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: 

CD10 - Ivf #2 Scanning day

Assalammualaikum wbt,

Today is the final scanning day. DH just drop me off because he had urgent matter to finish, so i arrived at hukm mac at about 9 am. And i got my turn after about half an hour. Embryologist look very please at the growth of my follicles but as they was so many of them, she cannot jot every size down and just focusing on anything above 14mm. Looks like they were more than 20s and most of them looks very crowded and squeezing each other, makes it more difficult for her to interpret. However she said that as long as there is one or two of big size, prof will be ok to proceed.

At that point, i really had a hard time to bent myself, and my abdomen, especially my uterus ovary area, felt so full and bloated. I also walk like a pregnant women haha.

After handing over the scanning sheet to the nurse counter, i waited for about an hour for the doctor. Luckily during my turn, prof was there and he suggest to do oocyte pickup(OPU) on sunday, 19th feb. i was thrilled and scared at the same time. The nurse, ms azmah was so friendly, she gave me proper instruction on what to do before, during and after upcoming OPU session. Here is the details:

2 days before OPU:

-to inject pregnyl 10000iu at 12am midnight. This to ensure the last prosess of maturation is complete.

-to make deposit payment of RM848 

12 hours before OPU:

-to fast from any food and drink starting 12am

OPU day:

-sperm need to be collected in the morning in the clinic or at home. We choose to do this at home. Easier for DH to take ghusl after that.

-not to wear any jewelleries

-arrive early before 8.30am

-remember you are fasting.

After OPU:

-medicine need to be bought later after opu is done. 

Dont worry if you panic and cannot remember all this on the spot, they provide us with the written list. Hehe

So today, i need to buy some medicine before heading home. 

2 box of pregnyl 

2 syringe of decapeptyl

Clarinase 6 tabs and aspirin 3 tabs

This is the bill for today

Medications: RM166.40

Ivf Deposit: RM848

Total: RM1014.40

I took an uber to ride home. 

Tips: if you had trouble to pay, actually you can still make negotiation with the doctor. In our case, we plan to have opu after 21st (that's when we will have our money ready), but since it will be too late to wait until that, prof let say pay the deposit on the day of opu and the rest of the payment after 21st. 

My IVF journey - OPU day

Assalammualaikum wbt..

11/8/15
Suntikan orgalutron di awalkan ke 10am dan suntikan decapeptyl pada jam 11pm

12/8/15
Mkn 10mg bisacodyl utk proses pembuangan air besar jam 6pm dan start puasa penuh jam 12am

13/8/15
Sampai hosp kol 7.20am..terus pergi bhgian admission. Dlm kol 8 pergi masuk wad day care kat blok C tingkat brpe xingat sbb da berdebar sgt..rupenye wad sblm ivf unit je..masuk bilik terus salun baju OT..doktor bius dtg dlm pukul 9.30..then kol 10 jalan kaki dr wad ke OT ivf..power jugak ivf unit sini ade bilik OT sndr..dalam bilik OT tu aduiyai berdebar sgt even ni kali ke 2 masuk OT..doc A interview sket2 tnye bile suntik ubat..doctor bius sempat buat lawak lg time nk masuk line kat tgn..then lps 30min sedar ade bende kena tarik dr mulut..adui tu sakit sikit sbb tgh lalok lg..pastu sedar balik ade kat luar OT..terus tnye nurse da pukul brpe..nurse kate kol 10.30...oooo mmg 30min je ek..lps tu kena sorong ke bilik, perut rase senak n sakit sgt..nk tdo pun xbole even tgh lalok..kol 2pm br bole mkn..pastu doktor A dtg..doktor kate time mula2 masuk needle die ter poke arteri, so ade bleeding kat faraj..die da jahit tp takut ade internal bleeding..die scan perut sbb die kate time procedur telur kanan tinggi sgt..so kanan dpt amik sikit je. Time scan lembut je doktor tekan sbb mmg tgh sakit..lps doc scan, pergi toilet terus burse kencing..n lega sikit xsakit sgt..lps tu mkn sandwich n panadol..br lega sket..tp tiba2 sakit lg..terus g toilet lg n kencing..then lega.. Dlm kol 7pm doctor A call, tanye sakit lg ke x..die kate blood result ok xde internal bleeding..bgtau doktor sakit time nk kencing..rase bloated..doktor kate sbb ovary tu mmg rapat kat bladder so jgn biar bladder penuh nnt mmg sakit. Mlm tu makan cabergoline 1/2biji utk permulaan.

