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TTC (before IUI & IVF)

Discussion in 'Trying To Conceive' started by babybleep, Jul 12, 2018.

  1. babybleep

    babybleep New Member

    Hi everyone, hope some here have advice for me.

    I've started visiting KKH for fertility issues (no/irregular periods, not ovulating despite periods) since early last year. They have put me on meds that 1) help me have my regular periods and 2) help me ovulate. I have also been to the fertility clinic where I do ultrasounds during a key period of fertility to check the size of my eggs and the precise time for ovulation (with injection stimulation help).

    I have not gone through IUI or IVF, which I'm not keen on, but which medical doctors have suggested I should try, given that we have already tried natural means for ard 1.5 years.

    I'm still not ready to try unnatural/invasive means. Both my husband and I still feel like we should try naturally, specially since we did not try very hard in the past 1.5 years, even though we had been prescribed the fertility meds, e.g. Letrazole. We were newly married, still adjusting, and also did not have stable accomodation but these have since settled down more or less for us.

    I am 34 this year. I had chosen to go to KKH for check up early in my marriage as I was already quite old then (32 years old). But it feels like, due to my eagerness to get checked out, the doctors feel like I have already tried natural means sufficiently and should try IUI now.

    Can I still try natural means?? I suspect i would still need medication for ovulation so will still need to visit KKH.

    Would appreciate any viewpoints, advice, etc from you lovely people here. Thanks!

  2. Hi babybleep, I would say you and your hubby can try IUI. I also went through the same dilemma and hesitate to go through more invasive procedures, and when I did my first IUI i was glad I went for it. I think I was very lucky to get pregnant on first cycle, and on the hindsight I wished I tried IUI earlier. FYI I am 31 years old this year :)

    Sharing with you a timeline perspective of what we went through:
    Late 2014: Got married, stayed with inlaws. Still on protection because we dont want to move house and be pregnant and/or have a baby while moving
    Late 2015: Moved into our own place
    Late 2016: Decided to go for fertility test at KKH as we were trying - but not exactly calculating the fertile dates pro-actively. All good, except my cycles do not come on time and my hubs has mild mortility issue which the doc said it does not affect conception. Took letrozole for 3 to 4 cycles to regulate menses.
    Feb to Aug 2017: I took TCM to strengthen my constitution. Menses improved, but did not conceive
    Oct 2017: Sought 2nd opinion from a private doctor. Doctor say all looks okay, shouldnt be a problem conceiving. We were more hardworking in calculating fertile days and doing homework in the next few months.
    Jan 2018: Still not pregnant, went back to KKH. Doctor said I have PCOS, and I expressed interest to go for IUI. Hubs and I went for a series of blood tests and counselling there after. I took supplements and reduced carbo & sugar to optimise my health condition in conceiving and manage PCOS symptoms.
    Mar 2018: First IUI cycle started. Injections was not too bad, just psychological barriers to overcome and hormonal changes.
    Apr 2018: Confirmed pregnancy :)
    introvert521 likes this.
  3. the fat cat

    the fat cat New Member

    I also think you can try IUI. I only started seeing doc at KKH as I had bleeding in between period and doc said I had to remove polyp. That was in 2017 jan. I tried my first IUI in mar 18, failed. And second one jun 18, today period came so also failed. Next round will be my last round.
    I’m on Tcm too but I’m not sure if it’s really working.... :(

    guess there is no harm for u to do both together. In fact good to try naturally also when u r on IUI according to my doc to increase the chances.
  4. Michelle19

    Michelle19 Member

    beautifulbreathoflife likes this.
  5. princess20

    princess20 New Member

    Hi Babybleep, I am also 34 yrs old and trying to conceive for 2 years now. Maybe you can go for a 2nd opinion to other hospital like Thomson or Mt Elizabeth.. I tried in Thomson before but unsuccessful. Now on my first cycle with Dr Charles Lim from Mt E.. He did not advice us to go for IUI but he prescribe us some medicine and injection. Maybe he can help you too.

