen.recently the cramps r more centralised towards left side of ovaries.the cramps will go away after first day of af.in my Sec school day time, my cramps were so bad that I had got to lie on bed and couldn't wake up .. I succumb to painkillers and had been popping a pill or two before af arrive. Once af arrives it will be too late and I would pain till cold sweat and on one occasion I blacked out in mrt for few seconds. I read and also understand from a Jb gynae that endo affects anatomy of productive organ and also, provide free radical environment. As such it obstructs implantation .. The embryos will float around in free space and not implant as in the case of Ivf
 
DawnBB said:
There must be a good reason why doc orders suprefact trigger - usually in cases of high risk of OHSS or in mini-Ivf or short flare protocol. I understand that suprefact trigger does not support the uterine lining as well as hcg trigger. However your doc must have taken into consideration this point and will usually provide the appropriate support medication post ER to address this. I understand that prof Wong patients who used suprefact had been given hcg jabs post ET as part of the support medication to boost body production of estrogen & progesterone by making the body thinks there is a pregnancy. I would say have faith in your doc and in case of any doubts, can ask and get clarification from doc. All the best! Jia you!
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Hi dawn, thanks. This is indeed a very intelligent n useful information.

May i know for dr loh,e interval betwern e trigger jab and octye retrieval timing is it exactly 36 hrs?
I feel that e trigger jab timing is very critical also in maturity of e eggs
 
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connie_hopeful said:
Hi dawn, thanks. This is indeed a very intelligent n useful information.

May i know for dr loh,e interval betwern e trigger jab and octye retrieval timing is it exactly 36 hrs?
I feel that e trigger jab timing is very critical also in maturity of e eggs
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Yes exactly 36hrs. We have a form which the nurse at the 24-hr OPD administering the trigger is required to sign & identify her name and time of injection. The TFC nurse will check this form on ET day as part of preparation for ET.
I think it is not only timing the ET at 36hrs post trigger jab. It is also dependent on when the doc decides to order the trigger jab based on the size of the follicles. Ideally most of the follicles should be at least 18mm and not over 22mm at time of trigger jab.
 
Happybabe1101 said:
I went for scan with dr tan too and he said my cyst is endo cyst and the size is abt 3cm but he advised against laparoscopy and still said he bet his last dollar that all other docs will advise to go for the surgery. He said since I do not have pain associated with endo, n the surgery may cause reduction in ovarian reserves so he just asked me to proceed with IVF. Too bad the cycle failed. As I never did lap I do not know how bad the endo is in my case hmmmm
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Personally I feel its better not to have any surgery if avoidable. I did dermoid cyst removal which was 3cm and after surgery got adenomyosis which is a worse off condition. Dr tan is right with cyst fibroids also ppl conceive and deliver under close monitoring. So don't trouble cyst n fibroids unless it troubles u:p
 
DawnBB said:
Yes exactly 36hrs. We have a form which the nurse at the 24-hr OPD administering the trigger is required to sign & identify her name and time of injection. The TFC nurse will check this form on ET day as part of preparation for ET.
I think it is not only timing the ET at 36hrs post trigger jab. It is also dependent on when the doc decides to order the trigger jab based on the size of the follicles. Ideally most of the follicles should be at least 18mm and not over 22mm at time of trigger jab.
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So dr loh perform e octye retrieval exactly 36hrs later?
 
h0peful said:
Hi, I initially asked for gp to refer me to kkh MIS department as I suspect I have endometriosis. I saw dr Khoo who said I have regular mensus he didn't want to open a hole in me and finds nothing so he referred me to try iui.i failed and moved onto Ivf under subsidised scheme.ie.cant choose doctor, throughout the Programmes I was seen by doc on duty.i had been to several other gynae who specialises in Ivf and was told the only way to find out if I have endo is by doing a lap.i decided to switch to priv patient under dr Tan hh. My first consultation with him he asked if I wana do frozen cycle and whn? Then he looked through my files and said if I have substantial cramps I ought to go for lap.so he puts me for lap and said if I change my mind I can jolly well see him again.i sorted advice from ladies in this thread who had endo and also regular mensus .. Under urge of my Husband and some Ivf ladies I pushed forward my lap date to a month earlier and had it done and true enough I have endo.my endo was outside of ovaries and uterine. I have very regular mensus and flow has lightened over the years. I usually have cramps one week before arrival of my actual mensus and the cramps will be gone after first day of my af. Endo is not easily diagnosed so if u have substantial cramps pls sort advice to go for lap. I would not have known I truly have endo if I have nv gone for lap
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did you have an abnormal figure in the blood test before you did the lap? I recall my gynae said I have endo bec one of my blood test indicator was higher than the norm. I also do not have sub cramps, had regular flow and not heavy. I failed my first fresh with SGH, going to see THH of KKH early Feb. SGH doc didn't ask me to do lap, she said borderline. will see what THH says.
 
