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IVF with Dr L C Cheng

Discussion in 'Trying To Conceive' started by DKCH, Sep 18, 2017.

  1. DKCH

    DKCH Member

    Anyone seeing L C Cheng for IVF?
     


  2. daylesford

    daylesford Well-Known Member

    I am a patient with dr lc cheng and i did my ivf with him in 2010 and conceived my no.1 and now currently preggie with my no.2 via ivf with him too.
     
  3. DKCH

    DKCH Member

    Thanks for the reply.

    I am 43yr old and will be 44 yrs old in 4 months.
    My test result is very negative.
    AMH = 0.07
    FSH = 11.5
    AFC antral follicle count= only can see 3 follicles on each ovary, total 6.

    I think my chances is super low. tomorrow will be seeing Dr Cheng for discussion.
    I like to know :
    1) are you using fresh embryos transfer or frozen embryos transfer?
    2) Will all the frozen embryos survive during thawing?
    3) each Egg collection and blastocyst and freezing of eggs is consider per cycle (without implantation?
    4) Will they charge if Egg collection is cancel?

    Thanks in advance.
     
  4. daylesford

    daylesford Well-Known Member

    DKCH,

    I just turned 41 and my condition is at the opposite spectrum. I have PCOS and can produce many follicles but of very sluggish quality.
    I did 3 fresh cycles with Dr Cheng. My 2nd cycle ended up with only a poor quality blastocyst and I did not proceed with Embryo transfer. I subsequently changed my lifestyle & TCM and for 3rd fresh cycle, Dr Cheng also changed his stimulation protocol and this time we managed to get 1 good quality blastocyst and 3 other average quality ones. My embryos fertilization and growth knock out rates were extremely high (60+ eggs retrieved down to 4 freezable ones on day 6 )

    So don't be too demoralized, its the quality and not quantity that counts. You just need a golden embryo/egg to make things happen.

    Are you seeing TCM ?

    1) Both my BFPs, I did FET with Dr Cheng as I wanted my body to rest after all the stimulation jabs. Then I subsequently prepared my body for FET prior my embryo transfer.

    2) For my first cycle, it was done at Thomson Fertility Center and the embryos thaw survival rates were terrible with very high knock out rates. My last FET was with Mt E Fertility Center and understood from them that their embryos thaw rates were excellent as they are using Vitrification technique. True enough, I requested to thaw 1 blastocyst and it survived and got me pregnant.

    3) I am not too sure on what is considered a cycle. Perhaps you can ask Dr Cheng tomorrow.

    4) No, if Egg Collection or Embryo Transfer is cancelled, both Dr or MEFC will not charge for the procedure/lab fee.

    Good Luck !
     
  5. DKCH

    DKCH Member


    Thank you so much for your reply.
    I intended to see TCM?
    by the way what will they do beside acupuncture?

    Any good one to recommend?
     
  6. DKCH

    DKCH Member

    How long did you rest before your FET?

    Regards
     
  7. daylesford

    daylesford Well-Known Member

    I was previously with dr zou yumin from amk
    But since my doom 2nd cycle, i switched to dr loh kim gek from thong chai free clinic for her herbs. (Her herbs require us to brew in electric brewer) while seeing dr zou for acupuncture.

    Both dr zou and dr loh specialize in sub fertility TCM. Another famous tcm is dr tan siew buoy but and i dont have affinity with her.

    My first bfp, i did a back to back medicated FET after my egg collection. Embryo transfer was about 2 months after my egg retrieval.

    My latest fet, i delayed for about 5 months before my embryo transfer as i was combating with chronic sinusitis and dr loh helped me fixed my issue. So it all depends on ur body and mental readiness for the embryo transfer.
     
    Last edited: Sep 22, 2017
  8. DKCH

    DKCH Member


    1) Have you heard of Dr Tan Kian Sing at Clementi? Was refer by a friend. But there are mixed reviews about him.


    2) by the way which day did you do the Blood Test (to check fertility and egg reserve? Mine was done on Day 4. dont know will it affect the result as i heard should be done on Day 3.

    3) 2 months ago , i had fibroid removal surgery wonder will it affect my AMH readings.
     
  9. daylesford

    daylesford Well-Known Member


    i heard of dr tan kian sing too and there are mixed reviews on him. He is more of an expert to treat male infertility.