    Baby dust to all...
    babybleep likes this.
  6. Hopefulgirl

    Hopefulgirl New Member

    Dear All,

    I just did my first iui with Dr Roland Chieng @ Mt E Novena. Any people experiencing the same with the same doctor? Looking forward to your reviews and experience.
  7. Hopefulgirl

    Hopefulgirl New Member

    Hi, congrats to you!
    Can I know how many expected matured egg when you were doing iui? What is your husband’s sperm count after washing? Did the doc advised you to have intercourse the day before iui and after?
  8. EY girl

    EY girl Member

    Hi babybleep, in the end did u go for IUI? Or still trying naturally? Me and my husband has been TTC for 2 yrs+, we went for fertility check up last yr, my husband have abnormal sperm morphology and i have low vit D. Not too sure vit D can affect fertility also. Doc suggeste us to take Q10 and vit D. We took for 1 yr and still not conceive. Now we have decide to go for IUI. But before that we still need to go for alot of tests. Hopefully everything go smooth. I am currently seeing Dr Yeong CT. Anyone hearing about him and is he good in IUI?
  9. Hi hopefulgirl, I had a number of eggs that grew after injections but only one that was more than 18mm which is the ideal size of egg for fertilization.

    Husband sperm count is 23 millions after washing. The nurse who was with me at the IUI procedure room advised me to have intercourse on the same night of procedure.

    For me, I was fearful of getting jabs and hormone fluctuation for awhile and was hesitant to go for IUI for months. Once I did it, Im glad i did overcome my fears and thankfully my hubs was supportive & helped me with the jabs.

    Hope that helps :)
  10. EY girl

    EY girl Member

    Hi beautifulbreathoflife, congrats to u. I am planing to go for IUI on this coming cycle. Hope can success for the 1st cycle.
  11. Jiayou EY girl! Baby dust to you :)
  12. EY girl

    EY girl Member

    Thanks! I will b seeing doc this Sat and check out more from him. I believe I still need to go for some blood test before start the IUI.
  13. Hopefulgirl

    Hopefulgirl New Member

    Thanks for the update! Anyway, what’s the early symptom which you have encountered for early pregnancy?
  14. EY girl

    EY girl Member

    Hi beautifulbreathoflife, I went to see dr today and I will start my 1st cycle of iui end of this month. Dr said I dun need jabs 1st, he gave me femara to take for 5 days and did a scan for me cause today is my 2nd day of menses. I need to go back follow up on 21st and 27th to monitor the eggs. On 21st I still need to do another blood test for hep A, hep B, HIV, etc. Dr said is the MOH guideline required.

    Did iui need to go for counselling? I forgot to ask dr and he also didn't mention abt the counselling.

    Dr suggest me to take the revosit but the nurse told me is more for PCOS and irregular menses patient. So i didnt take because I taking alot of supplements and I want to consider 1st. Did u heard revosit before?
  15. Early symptoms differ for different people. For me i didnt feel much difference, just slight cramps around 6 - 7 dpiui and sensitivity to light. Might be also due to hormones for these two 'symptoms'.
  16. Yes I did take revosit as a supplement with a combination of low fat high carb diet for 1 - 2 months before i went for IUI. I have PCOS too and had read the correlation of PCOS and insulin, hence i took the supplement and embarked on the diet. Though I would say revosit is not 'guarenteed' to get pregnant because my friend who tried 2 IUI cycles with revosit did not get pregnant.

    Sounds like your current IUI cycle is the IUI without injections. I went through my IUI cycle with KKH as Super- Ovulation IUI (SO-IUI) which is with injection. My doc explained to me the difference in treatment and pricing, and let me choose what I wanted. During the counselling with hubs that took place around 1 - 2 weeks after the required blood tests for both of us, I decided to go for SO-IUI.
  17. Abb

    Abb New Member

    My partner and I faced various difficulties trying to conceive locally as it is only made available for married couples. Hence we experimented with ICI with our donor. It worked the 3rd time round!

