I was told to check in the hospital in the early morning at 10 for collecting my eggs. It was just a one-day operation,so no hospitalization was required.
Although it was rather a small surgery, a full-body anesthesia was needed. It was my second time in the operation room since last August. I wasn't nervous at all.
Report to the counter, filled in the forms they requested, put on the surgical outfit, waiting patiently at the waiting area with my mom and husband.
Before I went in, one patient was pushed out to the recovery area, a doctor was talking to her husband, annoucing the bad news of egg-collecting.
We didn't mean to overhear, but somehow, we couldn't help ourselves paying attention to what the doctor said. The doctor of that patient was unable to collect any eggs from her, even though the ultrasound showed a postive result before the surgery.
I was the 4th. When my name was called, I walked quickly to counter. The nurse there asked me to lie down on one bed and take off my glasses.
They pushed me into the room where another 3 were waiting for me, settled everything for me.
In order to relax my mood, they even asked me if I would like to listen to some music. I didn't mind, they laughed and said; " Certainly you won't know when you are under anesthesai."
Stuck the pads on me for EKG! Poked the needle on my hand for anesthesia.
This was the worst part. Didn't know what happened to that nurse, she couldn't push it through my vein and did it a second time. What's worse, she failed the 2nd time as well and there went the 3rd time.
I didn't know if they had realized how big and thick the needle was. They did say sorry and let another nurse did the 3rd time.
I passed out~~~When I came to, the first question I asked was " How many eggs did they collect?"
22 / 22 eggs.
I went home the same day, tired and weak. It hurt more the first time.
Feb 4th, 2010
10 in the morning, I called the reproductive center again for the result.
Out of 22 eggs, 18 were fertilized. They said, 15 fertilized eggs were to be frozen for the future.
I needed to report to the hospital again for embryo transfer on 6th.
Feb 6th, 2010
With my still swollen belly, felt like I was hit by a car on my belly. The soreness was all over at my abdomen left a great dragging feeling.
Over 10 patients were getting their tranfers the same day. I was waiting for my doctor with my husband quietly among the couples.
My appointment was 11, we reported there at 9: 40.
At 11: 25, the procedure was finished. It took less than 10 minutes, while I lied in the bed for transfer, I heard my doctor discuss my situation with another physician in the center. He was afraid I would have OHSS and thought only 1 embryo should have been planted.
He had already discussed that with me on 3rd. I didn't disagree because he was the professional.
Although there isn't any strong evidence showing that staying in bed will increase the embryo placement, they still let us stay in bed for 90 minutes before we go.
Later that day, we filled our mind with fantacy.
Feb 7th, 2010
The heaviness at the lower belly continued~ So bloated.
Instead of lying in bed all day, we went to department store for dinner.
I didn't know if I was doing the right thing, but since many websites had said that it would have increased a higher pregnancy rate. I thought, perhaps a better blood circulation may have been helpful for embryo placement.
From many forum I went to, the experienced ones still said, a few days in bed was needed.
Feb 8th, 2010
I slept a lot since the transfer and on 8th; when I woke up, somehow, I felt light
No water retention, no heaviness, still sore on the sides. Body weight---light.
I was thinking if........... but then I cut the thought off.
Feb 12th, 2010
6 days after the transfer, the first follow-up blood test. For what kind of hormone test, I had absolutely no idea. Only know that it was about medicine adjustment.
I called back at 6 pm as usual. They said, the report showed 'okay.' Just continued the dose I was taking.
Early that morning, the nurse in the center asked if I had felt bloated. I said; only at the first 2 days.
I knew what she meant of course. I had checked many websites during that 6 days.
Some successful cases said that if felt bloated at the second week before running the pregnancy test, usually, the bloated one shown a better sucessful rate.
I had all my heart hoping that I would feel bloated again soon.
Feb 13th, 2010
It was Chinese New Year's Eve.
This year, I went back to my parents for new year because it seemed better for me this way. Otherwise, I would have had to help my in-law's catering business during new year.
That is the routine in my husband's family.
Doing a catering business is when others want to save their trouble in the kitechen, they know they have us to let them bring home the cooked dishes.