rossoracer said:
did you have an abnormal figure in the blood test before you did the lap? I recall my gynae said I have endo bec one of my blood test indicator was higher than the norm. I also do not have sub cramps, had regular flow and not heavy. I failed my first fresh with SGH, going to see THH of KKH early Feb. SGH doc didn't ask me to do lap, she said borderline. will see what THH says.
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I didn't get to see my full count blood test before lap. It was ordered by THH and I did it exactly a week or so before my lap.i understand in overseas endo is more common and they have additional tests to deduce whether or not one has endo before requesting for a lap but here is not so common. Endo is largely neglected unless it becomes bothersome. I have sub cramps throughout ever since I started to have af. And it is now hindering me from conception. I had good follicles growth from 2 iui yet didn't succeed and I had 1 chem pregnancy. Think it differs from individual whether or not a lap is required. He asked me to go for lap while he didn't ask a lady in this forum with endo cyst to go for lap. Regardless he has got to have his reasons for ordering a lap. He will usually suggest and give u a choice. Ultimately is up to u. If I chose fet and not a lap I may go on failing my fet yet not knowing my endo is the culprit behind my infertility. Think failing 4iui 1ivf is reason enough to go for lap. U may want to proceed with fet if u have left over embryos or go for fresh cycle as Ivf is the only alternative asides to endo. But cos my endo is hindering implantation hence I was ordered to go for lap. If u have left over embryos he would advise u to do fet and not go thru jabbing all over again
 
Happybabe1101 said:
I went for scan with dr tan too and he said my cyst is endo cyst and the size is abt 3cm but he advised against laparoscopy and still said he bet his last dollar that all other docs will advise to go for the surgery. He said since I do not have pain associated with endo, n the surgery may cause reduction in ovarian reserves so he just asked me to proceed with IVF. Too bad the cycle failed. As I never did lap I do not know how bad the endo is in my case hmmmm
Click to expand...

It depends on where the endo is. If they cannot see the endo thru ultrasounds ie. it's not in the form of cyst in the ovaries, then the endo could be elsewhere which means it could hinder fertility. And such endo can be bad cos can have organs sticking to one another.

If it's in one ovary and you are still ovulating, then they may not suggest for you to go for a lap cos it will affect ovarian reserves. If you get pregnant then that naturally will suppress the endo.

The first time I did laparascopy was because my period pains were so bad but ultrasound never ever showed anything at all. The findings were horrendous ie. organs sticking, lots of cysts etc and I was told I have stage 4 then. The second time I did was because I was one cyst in each ovary. Miraculously, there was no sign of endo elsewhere. So the thing is... if you can't see it, doesn't mean it's not there.

Then last year, when we discovered a cyst in one ovary, my Dr monitored my CA125 (tumour marker). When it went down, my Dr said to skip lap and go for IVF. She tried to reach the cyst to try and make it smaller during my ER but it was too deep.
 
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h0peful said:
Hi ladies, I finally had my scope Yday under advice by dr Tan hh at kkh. Was a fruitful one cos they found abnormal growth of tissues, likely endo tissues, outside of ovaries as well as outside uterine. So after been through 4 failed iui and 1 failed Ivf and several other tests through 2.5 yrs of ttc I finally found the root cause of my infertility .. Endometriosis .. Am Glad dr Tan hh insisted on laparoscopy. I had 4 keyholes but all is worth given that my endo is cleared for time being and I would like to recover ASAP try natural or go for my frozen cycle under dr Tan hh
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Glad they managed to clear it all! Once Dr says you have recovered, shd try asap. Don't let the suckers (i hate endo! lol) grow again.
 
rossoracer said:
did you have an abnormal figure in the blood test before you did the lap? I recall my gynae said I have endo bec one of my blood test indicator was higher than the norm. I also do not have sub cramps, had regular flow and not heavy. I failed my first fresh with SGH, going to see THH of KKH early Feb. SGH doc didn't ask me to do lap, she said borderline. will see what THH says.
Click to expand...