    I did my blood tests usually on day2/3 of my menses. I doubt if a day difference matter that much ?

    Yes i heard that fibroids or any ovarian cyst surgery may at times affect our AMH readings. So best not to go through such surgeries unless really needed.
     
  10. DKCH

    DKCH Member

    Sorry, you are now 41 or you were 41 in 2010?
    after 43 the chances is very low, below 40s egg quality is not as bad.
     
  11. DKCH

    DKCH Member


    What bis the purpose of TCM?
     
  12. daylesford

    daylesford Well-Known Member

    I m 41 this yr ...
     
  13. DKCH

    DKCH Member

     
  14. DKCH

    DKCH Member

    Hi you mentioned 3 fresh cycles, what happened to the 3 fresh cycle?

    The FETs that are BFPs are done recently?
     
  15. DKCH

    DKCH Member

    3 fresh cycles means eggs retrieval 3 times? How much did u pay?
     
  16. daylesford

    daylesford Well-Known Member

    Yes 3 fresh cycles - 3 egg retrievals. Costs varied for each cycle due to the different drugs given and the duration of stimulation required. You will be advised on the estimated costs required for each cycle during counseling.
     
    Last edited: Sep 23, 2017
  17. daylesford

    daylesford Well-Known Member

    Yes. I bfp via FET cycle in April 2017 and also back in 2010.
     
  18. DKCH

    DKCH Member

    Wednesday I will be going for the counseling.
    Do I need to prepare any questions?
    Will I know who will be the embryologist in charge of my case?
     
  19. daylesford

    daylesford Well-Known Member

    Yes if u have questions with regards to MEFC lab, counseling is the best time to ask. I knew My embryologist - Ng Lai Cheng prior my Egg collection and she followed through and updated me daily on my embryos growth status till there were freezable blastocysts on Day6
     
  20. daylesford

    daylesford Well-Known Member

    U had a fruitful discussion with dr cheng and planned to proceed with stimulation ?
     
  21. DKCH

    DKCH Member

    He asked me not to panic as AMH=0.07 for my age range is normal.
    He said the test is to determine whether am i super good which i am not.
    He keep saying that all these test cannot determine the egg quality. Is it so?
    Because many sites say the high FSH means diminish age quality. Even TCM said so.


    Anyway he is very patient to answer my every question.
    He said he need to do one round of egg collection and Blastocyst in order to know my egg quality.
    He said he will be using Antagonist protocol.
    He said this is currently the most efficient one.
     
  22. DKCH

    DKCH Member

    By the way,

    1) What life style changes have you make to improve your health?

    2) Did u take any q10 coenzyme and Vitamin E?

    3) Can I buy supplement off the shelf? safe?

    4) have you heard of L-Methylfolate (5-MTHF)? Dr Checng said cannot found in Singapore.
    This is the folate that the body can absorb, folic acid is “synthetic” form of vitamin B9. iherbs is selling. dont know is it safe?

    https://www.dietvsdisease.org/l-methylfolate-5-mthf/

    5) When to see Tan Kian Sing. I think he is not too bad. My friend who refer me told me her sil has cyst after op, also have him do the accupuncture and then conceive naturally.

    6) I told Dr Cheng I Am seeing the TCM and the Tang Gui and Bai Feng Wan that he gave me. Dr Cheng said is okay if he knows what he is doing. Dr cheng also remind me that need to inform the TCM before egg retrieval, day embryo transfer and after embryo transfer.

    7) My plan is to have have egg collected and freeze before I reached 44 on 16th jan. and implant on the year 45. But just realized that the cut off date is birthday and not the year.
     
  23. DKCH

    DKCH Member


    Chief Embryologist – Ms Ng Lai Cheng
    She will be doing or overseeing the process?

    Actually I prefer MEFC than TFE (Thomson).


    The other day the Nurse dispensed only one medication for me, but I knew there were 2.
    So I asked the nurse and she asked me back what is it.
    I said the Dr has written on the prescription.
    Seems like she did not know the medication and just ignored it.
    After that I realised the label on my medications have the wrong name.
    Do I need to feedback to Dr Cheng?
    This is a serous problem.
     
  24. DKCH

    DKCH Member

    Which Gynae are you using for Delivery? Why not Dr Chang from TMC?
     
