Thursday, September 15, 2011

FET2 - 2WW

12/09(3dp3dt): Prolution depot Injection SGD17

13/09(4dp3dt): 肚子怎么涨涨的?是药物的原故吧.

14/09(5dp3dt): 肚子还是涨涨的.

15/09(6dp3dt): I didn't know the usual clinic that I went is closed today. Approached the clinic next door, the doctor refused to inject for me as I didn't bring along my letter. Sigh, back to office now and probably will leave early for the day to get the injection done.
Went back to the clinic next door in the evening, the doc is very nice and its free of charge for the injection. After the injection, my stomach is bloated again.

16/09(7dp3dt): Dizzy, dizzy and dizzy.

17/09(8dp3dt): went to office BBQ, tiring.

18/09(9dp3dt): Dizzy, dizzy and dizzy. Went back to the usual clinic as the next door clinic was long waiting time. Forgot to take the pill in the morning.
Prolution depot Injection SGD17

19/09(10dp3dt): I don't feel any dizzy or bloated today. HPT=BFN.

20/09(11dp3dt): HPT=BFN and decided to stop medication.
虽然没能为SB添个伴,但今晚我很开心可以抱起她了。ET过后就一直不能抱抱她,现在的她已经超过12公斤重了。每回她对着我喊抱抱,我都必须装着听不见。抱抱她让我的失望都化解了。

21/09(12dp3dt): 生活回归正常。可是还是会在想,要再试吗?年纪不轻了,我知道我没有的是时间。我对不懂事的SB说,没有弟弟或妹妹,你OK吗?

22/09(13dp3dt): 失败了又想再试的心态是一种病态吗?Google for "IVF Addicted" and I found this site "When does IVF become an addiction?"

23/09(14dp3dt): Beta confirmed BFN.

Tuesday, September 13, 2011

FET2 - ET

九月九日 星期五 晴

我的预约是今天下午一点钟,首先缴清所有的费用.然后是我的四颗胚胎,结冻后有两颗不是很好,一颗grade5(8 cells)和一颗grade2-3(4 cells),医生的见议是ET这两颗,其他的大可不必浪费时间了。

接下来就开始准俻撇尿。其实我一整个早上已经在撇了,但还是不够满,还要再喝上大半杯才行。躺在手术室里等呀等的,终于医生在护士帮我清洗后进来了,这回还满久的才把位置调好,有些不适。ET后医生祝我好运,护士对我说会有些出血,因为之前有些难度,她也给了我bedpan,但可能撇了太久吧,还真解放不出来。在里头呆了大慨有45分钟才离开。

2WW就这样开始咯.就像以往那样,每天早上和晚上十一点钟的Cyclogest. 除了Proluton injections,这回还多了口服的Progynova 2mg,早晚各一颗.

Total Cost: STC balance RM2000 + EFM RM3720 = RM5720
Medication: RM 645.40

Thursday, September 8, 2011

What You Need to Know After Your ET

Immediately Post-Transfer: First 60 Minutes

After the embryo transfer is complete, your bed will be wheeled from the procedure room into a private room, all while you remain laying flat on your back. Most clinics have a 30- or 60- minute rule, in which they want you to remain laying flat for 30 or 60 minutes. Almost all embryo transfers are conducted with the assistance of ultrasound guidance. While the reproductive endocrinologist inserts the catheter and positions it inside your uterus, another member of the medical team is monitoring the transfer via a trans-abdominal ultrasound. This makes it possible for your RE to see the optimal place to release the embryo(s).All ultrasounds work best if the sound waves travel through fluid (versus air or tissue), so you will likely have a very full bladder before the transfer starts. After waiting for the procedure to begin (have you ever known a doctor to be on time?) and several minutes of having your abdomen pushed on with cold hands and a cold gel-covered ultrasound wand during the transfer, you will feel like you are about to burst.The need to empty your bladder after embryo transfer is often mentioned by patients as one of the most uncomfortable parts of the process. The good news is you don't have to sacrifice comfort to increase your perceived chances of success. Your doctor doesn't want you to be unnecessarily uncomfortable, and he/she will be happy to have their staff help you - with a bedpan. Don't pass up the opportunity to relieve your bladder, no matter how self-conscious or embarrassed you may feel about the bedpan. Given that you've already dropped your pants for the doctor and his/her staff every time you see them, it really isn't such a stretch to use the bedpan. If you feel like you need to go, just do it. Your nurse won't care in the slightest and your bladder will thank you.