Maybe you are referring to the CA125 which is a tumour marker. If it's high, means the endo is active. If it's low, then it is not as active. My CA125 was initially 90+ which made my Dr monitor it. When it went down to 40+, she said no need to do lap.
 
Hi Everyone,
I just joined this forum a couple of minutes ago and this is the perfect spot I feel that I need to be in!
I am scheduled for my first counseling session for IVF at KKH this March, and the procedure will start by April.... After 5 years of trying, hopefully this year is the year..
I look forward to read and gather as many info from this forum!.. Thanks.
 
Jules07 said:
Hi Everyone,
I just joined this forum a couple of minutes ago and this is the perfect spot I feel that I need to be in!
I am scheduled for my first counseling session for IVF at KKH this March, and the procedure will start by April.... After 5 years of trying, hopefully this year is the year..
I look forward to read and gather as many info from this forum!.. Thanks.
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welcome Jules! can, please feel free to ask Q...there are many wonderful ladies here like our @DawnBB, @the_spinsterella and many more to share info :)
 
By the way I need to ask abt FET.. Currently I'm on day 4 of mercilon. Will finish on day 21. After which to wait for Feb menses, start prognova, then scan on day 14 I Guess.. After that when will do ET?
I wish to do endo scratch this cycle? When should I do? Is it day 21 of this cycle? Or Feb cycle? I asked my Nuh dr before but he said any day after Jan menses can do, and he also like not so into endo scratch.. So I thought I should go somewhere where the dr feel endo scratch is useful so that he can do properly for me
 
Dreamscometrue said:
By the way I need to ask abt FET.. Currently I'm on day 4 of mercilon. Will finish on day 21. After which to wait for Feb menses, start prognova, then scan on day 14 I Guess.. After that when will do ET?
I wish to do endo scratch this cycle? When should I do? Is it day 21 of this cycle? Or Feb cycle? I asked my Nuh dr before but he said any day after Jan menses can do, and he also like not so into endo scratch.. So I thought I should go somewhere where the dr feel endo scratch is useful so that he can do properly for me
Click to expand...
ET will only be arranged when your lining hits min 8mm.
Should be day 21 of your jan cycle mah..cos if you are going to do ET in Feb right? If your Feb menses come earlier than the endo scratch, then you can't do the scratch. You have to wait for another 21 days.

Wa, go elsehere to do the scratch, you may need to wait for Doc B's schedule also. Will it be in time?
 
Dreamscometrue said:
By the way I need to ask abt FET.. Currently I'm on day 4 of mercilon. Will finish on day 21. After which to wait for Feb menses, start prognova, then scan on day 14 I Guess.. After that when will do ET?
I wish to do endo scratch this cycle? When should I do? Is it day 21 of this cycle? Or Feb cycle? I asked my Nuh dr before but he said any day after Jan menses can do, and he also like not so into endo scratch.. So I thought I should go somewhere where the dr feel endo scratch is useful so that he can do properly for me
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I did my endo scratch under NUH Dr Chew. He recommended i do it. So u can still try Dr Chew in NUH,
 
Hi all, i previously mentioned that NUH is undergoing renovation late feb early March. Apparently i got an update that it will be closed only from Apr 6 - 16 something.
I did my hysteroscopy last friday. Wasnt bad since i was down under. i was given mercilon to take for 21 days. Was told by doctor to stop yesterday and await for my period to come. Hoping to start my 2nd IVF in mid feb.
 
the_spinsterella said:
Maybe you are referring to the CA125 which is a tumour marker. If it's high, means the endo is active. If it's low, then it is not as active. My CA125 was initially 90+ which made my Dr monitor it. When it went down to 40+, she said no need to do lap.
Click to expand...
Yes! that's the one! Mine was 40+, I guess that's why I was told its botherline! Thanks! I super like this forum, helped a lot with my queries that noone else can answer...
 
towkayneo said:
welcome Jules! can, please feel free to ask Q...there are many wonderful ladies here like our @DawnBB, @the_spinsterella and many more to share info :)
Click to expand...
Thank you @towkayneo
May i know how do i arrange to have the same doctor throughout my IVF procedure at KKH?
I am scheduled for a counseling session this March, and the nurse mentioned that they will begin the process by April (during my menses).. At which stage am I able to choose a doctor? Cos i would very much prefer to just stick to one doctor.
 
