My ivf Journey

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2016年1月1日星期五

什么是IVF试管疗程?



什么是IVF试管疗程?

常常也收到许多询问什么是ivf试管婴儿疗程,我在这里给大家解释一下这个疗程是如何进行。

✔️检查
第一步必须做的就是检查,试管前检查都会需要做精子检验(丈夫)子宫扫描,验血。医生觉得你们夫妻有条件进行试管的话,那就可以安排疗程。

✔️疗程多长时间?
疗程分为2种:短疗程和长疗程
短疗程需要打针2周左右就可以取卵
长疗程打针30天左右就可以取卵
医生会考虑你的体制适合那一种来决定疗程长短。

✔️打针(诱导排卵)
打针是为了要刺激卵巢中的健康卵子的发育。
打针都是自己打的,不用去医院打。现在的针很细小,很短,其实不会痛。拿针的第一天护士会教你如何打第一支。
建议:老公帮助老婆打针,老婆会比较轻松。老公也有参与感,不是单单提供精子就完事。

✔️取卵
取卵当天,老公会先安排去采精。然后老婆换上手术服后就会被安排进手术室。取卵会需要吸入麻醉药昏迷,过程大概20分钟吧。取卵后当天晚上肚子会涨,建议躺在休息,在医院休息够了才离开。可以喝100Plus, 不要冷的,也可以喝热奶 milo或孕妇奶粉来舒缓。

取卵和采精完成后,胚胎师就会开始培育你们的结晶品。

✔️移植胚胎
如果医生建议你做鲜胚植入(Fresh transfer) 那么取卵后第6天就可以回医院植入(5天的囊呸)如果医生建议你2个月后才植入做冷藏植入(frozen transfer) ,那么胚胎就会先冷藏起来,2个月后才解冻植入。植入过程不会麻醉,不痛,只需要忍尿,需要Full bladder植入。植入后你会感觉很急,但是护士不会让你立刻下床。你还会继续躺在植入床上,这时候实在忍不住的话可以问护士拿尿盆给你躺在哪里解决。过后护士会让你睡上床推你进房休息。建议趟2小时后才下床离开。

✔️那么我应该当月植入还是2个月后才植入?
这个由医生帮你决定,因为每个人的体制情况不一样,所以鲜胚植入或冷藏植入都一样。

✔️解冻胚胎会不会让质素下降或解冻失败?
会有这个风险,但是如果你选择Cryotec冷藏技术,就可以保证胚胎质素不会下降也100%可以唤醒胚胎,比较有保障。

✔️等待结果:2 week wait
植入后就必须等待2周,才回医院验血查看HCG指数,50以上就算怀孕。

✔️如果第一次失败是否要从新来过?
如果你还有冷藏胚胎,那么你可以选择做第二次的植入,一般会安排在2个月后。只需要付解冻和植入的费用。
如果没有冷藏胚胎,就需要从新做过疗程。

希望这些质料可以解答到大家的疑问。

如果你希望直接预约去检查,这里也有一张voucher可以免费送给你用。 是可以到Alpha, Kota Damansara 试管中心检查用的,到这里填表格就可以:https://goo.gl/cDKCmP

其他参考文章:
我的IVF试管过程:https://goo.gl/QRqHG5
取卵过程:http://goo.gl/8sDmm6
植入过程:http://goo.gl/nvJyCm
成绩揭晓:http://goo.gl/2pDw7U
试管前调理:http://goo.gl/J0m75L
请认真看待想要怀孕这件事:https://goo.gl/roiZEp
IVF Journey, A Husband’s Perspective : https://goo.gl/GCfseS

#试管婴儿 #Ivfmalaysia #ivf
#ivfjourney2015 #我的试管婴儿日记
#需要检查欢迎Pm我拿voucher

PM我:m.me/ivfjourney2015
Whatapp : https://api.whatsapp.com/send?phone=60172552022

