Ivf#2 FET#1 - Beta Day

Assalamualaikum wbt,

Today is 8dp4dt which is beta day. During this pass 2ww (well to be precise it is 1ww), there were plenty of pregnancy symptom aka progesterone side effect that occurs to me such as cramping, nausea, sensitive smell, flu and rising body temp occasionally (the feeling when you are going to get fever) and facial rash.


To be honest, we had done 2 hpt before this day, and both are negative. We try to be optimist and guessing it is too early to be detected using an internet cheapie hpt. So, at 11am, we went to the nearest BP lab, which is at glenmarie shah alam. After registration, the staff took my blood and the result will be ready after 3 hours. After that, i had a proluton depot jab on my buttock as a preparation for pregnancy.

3 hour suprisingly was not a long time to wait. From BP lab, we went for lunch at segamat rail, sek 9 shah alam while my husband meet his agent and after that we head off to putrajaya for a quick meet up with our client. Then the email popup on my notification. We both recite 'bismillah', and the mail opened.....

Hai back blog! It's been a while.

Assalammualaikum wbt,

First, my apology to my blog and all my readers for not updating my ttc journey for almost half a year! I've been lazy and lack of thought ideas on what to jot down here. Huhu

Second, i will tell you guys what had i done in this past 2016. Basicly we were doing exactly what our doctor recommend us. Yes we still seeing Prof Hashim in HUKM up until now. So, the choronology was:

Mac 2016: 1st appointment with prof hashim. Started Diane 35 to regulate my period before starting any fertility treatment. I has to take it for 2 consecutive month

May-july 2016: start fertikity drug Letrozole (Femara) with self insemination (timing BD). BFN

Still no luck, then we take a break for about 2 month before starting over.

October 2016: i requested another HSG done. So we went to hospital tawakal for hsg with doctor fatimah. She was very friendly. This second-time hsg went very smoothly with zero pain at all! Unlike my first hsg, it was a nightmare, you can read that here [Hsg Experience] and here [Post Hsg Complication]. However the result was not not-ok, but not pleasing either. The dye successfully went through my womb, fallopion tubes and then out from there, but, they stay inside my abdomen cavity for quite sometime. So, doctor indicate some peritubular adhesion. This adhesion maybe at the fallopion tube-ovary cavity. In layman term, maybe my tube isnt directly connected to my ovary. Well, for fact, ovary is like floating balloon and it is not directly attach with the tube, even in normal condition. So, when egg is released, tube had to catch the egg with its fingerlike structure. However, the adhesion makes the connection much worse. So, prof hashim suggest us to try again for 2 more cycle before going to any other option. This time he prescribe femara+clomid for a month, and femara for 10 days (normal regimen will be 5 days).

December 2016: femara+clomid with timing bd. BFN

January 2017 : femara for 10 days with timing bd. BFN

So now, im tired. Our next option is IVF or adoption. My DH suggest we try another cycle of ivf. So today, we went to see prof hashim to discuss for ivf.

2 feb 2017: prof hashim agree for us to proceed with ivf, since he said it is very unlikely that any of the cycle is not a success. So maybe his theory about the adhesion is true. However he did gave us another option before starting ivf. He named it "rejuvenate cycles", where we suppress my menses for 3 month to bring my physiology to the state of before my menses first started. This is to increase receptor of the egg so that many egg will matured and release. He said from his 3 patient undergo this treatment, 2 of them pregnant naturally. So, after discussing with dh, we want to proceed with ivf and postpone rejuvenating my cycles, because it will took like 3 month (mac apr mei) then fasting month on jun, so 4 cycles to waste? I dont know. We dont know what is the best for us, but we are ready for ivf cycle this month inshaAllah.

So, we are now waiting for af to arrive, expected to show her face on 7th feb. prof already give me the names of meds for ivf. I will tell more in the next post inshaAllah.

That is all for my updates. See you guys in the next post.

Ps: consultation fees increase from rm50 in 2016 to rm100 in 2017!!! Gile. That's 100% increase!

Pss: i allergic to proluton. My injection site was red, itchy, and harden for more than 2 weeks! Oh my buttock😭 proluton basicly injected on the day i went for beta hcg, even before my result is positive (which is never was)

TTC @ HUKM - Second attempt with femara

Assalammualaikum and good day everyone!

Looks like last month's attempt is a total bfn. Well it is ok, coz we didnt expect much on the 1st attempt right. Well let me recap what have we done last cycle.