Jules07 said:
Thank you @towkayneo
May i know how do i arrange to have the same doctor throughout my IVF procedure at KKH?
I am scheduled for a counseling session this March, and the nurse mentioned that they will begin the process by April (during my menses).. At which stage am I able to choose a doctor? Cos i would very much prefer to just stick to one doctor.
Click to expand...
Hi Jules, are you under subsidized or private? If private, you can choose and yes, if it's private, you will stick to the same doctor throughout.

But for the first few ultrasound scans, it will be done by the sonographer and you will be attended by the doctor on duty.

Your choice doctor will do the embryo retrieval & transfer for you.
 
towkayneo said:
ET will only be arranged when your lining hits min 8mm.
Should be day 21 of your jan cycle mah..cos if you are going to do ET in Feb right? If your Feb menses come earlier than the endo scratch, then you can't do the scratch. You have to wait for another 21 days.

Wa, go elsehere to do the scratch, you may need to wait for Doc B's schedule also. Will it be in time?
Click to expand...
Erm no lei.. Apparently I still need to wait for Feb menses to come.. Taking prognova in Feb only lei.. How does kkh fet work? Who is doc B??
 
Dreamscometrue said:
Erm no lei.. Apparently I still need to wait for Feb menses to come.. Taking prognova in Feb only lei.. How does kkh fet work? Who is doc B??
Click to expand...
Doc B is assuming another doc.

Menses come, call KKIVF, then you got to start on vaginal inserts and progynova. Then go scan until your lining hits 8mm, then they will arrange a date for ET.
 
towkayneo said:
Hi Jules, are you under subsidized or private? If private, you can choose and yes, if it's private, you will stick to the same doctor throughout.

But for the first few ultrasound scans, it will be done by the sonographer and you will be attended by the doctor on duty.

Your choice doctor will do the embryo retrieval & transfer for you.
Click to expand...
This is extremely helpful for me. Thank you @towkayneo
 
towkayneo said:
Doc B is assuming another doc.

Menses come, call KKIVF, then you got to start on vaginal inserts and progynova. Then go scan until your lining hits 8mm, then they will arrange a date for ET.
Click to expand...
For Nuh, I'm on mercilon now for 21 days.. When next menses come, go blood test between d1-3, start prognova, go scan on day 14 I Guess.. After that I don't know what will happen. Likely can transfer when hit 8mm ba
 
Hi everyone..

Ive been following this forum and find it very informative..Ive jus ended my 2ww and got a BFP on mon for my 1st cycle but was informed that my hcg level is low (92 to be exact. ) i was prescribed a week supply of dydrogesterone and i was told to do another blood test today,which decreased to 88.1...

Im scheduled for another blood test on fri and ive googled only to read abt possible miscarry..

Is there any way i can hv a successful pregnancy even wit a decreasing hcg level..?
 
SSlovebb said:
Hi everyone..

Ive been following this forum and find it very informative..Ive jus ended my 2ww and got a BFP on mon for my 1st cycle but was informed that my hcg level is low (92 to be exact. ) i was prescribed a week supply of dydrogesterone and i was told to do another blood test today,which decreased to 88.1...

Im scheduled for another blood test on fri and ive googled only to read abt possible miscarry..

Is there any way i can hv a successful pregnancy even wit a decreasing hcg level..?
Click to expand...
Hi .. Think hcg ought to double every alternate days so the levels should be increasing to indicate a healthy and progressing pregnancy but not other way round. Please take good care rest a lot and may your baby stick snugly to your uterus
 
towkayneo said:
Hi Jules, are you under subsidized or private? If private, you can choose and yes, if it's private, you will stick to the same doctor throughout.

But for the first few ultrasound scans, it will be done by the sonographer and you will be attended by the doctor on duty.

Your choice doctor will do the embryo retrieval & transfer for you.
Click to expand...

Hi towkayneo,

May I ask so subsidized patient cannot choose the consultant doctor and the doctor who will be doing ET? Honestly I didn't who was the doctor who was helping me to do the ET till the day. He's doctor Jerry Chan. Actually i'm seeing Dr Sheila Loh before all the FET and ET etc. I'm waiting to do the review in feb after the failed ET and makes me wonder I must be seeing another doctor and not Sheila.
Anyone under Dr Jerry Chan?
 