如果你是来自国外或东马的夫妻如果也想了解我做过的试管疗程,可以PM我询问,
我可以教你如何安排行程。




IVF Journey, A Husband’s Perspective

从老公的角度看试管婴儿疗程 当一对夫妻要做试疗程时,做丈夫的应该用什么态度来面对?常常有网友告诉我说,我的老公精子不好,可是他还是不能戒烟戒酒,好不配合。要知道,不孕症不只是女人的责任,男人也是有责任。这篇文章,是以男人的角度出发,里面分享身为丈夫应该如何帮助太太一起度过疗程,文章是英文内容,是奥莉爸爸写的,奥莉爸不会中文。分享给大家😊

IVF Journey, A Husband’s Perspective
Hi all, before reading further I would like to say this is NOT an instruction or tips for IVF and hopefully readers will understand my poorly written English. This is my journey as a father of the IVF baby girl. Why am I sharing all this? It is because my wife had a Facebook page of her IVF journey at https://facebook.com/ivfjourney2015/ and she told me that majorities (not all but most) feedback indicate husband not supportive enough to commit into a journey of IVF. I’m not a true supportive husband either, least I made up my mind to make it happen.

Let’s start with “Why IVF?”
We went for a fertilization test and results with;Husband: Teratospermia (Human language, sperm is weak for fertilization process) Wife: Unexplained infertility (I think this is easy to understand, there is for the confirming reason for this result and we don’t go for further test after it because it will consumes too much time and money) We married and planned to have children late 2011, both our ages were 37 in 2015 because of late marriage. My wife introduced IVF because she does not want to give up and feels regretful in future and so do I. Maybe because I did too many regretful things in the past, now I do not want this happened to my wife. At least I do it better than ignoring it.

Preparation for IVF
Financially, I know it will involve amount of 20k – 30k “Ringgit Malaysia” in the whole process depending on the situation and this is only one chance for me. I don’t have the money for a second attempt because I need to allocate funds for delivery if success. Mentally, I do some studies/research on IVF. The whole journey took 50 days and in one of the process my wife needs to do a self-injection daily. I quickly asked my wife “Daily injection?! Do I need to fetch you to clinic daily to do this?” She answered “No, we need to do this ourselves”. A final question from me going to be “How?!” After we sat down and discuss, we comes into conclusion and I will do the injection for her. This was the most painful and nervous moment I ever experience by poking a needle to my wife’s belly EVERYDAY! Lifestyle, 6 months earlier. My wife told me the NO’s, NO alcohol NO smoking NO midnight wandering NO stress. I said, I will fly up to the skies like butterfly if I able to do all the NO’s. It’s like a mission impossible. How can a man like me not go out to social with friends without alcohol and smoke? The joke was sleeping early! You want me to social with my friends in breakfast or lunch time? At this time, she softly said “I really wants to have a cute baby in future, it looks more like a family. Furthermore, I don’t want to have regretful moments in future”. All these words came out of my love (wife), her words melted in my heart deeply. I told her “Ok, we will go for it BUT you will need to promise me ONE IMPORTANT thing. No matter the process success or not we only have one attempt we need to accept the truth and live happily without regret in future.” she agreed. Commitment, this is not some empty promise. I made a huge commitment to change my lifestyle into zero alcohol, tobacco and lesser stress. If comparing the pain and suffers my wife will take in this journey e.g., injection, medication effects, hormone changes and all the effects from pregnancies to delivery, mine looks more alike small potatoes (looks much more simple). Trust me guys, don't compare it, if you do and more likely you're going loose badly. For the sake of making a better future, I had fulfilled this commitment.