We took femara for 5 days starting day 2-5. Then we had a tvs on day 10 with 2 potential follicle with size 10mm on the right ovary and 1 follicle with size 11mm on the left ovary. Then another tvs on day 13, but with only 1 potential follicle sized 18mm on the left. So after discussing with doc maiza (a phd student under prof hashim), we triggered with ovidrel the next day and BD 36 hours later. However, doc maiza noted that since i had questionable ectopic pregnancy on my left tube last ivf, maybe my tube is not healthy enough to done its job or worse, not function anymore. But doc maiza asked us to have faith and just try. We had our beta hcg done on 10dpo and the result is less than 2. Af came on cd32.

So, we just came back for another visit to prof hashim, and despite of the left tube issue, he is very satisfied with my cycle last month as my af came 14 days after i ovulate. So he said that im ovulating, that is the good news. I also asked him whether we need another HSG done for the left tube, but he said, if it is blocked, u still have another tube functioning. So, we postpone the HSG procedur to try for another cycle as we are very optimist about my body for now. 

O

Prof provide me with another femara, same dose 7.5mg, to be taken starting today (cd2-cd5) and come back for a scan on cd14. However since this month will be the month of ramadhan, tvs will not take place, just a normal abdominal scan will do. I dont know if the sonographer can actually sees the follicle grew using this abdominal scan. It is hard to see. Hurm..

Well, do pray for this cycle to be a miracle one! May this bless month give us hope and joy of ibadah and also, babies! Amin.. Happy celebrating ramadhan my fellow friends! Keep ttcing and keep praying for us too!!

Post IVF #1- The review

Assalammualaikum wbt

Suspen x baca post ni..hehe..last post was 4 months back. So actually da mcm2 benda berlaku..jom sy summarizekan

5wks pregnant ivf #1:
No sac seen on tvs n abdominal ultrasound. Bhcg reading pun sgt rendah..

6wks pregnant ivf#1:
Still no sac seen on uterus, but something was seen on the fallopion tube!! Ade sakit2 jgk kat bhgian kiri rahim..aduiii..doc a da suruh admit takut ectopic. But we r very optimistic sbb pain tu xteruk sgt. Doc suggest amik second opinion di hukm dgn prof hashim. Went to prof hashim, he said nothing to worry about since the mass xbesar n baru 6wks..if die burst pun dlm 7 wks. To be cautious je. Prof suruh berhenti semua ubat luteal support sbb die yakim pregnancy ni xjadi coz bhcg rendah scan xnmpk pape. So benti semua ubat

7wks pregnant ivf #1:
Tepat2 masuk 7 minggu wooosh darah mengalir dgn jayanya.. 2 hari sblm tu keluar lendir2 putih telur. Ummi sy kate tu sarang baby tu, sbb xjd so xnmpk pape, die pecah terus. Heavy bleeding for 7 days follow by 30 days spotting onwards. Heavy bleeding tu jgn ckp la sakitnye mcm mane huhu..tu la contraction agaknye ek. Tepat2 30 hari spotting, sy period semula. Alhamdulillah rase lega sbb period lps miscarriage.

So i wait for another 2 cycle sblm jumpe doc a semula.

Jan 2016, we went for another fet since we had 1 frozen morula. Segala ubat2 fet beli ade dlm rm500. Then thawing day arrive, our morula seem did not generate well. Lps 3 hari thaw, die mati aka degenarate. Fet/ivf#2 was cancel due to morula didnt make it. So we plan to shift to hukm after this.

What actually happen:

After 2 fail ivf (1st one was chemical pregnancy until 7 wks, one didnt make it even in the petri dish), doc a conclude that maybe my gene or the embryo gene is not good enough for them to survive. Usually a women my age have a good quality of embryo of 2:3, means 2 out of 3 is a good embryo. But mine is very confusing, it is like my embryo langsung xbagus semuanya, thats why they didnt make it. I was so afraid that the problem is with genetic, doc kate kat tropicana ade tools utk cek gene of embryo tp cost about rm12k lg..so xworth, baik try again for another cycle.

We plan to shift to hukm mostly due to cost wise, pantai had a very good doctor and i really like doc a, however their cost is very unbearable. Tu belum tiba2 emergency kena warded la kan.. So doc a cadang ke hukm pulak.. Hukm xde doc perempuan, which this is my 1st priority in seeking treatment, but no choice sbb kepakaran is my 2nd priority, and it is suggested by doc a to seek prof hashim. So our next appointment will be on march 2016 inshaAllah, can't wait!!

Perasaan saya?

 Hurm, nangis mmg wajib la kan bg setiap perempuan hehe..but mostly im grateful to be in this journey this far! Im young, just turn 27 last november, i had about 13 years more to try for baby. So why be sad now? Im excited to try again n again until Allah permit us to have babies. We will never give up. I know His plan is better for us. Ingat kate2 ni if rase down:

If i ask Allah for something that i want, and He gave me, i thank him once, but when i ask him but he didn't gave me, yet, i thank him 1000x, because He knew what is best for me.