Hi I was under subsidised patient at kkh too and first saw dr Sheila Loh. Thereafter everythg was done by Doctors on duties, including ET and ER. I only got to know my case was transferred to a consultant ranking doc on the day of ER. Getting dr Jerry Chan is still kinda lucky as he is one of the senior consultant and has experience. U would probably be Seen by another doctor for review following the failed cycle.. I felt skills and advice r vital so I switched to priv patient and chose to be under dr Tan hh
 
jenlam15 said:
Hi towkayneo,

May I ask so subsidized patient cannot choose the consultant doctor and the doctor who will be doing ET? Honestly I didn't who was the doctor who was helping me to do the ET till the day. He's doctor Jerry Chan. Actually i'm seeing Dr Sheila Loh before all the FET and ET etc. I'm waiting to do the review in feb after the failed ET and makes me wonder I must be seeing another doctor and not Sheila.
Anyone under Dr Jerry Chan?
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I under Jerry Chan n got bfp under him..
 
monkeyzai said:
Anyone going for long protocol? Did not response well to short protocol and now doc wants to start long protocol....
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I started with short protocol and my 2nd cycle is on long protocol.
During 2nd cycle, doc prescribed saizen which suppose to improve eggs growth and quality..
For me, either short or long, both yields same # of eggs during retrieval..
Good luck and all the best!
 
jenlam15 said:
Hi towkayneo,

May I ask so subsidized patient cannot choose the consultant doctor and the doctor who will be doing ET? Honestly I didn't who was the doctor who was helping me to do the ET till the day. He's doctor Jerry Chan. Actually i'm seeing Dr Sheila Loh before all the FET and ET etc. I'm waiting to do the review in feb after the failed ET and makes me wonder I must be seeing another doctor and not Sheila.
Anyone under Dr Jerry Chan?
Click to expand...

I'm under Jerry Chan for my FET last dec, unfortunately I got a bfn. However, my friend's first fresh ivf with him, she got a bfp and gave birth to a girl at 40 weeks last Aug.
 
the_spinsterella said:
Me. I got cramps from 7dp2dt onwards. But it disappeared soon after I did my BT. However, the symptoms are different for different ppl.
Click to expand...

I know not to read too much into it but is really just so hard. I have this strange mild cramp and I'm not sure if is cramping feeling (or maybe I just refuse to recognise that it is cramping). Hiaz....just so difficult and feeling so lousy.
 
yvejen said:
I know not to read too much into it but is really just so hard. I have this strange mild cramp and I'm not sure if is cramping feeling (or maybe I just refuse to recognise that it is cramping). Hiaz....just so difficult and feeling so lousy.
Click to expand...
Cramping is good if it's in the middle of your 2WW. Why lousy?
 
Hi everyone.

My last post was 2 years ago when I did my first fresh. Bfp but had to go for an abortion.

Did my second fresh. I'm now in my 2ww. BT next Friday. Cramps all the way unlike the first one where there was no symptoms. The wait is agonizing....
 
Furries said:
Hi everyone.

My last post was 2 years ago when I did my first fresh. Bfp but had to go for an abortion.

Did my second fresh. I'm now in my 2ww. BT next Friday. Cramps all the way unlike the first one where there was no symptoms. The wait is agonizing....
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Hi furries,

I feel u. I'm also in my 2ww now. Is like in hell once again. Is something that's beyond control and ur emotion will just bring u on a roller coaster ride even though u resist getting up.
 
yvejen said:
Hi furries,

I feel u. I'm also in my 2ww now. Is like in hell once again. Is something that's beyond control and ur emotion will just bring u on a roller coaster ride even though u resist getting up.
Click to expand...

Yes... Yes. I'm so emotional that everything and anything makes me cry. The progesterone is doing a good job in making me very emotional. Lol.

All the best to you!! When is your BT?
 


Furries said:
Yes... Yes. I'm so emotional that everything and anything makes me cry. The progesterone is doing a good job in making me very emotional. Lol.

All the best to you!! When is your BT?
Click to expand...

My BT is on Mon. Anyway I think is likely a bfn for me as the cells count for my embbies are not fantastic.
 
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