Kimchi-ger
Active Member
Good luck! Did the embryologist tell u the grading of the day 5 blastocyst?
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Dreamscometrue
Well-Known Member
Maybe spend some time to improve your body. Like tcm, exercise, eat cleanly.
The fact that it could implant is a good news.
Take care and all the best for your next fresh!
Kimchi-ger
Active Member
Sorry to hear abt the news... Take care of urself. U still have one more blastocyst right? U not gg to do frozen for tat but starting a new cycle? Wish u all the best!
Thanks.Ya did tcm for my third rounds.I believe that's why I have 2 blastocyst .
Ya have one more but below average quality. Due to my age,I want to try retrieve as much as possible now,maybe do a duo circle of retrieval before I start implant again.
Dreamscometrue
Well-Known Member
By the way which dr are u with?
First Dr is from ME but he already retired.Second with Dr Suresh Nair.Third with Roland Chieng.
Kimchi-ger
Active Member
Icic. Did the doctor give u the max dose of medication already? Also did u try to seek second opinion? Previously my blastocysts oso of very low quality for 2 fresh rounds. Then I changed to private and managed to achieve higher quality blastocysts...
Sorry are you referring to ivf Dr or tcm.If tcm is Edmund pang from EWM
Yes max.progynova,Duphaston ×3 daily and progesterone jab 100gm daily.Also the hormone gel to apply on thighs 2x daily.
chocchipcookie
New Member
Do you know the odds of a grade c surviving a thaw?
Kimchi-ger
Active Member
Not sure. But think very low chance. Personally I dun really have much hope on grade C Blast. I believe the at least shld have a B grade for a higher chance of success...
Helloenoki
New Member
No idea! They didn’t tell me haha. It looked uh nice. Hoping for the best!
I had thought that as long as it makes it to blastocyst stage then it’s all good, didn’t realise that there’s a differentiation. Now I know…
Kimchi-ger
Active Member
Haha. Are u with KKH? I believe they wun tell unless u ask. Tat happens to me previously. I always curious to know the grading. Haha.
Dreamscometrue
Well-Known Member
Ah.. I'm also with Dr Roland. Will u be sticking to him for the next fresh?
Dreamscometrue
Well-Known Member
Erm well I only have encounter with 1 NUH Dr, 1 other pte Dr and Dr Roland.
I do prefer Roland compared to another pte Dr. Hence I chose Dr Roland as my IVF Dr.
I've done 2 fresh cycles under Dr Roland.
I guess affinity is impt as well. So once u found the Dr you're comfortable with and trust, just stick to him
I do prefer Roland compared to another pte Dr. Hence I chose Dr Roland as my IVF Dr.
I've done 2 fresh cycles under Dr Roland.
I guess affinity is impt as well. So once u found the Dr you're comfortable with and trust, just stick to him
Kimchi-ger
Active Member
I believe in affinity too!
Potatolover18
Member
sorry to hear about your mc, do rest and recover well and wish you all the best in the next cycle!
Did you take supplements and try high protein diet?
I didn't take any supplements beside folic acid.Any supplements to recommend which can increase quality of the egg and improve well being?
You can try a general woman multivits, coq10 & vit D. I did that. Had some other supplements on and off and tcm, somehow something that I changed did help me get prep well for my second cycle.
Potatolover18
Member
can you pinpoint what’s the bigger contributor that helps?
Potatolover18
Member
yup generally doctors will recommend co-enzyme q10 (coq 10), i only started to take high protein chicken essence, and try to add more proteins to my diet, eat salmon, chicken, 2 eggs a day etc..
hopefully next cycle will yield better eggs too - i don’t have any blastocyst from my previous cycle
Honestly, I don’t know. Haha... I did a lot, including changing lifestyle with all these. One thing I did not do was the protein stuff because I had great phobia for it after the first cycle of non-stop a lot of protein eating. I guessed everything did help and I changed dosage of my multivits slightly before and during stimms. My tcm physician also had to give me the green light to decide if I should or not go for stimms...
It is a very difficult journey and I am really happy for you. My doc said there is no way to diagnosis implantation issue. Been trying for years and the nv get pass implantation. Hope there is some luck for me.
