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 Going to try IVF

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anustar
post Apr 22 2016, 11:01 AM

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QUOTE(Wanderer99 @ Feb 18 2016, 07:13 PM)
Hi,

I am new to this forum. We are currently in the process of starting IVF and deciding which doctor to go with. We were referred to Dr Eeson Sinthamoney from Sunfert formerly from Pantai Hospital , I believe. There aren't many feedback on those who have gone to him online. Just wondering for those who have, do you have any feedback on him? Basically a yay or nay... Interested in your views.

Thanks guys
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From our experience, Dr Eeson is very friendly, very positive kind of person. I would definitely recommend you or anyone. He had even wrote and publish a book called "Overcome infertility".
My wife had met him twice during IVF cycle. Our primary consultant was Dr Wong at Sunfert but he is too busy with appointments, thus we were asked to see Dr Eeson (to cut down waiting time) for Day 8 and OPU of IVF cycle. Transfer done by Dr Wong though.

D2 - Dr Wong
D8 - Dr Eeson
D11 - Dr Wong
OPU - we were asked to see Dr Lim but we opted for Dr Eeson
ET - Dr Wong
Beta HCG - Dr Wong
anustar
post Apr 22 2016, 11:49 AM

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hello All, I am not a doctor but I can share you some info about IVF process from our experience. Below may not applicable for all and everyone, but I think this is how it will be for normal situation.



IVF there are 5 phases:-

Phase 1: Forcing ovaries to produce more eggs

All women naturally produce only one egg each month. But here, we are forcing both ovaries to produce more eggs from injection (FSH, LH). Usually, doctor wanted to see average of 6-10 eggs, but it doesn't mean that it is not OK when you have less than 10. There are many women have gotten pregnant with only 2 or 3 eggs. So please stay hopeful. During this phase, usually you will require to see doctor three times D2, D8, D11. And before you start, Your AMH (egg reserve) in bloodstream is tested to let the doctor to decide which protocol & correct dose is suitable for you. If you are high risk of OHSS - OVARY HYPERSTIMULATION SYNDROME, different protocol will be used for trigger in Phase 3.

D2 - start self injection with initial dose (dose is decided based on your AMH, PCOS, etc)
D8 - SCAN. Evaluate egg growth and decide if the initial dose is OK, or needs reduce or increase, or even add another type of injection so that all eggs are growing around same size.
D11 - evaluate egg size to see if they are in good size (majority should be > 15mm with one or two >18mm) and also decide if injection needs to be continue for 2-3 more days to make majority of eggs become >15mm

If you are at high of OHSS - OVARY HYPER STIMULATION SYNDROME, Your hormone (Progesterone, Estradial E2) will be tested to see if you are suitable for Embryo transfer later.

Phase 2: Trigger / Maturation
D13/14 - You will be given another injection called "trigger" which mean you are forcing eggs to mature. Immature eggs is not suitable for fertilization.
This trigger has to be taken exactly 35-36hours before your scheduled OPU - egg retrieval. This window is important.

You also need to take antibiotic one day before the OPU - Egg retrieval procedure.
Instruction will be given to you what to do/not to do.


Phase 3: OPU - Egg retrieval from minor surgery procedure.
D15/16 - Egg will be taken out from ovaries. Husband also need to produce sperm on the same day. Embryologist will inject (ICSI) sperm into egg for fertilization. If ICSI technique is not used, then sperm & egg are placed in same container to let fertilization happen naturally.

Suppose the egg & sperm fertilized successfully, The embryologist will monitor embryo development progress to see if the number cells are multiplying correctly. 3days embryo should have 8cells. 5-day embryo will become blastocyst (many many cells). Embryologist will set grade for each egg based on its cell numbers and fragmentation.

You will be given progesterone supplements to take daily until your transfer, which will make your uterus receptive for implantation later.
Instruction will be given to you what to do/not to do.

Phase 4: Embryo transfer
D17/18 - The good or average embryos will be transferred to your uterus hoping all will be OK. You will be given instruction what to do/what not to do. And you will be also asked to bedrest 1-2weeks depends on your condition/previous miscarriage history.

You will continue with progesterone and estrogen supplements

Phase 5: Beta HCG
To check if you are pregnant or not. Good luck!

This post has been edited by anustar: Apr 22 2016, 01:14 PM

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