Went for ultra sound the other day on Wednesday which is D10, I dont know how many follicles there are but from the scan, there are about 3 dominant ones with 2 on one side and 1 on the other. They are about sized 13mm and still not the best ideal size for IUI yet.
The doctor told me she would increase my injectible dose from 75 to 100 for 2 days and I am to go back on Friday for further monitoring on the follicle growth. Well, at least she said the lining growth seems good if i didnt misheard her. If things go well on Friday, she will give me a shot on Sat. No thanks to Sunday of course which means I can only do IUI on Mon instead of the next day after the shot. Seriously, the amount of obstacles I am facing is depressing.
The thing about IUI, you dont really know if there is an egg inside the follicle or if its of viable quality. You will only know if you perform an IVF where they actually can study your egg upclose.
Also, I still dont know if I have a blocked tube or not, so there are so many things hanging over my head.
Realistically, I am not pinning my hope on success on first try. Read too many failures to be optimistic. Not even sure if IUI will still be able to take place this time round either.
Right now, all I can do is eat well, sleep well and pray.
Incidentally, the hormones injectibles seem to make me really tired. I feel like I dont have enough sleep half the time and strangely, I slept better through from morning to the afternoon than nighttime. Wonder if other woman suffer the same side effects. My waistline feels perpetually fat too. It's like water retention that never goes away after the period. Sigh....
Wish me luck tomorrow. Hopefully it will be good news...
Thursday, October 4, 2012
Thursday, September 27, 2012
IUI first Puregon Injections and blood work readings
After seeing my doctor on Tuesday, she suggested to start my IUI injectibles on Thursday, today!
I have always been terrified of needles and the idea of poking myself does not appeal to me. Still, a woman got to do what she has to do.
After a 10mins briefing and demo by the nurse, I gave myself my first jab. Despite not being a fan of needles, ( who is?!) , it wasnt as bad as I thought.
The idea is to know where to jab yourself. Area below the belly button, and half the index finger segment away from the belly button on bother sides are the ideal spot. Learnt something new, when rubbing the antiseptic, go circular motion outwards. That is to wipe the germs away and outwards. Going to and fro apparently only move the germs to and fro. Doesnt help. Lesson Learnt.
I was to do a 75mg Puregon jab each time for 6 days.
Unfortunately for me, there is a consecutive holidays in HK on Monday and Tuesday.
My doctor couldnt do much and so the earliest she can review my progress is Wednesday, longer than she like.
I had rem in July, my nurse had told me the "worst least ideal situation" that can happen is for me to get hit by this Oct holiday in the middle of my IUI. Then she commented "What are the odds right" trying to convince me not to worry. I should have told her, I am THAT unlucky, anything that shouldnt happen to others always seem to find its way towards me.
My blood work result came back, but that was on my version of Day 2 period, not Day 3 the ideal day.
The results came back Estradiol(E2) at 82, FSH 3.5, LH 6.1.
I am still concerned that my E2 reads so high.
Even though the last time it was 96, but that was day 3. This time it is at the start of my period and it still reads over 80.
Wish me luck...
I dont even know the quality of my egg, that is if I have any eggs even to begin with.
I am honestly not hopeful.
Keep my hopes down and the less disappointed I am.
I have always been terrified of needles and the idea of poking myself does not appeal to me. Still, a woman got to do what she has to do.
After a 10mins briefing and demo by the nurse, I gave myself my first jab. Despite not being a fan of needles, ( who is?!) , it wasnt as bad as I thought.
The idea is to know where to jab yourself. Area below the belly button, and half the index finger segment away from the belly button on bother sides are the ideal spot. Learnt something new, when rubbing the antiseptic, go circular motion outwards. That is to wipe the germs away and outwards. Going to and fro apparently only move the germs to and fro. Doesnt help. Lesson Learnt.
I was to do a 75mg Puregon jab each time for 6 days.
