My ivf Journey

醫院會不會搞錯精子?

要不要驗PGS?


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


2015年8月23日星期日

产检记录2015

这篇是记录我的产检,我的预产期是3月20日,不过医生说可能会提早2周出世哦,期待宝宝健康成长平安出世,感谢主赐我一个新生命,让我能够拥有完整的FAMILY,AMEN. 

第一次产检 6周
中午到医院,护士给我小罐子说要验尿,这是验血糖的,以后每次产检都需要验。然后替我量体重和血压。医生替我做阴超,第一次看见自己的宝宝,很小,胎心像白米一样闪下闪下,老公说像星星🌟。医生这次开了obimin 和calcium 给我,cyclogest 还需要塞到9月。这次我没有在医院买cyclogest 了,因为在外面的药房买到便宜的。医院一盒15颗卖rm255,我外面买到rm169.60 省很多。下一次产检是下个月了。


第二次产检 9周
今天终于照到宝宝的第一张照片了,照的时候她还动动下,很可爱。医生说多3个星期就是怀孕3个月,到时我可以做一个抽血检查DS,大概要花620,叫我们考虑要不要做。我想我会决定要做,早知道早准备也比较好,虽然有些网友建议我不要做,问我做了结果不理想是不是不要宝宝,我的回答是当然不会,但是必须早知道宝宝的健康,如果有什么不理想的结果,我们也要早学会如何去抚养宝宝,不是吗? 觉得不用做因为怕知道结果?那会不会有点逃避现实了?宝宝出世那天如果有事,心情不是更加接受不了吗? 

9 周

第三次产检 13周
今天已经可以看见宝宝很活跃的玩着了,一会儿摸摸脸颊,一会儿玩玩双脚,可爱极了。觉得宝宝的额头很高,完全遗传了老公的基因。今天也做了抽血检验唐氏综合症的风险。


第4次产检  16周
今天产检,医生给我们上次的验血报告,宝宝的唐氏综合症的风险评估属于最低的,就是一切正常,无需担心咯,宝宝真棒!今天看她呆呆的坐在里面,好可爱! 由于宝宝一直交叉脚坐着,没办法看见性别!哎。。。。


第5次产检 20周
今天产检,医生替我做了一个detail scan,这个scan需要10分钟的时间,医生会每个器官去scan,检查正常与否。首先是脑补,胃部,膀胱,心脏等等,宝宝一切正常。今天终于找到她是女宝宝了,耶!我们一开始就把她当成女的,终于如愿了,感谢主!









2015年7月15日星期三

植入后的验孕棒

相信大家都会很心急,植入后多少天可以测试验孕棒,我也不例外。

就在第14天的时候,已经很多朋友来问我,有偷偷测吗?

我都说没有,因为我自己也不是很确定,还没到验血的成绩,还是不要先说比较好。

但是我还是很能忍的,因为一直得到很多反应告诉我,我好像怀孕了,

比如腰很酸,小腹疼,特别累等等。

就在植入后的第九天,我测试了第一根验孕棒,不到一分钟就看到两条线了,

我赶紧拿给老公看,说,你看到吗?有多少条线,是两条吗!

太兴奋了!但是老公说有点浅哦,我说刚怀上是比较浅的。

然后我们都很开心,过了几天,我又忍不在想再买验孕棒来测,看看有没有加深,

因为那天测试的时候,是打针后的第三天,我怕是因为针药还没代谢完所以出现两条线,

这次我买了Guardian 牌子的验孕棒(奉劝大家别买)第十一天,我回家一测,

那条线浅到快消失了,心里沉了一下,但是想到至少不是没线就好。

结果等多两天,第十四天,就是打针后的第四天,心想打针的药已经被代谢完了,

所以验出来的结果应该准确,我再测,还是guardian牌子的,因为一盒有两支,

但还是出现很浅的线,理应会越测越深,为什么我会越测越浅呢,

心里有担心,可能不同牌子,敏感度不一样。都怪我孤寒,不肯买贵一点的clear blue来用。

这次我决定要买一支clear blue来用,二十七块多,同一天,我午餐后就去测,

终于看到满意的深线了,这些安心了。


一直到了第15天回去验血,我的HCG是452,医生说我怀孕了!耶,终于成功了!

成绩揭晓

今天是植入后第15天,也是我回医院验血的日子。

8点抵达,护士就帮我抽血,报告需要等到12点才有。

因为我还是需要塞药的,护士就说可以准备一间房间让我塞药休息。

我们就上3楼的房间休息罗,老公看电视,我还真的睡了2小时,

而且还睡得很熟,很舒服,我跟老公说好好睡噢,

他却问我你要不要买一张医院床放在家里睡,我说去你的啦!讨厌噢!