    The process is pretty similar to IUI. Totally non invasive and you can do it at home! You can read more about it online. After ICI, I just put on my mooncup for 3-5 hrs. We also work with our gynae at NUH to make sure my ovulation happens on a timely manner (clomid and HCG shot) she also mentioned that the success % of IUI and ICI is quite close.

    Prior to that we did a full body checkup and I also had a HSG to make sure my tubes are clear...

    *babydust to you!
  18. EY girl

    EY girl Member

    Yes, my current iui don't need injection. Dr said this is my 1st time so can skip injection, only take femara and monitor the eggs. I will be going back to do the scan on next Tues and iui will be on Fri.

    Actually I dunno what is the different of IUI and So-IUI. Happy for u to success conceive with So-IUI. Hope my IUI success also.
  19. grumpet

    grumpet Active Member

    Hi hi, I am abt like u, was hesitant to try IUI & IVF initially. Married late (ard 37+). Tried abt a year, even before was not trying but not preventing (maybe 1 yr). If u wanna try naturally, given yourself maybe a timeline (3-6months) after that I would suggest to move on to assisted help. I didn't know back then fertility plunges after 35, and big dip after 40.

    Every couple has to decide the next steps together. I took too long and missed out on govt subsidy (co-funding for IVF). Still TTC, but my issues are complicated (just going thru another miscarriage) :(

    Read books on natural / baby making like the one from Jill Blakeway & Dr Sami. I can't remember full title , Baby making - a proven 3 month plan ... something like that. can read on egg quality too if proposing IVF "it starts w the egg". Good luck !!!
  20. mscyn

    mscyn New Member

    Anyone able to share whats the diet like after iui? Thanks
  21. Hopefulgirl

    Hopefulgirl New Member

    Hi, I am planning to go for SO-IUI this cycle but unfortunately it may be affected due to cny period. Anyone met the same situation before? What can be done as I am more free this cycle.
  22. starlights

    starlights Member

    I just saw dr Phoon today... says the ivf nurse will call me 3-4weeks time and will let me know what to do then? 1st time doing this so dunno wad I should expect =/
  23. Sandy.n

    Sandy.n New Member

    After trying/seeing this gynae for 2yr doc suggested me go for IUI since no news..

    She scanned my womb and etc all fine so ask me proceed to iui next mth...

    May i know before iui what kind of check will doc do 1st before iui?
  24. qqduckie

    qqduckie Member

    Don't worry much about IUI. Some doctors will prescribe Clomid for Day2-6 of menses to ensure ovulation. Then Day 10, they will do a scan to see if you ovulate. After that, they will prescribe an injection and ta-da next day, will be IUI. Is pretty straight forward process, don't worry much about it. I went thru 4 IUI(spaced out within a year) before I hit jackpot.

    The above experience is with NUH, not KKH...

    Baby Dust to you!
  25. Sandy.n

    Sandy.n New Member

    Hi Qqduckie,

    Gynae only ask me to call up the clinic when i tested positive for ovulation to make an appointment for IUI.

    She did scanned me in Nov17 and Feb19. Semen test (jun18) also ok just some of them out of shape but still classify as "Schooling"

    She did not comment anything abt this Clomid for Day2-6 of menses to ensure ovulation. Then Day 10, they will do a scan to see if you ovulate.

    I also nv do any test for fallopian tube.. Quite worry.
  26. qqduckie

    qqduckie Member

    oh .. maybe different hospital works differently. I have been NUH for the last 1 year, so that's my experience.

    And partly i am on clomid as I don't ovulate every month.
  27. Sandy.n

    Sandy.n New Member

    My gynae from Glen (friend recommended me) price reasonable just abit far. I ovulating everymth (tested using digital kit) but still no news..
  28. qqduckie

    qqduckie Member

    Don’t give up!

    during my 1st and 2nd visit with nuh, I think that’s so much test done till I don’t remember what it is. and yes, they did the Fallopian tube test to see if it is ok. but this is not a very comfortable test. maybe you can ask your gynae advice on this?

    sometimes changing gynae might give a second opinion. if not, go for a short trip during your ovulating period. You might get lucky, gambatte!

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