Wednesday, 6 July 2016

Never Give Up!

As Monday comes, I gave Sunfert a call and asked for the embryologist in-charge. Finally the embryologist that did my case answered and informed me of the report. My 4 lucky stars didn't develop as they are supposed to and they are slow and quite fragmented. My heart was broken to pieces that very moment. The result doesn't seems to be expected. I called hubby and inform him of the bad news, he too was heart broken. At that moment, I can't take the pain and went to the ladies' to cry my heart out and say a little prayer hoping my 4 lucky stars can survive.

Tuesday came and my embryos are in Day-5 and they should have reached blastocyst stage. I called up Sunfert again to check on them, and.... I was informed that Dr. Wong had taken my report and he will call me personally to speak to me. My heart sank and I knew what is the news.

After a dreading afternoon, Dr. Wong finally called and inform that the embryos didn't develop further and very fragmented and they are not good quality. So is considered failed. As informed by him, normally failure shouldn't have happen at this stage. Neither do I expected it to. I was expecting after implantation.

Dr. Wong felt that the culprit could be the pus from the cyst, and hubby's sperm count is not good at all. Plus with the endometriosis inside perhaps all these are factors that affect the embryo quality. So doctor reckons that I go back to Dr. Alex and had my surgery done and come back after 4 - 6 months.

After I hang up the call, I rang hubby up and inform him of the news. That night, me and my hubby finally broke down and cry over the bad news. It is never easy to accept failure at this stage. Never expect to fail at this stage. We comforted each other and encourage each other to be strong. Follow what doctor advice and proceed for operation when we visit Dr. Alex in August.

We just have to get up and try again...

The road to Egg Pick Up....

Since my last post, I have mentioned about daily injections, and MindBody counselling session to prep our mental and emotional state for what we have signed up and coming ahead of us.

After a full month of daily injection, I have finally "graduated" from the injections and carrying the cooler back for my last doctor's visit to determine my date of Egg Pickup. And so that day came, doctor gave me a final booster injection meds to bring home to be administered 2 days before the Egg Pickup. Doctor also ordered for a blood test to check if my progestrone level is too high due to the amount of hormone injection that I have had for the past 8 days to produce more eggs in both my ovaries. If the level is too high, my Embryo Transfer date shall be shifted to a later date.

After coming out from Doctor's room, I proceed to the nurse' station to get my blood test and medicine.

Proceed home after that, and follow the Egg Pickup Instruction plan given by the nurse. Egg pickup was scheduled on 23rd June 2016 (Thursday). In the morning of 21st June 2016, I have a final busereline jab and I am done with my morning routine of daily injections. On the night of 21st June 2016, at 10PM sharp, hubby inject me with the booster jab to ripen all my eggs. And finally, the day come, 23rd June. Woke up at 7AM, had a quick shower, and as instructed, no shower gel, no perfume, no make up. Wore a comfortable dress and off we go to Sunfert. Reached there by 8AM as instructed and the nurses checked me in. 

At about 8.30 AM, my name was called and the nurse brought me into the daycare area to prep me with the necessary i.e change to hospital garment, wear a cap, inject me with a branula and I am waiting for my turn to go into the O.T. About 9AM, my name was called and I walked myself into the OT accompanied by a nurse. Got up to the special bed and prop my legs up and get ready for the doctor to arrive for the procedure. 

Waited for about 15 mins or so, Dr. Wong finally came and assures me that I will be fine and this procedure will be a fast one. An embryologist emerge and confirm my name and IC number. Finally the nurse injects me with the pain killer and sedative medication into my branula and take a few breath and I am off...

As the sedative medication ends, I felt a soreness at my uterus and realised that the procedure is not over. However, I hear as if the team knows I have start to regain consciousness and Dr. Wong quickly finish what he needs to do. And shortly after that, I was called awake and inform that the procedure is over and they have retrieve 11 eggs in total. I was happy with the number. Means 11 changes! And later I hoped over to my day bed and was wheeled into the daycare recovery area.

After sleeping for about 2 hours, the daycare nurse finally came to check on me and seen that I have regain fully my consciousness, I got up and was discharge shortly. Given a cup of Milo and had some biscuit that I brought along myself, I finally break-fast. (i had to fast from 12 midnight till after the procedure)

Later, my name was called and I go in to see doctor. Dr. Wong inform that I have 11 eggs and all seems good, however, he had done a cyst aspiration of my right ovarian cyst and found that when he aspirated the content, he saw pus coming out. Through the tone of his voice, he don't seem comfortable about it and he informed that he has send the content for a lab test. Then he prescribe me some antibiotics and probiotics to be taken till finish. He asked me how I feel, and I mentioned that cramps on my uterus area, and he mentioned that is normal. However, he informed that I can't do my transfer as the progestrone level is too high and I have to get my embryos frozen up for a later transfer 2 months later. I was sad about it at first but oh well, I have no choice.