  25. daylesford

    daylesford Well-Known Member


    Usually the older we are, our egg quality will be compromised too. High FSH & low AMH means its diminished egg reserve but it doesn't necessarily equate to poor egg quality. For me, my egg quality was bad despite having low FSH and high AMH. And there is no way to know our egg quality till we do one cycle of stimulation. Anyway IVF is a gambling game... there is no one standard stimulation protocol which fits everyone. We just need a golden embryo & nice endometrium to make implantation happen.

    For lifestyle change, i cut down alot of carbo and took more proteins and greens. Also cut down on sugary stuffs and eliminated caffeine, cold & cooling stuffs. Was also on a regular exercise regime to keep my weight at bay. Sleep early every night too.

    Yes i was on CoQ10 - Ubiquinol before my last fresh cycle. I was also on TCM, acupuncture, blackmore conceive well ,5mg/folic acid & royal jelly.

    We need to do our due diligence by researching on side effects on all these supplements which we buy online. Eg : royal jelly is not suitable for those ladies with cysts or growths etc.

    Will recommend this book - It starts with the Egg by Rebecca Fett from Amazon. Its a good read on how we can improve our egg quality.

    Yes if time is against u, u should consider doing time freezing / embryos banking prior 45. I had a friend also with dr cheng who did more than a cycle of stimulation and stored her blastocysts for subsequent usage. Shes now pregnant with twins too :)
     
  26. daylesford

    daylesford Well-Known Member

    U have visited TFC before ?

    MEFC only oversees the laboratory / growth process of our embryos. They r not responsible for the stimulation drugs nor the stimulation protocol.

    If wrong meds is dispensed to u (at wcca ?) , u must inform Dr Cheng.
     
  27. DKCH

    DKCH Member


    Did not visit TFC before. Don't know if the Embryologist who caused the mix up is still around.

    MEFC only oversees the laboratory / growth process of our embryos. They r not responsible for the stimulation drugs nor the stimulation protocol. - Ya I know

    If wrong meds is dispensed to u (at wcca ?) , u must inform Dr Cheng.
    - Its is right medication but wrong labels. they are very messy at the dispensary. Also instruction before my fibroid surgery was not clear.
     
  28. daylesford

    daylesford Well-Known Member

    U did ur fibroid surgery with dr cheng too ?
     
  29. DKCH

    DKCH Member

    Hmm, My BMI is 24 so Dr Cheng asked me to cut some weight.
    I am trying to limit my coffee to 1 cup per day, also not to drink cooling stuff.
    Dr Cheng said some alcohol is okay, eat like your Grandmother? haha
    What exercise are you doing?
    Hope is not too late as I think my egg retrieval will be early Nov.

    What brand were you using for CoQ10 - Ubiquinol ? Did you take vitamin E too?
    My folic acide is prescribed by Dr Cheng, those cheap types.
    my TCM said I cannot take royal jelly. (Dr Tay told me royal jelly may the cause for fibroid growths)

    At what ages does your friend did the transfer? mine problem is the cut off is 45 birthday and not year. Dr Cheng has to appeal.

    Btw what grade of the Embryos will the Embryologist freeze? For both of your cases?
     
  30. DKCH

    DKCH Member

    My Fibroid surgery was dont by Dr Tay E H at WCCA
     
  31. DKCH

    DKCH Member

    Did u do Assisted Hatching? Have you heard of Embryo Glue?
     
  32. daylesford

    daylesford Well-Known Member

    Precisely... I do not have growths so ok to take Royal Jelly.

    I took Healthy Origins Ubiquinol from iherb.
    Nope I did not take Vit E during preparation for Stimulation.

    I had 1- 4AA, 3 - 3BBs blastocysts from my last stimulation.
    2nd fresh cycle, i had only 1 - 4CB blastocyst.

    Yes, even when i did my 1st cycle in 2010, I already had to do AH as my embryos had hard and thick shells.
    Yes, I heard of Embryo Glue but i don't think it has been clinically proven. If embryos aren't of good quality or endometrium thickness is not adequate of optimal condition, even the glue won't help anyway.
     
  33. daylesford

    daylesford Well-Known Member

    I did brisk-walk, cycling & Cardio exercise daily & with strict diet control, I could lost 6kg in 2months.
     
  34. DKCH

    DKCH Member

    So your BFPs are from 4AA embryos?