So, usually, working working working is how my husband's family have for new year.
Even at home with my own parents, I couldn't stop the uneasiness of the next 7 days.
Feb 19th, 2010
Got up early and drove to the hospital. It was our first time doing it, usually we take train and MRT.
It's the day to find out the answer. I didn't have much confidence!
One-- only one was planted.
Two--the success rate of one embryo transfer is 20-30%
The nurse asked again if I felt bloated. "yes!" I said.
But could that be a postive sign, I didn't know.
There are sure to be someone else who didn't feel anything but conceived successfully, right?
I tried to ask them about my other 15 fronzen embryo and how I should start my next transfer.
They didn't feel like answering it and asked if I had had the pregnancy test at home.
I replied; I just wanted to prepare in advance.
6:00 in the evening.
picked up the phone and dialed the number, tell the doctor who I was. AND~~~~~
It came out "NEGATIVE!"
I should make an appointment with my doctor consulting the next transfer.
Even though, we had prepared ourselves this; knowing the chance was low. We couldn't resist the upsetting feelings washed over us.
We didn't talk much and Angus avoided the result by hitting the hays.
I felt so lost myself.
I tried to think why? Why?
Was it that I didn't stay in bed for a week? Or was it because I walked my dog?
They did warn us not to lift something heavy. But how about walking a hyper dog?
Could it be that I drank tea? They didn't mention anything about tea or coffee?
National Taiwan University Hospital is one of the biggest hospitals in Taiwan. This is the hospital I go since I was a child. I have a big pile of medical record there and I trust it with all the best doctors in Taiwan.
With all the well-skilled doctors and high medical tech. Its reproductive center didn't have a booklet or guildline for patients who undergo IVF what they should follow after the embryo transfer!!!
They didn't provide the rate for the blood test. No explanation either!
I didn't even know how good or how bad my eggs were.
Many private reproductive clinics level the eggs into ABC or 123 quality.
They will also remind their patients of what to do and what not to do, what to eat and what should be more careful.
They tell their patients the numbers of different hormone rates.
I thought knowing those hormone rate didn't mean much to me because I am not an expert at this. knowing those will only cause worry and trouble to me.
But, at least, they should tell us what we should be more careful with? Such as: tea or not tea?
I read a lot opinions and questions from different forums. Many others like me mentioned that--
no alcohol and caffeine are allowed.
Stay in bed is needed.
No bathtub bath, no sauna or hotspring.
I broke some from the above. Was it why I didn't conceive?
Then, I thought of my Hydrosalpinges !!!!
My doc did mention it that it wasn't all impossible for hydrosalpinges to conceive successfully!
That was why I stepped right into IVF.
I thought if I could have conceived without having my tube burn off, why not giving it a try and perhaps I would have been lucky, who knew?
I guess not!
I surfed the net all night looking for the article regarding the connection between IVF and hydrosalpinges.
Most of them said: "the rate to carry a newborn with 1 embryo transfer is 20-30%, but with bilateral hydro, the rate of success is 20-30% times 0.7-0.8.
So it is 14-24%
1. have my tubes cut off
2. try again with my frozen embryos
I still managed to see her every 2 weeks, being patient in taking the bitter Chinese medicine 3 times a day. In the meantime, having constant aruguements with my husband about his smoking habit. Always in mood swings for TO DO or NOT TO DO? Never stopped wondering why I should be the one to sacrifice so much while he still thought quitting his habit wouldn't have helped much.
Sometimes he would lose it and said; it was me who had the problem. F**K him!! ( I could have chosen not to do it. But I did because I thought we were one and being one meant he should have put some efforts too, right? Besides, he knew before we got married that I couldn't be pregnant easily)
Anyhow, I quit going to Chinese doctor after a couple times, though she was pretty confident in unblocking my tubes, which I wasn't so convinced of. How can my hydrosalpinx situation be unwided, scientifically speaking!!
So, by the time I quit, it was getting nearer to my winter vacation and there went again my journey of hospital visits.
Dec. 13th, 2009
My cycle began, I knew it's time to make an appointment again to set into the IVF procedure.