Unfortunately for me, there is a consecutive holidays in HK on Monday and Tuesday.
My doctor couldnt do much and so the earliest she can review my progress is Wednesday, longer than she like.
I had rem in July, my nurse had told me the "worst least ideal situation" that can happen is for me to get hit by this Oct holiday in the middle of my IUI. Then she commented "What are the odds right" trying to convince me not to worry. I should have told her, I am THAT unlucky, anything that shouldnt happen to others always seem to find its way towards me.
My blood work result came back, but that was on my version of Day 2 period, not Day 3 the ideal day.
The results came back Estradiol(E2) at 82, FSH 3.5, LH 6.1.
I am still concerned that my E2 reads so high.
Even though the last time it was 96, but that was day 3. This time it is at the start of my period and it still reads over 80.
Wish me luck...
I dont even know the quality of my egg, that is if I have any eggs even to begin with.
I am honestly not hopeful.
Keep my hopes down and the less disappointed I am.
Unsuccessful reaction to Clomid 5mg
July.
Finally my period came and went to start on Clomid at the lowest 50 dose..
I dont know if it was my miscalculation or what but my body didnt react to the dosage.
When I said miscalculation, it meant the way I was counting the period days. Normally, when the bleeding start, I would count it as Day 1. I mean, isnt that so? So I started clomid on Day 2, or my version of Day 2. However, only much later, I realise the nurse at the hospital count it different.
Apparently it makes a difference if my period came in the morn or night. If it came at night which was in my case, the following day is counted as Day 1 and not my layman version of Day 2.
Annoying. Why didnt they tell me that when I was prescribed the medicine?
August
I went back on Day 10-12-15-17 for scan.
No luck.
My blood works report report also came back.
- Estradiol level was at 96 and FSH at 4.2 on day 3 of my period
The doctor seemed okie with it thought further internet research indicated that high level of Estradiol level like mine may be suppressing my FSH level instead of indicating the true ovarian reserve level. Ideally, it should be below 80 on Day 3. Having a high Estradiol means my eggs dont have time to mature while the follicle grows. Have PCOS also contributes to high Estradiol etc. I had a good long read on this topic. It was depressing.
There was only 1-2 follicle and no eggs spotted.
The follicle was at size 10mm or so.
And apparently, only one side of the ovary produced the follicle.
Now, we dont know if I have a block fallopian tube (yet).
Really?!
As if I havent had enough bad news.
There was an option to check for fallopian tube failure but I had to decide if I want to do it next cycle. However, that means I cannot do my drug treatment for IUI. What? Missed another cycle?
So no, I opted for injectibles next and not clomid. I dont think my body will react well to clomid and reading all the internet IUI experience, most women react better to injectibles. I dont have alot of time on hand, so I made the choice. Afterall, if there are still no eggs after injectibles, I will know if I have blocked tubes I supposed. Plus there is a risk of infection for tube inspection so I thought let's skip the risk if we can.
However, before the injectibles, I had to induce my period since the window is too far apart.
It was early mid August when I know Clomid failed. So I had till end of August to wait for my period to come. As expected, it didnt and so I started on Norcolut 5mg meds to jump start.
Sept
Again, it took forever. After a week, my period STILL didnt come. It was already September for heaven sake! I am really racing with the clock and my body is not helping.
Just when I was going to make an appointment to find out what is the hold up, yeah my period came. On the 10th day this Monday, instead of within the week after I stop Norcolut. The injectible treatment cycle begins.
Finally my period came and went to start on Clomid at the lowest 50 dose..
I dont know if it was my miscalculation or what but my body didnt react to the dosage.
When I said miscalculation, it meant the way I was counting the period days. Normally, when the bleeding start, I would count it as Day 1. I mean, isnt that so? So I started clomid on Day 2, or my version of Day 2. However, only much later, I realise the nurse at the hospital count it different.
Apparently it makes a difference if my period came in the morn or night. If it came at night which was in my case, the following day is counted as Day 1 and not my layman version of Day 2.