As I got home, the cramps got worse and I can't help but to call their careline and inform of this pain. I was asked to take painkillers and rest more. Later that day the pain still persist and till the next day, I called up the careline again and was told to come in to the clinic to have doctor check on me. On Saturday, I did a walk in and doctor check on my and notice the pain is due to the left over empty egg shells. However, the pain have subsided quite a lot after that. Doctor inform that out of 11 eggs retrieved, only 8 can be use, and out of 8 only 4 were fertilized. I didn't like it as it doesn't seems like a good number, but we remain hopeful on our 4 lucky stars. I was told to check on the progress on Monday.

And so the waiting begins

Tuesday, 24 May 2016

Eating Healthy and Food Restrictions

During one of the earlier visits, I was told to stay away from herbal medicines like pak zan, dong guai and other chinese herbs. That also includes one of my favourite dish, Bak Kut Teh, which I use to cook quite often as I always buy the herbal packs and cook with the slow cooker as I work the whole day in the office. Now... looks like I have to change my soup menus.

I was also told that raw food is a No as well.. which means, no more sushi, sashimi (which I love the most) and half boiled eggs (which I have just recently master the skill of perfecting it). Caffeine is a no as well, therefore, no more daily dose of coffee, no more Coke as well.

As the list of food joins the "NO" list, I have start to think of food that I should be eating that is good for my own body and doesn't affect my chances of success. Google has been giving me lots of answers as well, and one fine day, a relative told me, I shouldn't take "cold" food such as barley, watermelon, cendol and etc. There at that very moment, I felt what the heck?!! Now more food is joining the "NO" list. It seems that these "cold" food will weaken my uterus. I wasn't quite satisfied with the answer, so off I googled for it... and that seems to be quite true as according to TCM. Western medicine never believe in that. My husband was quite happy as he have been telling me to stay away from the "cold" food as well (note, my husband is my disciplinary guide, he restricts me of all the "NO" food which no matter how I beg him to bring me for one last time of sashimi, the answer is a big fat NO). So the conclusion, no more "cold" food as well, which means no more cendol, no more watermelon and cold water.

Since there is quite a lot of food in the "NO" list, what can I eat, and eat healthy? Actually, there are still quite a lot of proteins and vegetables I still can cook, including warm soups as well. So actually is not so bad after all, apart from the restrictions. But one big question which I have yet to get the answer from Google, is vegetable juice consider "cold"? Cos personally, I feel vegetable juice is yummy, like the one I just had this morning, carrot, celery and cucumber juice. But anyhow, I will reduce the intake until I find a definite answer.

So as my IVF journey begins, I too have learnt a lot on what you eat will have impact on your body. And with God's help, hopefully, I am doing things right.

Monday, 23 May 2016

MindBody Fertility Session by CT Ong (April 29)

As part of the Fertility treatment offered by Sunfert, there is a 4 session counselling or some sort of coaching as part of their IVF package.

So I decided to give this life coach a call. Fixed an appointment on April 29th after my Diphereline injection.

When our number were called, we walked into the Sunfert Wellness room and greeted by Mr. C.T Ong. As we sat down, he went through a form that I had filled earlier in regards to my mental and emotional state of mind, and asked me to draw a tree of my own idea. From the form, he noticed several things about my own personality and we addressed out our own fears, worries and issues that is in our mind.

As the session progress, he have given me a clearer picture of what to expect of this IVF. There is nothing we can control in this process. We have a plan, the end result to that we will be parents for the very first time. How soon or how many tries, it is not important. And at the mean time, we were asked "why do we want children??" and the answer for me to have someone to share our love and affection. For us to care and to complete our marriage, to have a home and not a house. We were asked, have we thought on how we want to bring up our child, how are we going to teach this child in terms of value and moral and in terms of disciplinary? (personally, I have discussed with my husband on this matter, no cane, however, I prefer the naughty corner punishment). As CT Ong mentioned, 9 months is going to zoom past super fast and before we know it, parenting skills are something we may never have seriously consider or study about, and this is the best time to think about that.

At the end of the 2.5 hours session, we walked out with a better and more optimistic mindset on this IVF. The conclusion, don't over pressure ourselves on this IVF journey and things would come around easier.

I guess things would be more optimistic with the help of this life coach. We all got to have someone to give us the little push, the little assurance and to have a little more HOPE.

Saturday, 21 May 2016

2nd Buserelin shot begins....

It was a cooling Saturday morning and me and my husband decide to sleep in a bit longer since it rained in the early morning of Saturday.

As we woke up at about 8.30AM, my husband was eager to jab me with the Buserelin shots. And this will be his very first attempt. He remembered what all the nurse had thought him. Off he goes to the kitchen and get the medication ready.