So, I made an appointment in a close by hospital in Taoyuan, anticipating a possible chance of getting IVF near home. Otherwise, I would have to travel regularly to and fro to Taipei. (It takes about a hour one way)
Dec. 15th, 2009
Doc. Chiang, a super popular doc in Taoyuan for those mommy-to-be or wanted-to-be. He took a few second flipping through the med record I brought, suggesting me underwent aother surgery for re-confirmation. He also adviced for unblocking my tubes to see if that would have worked.
After walking out of the consulting room, I told my hubby I would go to Taipei to see Dr. Yang again. I just couldn't trust a doc whom I couln't discuss with.
Dec. 23th, 2009
In National Taiwan University Hospital again! Apparently I missed my Dec. chance for IVF.
The whole process should be started by the time my BBT curve goes higher, it means when my temperature goes into higher period, that is time I can start getting medication.
I didn't know that, so, by the time I saw Dr. Yang, I had to wait for 2 more weeks for the right timing.
I talked to him about my hydrosalpinx again, consulting whether getting another surgery to cut the tubes off is necessary. He said, it's hard to say if that would affect IVF. If the situation did affect the embryo after transfered, then I should re-consider removing them.
I spent nearly 30,000NT for the medication and brought them home waiting for the right timing to start. Also, right after seeing the doc., I went to a 3-hour training course for all IVF patients.
Jan. 4th, 2010
Maybe it was me feeling stressed or something, I didn't get higher temperature as I supposed to.
The curve was still at the lower end. So, I visited doc again.
I was told to wait a few more days for the upper end. Then I could go ahead for the nasal spray on the 7th day.
Jan. 6th 2010
My second year Wedding Anniversary. The way to celebrate it was to receive HIV and Syphilis tests. We didn't realize it was our wedding anniversary after we took the tests.
In the training course, it mentioned that in Taiwan, our government has strict laws for those couples who need IVF. We need to hand in the report to show we are STD free.
In the process, I will have my blood drawn on the 2nd day of my period, for both my hormone level and STD. My husband's too, of course.
But then it will take a whole week to find out the result. What should I have my mood pending for this while I had my whole mind thinking for the IVF.
So, we decided to find a clinic to have the test.
Certainly, the result came out the next day saying we were both STD free.
Jan 10th, 2010
Buserelin nasal spray, some kind of alternative treatment for hormone injection. It is a much easier method to inhale the hormone rather than putting a needle in tummy.
4 times a day on both sides , 4-6 hours in between. It should be applied when you are told to stop.
Jan 19th, 2010
Spotting began, calling the reproductive medical center for the next day test.
Jan 20th, 2010
Got up early in the morning, took a 45-minute train to Taipei main station, got on the subway. Reported to the reproductive center on 9th floor. Handed in the STD report, ID, ID copies.
They had to make sure we were married to each other. Filled in some forms. Reported again to the blood-drawing center.
Beared in mind that I needed to call at 6 pm for the next step.
Cut down the dose on Supremom. From now, 4 times a day, one side at a time.
225IU Gonal-F injection should be applied every day at 8 pm, started on 21st.
( Why 8 pm? At the training, they said, giving us a certain time to follow cuts down the worries for some women to feel distraught on when to do what)
Jan 21st, 2010
Angus promised to be home as earlier as he could manage to help me with my injection. I knew it was quite impossible because of the traffic. I was mentally prepared to do it myself if he couldn't have made it
At 8:00 pm
he called and said he would be late and asked if it would have been much different if I performed it later. I guess not. I said: " I'll wait!"
At 8:30 pm
He walked in to see I had prepared the needle pen and all. He wanted to help, but I said no.
Because he couldn't be with me every night at 8. I said I would do it myself with him watching.
I checked the label for 225 IU, hooked up the needle, open the alcohol swap and sterilize the part under my naval button. Pull the safety click.
Took a deep breath, punch in the needle. click the needle pen....one, two, three, four. wait for 10 seconds, pull it up.
Some blood gush out of the hole. I screamed~~~ pressed it hard with another alcohol swap.