我们休息到11点后,就下回2楼等待了,然后护士说报告提早回来了,很快就可以见医生了。

我的心又快速的跳,每次紧张就会这样。

叫都我的名字的时候,我带着跳跃的心走进房间,

医生手上拿着我的报告,我眼睛快速的扫描整张报告找HCG指数。


医生那时候还在跟我解释指数如果低于50的话就不成功,
我一看到指数452,哇,开心了!接着医生说,你怀孕了,恭喜你!

耶!我们终于成功了!我要当妈妈了!

医生叫我们2个星期后回来照心跳,耶!
但是我还是需要继续塞药直到怀孕3个月,
现在已经算一个月了。

然后又对我们说,这里有一个传统,就是怀孕的人要把钟敲响噢!就在外面,你们去敲一敲!

我们终于有机会敲响钟声了,太开心!

现在的心情,是需要唱首小苹果来形容的心情!

我种下一颗种子,
终于长出了果实,
今天是个伟大日子!
摘下星星送给你,
摘下月亮送给你,
让太阳每天为你升气,
点燃蜡烛燃烧自己只为照亮你,
把我一切都献给你只要你欢喜,
你让我的每个明天变得有意义,
生命虽短爱你永远不离不弃。
你是我的小呀小苹果,
怎么爱你都不嫌多,
红红的小脸儿温暖我心窝,
照亮我生命的火,火火火火火!

是不是很贴切的歌词啊!

最后祝福正在努力的姐妹们加油罗!下一个轮到你了!



2015年7月3日星期五

植入篇 @ Alpha Fertility Centre

移植过程

今天到医院时,护士就替我打一支油针,说是让子宫放松的,
然后见到医生的时候,心跳很快,很紧张听他说我会有多少颗成功的囊胚。

医生说我一共取到8颗卵,然后6颗能用的做icsi, 然后只有3颗结合成功,
一直养到第3天的胚胎,然后有一颗停止了,剩下2颗发育到今天成了囊胚,
囊胚是比胚胎拥有更多细胞的,他形容就好像葡萄。
网上搜寻了一下,囊胚是拥有100 到 200 细胞的胚胎耶!
他们分别是第1级和第5级,最后第5级那一颗也停止发育了,
所以最后我剩下这一颗第1级的可以植入。
听见的时候我有一点失望,因为没有可以冷冻的囊胚。
不过至少我还有机会植入这一颗,医生说她是最好的一颗,
也是我最珍贵的宝贝。她一定会像我一样坚强的,因为她那么努力成为了第一级的囊胚。

然后医生为我照肚子,发现我的bladder还是很empty, 叫我立刻喝2杯水,
没多久我就感觉要尿尿了,而且很满。护士就带我去换衣服,然后和上次那样,
去吹air shower. 之后进到一间房间,这次的床和取卵那次不一样的,


一样把双脚踏在夹板上,然后护士用一个撑开阴道的铁架放进阴道中,
将阴道撑开,会有点不舒服,然后因为尿急的原因,感觉更加不舒服。
然后护士替我清洗阴道,另外一个护士帮我照肚子,然后医生来了,
房间的灯是熄掉的,因为植入都需要在阴暗中进行,
有一位护士站在医生后面拿着小电筒照着阴道,医生把一条喉伸进去我的内膜,
然后囊胚这时候才被送进来,医生立刻就移植进去,数了3下就移植完毕了。
然后医生替我塞了一颗cyclogest. 移植后最辛苦的就是忍尿,
护士说一会拿一个尿盆让我躺在这边解决,可是等了很久,我已经忍到开始有点痛了,
过不久护士就拿盆给我解放了,瞬间获救的感觉。
多一会护士就推一张床进来让我躺上,再把我推进房间休息。
我可以休息2个小时才离开。



过一会护士进来教我们打一种新的药,这个药是让宝宝在子宫里面沾稳一些的功效。
这个药很特别,一盒有2支玻璃瓶,一瓶是液体,一瓶是粉状的。
必须打开水状的那瓶,用针筒抽完出来,再注射到粉状的那一瓶里,
它就会立刻融化,然后就抽取0.40ml 打进肚皮里,每3天打一次。
然后就继续没有塞2次cyclogest 药直到15号验血那天。

护士还吩咐说这2个星期要很小心,不要被人撞到,坐车bumber 要慢慢过,
不用拿重的东西,不用抹地,可以走走不要太久,咖啡茶别喝,别太辛苦,
总之就休息休息。

好吧,那么这段时间我就好好休息了,不要再问我取8颗为什么剩1颗的问题。
年纪大了,卵子下降我也没办法。总之我还是很期待这个宝宝的,
谢谢一直关注我的朋友,谢谢你们的祝福。

老公很贴心,离开的时候一直让我慢慢小步小步的走,怕宝宝掉出来,哈哈😄
现在我会好好休息,大家的留言我往后再回复啊,谢谢。