Annoying. Why didnt they tell me that when I was prescribed the medicine?
August
I went back on Day 10-12-15-17 for scan.
No luck.
My blood works report report also came back.
- Estradiol level was at 96 and FSH at 4.2 on day 3 of my period
The doctor seemed okie with it thought further internet research indicated that high level of Estradiol level like mine may be suppressing my FSH level instead of indicating the true ovarian reserve level. Ideally, it should be below 80 on Day 3. Having a high Estradiol means my eggs dont have time to mature while the follicle grows. Have PCOS also contributes to high Estradiol etc. I had a good long read on this topic. It was depressing.
There was only 1-2 follicle and no eggs spotted.
The follicle was at size 10mm or so.
And apparently, only one side of the ovary produced the follicle.
Now, we dont know if I have a block fallopian tube (yet).
Really?!
As if I havent had enough bad news.
There was an option to check for fallopian tube failure but I had to decide if I want to do it next cycle. However, that means I cannot do my drug treatment for IUI. What? Missed another cycle?
So no, I opted for injectibles next and not clomid. I dont think my body will react well to clomid and reading all the internet IUI experience, most women react better to injectibles. I dont have alot of time on hand, so I made the choice. Afterall, if there are still no eggs after injectibles, I will know if I have blocked tubes I supposed. Plus there is a risk of infection for tube inspection so I thought let's skip the risk if we can.
However, before the injectibles, I had to induce my period since the window is too far apart.
It was early mid August when I know Clomid failed. So I had till end of August to wait for my period to come. As expected, it didnt and so I started on Norcolut 5mg meds to jump start.
Sept
Again, it took forever. After a week, my period STILL didnt come. It was already September for heaven sake! I am really racing with the clock and my body is not helping.
Just when I was going to make an appointment to find out what is the hold up, yeah my period came. On the 10th day this Monday, instead of within the week after I stop Norcolut. The injectible treatment cycle begins.
Wednesday, April 18, 2012
CIN 2 verdict
Started this blog because it's something I really dont want to talk about it to or with anyone but I dont like to pent things up inside either.
The whole thing started with a pap smear, or rather an abnormal one.
Great, or not so great. I was given a CIN 2 verdict.
2 spots with distinct lines at 1 and 3 o'clock.
At age 37, married without kids, its a tough call.
Do I go or not go for the LEEP op?
I read. Read alot about CIN 2 and the options out there.
I read about some reports on deteriotion rate etc, the risks and complications of the op etc.
I never thought about having kids before.
I was actually more for pro-adoption.
My husband mooted the idea of having a kid when I was 34. We didnt really try very hard but the idea was there.
Nothing happened and so finally shy of my 37 birthday, I went to check a OBG doctor for my irregular period consultation. Normally, my interval are like 2-3months apart but recently, my period was irregular and alternate abnormal cycle of spotting instead of bleeding. Not good.
That was when I discovered I had yeast infection and received my CIN 2 report in March this year. That really complicated things.
What annoyed me was that for a few years since 10years ago, I went to see GP about my missed period issue and NO ONE picked up anything abnormal like yeast infection or advise me for a scan etc. They just pat me on my shoulder say its ok and sent me home. How can GP missed my yeast infection is amazing. No one has ever told me I am not supposed to have white discharge all the time. I probably have yeast infection for the last 10 years or so since I have never been able to afford not wear a panty liner for the past years! How could all those different GP missed that during pap smear etc? fucking hell.
So imagine my frustration to know that from the scan, I am also have PCOS - Polycystic Ovarian Syndrome that attributed to my irregular symptom. I want to scream. I read that only 5-10% of the women will get it. It was a smaller chance than people getting fibroid. Why do I always seem to draw the short end for the stick?
Why did it take 10 years too? Why GP doctors couldnt be bothered to do a scan everytime I complain about too wide interval between my period. If someone had told me, I would have had more time to try other options like accupunture etc or change my diet etc. So now, all I get is one bad news after another even though they are not directly related to each other.