I DIDN'T cry!! Felt released to do it though.
(I was too nervous, so accidently rubbed it and left bruise)
Jan 21st--Jan 24th, 2010 / Thursday-Sunday
Gonal-F shots for 4 days
Supremom, 4 times a day
Needed to return to hospital on Monday
Jan 25th--26th, 2010 / Monday-Tuesday
Ultrasound + Blood test ( I had many follicles)
Continued 225 IU for Gonal-F / Supremom
Report to the hospital on Wednesday
Jan 27th--28th, 2010 / Wednesday-Thursday
Ultrasound + Blood test ( My doc thought my follicles were growing too slow. I asked why? Had it to do with caffeine. I drink tea a lot. He said No. It was because of the numbers of follicles I had)
Gonal-F as usual, stopped Supremom
Returned on Friday
Jan 29th, 2010 / Friday
Ultrasound + blood test (still too small, so they added another kind of injection)
Gonal-F 225 IU
Luveris 75 IU.
Jan 30th-31st ,2010 / Saturday-Sunday
Received my forth ultrasound this week. My vein was poked for blood test the 4th time within 7 days.
Feb 1st, 2010
Many of follicles had reached the standard sizes. I was told to check in on Wednesday for collecting eggs.
In order to get the best result, the Septoplasty is normally done a few days after the menstrual period. Right after the surgery, the doctor will place an balloon inside the uterus to prevent the tissue scars. 3 days later, the first time follow-up visit is needed, doc will remove the balloon and after another 7 days, it comes the better time to remove any scarring occured. Usually one follow-up visist for the scarring removing is neccessary. Then, the last follow-up visit needs to be waited until the next cycle ends. This is the whole process !!
Mine goes a bit longer then normally expected!!It's because I have been having irregular period since the beginning of 2009. I didn't know when my flow would arrive in August. This shouldn't have been an problem, since the new semester in college won't started until the mid Sep. I knew, I had plenty of time to recover myself.The thing is, in Taiwan, we have ghost month every lunar July. It was coming near while I was waiting for my irregular period to pay its visit. Our traditional taboo is avoiding making any big decisions relates to life matters in lunar July, the ghost month. Nothing is auspiciou in this month!! My mom was worried sick, of course!! But my situation left me no ability to do anything about it. It kept me waiting until Aug. 7th. I couldn' t see the doc. until the 10th and the doctor didn't want me to miss the best timing, he fitted me into a 3-day hospitalization program, started on 13th.There weren't so many things to do on the first day.
I was told to check in the hospital in the early morning for blood test, urine test, X-ray, EKG first. Then, I needed to report to the Inpatient Admission. The nurse who was in charged, took my blood pressure to make sure I wasn't too nervous about the surgery the next day and asked me to fill out different forms which asked pretty much the same questions over and over. She keyed in my medical history into her laptop to build up the data, then dutifully, she remined me of a prepare-patient-before-and-after-surgery course at 2 pm that same day.It was my first surgery in my life time. I was pretty struggled before it, but after some researches, online discussions. I had prepared myself well enough to face it and when the time I was in the hospital, nothing seemed to be too big a deal.My husband took 2 days off to show his support. Thanks to his playful personality, we were chatting merrily for something else, relaxed ourselves sitting on the adjustable bed, reading magazines, eating snacks.The resident and my atteding doctors paied me visit later in the evening. The atteding prepared me by placing "Laminaria" on my cervix. I felt sored and bit painful all night once it was placed. That's normal, they said. The resident scared me by putting a soft needle on my hand for tomorrow!! It was awful because I could feel the needle went ups and downs under my thin skin.
That were all for the first day. I wasn't supposed to eat anything or drink anything after midnight and I think, that was the biggest torture in the whole experience. On 14th, they had arranged to have 65-67 operations and I was the last 2 or 3. It means that I had to wait until noon to get the surgery. I was starved for 12 hours before the surgery. When it was finally my turn, the nurse wheeled me down to the room. My husband started getting panic, so instead of saying something comfort to me, he said; "good-bye hon" before I was wheeled in.