14/8/15
Owh sebab doctor nk monitor psl internal bleeding tu day surgery jd in patient plak..so terbang la RM400++ huhu. Harini doctor scan tvs kat klinik die. Alhmdulillah xde internal bleeding, tp ovary kanan da tinggi sgt ni..die betul2 rest kat bladder..dan size die 9cm!!! Normal size ovary 2.5cm je..n post ivf ovary ptt dlm 5-6cm..i punya 9cm!! Doktor tanye ade mkn supplement pelik2 x 6 bulan lps..sy kate mmg xde..nk mkn multivit pun mls2 huhu.. Doktor kate mungkin sbb besar sgt so slight movement pun bole sbbkn ovari teralih. So kena betul2 bedresr as if xleh duduk langsung..baring je..huhu..ok doc! Sbb klu pecah lagi bahaya..so harini dpt discharge alhamdulillah..

Owh lupe nk bgtau, doc ade wassup gmbr embryos. Alhamdulillah doc dpt collect 7 ovums and 4 of them da start membahagi..1 br nk membahagi harini, 1 lysed 1 xmembahagi langsung.

Syukur ya Allah...

Doakan embryo kami membesar dgn jayanya jd blastocyte sblm di frozenkan..

My IVF Journey - S8 appointment

assalammualaikum wbt

Hari ni stumulation day 8, means hari terakhir untuk suntikan pergoveris, dan hari ke3 suntikan orgalutron.

Appointment dgn doc A dlm kol 11 td alhamdulillah berjln lancar. Eventho dpt turn no 10, tp sbb ramai xde dpn klinik, dpt skip 4 org huhu.. TVS nmpk byk gile telur n roughly je doktor cek saiz.. Mmg besar2.. Ade 17.5, ade 16.7.. Doktor nmpk puas hati dgn saiz skrg tp doc pun takut dgn potensi OHSS. So, doc kate proceed OPU khamis ni 13/8/15 kol 10pg. So kena daftar wad kol 7pg. Regime ubat pun bertukar. Orgalutron lg 2 dos, 1 inject mlm ni kol 11, satu lg inject esok pg kol 10pg. Then mlm kol 11pm 11/8/15 inject decapeptyl 2 dose sekali. Ptg 12/8/15, kol 6pm mkn dulcolax 2 biji n puasa tp bole lg minum air, n puasa semua mknn n minuman start kol 12am. Sblm balik tadi, doktor mintak suami buat ujian hep B and HIV, sy pun kena buat tp 12/8/15, sehari sblm opu. Doktor jugak bg ubat 3 bijik carbegoline untuk elak potensi OHSS. Yg ni mkn lps opu, but doc xbgtau mcm mne nk mkn. Semua ubat nnt saya review dlm post review ubat k.

Masa scan sempat tanye doktor, rase2 nye brape telur dpt ni. Die kate ade dlm 15 ni..tp sbb awk pcos takut ade yg kosong. So hope semua berjln lancar opu nnt. Sejak inject orgalutron, rase senak dah berkurang, tp mmg rase berat dgn perut..mcm rase terbakar (burning sensation) pun ade kdg2..tp klu baring mmg sedap xde rase sgt, tp mmg lenguh la..yela asyik baring je kejenye..lps opu nnt..ade mse bertenang since nk freeze all, so nk g berurut la kjp, hehe.. Ade suggestion x urut sedap area s alam?

And sy nk wat entry pasal kos ivf bile semua da selesai inshaAllah.