It took me some time to think but i decided to postpone the LEEP op for now.
Reasons are simple. Doing LEEP does not promised the complete elimination of the HPV virus.
They can return and each time they amuputate your cervix, it gets shorter and shorter and if I am trying for a baby, it will affect carrying the baby to full term with miscarriage risk. Of course there are reports that stitching will reduce that risk but I really dont want to. Plus some says the scarring tissue from LEEP will possibly affect as well.
While doctors often tell patients that for CIN2, the chance of getting worse is 40%, they dont tell you 30% chance of it staying the same and 30% of improving. So I told my doctor, since I only have 2 more years of window period before I can try for a baby, I will put it off till I try my IUI treatment and see how it goes.
It's a risk but its a risk I prefer to take then just getting myself all cut up without giving it a fair shot. After all, there is no guarantee that it wont get worse, so maybe it is better not to shake the boat for now and just opt for coloscopy to observe that it is not worsening. Cross fingers.
The whole thing started with a pap smear, or rather an abnormal one.
Great, or not so great. I was given a CIN 2 verdict.
2 spots with distinct lines at 1 and 3 o'clock.
At age 37, married without kids, its a tough call.
Do I go or not go for the LEEP op?
I read. Read alot about CIN 2 and the options out there.
I read about some reports on deteriotion rate etc, the risks and complications of the op etc.
I never thought about having kids before.
I was actually more for pro-adoption.
My husband mooted the idea of having a kid when I was 34. We didnt really try very hard but the idea was there.
Nothing happened and so finally shy of my 37 birthday, I went to check a OBG doctor for my irregular period consultation. Normally, my interval are like 2-3months apart but recently, my period was irregular and alternate abnormal cycle of spotting instead of bleeding. Not good.
That was when I discovered I had yeast infection and received my CIN 2 report in March this year. That really complicated things.
What annoyed me was that for a few years since 10years ago, I went to see GP about my missed period issue and NO ONE picked up anything abnormal like yeast infection or advise me for a scan etc. They just pat me on my shoulder say its ok and sent me home. How can GP missed my yeast infection is amazing. No one has ever told me I am not supposed to have white discharge all the time. I probably have yeast infection for the last 10 years or so since I have never been able to afford not wear a panty liner for the past years! How could all those different GP missed that during pap smear etc? fucking hell.
So imagine my frustration to know that from the scan, I am also have PCOS - Polycystic Ovarian Syndrome that attributed to my irregular symptom. I want to scream. I read that only 5-10% of the women will get it. It was a smaller chance than people getting fibroid. Why do I always seem to draw the short end for the stick?
Why did it take 10 years too? Why GP doctors couldnt be bothered to do a scan everytime I complain about too wide interval between my period. If someone had told me, I would have had more time to try other options like accupunture etc or change my diet etc. So now, all I get is one bad news after another even though they are not directly related to each other.
It took me some time to think but i decided to postpone the LEEP op for now.
Reasons are simple. Doing LEEP does not promised the complete elimination of the HPV virus.
They can return and each time they amuputate your cervix, it gets shorter and shorter and if I am trying for a baby, it will affect carrying the baby to full term with miscarriage risk. Of course there are reports that stitching will reduce that risk but I really dont want to. Plus some says the scarring tissue from LEEP will possibly affect as well.
While doctors often tell patients that for CIN2, the chance of getting worse is 40%, they dont tell you 30% chance of it staying the same and 30% of improving. So I told my doctor, since I only have 2 more years of window period before I can try for a baby, I will put it off till I try my IUI treatment and see how it goes.
It's a risk but its a risk I prefer to take then just getting myself all cut up without giving it a fair shot. After all, there is no guarantee that it wont get worse, so maybe it is better not to shake the boat for now and just opt for coloscopy to observe that it is not worsening. Cross fingers.
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