In that metallic, cold surgery room, I realized having deep myopia wasn't totally a bad thing. When I couldn't see clear in the room, I wasn't so nervous. They hooked up those medical equips on me. Just under a few second, Boom, I was under anesthesia.
When I finally came to, it was already 4:00 pm in the afternoon. I thought, the procedure took only 30 minutes, plus the time in the recovery room. Perhaps it would have taken only 2 hours or so.
So, the time I got back my hearing in the recovery room, listening to the nurses talking their plans after their shifts, I was surprised to hear it was 4 and wondered: "What! Already 4? What took it so long? What happened to me?"
Around 4:30 or so, I opened up and wanted to drink water so much. There went my next 12 hours throwing-up. I was suffered in the serious side-effect of the anesthesia. I had thrown up everything I tried to swallow. Juice, pudding, water, porridge.
The good thing about everything was, I didn't feel much pain afterward. It wasn't like a bad period or feeling the cut wound or anything. Just mild bloated.
The hardest thing was to hold on to that balloon inside me. Because there was a bag, collecting blood attached to it. So, the bag was dangling outside. I had to be very careful when I moved to avoid yanking the balloon out. The doc said, it was crucial that the balloon stayed in for 3 days to prevent the scarring. Otherwise, I might get a second surgery.
I checked out the hospital on 15th and went back to my parents'. The most difficult 3 days started. I was either lying on the bed or sofa, carrying the bag carefully, thinking about 3 days.
All I needed to watch out was only 3 days. First day passed, second day passed, BOOM~~~
On the 3rd day, when the follow-up visit was just 12 hours away. The thing came off!!
I was screaming in the bathroom! Thinking all my hard work, every step I had patiently followed and thing just slipped out.
It wasn't balloon-like at all. It was more like a marble. I thought the balloon shrank or something. I called the nurse for help and she got me the on-duty doc. She told me not to worry about it and I should wrap it up and bring it to my attending doc the next morning.
Well... that was unnecessary!! My attending just said:" It always slips out easily!" At least, I tried to hold it in for 2 days and half. That was enough.
I recovered well so far after 2 times follow-ups. When I returned for the 1st follow-ups. The doctor told me the reason why I was under the surgery longer.
My septum wasn't only longer, which extended to the upper end of my vagina But the doc already knew that when I received the 3-D ultrasound. When he excercised the operation, he found out it was thicker than the cases he had before.
So, when he thought he could had done it within 30 minutes, instead, he spent 1 and half hours to remove it.
I am thankful for his carefulness!! I didn't have the terrible scarring in me, so when I returned for the 2nd follow-up. I didn't have to bleed again, nothing was necessary to be removed.
The 1st diffculty conquered~~~~~~~~hurray~~~~
There are still problems to solve from my Hydrosalpinx. IVF to come~~
I think, everything will be all right! Seeing many who share the same situations out there, knowing that already many of you have succeeded in MOMMY-HOOD.
I am sure, I will soon be a mom TOO~~~Go Girls.~~~~Nothing is impossible!!!
P.S The only benefit I get is, now I don't feel thing get inbetween when I put in the tampon.
The chronicle order of different checkups--
2009. 6. 30
Although I was pretty aware of the problem I had, I still thought it would be better to seek a second opinion somewhere else besides National Taiwan University Hospital. Afterall, my first diagnose was several years ago. They didn't care that much to confirm which anomaly I was back then. They said, I wasn't married and the anomaly I had couldn't promise the infertility. Second, I thought it was too troublesome to go to Taipei for the checkup anyway. Commuting back and forth costs a great deal of time. I didn't want that either! Therefore, I sought a well-known doctor in Taoyuan and paid him a visit.
I went through every checkup I had again back in Taipei. Blood test, Trans-vaginal ultrasound. I had to tell the physician that I already knew my anomaly. She held a doubt, but rechecked again to confirm the 2 cavaties. At this time, I still didn't know why it was so hard for them to find out that I had 2 cavaties in my uterus.
Doctor Chiang confirmed my anomaly, but suggested that I went back to National Taiwan University Hospital (NTUH) for a surgery called, Metroplasty. He gave me a name and claimed the one to be his schoolmate back in med school. He performed this sort of cases.