Went to peep at him preparing the meds and he was so serious and concentrated, making sure no air bubbles in the meds.

He walked in to the room with a big smile and asked me to sit on the edge of the bed as he was holding the syringe with the needle ready. As we shift around the edge of the bed a couple of times trying to get the light, my heart beats goes racing again. And finally we have settled with a location at the edge of the bed which he can kneel down and give me the injection. We agreed to go by counting 1, 2, 3 and jab as I draw my deep breath at the meantime.

And there we go, counting 1, 2, 3 together and as I draw my deep breath in he goes with the jab on the flesh that I have pulled out at the abdomen area. To my surprise, I didn't feel a thing and he instructed me to release my flesh that I was holding and he push in the medication.

As the injection was done, I told myself, for the love a of children, I would do anything...


And... My IVF Journey begins

Well... firstly, to all new readers of this blog, Thank you for dropping in to view my not so impressive write ups. A small introduction of myself, I am 33 years old, married for about 4 years soon and have been trying hard to have a child of my own naturally. But still no outcome, hence this blog is created. I live in Kuala Lumpur, Malaysia.

As mentioned before, I have been trying for about 4 years for a child. Had been following up with one of the best gynecologist in town. About 2 years ago, I was told that I have a 4cm ovarian cyst at my right ovary. It is not giving me any pain or discomfort nor to the doctor's opinion that it will give me any pregnancy problems.

However, of late, our doctor's visit to my gynecologist, we have been told that the cyst has grown and I have a fibroid growing at the back of the uterine wall. That shows some concern and something had to be done. So as recommended, I was referred to a Fertility Specialist at Bangsar South, Sunfert under Dr. Wong Pak Seng. Therefore, I called up to made an appointment at schedule at mid of April. I must say, I was the last patient and I was there the whole day since 11.00am to get my husband's sperm test done. And manged to see Dr. Wong at about 3.30pm! However, the first check is rather conclusive. We first walked in to seek his opinion on whether or not to operate and remove the cyst on my right ovary and to cut off the fibroid as well, however, to Dr. Wong's opinion, he suggest something we never thought a Fertility doctor would suggest. We always thought all fertility doctors want everything clear from the uterus. However, Dr. Wong suggest that I would leave the fibroid alone as it is not encroaching into my uterine wall so much. As for the cyst on my right ovary, he suggested that a cyst aspiration be done instead of cutting it off as it will affect my egg reserve in my ovary.

As for my husband's sperm test result, it is not as promising either. Therefore, the conclusion is clear, IVF.

Dr. Wong draw out a "game plan" for us. He started me on some contraceptive pills for 14 days, and my "last period" comes as expected in the "game plan". I was given a Dipherelin jab on my buttock on the 12th day of my contraceptive pill, and Gosh! it hurts!! injection site was sore for the past 3 days.

Finally the day of my cyst aspiration came. Which was yesterday. Early morning, no water or food since midnight. And off I go leaving my house with my husband with a nervous heart.

Reach Sunfert, told the front counter I am here for a cyst aspiration, half an hour later, my name was called and I was ushered into the daycare area leaving my husband outside to wait. I was asked to change and wear a cap, walked to my "bed for the day" and was poked with a branula for sedative medication later in the operation theater (never expect that coming actually! and nervous again till my veins shrink!!). Later the O.T nurse ushered me into the OT and there it is, the "stage" is waiting for me. As I lie down on the bed with my both legs propped up, my heart beat was racing. When the O.T nurse hooked me up with my IV monitor and blood pressure sensors, she noticed my pressure was skyrocketted, 140! she told me to cool down and relax while waiting for the doc. About 20 mins pass and the doc finally arrives to do the procedure.

I was given the sedative medication and the rest was history. I only recall that the prop supporting my legs was moved to close up my both legs together and later was ask to move over to my "day bed" and push to the daycare and recovery area and it was a good sleep after that.

After I had a good sleep, woke up and slowly become "sober" I was taken to change and leave the daycare and to my husband whom is waiting patiently outside. I was given some milo (malt energy drink) and took some biscuit to "break-fast".

Later my name was called and in we go into the doctor's room. Dr. Wong told me that the cyst has shrink and all goes well and I will start my Buserelin daily injection starting from 20th May till 3rd June. And off we go out waiting to collect the cooler bag with the medications.

When our turn has come to meet the nurse, the cooler bag was waiting for us on the nurse's table. The nurse gave a demonstration to my husband on how the injection would be given to me on every morning. Small syringe with a small needle, I told myself, aah... is not that horrifying actually! Next she gave me the jab as part of a demonstration and walla! it wasn't that bad actually.

And off we go for the very beginning of my IVF journey