    Dr Tay told me that Bai Feng Wan and Tang gui can cause fibroid, but the TCM still give me.
    I check with Dr Cheng and he said it is okay .
     
  35. daylesford

    daylesford Well-Known Member

    First pregnancy, I transferred Day 3 12 cell embryo so I don't know the grade of the blastocyst.
    This pregnancy, YES.. I got pregnant with a single blastocyst - 4AA transfer.
    MEFC were telling me that chances of 4AA implanting was high and I was lucky to get it stick on me.

    hmmm.... on BFW & Tang Gui. Guess Dr Tay is an onco-gynea while Dr Cheng specializes in fertility and they r not TCM trained.
    Since there are conflicting answers btw these drs, only consume at ur own comfort level ya.
     
  36. DKCH

    DKCH Member

    So your BFPs are from 4AA embryos?

    Dr Tay told me that Bai Feng Wan and Tang gui can cause fibroid, but the TCM still give

    By the way your friend stored how many embryos for later use and what were the grades?


    .
     
  37. daylesford

    daylesford Well-Known Member

    Basically AA and BBs blastocysts have a good chance of implantation.

    Or to be explicit as long as the inner cell mass and trophectoderm are of grade A or B, they have a good chance.
     
  38. DKCH

    DKCH Member

    I see. Then she don't need to store a lot.
    Some website has the statistics showing need to have 10 embryos to have higher chance.

    Do you know what herbs your TCM give you?
     
  39. daylesford

    daylesford Well-Known Member

    Doing blastocyst culture has its benefit, its a game of elimination. Usually by day 5 or day 6 ... the weaker embryos will not make it then.

    I usually see my TCM on a weekly basis and she based on my current condition to prescribe a list of herbs which i need to brew. The list will comprise of different no. Of herbs (usually 15 or more diff herbs etc)
     
  40. DKCH

    DKCH Member

    Any medication need to avoid?
    I recently have migraines and I just too panadol pain. Don't dare to take my regular pain killer!
     
  41. daylesford

    daylesford Well-Known Member

    As long as its not during stimulation or after embryo transfer better seek western dr to fix the issues asap. Else if its during the above periods, u need to keep dr cheng's agreement if the medication are in conflict to the treatment.
     
  42. daylesford

    daylesford Well-Known Member

    You can join the ivf/isic support forum group on the general dos and donts during stimulation, FeT preparation. Sometimes there are dr cheng patients there too.
     
  43. DKCH

    DKCH Member

    okay
     
  44. DKCH

    DKCH Member

    Can give me a summary of what are the steps from Simulation to Egg collection?
    eg: Day 2 of menses go to check then start injection?
    need to go to see Dr Cheng how many days apart? How Dr Cheng know the time for Egg Collection?

    Then for TCm when need to stop all the chinese Herbs and medication?
    Need to do 2 sessions of Acupunture before egg retrieval?
     
  45. daylesford

    daylesford Well-Known Member

    Steps as in ??????? During stims just need to do daily injection based on the dosage ordered by dr. Did dr cheng not gave u a summary of what's expected for the entire ivf treatment ?

    When u start stimulation, dr cheng will guide u on the dosage of ur stims injections from one appointment to the next.

    All ivf drs will based on the size of the follicles as a basis to determine the best time to do egg retrieval.

    I did not stop my tcm nor acupuncture throughout my stimulation. So depending on ur tcm's dr instructions on ur tcm treatment regime during stimulation.
     
  46. DKCH

    DKCH Member

    Today just realized that the tcm give me some herbs (powder form) and that is before ovulation.

    Will check with him when I need to stop all medication next Monday.
     
  47. DKCH

    DKCH Member

    Healthy Origins Ubiquinol, 100mg?
    Singapore only have Ubiquinone.
     

    Attached Files:

  48. daylesford

    daylesford Well-Known Member

    300mg based on the recommendation from it starts with the egg book. But some friends had side effects after taking that high dose. So its individual & at ur own comfort.
     
  49. DKCH

    DKCH Member

    The fertility centre just informed me this morning, all IVF will be using ICSI, no longer using the conventional way with the dish.

    How about yours?
     
  50. daylesford

    daylesford Well-Known Member

    Dish ? I had done IsiC since my first ivf in 2010... So I don't really understand what's the change about ?!?!??
     

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