So, there I was. Destined to be in NTUH for my journey of mommyhood~~~
2009. 7. 3 Trans-vaginal ultrasound
Doctor Yang in NTUH reviewed the history of my med record and arranged the HSG (Hysterosalpingogram) on July 6th, 2009.
2009. 7. 6 HSG
This test was unlike the ultrasound which gives only a slightly sore! The horrible HSG is more like a small invasive surgery which needs the patient to lie on an examining plateform where a physician will open your vagina with a speculum and insert a long long plastic tube inside you. Then it comes the scary part; in order to secure the tube, the physician has to pin two clips on two side of your birth tunnel. The worst step is the contrast dye, it needs to be injected, so the dye can go through your fallopian tubes and they will take pictures asking you to lie on your sides. If you were with problems, then you might feel pain or soreness inside you. Some who might be allergic to contrast dye would end up vomiting or feel dizzy.
It was by far the most painful exam I have ever had. I didn't have allergic reaction over the dye, but I felt so much pain on my ovaries areas. It turned out that I was in much more trouble than I expected.
2009. 7 .17 3-D Sonagraphy
When I was transfered back to NTUH. I knew I needed to receive a surgery to get rid of Mullerian anomaly. However, to make sure what kind I was; I was told to get a few tests for assurance. That's why I got the HSG! On July 17th, I was arranged to receive a 3-D sonagraphy to confirm my anomaly. They needed to triple checks from different dimensions before the surgery. Of course, it's better being careful than being regreful. I was trying my best to stay patient the whole time. Dr. Yang told me the result from my HSG test, it all came up clear that the failure of being conceived may not have been with my anomaly but my fallopian tubes.
Bilateral blockage, the Hydrosalpinx.
When I walked out of the consulting room, I couldn't help sheding tears calling my hubby and told him the sad news.
I wasn't submerged in sadness for long! One was, I couldn't resist anticipating the possible way out of the marriage bondage. Thinking it might have been my ticket back on the train to single land. ( Only God knows how terrible it is to be a man-wife in Taiwan) Then, I picture my bright future pursuing my PHD but might end up living my rest entirely alone by myself. Nuh~~
Well... I was soon recovered to normal me. Of course, I was getting Metroplasty for sure because who knew if my present marriage doesn't work I won't be having my second Mr. Right?
Anyway, on July 17th. I was told to visit again when my cycle began. The operation needed to be perform right after the period.
2009. 8. 10
Visited Dr. Y for the acurate date.
2009. 8. 13-15 Hysteroscopic Metroplasty
The surgery was set on Aug. 14th. I needed to check in a day earlier for some preparations.
I'll post aother for the details.
I was in the hospital for 2 days and half. The surgery took much longer than expected. I was in there for an hour and half.
2009. 8. 17
First re-checkup. The scar was healing up all right! Doctor told me that why I was in the operation longer than expected.
The septum that grew in the middle of my uterus was not only longer than the cases he had before but also much thicker. That's the reason why some other physicians failed to discover I had 2 cavaties in my uterus. When they inserted the camera, the stick usually just went into one part and mistaken the half part of it to be the whole.
I wondered how well they were trained to fail noticing the size of my uterus. When they thought the half of me to be the whole, hadn't it occured to them that the size they saw on the monitor was smaller than the sizes they usually spotted?
Anyhow, to be more specific, the septum Dr. Yang removed from me was like a solid concrete wall that made two compartment inside my uterus. He suggested that I visited 2 more time in case of serious scar tissue adhesion. If the wound healed up too bad, the scar part will affect the function of carrying a baby too.
2009. 8 .17
The following checkup to cut open the ugly scar tissue
Dr. told me my wound was healing up beautifully. I was happy to hear that, but I wasn't all too surprised by it. I had car accident before and there are a few scars on my face and legs. The left scars were all hard to notice.
2009. 8. 31
Final Checkup~~~ I was told to visit one last time after the coming period.
2009. 9. 14
Case closed !! I am 100 % normal now. Also, the entire summer vacation was gone.