Kalau kate pasarnye, if kite keluar rumah dah jln separuh n baru teringat ade tertinggal brg kat rumah n kena patah balik, jgn merungut sbb mungkin Allah nk selamatkan kirpte dr malapetaka di tgh jln. Cmtu la lbh kurang..hehe

So sebulan without any treatment is my recovery month. Means no hormon yeayy..so i plan to take supplement to improve my egg quality. I bought royal jelly, coq10, fish oil, multivit n folic acid. InshaAllah nk mkn utk sebulan sblm jmpe prof hashim.

I google about prof hashim but xbyk yg tulis review treatment dgn die. Kenape ek? Anyone know or been his patient before? Just want to know a bit about his style before starting with him.

My IVF journey - FET day

Assalammualaikum wbt.

Harini dah 7dp5dt bermaksud 7 days past 5 embryo day transfer.

Actually FET berlaku pada 18/9/2015, iaitu jumaat lepas. Khamis pagi sehari sblm fet tu, msj doc tnye psl level progesterone. Alhamdulillah level low sesuai utk fet. But sebab embryo baru thaw pg tu, so better fet esok. So, jumaat pagi tu kol 7.30 pagi da kat admission kaunter. Naik wad dpt bilik same time OPU, nurse situ pun da kenal sy, hehe.. Lepas amik blood pressure semua, kami turun bwh g mkn nasi lemak kegemaran kat kedai ma'cik. Then singgah MBG beli air avocado..sedap!

Kol 9 naik wad balik, tuka baju OT, g toilet kosongkn bladder n start minum air semula. Punyalah cuak minum smpai 1L air, huhu. Dlm kol 9.45 pg tu nurse da dtg nk bwk g masuk OT. Husband g tuka baju OT since die bole masuk sepanjang fet tu. kol 10 cmtu da rase nk terkucil sgt2, tu la byk sgt minum air haha.. Doc dtg dlm kol 10.30 pg. bygkn lame betul thn kencing huaaaa...

Masuk ot, doctor panggil utk tgk embryos kat screen dgn embryologist. Alhamdulillah 2 hatching blastocytes cantik sgt kat screen. Embryologist gredkan 3AB xsilap. Lepas tgk mulakan proses fet. Masa tu bukan takut sakit kena masuk alat kat bawah tp more pd nk terkucil sgt haha. Bila scan tgk mmg betul bladder sgt penuh huhu..tp fet bole je proceed. Dlm 10 mins cmtu, doc mintk baca bismillah n masukkan 2 blastocytes tu. then doc masukkn tiub lepaskn air kencing n baru legaaaaaa...hahaha

Lepas tu nurse xbg bgn lg..lps setgh jam dlm ot, katil sy pun smpai, nurse angkat naik atas katil n tolak ke bilik. Xboleh bgn sejam. Tp lps setgh jam rase nk kencing lg..aduiyaiii..tp thn jgk smpai sejam terus meluru ke tandas. Doc mintk kami admit sehari utk bedrest n kurangkan aktiviti bgn.

Fet tak bius sebab xsakit, cuma seksa thn kencing je la.

2dp5dt
Simptom perut or bhgian rahim mcm ade jarum cucuk2. Perut mmg cramp mcm nk period tp xla teruk sgt..but the cucuk2 things is new which i nvr felt before.

3dp5dt
Cucuk2 simptom masih ade especially bile berehat n baring.

4dp5dt
Time ni da kami balik kg kat desaru. Cucuk2 da xde

5dp5dt.
Kami gatal2 wat upt kol 5 ptg, and hasilnya BFN la huhu..time ni frust sikit tp sedapkan hati sbb amik timing ptg kan.

6dp5dt
Bgn pg2 wat upt lg skali, another BFN. Pg ni pg raya, terus xde mood..huhu..risau sbb baca ramai je da dpt bfp time ni. But bila gugel2, ade yg kate fet ni Hcg level mmg lower than natural pregnancy, so kena tunggu sekurang2nya 10dp5dt, which is my beta date this coming monday, 28/9/15.

7dp5dt
Ops lupe bgtau, sepanjang ni sy solat duduk je, but harini da start solat mcm biasa. Ubat insert seperti biasa iaitu femoston kuning 3 kali sehari dan crinone 1 kali sehari.

 Td selongkar2 kotak lame jumpe another upt clearblue digital..selama ni cek pkai upt rm4 shj..hurm..husband kate cek je la esok. Ape2 pun mmg kena redha, semua da tertulis kat arash dah rezeki kita. Ye btul tu. so, esok fmu inshaAllah..moga Allah perkenankan doa kami dan jadikan kami insan yg bersyukur. Amin aminnn..

Mohon doa semua kwn2 k.