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.....

Ivf #2 FET #1- Frozen Embryo Transfer day

Assalammualaikum wbt. I wrote this entry using my samsung note 3. I find it is a bit easier to write using my phone instead of my ipad because Crome feature is a bit friendly than using safari.

Anyway back to our topic. Today actually is 2dp4dt. So let me take you back 2 weeks before.

Ivf #2 FET #1 - The Plan

Assalammualaikum wbt,

Today is the day we met prof hashim to plan for our frozen embryo transfer. On our way to the clinic, we pass by prof before he enter his room, and he quickly recognize us! Hehe im glad we are nit just a pass-by patient to him. 

So this is his plan: 

CD13 - Ivf #2 Oocyte Pickup Day

Assalammualaikum,

Today is the day that i fear the most. I know it is a simple prosedur, but i know the consequences it will bring me after that (speak from my previous ivf experience). 

To re cap, 36 hours before opu day, i had to jab myself with pregnyl 10000iu to ensure my follicles undergo the final process of maturation before retrival. Then i had to fast from food and drinks around 12am before the opu day. 

The morning of opu day, we woke up for our fajr. 

At 7.30am, we start to work for sperm retrival. 

7.45am, we get ourselves ready to go to the hospital.

8.30am, we reached hospital and we went straight to the mac clinic. By the time we arrived, there were already like 5 couples there. It is sunday and we never thought the clinic would be this busy. We went for registration, hand over our sperm sample and i have to empty my bladder. After saving goodbye to DH(he had to wait at the clinic waiting room), i went inside to change to their robe(or scrub robe i dont know) and waited for my turn. I think im the second one after this indian lady beside my bed. After like half an hour of waiting, they call my name to the room. I had to layback with my feet being put high above me(it is the positing of you giving birth). And the nurse gave me the sleeping drugs via injection line. After that, i saw prof enter the room and the light went blurry. 

The moment i almost wakeup, they still try to retrive my eggs because i can feel something inside my vagina! However im still half awake so i cant even tell. Then the nurse woke me up saying the prosedure was success and help me to stand. I asked the nurse how many eggs, she say 13. Alhamdulillah.

The nurse guide me to my bed, and i continue to sleep for about half an hour more. I woke up at around 11pm, with soreness at my vagina and stomach. I change my cloth and went to the waiting room. DH was there waiting, i was hungry that time and feel bloated. I ask DH to buy me a milo drink. After that the nurse call us. She ask DH to buy me extra medicine to ease my soreness and to prevent ovarian hyperstimulation syndrome (ohss). It is because my follicle were too many and they afraid it will getting worse after retrival. 

So we got 1 dose of carbegoline and 10 tabs of bromocriptine. 

The nurse hand us the bill we need to pay after 21st (usually you need to pay after the prosedur), she asked us to call them on thursday to updates on our embryos and expected to transfer them by saturday the 25th. Then she jab me with decapeptyl 1ml that i already bought last appointment.

Today's bill:

OPU prosedur: RM 1802

UKM K-health fees : RM 2332

Medicines : RM 49

Total: RM 4183

After the prosedur, you suppose to be headed home straight as the sleeping meds is still kicking in, however, we got a very important wedding to attend, so we drop by Kajang for a quick showup-our-face and went back home. I slept like a baby that evening and woke up with more soreness and bloatiness. It is like u ate or drank so much your stomach gonna blow!

However, the procedur went well and very satisfied with the number of eggs they retrived alhamdulilah. Hope most of them make it to blastocyte!

TTC @HUKM - Ultrasound CD13

Assalammualaikum wbt and ramadhan kareem everyone.

Today is my ultrasound day on cd13. Recap: i was on femara starting cd2-cd6 7.5mg daily. I arrived at clinic at 10.30am and the clinic was so quiet, and less people inside. I registered myself and ask am i late or something, the nurse said that less people prefer to have treatment in ramadhan month as there is no way they could do transvaginal scan or other procedur like iui or ivf.

So, i was in no queue at all. During the scan, the sonographer said she will be doing abdominal scan only as im fasting. So, as it is hard to see follicles using this scan, she had to push the scanner tool harder than usual on my stomach. And alhamdulillah, when she scan my right ovary, she easily spotted one big follicle measuring 23x18mm in her screen, while others in left ovary are very small one measuring only 7x7 each. Endometrium lining also looks good with thickness 10.1mm. After the scan, i went to the registration counter and an indian doc name dr prakash waited for me and look at my form. He said this is very good and we need to trigger this now. I was so excited as my follicle grew this fast and as prof hashim expectation. Alhamdulillah. So i trigger with pregnyl 2000iu at the clinic and will bd in the next 36 hours from now.

Also, i had started using opk the last two days, and today my opk is darker than yesterday, and i found out that my vaginal discharge also a little bit sticky and going to be egg white a little bit. I hope this is the month for us, inshaAllah. The best month for ibadah and du'a, and also a miracle soon inshaAllah. Do pray for us, and i hope for the best for u too.

Happy 8th ramadhan to all.

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!!

TTC @HUKM - 1st appointment

Assalammualaikum and good day everyone.

Today i decide to write in 80% english language. Another 20% will be in my mother's tougue language, which is Malay Language. It is because i want any information writen to be useful for all my friends around the world. *ntah ade ke pembaca dari omputih ni..kih3..biaq pi lah*. And also, i want to improve my english writing skills, so if there is any grammatical mistakes, please, do guide me ok.

It's been a while since my last entry. After about a month break from ttcing, we went to prof hashim's clinic at HUKM private wing. FYI, hukm provide 2 clinics for fertility, one in the Medical Assisted Conception (MAC) clinic, which is the government sector part, one in private sector at level 7. We chose to go to private sector since our record is already there, when we sought for a second opinion on my ectopic, and also to cut all the other procedur needed in MAC (well this one i didnt know much about, maybe they need you to do certain test or queue up or something).

The first visit was very simple and quick, appointment was made 1 month before the appoitnment date because Prof is going overseas for about half a month, so we didnt manage to see him before he go. Usually, if you are lucky enough, the 1st appointnment will be around 2 weeks. I was schedule to see him at 3pm. So we arrive at 2.30pm, register at nurse counter and i got number 5 out of 7 patient during 3-4pm session. Not bad. So we went for solah first, and wait in front of his room. The queue was rather quick actually. By the time i came back from solah, there is already 3 patients had seen him. So, i waited for about another half an hour and our name were called.

Upon seeing him, he smile at us and ask what is our plan. We said that we wanted to try again after the miscarriage and we will do whatever he suggested. He then said that the key treatment for pcoser like me is to regulate my period back. According to his experience, with 3 cycle of period, and proven ovulation, pcoser can get pregnant naturally. So he suggested for me to take diane for 2 cycle, and start fertility drugs in the 3rd cycle. We agree. He also put me on metformin 850mg daily for my insulin resistant, although i do not have this yet but pcoser tend to have this sooner or later, and metformin can improve my hormonal imbalance during fertility treatment. I will explain about this further in other post about drugs ok.

So no ivf this year i think. Just back to basic. Well, i actually relieve because i know we are in a care good hands. Prof Hashim is the head of MAC and had experience in consulting many couples and also teaching in UKM. As according to doc adilah, he is a practical person, he may not do what exactly the book said, but he knows how to apply them, and he knows what he is doing. Tq doc adilah for suggesting him.

Ok, some of you may worries on him being your fertility doctor since he is a male. Well, i will discuss this matter in other post ok.

Until then.. Byeee