IVF Journey Phase 1 “Unskilled Husband Injection”
Day 1, doctor consults us for Buserelin injection. I need to inject this medication into my wife's belly each day sharp at 8AM. The nurse had guided me side by side to do the first injection.
Day 2, I started my first injection to my wife's belly without anyone guiding beside. Feels a bit nervous because this time I'm doing it all by myself. I try to hum some music to distract my wife's from looking at the needle while injecting but still she is looking at it.
Day 3 - Day 15, sometime the injection hurting and causes bleeding/bruise to her. I need to find a new spot to inject every time and sees her bruise makes my pain in the heart too. My injection skills improved dramatically. She even told me that she doesn't feel pain like the beginning stages.
Day 16, follow up 2nd checkup. Doctor said, everything goes smoothly and added another medication to inject called Gonal-F to take home and start injecting on day 23. This message never surprises me because I've been told earlier, but just that the price to pay for this medication is quite costly.
Day 17 - Day 22, nothing much on these days and we just stick on the plan as usual.

IVF Journey Phase 2 “Stressful Night”
Day 23, Gonal F injections start today. This needle doesn't look same as those earlier, it comes with medication in it and look like a pen.
Day 24 - Day 26, side effects of the Gonal F medications started. My wife is feeling irritation at the injection site, fullness, bloating and tenderness in the lower abdomen due to the increasing size of the ovaries. Her mood changes dramatically as I can tell, but she endures it and tell me she can handle it. Day 27, follow up 3rd checkup. Doctor said wife has eggs total of 12 and is ready for Transvaginal oocyte retrieval "Human language, Egg retrieval" at day 31.
Day 28 - Day 29, final injection of Gonal F. At day 29 night, I inject Ovidrel to wife belly to that causes the growth and release of a mature egg (ovulation) for day 31.
Day 30, resting whole day. Finally, we had a day without injection and worrying about holding any needles. Today we wondering about the egg growth, not knowing will the eggs grow more or still the same amount of 12.
Day 31, egg retrieval. 8 egg success retrieves and I give out my sperm for oocytes selection on the same day. Wife given cyclogest for oval protection after the egg retrieval.

IVF Journey Phase 3 “Hopeful Embryo Culture & Embryo Transfer”
Day 32 - Day 35, rest at home. We had pillow talk every night concerning about the growth of an embryo. We also look at sample growth stages of an embryo from the web to see what the current growth stage is. Day 36, another hopeful and nervous morning. Doctor tells us the result of embryo culture as below; Total Embryo Retrieve: 8 Embryo Qualified for ICSI: 6 Embryo Success until Cleavage Stage (Day 2 – Day 4): 3 Embryo Success until Blastocyst Stage (Day 5): 2 Embryo Qualified / Recommended for Transfer: 1 Both our eyes looked at each other, knowing only 1 Blastocyst Embryo available to transfer and doctor tell the same after it. I really do not know how to express both our feelings into words here, as we expected to have at least 2 Blastocyst out of 8 embryos and only left 1. We both agreed to proceed this only 1 Blastocyst transfer as this is the only choice we had. It's more likely walking on a 100ft tall string with no supports mission, a single error will fail the mission. After the transfer process, wife given a room to rest for few hours. A nurse came and give us adjunctive medications, injections and advice while resting at room.

IVF Journey Phase 4 “The Final Moment of IVF”
Day 37 - Day 49, after the transfer. This period is known as 2WW (2 Weeks Wait) with adjunctive medications, injections and be very careful. I just let her sleep/rest more on the bed, I served her every meal in the room. We're also nervous and curious about pregnancy results on day 44, we tested with cheap pregnancy tester and get got a double line on it and we do have a little hope and joy with this result. On day 47, again we test, but this time with expensive pregnancy tester and the results double line again! We're so hopeful and happy at this moment. We really hope this result is true until the next checkup.
Day 50, final checkup. My wife goes for the hCG test by giving a sample of blood, we waited 2 hours for the results. While waiting, nurse guide us to a room to rest. Wife slept and I sat beside concerned on the hCG test results. 2 hours later, the doctor invited us to look for him. Before doctor speaks, while we are sitting down, my wife's eyes were starring in the hCG results number and she spotted the hCG number is 452. She smiles happily while doctor tells her "You are pregnant and congratulations! Come back after 2 weeks to scan for baby heartbeats. And please go out to the counter and ring the bell!”