Kimchi-ger
Active Member
Haha. I did similar to wad u mentioned 4 mth before the very recent fresh cycle. I took co-enzyme q10, blackmore conceive well, vit D daily. And also high protein diet. I only take kampong chicken, salmon in moderation unless is wild caught. 2eggs daily. And lot of nuts and pumpkin, sunflower seeds... I did achieve better quality blastocysts as compared to previous las 2 cycles. But also bcos I changed to private for this round so dunno is actually the lab techniques or the the diet that helps....
lovebabybub
Member
Do u take daily kimchi too? LOL
Kimchi-ger
Active Member
Of cos not. Haha... not a fertility diet...
lovebabybub
Member
Just wondering, cos it has probiotics mah...
may be good for leaky gut or smth..Don’t give up ok. I am the same age with u and I had been thru 2 ivf, the 1st one I transferred a day 3 embryo and managed to implant, but mc at wk7. I did a d&c and went thru a mini confinement with grieve. I even send the result for lab test but the result came back as chromosome abnormality, that all. I tried ivf again after 3 years, this time I decided to do 2 retrieval and send to pgs then do a frozen transfer, though I managed to get 7-8 retrieved and Fertilized, but only 2 make it to blastocyst each round and I send to pgs testing as I really cannot take another failure again. And the pgs result only come back with 1 good blastocyst each round (day 5 blastocyst and day 6 blastocyst), another 2 blastocyst come back with unknown result which the doc suggested to discard. I was sad that time as I only left with 2 blastocyst but I told myself don’t give up even I only left with 1-2 embryo aft retrieved so many embryo, and I just need 1 to hold my rainbow baby on hand. I was then do a frozen cycle to transfer a day 5 embryo and implanted. I just give birth in Aug this year. I wanted to tell you, we as a woman are already very amazing, trying hard for baby through a difficult journey. We shouldn’t mind how other think or judge us in any way, no matter what, at aleast we are proud to say that we tried our best.
I recommend this book - It Starts With The Egg as it describes supplements and lifestyle that help improve egg quality. Essential supplements are coq10(ubiquinol) and vit D, for egg quality and implantation; Vit E for lining. Before my 3rd cycle I also took melatonin and there was improvement. You can read up on melatonin. High protein diet is also important. But take note supplements and vitamins take at least 3 months to have any effect.
Thanks.I will go look up for the book.Can you recommend me the brand for those supplements?
Potatolover18
Member
my kkh doc recommended this brand which is active form of coq 10. i got it from kk pharmacy, not sure where else sells it. i started with one capsule a day, now increases to 2 a day.
i have another friend last time with a private doc, says doing yoga helps with blood flow to pelvic region. for food can take nuts, blueberries, tomatoes, salmon, fish, chicken, lots of vegetable etc. for me i also boil red date+党参+ dried longan tea every few days to drink, after finish can refill and boil again..but see if your body constitution is the cool or heaty type. anyway balanced diet, don’t overdo
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Dreamscometrue
Well-Known Member
Actually besides all these, I think each cycle is also different.
My 1st fresh with Roland only had 2 blasts. I took supplements, eat high protein diet, no cold food and drinks, went tcm etc.
My 2nd fresh almost 2 years plus later I just eat as per usual, occasional bubble tea. Didn't really watch my diet. Cos was so busy with my kid and work that no time to go tcm.
In the end I had 4 blasts. And I was older liao. So I feel all those stuff doesn't work for me. The dr always say each cycle can be different due to our body hormones. I think maybe just me la.
You might be right.Due to our age ,every circle we produce different number of eggs.My first 2 circle,I went for full dose of injection,end up no blastocyst at all but my third circle,Dr said let my body choose it own eggs and I am only on pills.,no injection to stimulate the eggs.Yet I got 2 blastocyst. I think everybody react differently. Abit of luck too.
Bbbabyluck
Active Member
I have been with Dr Roland for about 2-3 years. He’s a good doc whom I felt that he is really with us on this journey. Perhaps I had so many tries and been so long with him, he was even more determined than me to make sure I’m successful (although I am on the verge of giving up). In my latest cycle which also the cycle which succeed, I too had help from Dr Edmund Pang. Have faith and the time will come. Having an implantation is a good sign, now it’s about getting the right embryo for all the stars and elements to be aligned.
