AF finally reported on CNY :) I always believe when AF reported on CNY is a good sign, properly this time is really meant for me as I never have my AF report on CNY before.
Today can consider my CD 2 as CNY day 1 only came with spotting, the full flow only started at night. I just went for Pre-IVF test, 3 tubes of blood were drew from me. It was kind of painful, not sure is it the nurse's skill or my pain endurance is getting weak.
The blood test costed me SGD370.22, woah! That is very expensive! The break-down of the tests are
1. Thalassameia screen - $74.90
2. Amenorrhoea - $107.00
3. Anti-Mullerian Hormone - $34.24
4. Insulin - $34.24
5. Fertility Infectious Screen - $119.84
The insulin test needs me to fast from yesterday 7pm, but I did drink bit bit of water as I couldn't stand the thirst, hope this won't cause any error of the test :( feel kind of guilty now when especially knowing it's so expensive.
My next appointment is next Friday 10.15am, hubby really need to take his sperm test urgently, else we may miss the appointment. Let's hope he can make it.
25 January 2012
13 January 2012
Report searching - bicornuate womb + ivf + pregnancy
okay, finally i found a report based on bicornuate womb and ivf. The report is based in Europe country, although it is not promising but at least i know what are my chances:
Patients with a bicornuate uterus also had a 50% reduction in pregnancy rate per transfer and implantation rate.
The second study compared IVF rates with a historical control.[32] Looking at only 17 subjects with uterine anomalies undergoing 55 IVF cycles, this study found a lower delivery rate per embryo transfer compared with a historical database at the same hospital and facility (8.2% vs. 17.5%–19%). The study stated that unicornuate uterus had a reasonable pregnancy rate of 19.4% (no control data were provided) but an especially high ectopic rate of 33% (2 of 6 pregnancies). The didelphic uterus pregnancy rate per embryo transfer was 11.1%, but the single pregnancy resulted in a miscarriage. Because of its extremely low number of subjects, this study is difficult to interpret. This Finnish study did not consider subjects who had a bicornuate uterus or an arcuate uterus.
The third study looked at 24 subjects who underwent 47 IVF cycles.[33] Using their own historical data, the authors found that overall clinical pregnancy (37.3% in uterine malformations vs. 38.8% in controls) and implantation rates (17.5% in uterine malformations vs. 13.0% in controls) were similar. Subjects with a didelphic uterus had a 27.3% implantation rate (IR), those with a septate uterus had a 22.5% IR, those with a bicornuate uterus had an 11.6% IR, and a woman with a unicornuate uterus had a 13.2% IR. This study suggests also that specific anomalous uteri, such as bicornuate and unicornuate uteri, have lower IVF success rates, but these studies also suffer from small numbers.
Source: http://www.medscape.com/viewarticle/471012_8
Question is what type of uterus is my?
Based on the X-ray i took, the separation is not very define and I had asked Dr Peter Chew whether my top uterus is flat or curve in. He told me is flat so i gave my own assumption that I have a septate uterus. Plus, Prof Wong saw my x-ray and he mentioned that the x-ray doesn't looks not so bad... kind of relief for me.
However, Doc told me the implantation may be an issue, hence I purposely go and find more report on the possibility to conceive through IVF with odd shape womb and the reason is depressing:
IVF pregnancy rates appear to be decreased not because of decreased number or quality of eggs obtained but rather due to the uterine anomaly itself. Resulting implantation rates and clinical pregnancy rates are still uncertain but may be reduced by 50% compared to women undergoing IVF without anomalies.
Source: http://www.seattlefertility.com/diagnosis/uterineAnomalies.asp
Nevertheless, I need to believe in miracle...let's hope for the best and I believe everything will go well for me.
Patients with a bicornuate uterus also had a 50% reduction in pregnancy rate per transfer and implantation rate.
The second study compared IVF rates with a historical control.[32] Looking at only 17 subjects with uterine anomalies undergoing 55 IVF cycles, this study found a lower delivery rate per embryo transfer compared with a historical database at the same hospital and facility (8.2% vs. 17.5%–19%). The study stated that unicornuate uterus had a reasonable pregnancy rate of 19.4% (no control data were provided) but an especially high ectopic rate of 33% (2 of 6 pregnancies). The didelphic uterus pregnancy rate per embryo transfer was 11.1%, but the single pregnancy resulted in a miscarriage. Because of its extremely low number of subjects, this study is difficult to interpret. This Finnish study did not consider subjects who had a bicornuate uterus or an arcuate uterus.
The third study looked at 24 subjects who underwent 47 IVF cycles.[33] Using their own historical data, the authors found that overall clinical pregnancy (37.3% in uterine malformations vs. 38.8% in controls) and implantation rates (17.5% in uterine malformations vs. 13.0% in controls) were similar. Subjects with a didelphic uterus had a 27.3% implantation rate (IR), those with a septate uterus had a 22.5% IR, those with a bicornuate uterus had an 11.6% IR, and a woman with a unicornuate uterus had a 13.2% IR. This study suggests also that specific anomalous uteri, such as bicornuate and unicornuate uteri, have lower IVF success rates, but these studies also suffer from small numbers.
Source: http://www.medscape.com/viewarticle/471012_8
Question is what type of uterus is my?
Based on the X-ray i took, the separation is not very define and I had asked Dr Peter Chew whether my top uterus is flat or curve in. He told me is flat so i gave my own assumption that I have a septate uterus. Plus, Prof Wong saw my x-ray and he mentioned that the x-ray doesn't looks not so bad... kind of relief for me.
However, Doc told me the implantation may be an issue, hence I purposely go and find more report on the possibility to conceive through IVF with odd shape womb and the reason is depressing:
IVF pregnancy rates appear to be decreased not because of decreased number or quality of eggs obtained but rather due to the uterine anomaly itself. Resulting implantation rates and clinical pregnancy rates are still uncertain but may be reduced by 50% compared to women undergoing IVF without anomalies.
Source: http://www.seattlefertility.com/diagnosis/uterineAnomalies.asp
Nevertheless, I need to believe in miracle...let's hope for the best and I believe everything will go well for me.
12 January 2012
Year 2012...
Happy New Year!!
This year is an important year for me, as it embarks my conceiving path even further.
Hubby and I finally decided to go for In vitro fertilisation (IVF) after the suggestion from Dr Charles Lim at Mt Elisabeth Hospital. He referred us to Prof PC Wong at NUH and yesterday, 11 Jan 2012 was our first consultation. Prof Wong is a very straightforward person, personally I feel he is the kind of doctor who is very careful and don’t give blank hope to his patients which I like.
At first he suggested us to go through IUI, but we refused. We kept arguing with him that we have been trying for months and the results are always on the left tube which is the ectopic tube. He gave in to us and let us proceed with the Pre-Ivf test, but I have to wait for my menstruation to come to do the test, so yesterday my hubby went for the blood test first. However, Prof did warn us that my chances of conceiving through IVF will be lesser chance as compare with the general ladies. Reason being, I have a bicornuate womb which may cause the fertilised Embryo having difficulty to implant on my womb. SIGH~
Now, all I can do is to pray hard, and stay as healthy as possible. I just hope my period will come sooner so that I can quickly go for the pre-ivf test. For what are the pre-ivf test, I have listed down which the list are for me and my hubby. I don’t know what are these test for and also don’t know which is belong to me and my hubby, so properly will google to find out later..
Chlamydiatrachomatis DNA
Andrology, Semen Analysis (obviously this is for my hubby)
Ultrasound Scan (Special)
Subscribe to:
Posts (Atom)