Just Sharing My Thoughts
By all means, I’m not bragging about my success. I would like to say if anyone is planning on IVF, teamwork is very important and husband play a very important role to increase the success rate. Sometimes, I do feel like a spectator than a participant myself because I never experience any of the medical exams but this is not true. Every injection I put on her belly, I feel the pain in my heart as bad as she has on the belly. Ok, nothing much to share in this IVF journey and next time I might be sharing another journey as a Father! Here is my little baby girl Facebook page奥莉 Olivia Baby - 梁童心心 https://fb.me/oliviababylove if you wish to see her growth updates.

End.

请认真看待想要怀孕这件事




#关于备孕
夫妻之间如果结婚后开始备孕,一年之内都无法成功怀孕的话,就算属于怀孕障碍,现在都不再称为不孕症了,因为有了试管技术,不孕症就得以治疗。以前我结婚3年后都无法怀孕,我就去看妇科,妇科的做法就是替我照卵子,然后告诉我卵子正在成长中,你多几天再回来照一次。多几天后,我又再去照一次,医生就说你们安排那一天行房吧,就这样,我们看这位妇科看了几个月都是这样,感觉和我用排卵试纸没什么不同,他也不提供方法,感觉很无奈。

#第一次知道有试管疗程这一回事
后来我们都不了了事,没有方法怀孕,唯有每个月继续尝试,也没有再去看妇科了。直到有一次让我在FB看见一篇文章分享关于试管婴儿的疗程,我就觉得很有希望了!我开始上网找资料,找别人分享的日记,方法等等。然后就和老公讨论这个问题,因为试管的费用很高,我们必须好好安排应该如何去计划开始。这一年,我已经37岁了。

#关于Family
我个人是这样想的:我结婚就是为了组织一个家庭,家庭里必须要有小孩才算完整,才能称为Family 。我要当一个妈妈,这个是我一直以来的愿望。既然我们努力了这么久都无法成功,试管疗程也许就是唯一的方法能让我们实现这个愿望。成功的话,我们就一家三口过日子。不成功的话,我们就两口子过下去,但是至少我们认真努力过,没有遗憾。因为我不想我的人生有遗憾。

我告诉老公说,你就让我试试,如果不成功我也甘愿,如果连尝试的机会也不做,以后过了我可以怀孕的年龄,我会开始后悔的。我知道很多姐妹也和我一样,你们也想当妈妈,想有自己的孩子。所以,勇敢去追求吧,不要理会别人的目光,不要理会其他人的闲言闲语,做自己觉得对的事。

#关于值不值得
可能当你告诉老公说,我们去做试管吧!然后你老公会答你说,需要吗?试多几次就会有!二十多千好贵!以后再说!我这里想要分享的是,试多几次,是多少次了,已经几年了还要等吗?以后再说那是什么时候,我已经超过35岁了,要有多少黄金怀孕时期?费用是贵,钱没了可以赚过,生命是无价的!当你看见睡在你怀中的宝宝那一刻,一切都值得了。

#老公的责任
做试管都是老婆在做,那老公的责任是什么?老公的责任可大了,因为主要来源也是老公在提供,所以老公们请好好养身。戒烟戒酒,早睡早起,多吃点健康的食物。可以的话,要学会替你太太打针,这样替她分担,她会比较轻松。不要说你怕,你不会,这是借口。老婆都肯为你生孩子了,她生的那一刻能怕吗?做疗程,夫妻应该同心面对,有共同目标,太太的信心才能提高,成功率会更高。

#夫妻要有共识,不要吵架
做试管的时候,情绪很重要。我们要有很多正能力去面对,把负面都赶走。所以夫妻开始试管前,要达到共识,大家面对面说好要怎样面对这个问题。因为负面的情绪会影响身体,特别是需要每天打针那一环。

最后,希望我写的文章可以帮助你们更了解试管疗程,加油💪

#试管问题可以PM我询问
#PM我拿第一次身体检查voucher
#试管婴儿 #ivf #ivfmalaysia


我的专页: https://www.facebook.com/ivfjourney2015/
PM我:m.me/ivfjourney2015