Bbbabyluck
Active Member
Throughout my ivf journey, I don’t have a lining that has gone beyond 5.5mm and it was on max stimulation to get there. It seems like having a 6mm is good enough for most clinics. In my positive FET cycle, my last lining check before transfer was only 4.4mm.
BusyBeeEve
Member
Wahhh… my doc a bit fussy on lining thickness. He prefer above 8mm and the thickness is even. Last cycle certain part is thick n some is not although it was 8.3mm. In the end we decided to cancel the cycle
Same with you.I am with both the doctors you mentioned.
Dreamscometrue
Well-Known Member
Oh not bad. Perhaps next cycle he may suggest low dose jab
Hi Happy001
how did you manage to do pgs testing? I thought pgs is not allowed in SG?
Can do, I m eligible as I am above 40 with 1 mc. I did the pgs at NUH and I am under Prof PC Wong. You can ask again for the requirement to do this test. If you decided to send the embryo to pgs, you Need to be prepare that you will end up with nothing, as the pgs required embryo to be blastocyst and send for pgs testing, the result might come back with unknown result or negative result which will end up left with nothing. There is a high cost incurrence for the testing too. And ones will also be prepared to go for frozen transfer only.I am prepared as I feel that the mental and physical stress is more than anything else. I cannot afford to go through one more round of mc though I knew that even a good pgs embryo may not be able to implant, but I still decided give it a try.
chocchipcookie
New Member
Hi everyone, what’s Dr Tan HH’s personality like? We are thinking of switching out from KKH cos we feel that they are too conservative, wait times are long, Doctor too busy and also can’t vibe much…
What’s the process like to transfer out - Do I just need to get the Doctor to write a memo or how do I get hold of my patient records/ past stims information?
thanks
What’s the process like to transfer out - Do I just need to get the Doctor to write a memo or how do I get hold of my patient records/ past stims information?
thanks
I find Dr Tan very reassuring and friendly. If you have questions, he will explain very thoroughly. I switched from KK to Alpha and have no complaints at all about Dr Tan and the clinic. Although he is quite busy at Alpha too, I don't feel rushed in my visits.
It is not necessary to have a memo if you have your own notes and roughly remember your stims in the past cycle. I didn't have a memo. I brought along whatever test and ultrasound results I had from KK. He will need to know basic info like how many eggs retrieved each cycle, how many blastocysts or D3, and their grades, as well as your stim protocol for each cycle. I didn't recall the exact dosage of my stims, just the names of the drugs used.
If you do not have your test results, some can be retrieved via Health Hub. Otherwise you can request for them online with a fee. https://www.kkh.com.sg/about-kkh/contact-us/medical-report
Kimchi-ger
Active Member
Dr Tan is a very experienced and skillful doctor. I feel very comfortable under him. I succeeded twice under him when he was still in KKH. After which I was under another Doctor in KKH and failed twice. As I still wanted to try for a third child, I decided to transfer to Alpha. I had just gone for my fresh cycle las mth and is now waiting for my frozen cycle. The waiting time is so much shorter than in KKH...
You need to ask the Doctor at KKH to write the memo on yr past records of your cycles. During the first consultation, Dr Tan needs those information to understand ur situation and to find a protocol suitable for u.
chocchipcookie
New Member
Thanks for your reply. Does Dr Tan run a Saturday clinic?
chocchipcookie
New Member
Thanks for your detailed reply. Who was your previous KKH doctor? I feel like KKH approach is like a one size fits all kind of thing. And from my personal experiences, I dislike that they downplay your age and there is no sense of urgency which I feel it’s quite unnecessary since time is the essence when it comes to fertility treatments
Kimchi-ger
Active Member
I was assigned to Dr Liu after Dr Tan left KKH.. ya I guess KKH approach is really how u describe. Anyway I was already quite disappointed with the 2 failed cycles with her already and tat is why I went back to see Dr Tan. I feel I have a better affinity with him. Haha...
Dreamscometrue
Well-Known Member
When will u be doing your FET?
Yes he does see patients on Saturdays. There is a Saturday surcharge if we make the appointment on a Saturday (but not if your stim/ultrasound review happens to fall on a Sat during the cycles). Hope this makes sense. I don't know what is the Sat surcharge sorry.