After the Embryo Transfer: Instructions for the First Two Days

After you are released from the clinic or outpatient center, you will be given post-transfer instructions. Doctors will have different discharge instructions depending on a patient's medical history and their own preferences. In general, Reproductive Endocrinologists recommend:
- no heavy lifting for 48 hours
- no strenuous physical activity, such as running or zumba aerobics for 48 hours
- no tub baths or swimming for 48 hours
- no douching, tampons or using a bidet
- no alcohol, smoking or recreational drug use
- no intercourse and no orgasms (this stays in effect until you can see a fetal heartbeat via ultrasound or you have a negative pregnancy test)

Unless advised otherwise, you can:
return to work immediately (assuming it does not require heavy lifting, physical exertion or being submerged in water)
- engage in light activity (housework, driving, shopping)
- travel
- engage in sexual activity other than intercourse for your partner's pleasure - no orgasms for you! (this stays in effect until you can see a fetal heartbeat via ultrasound or you have a negative pregnancy test)


Won't My Embryos Fall Out if I Walk Around?

Thankfully, they won't. You will probably feel like tiptoeing around on a layer of foam for at least the first few days, and if that makes you feel better then go ahead and do it. But there's no need. Remember that in a spontaneous pregnancy, the egg is released from the fallopian tubes, the sperm travels all of the way up the vaginal tract, through the cervix, all the way through the uterus and into the fallopian tube. Fertilization typically takes place inside the fallopian tube, which is where the egg and sperm usually meet. The tiny embryo moves through the tube and into the uterus, where it can, given the right circumstances, implant in the uterine wall. If oocytes or embryos could "fall out" of the uterus, not many people would get pregnant at all. The uterus is defined as a potential space; that is, it is completely closed with the inside walls all touching, and can expand as needed to create space for a growing baby. Think of your uterine walls like a deflated balloon made out of sponge. In its normal, resting state the balloon will be small, the spongy walls will all be touching, and there will be no air inside. If you start to inflate the balloon, it expands to accommodate the volume of air that is put inside it. But while it is deflated and the walls are touching, you could put a marble inside and it would stay where it is until you start to inflate it.


Does Spotting Mean Its Over?

No. Please breathe now - you're turning a remarkable shade of blue. Your body has been going through a lot during your IVF cycle. Hormones, injections, stress, egg retrieval (if it is a fresh cycle) - none of these should be discounted. And during the transfer your doctor probably used a speculum so he/she could visualize your cervix, then the catheter had to pass through the cervix, and then the catheter may have irritated a tiny bit of the lining. In addition, you are likely on some hormone supplements including progesterone, which can cause spotting. Any of these things could cause a little spotting, and not necessarily immediately. There is another thing that can cause spotting, and this is a happy possibility: it's called implantation spotting. Implantation spotting happens when the embryo burrows into the uterine lining and implants, so that it can begin growing. Implantation spotting often looks different from other types of spotting; the color is a light pink or light brown and it may be "streaky" in appearance.Some women say that in addition to spotting, they also feel some mild cramping a little before or at about the same time the spotting begins. The feeling typically does not last long, as the embryo is quite tiny and only causes a mild disruption in the uterine lining.Not everyone experiences implantation spotting, so it is one of those aspects of the post-transfer period that tends to make women question everything. Are the cramps the beginning of my period, or are they implantation cramps? Is that spotting implantation spotting or is it the beginning of my period? I don't have any spotting or cramping - so maybe the embryo didn't implant! And on and on, until we are in a two week frenzy of anxiety and nerves.

Friday, September 2, 2011

FET 2

九月二日 星期五 晴

是的,我又要开始FET的周期了,这是几个月前做的决定. 我想我应该是不会再尝试IVF Fresh Cycle了,所以剩下的四颗冷冻的胚胎是我唯一可以拥有多一个孩子的希望. 但这一回我看得很开,有了SB我已很感恩和满足,只是为SB添个伴,随缘吧.

首先我欠了一堆胚胎冷藏的的费用,唉,还好医生给了个七五折,然后是FET的费用,原来也不便宜,FET就这样开始咯.US可看见我的一颗卵子,不大不小,为了避免反复的来回测排卵期,医生给了我Pregnyl和Cyclogest,明晚7点钟自己在家打,我都忘了要怎么打了,赶紧把护士小姐交代的都写下来.接下来是Cyclogest,05/09和06/09两晚11pm,07/09和08/09早晚11点钟,ET安排在下星期五. 希望一切順利.

Total Cost: STC Deposit 1000 + medication 190 + urine test 20 = RM1210