Tag: Dor

  • Failed IVF Cycle 10

    During this time, I started to consider the option of using donor eggs. I wasn’t entirely sure about this path, but I wanted to gather some information and start preparing. In VN, finding egg donors is pretty easy. Many services help with the entire process, from selecting donors to handling the egg retrieval. The cost for eggs from young, tall, good-looking donors who are students from prestigious colleges is around 45 million VND (~$1800).

    The service provider is responsible for verifying the donor’s identity, criminal records, medical history, and other necessary documents to ensure they are clean. It sounds perfect, though I’m not sure about how legitimate the process is, as it’s not uncommon for documents to be fake.

    I also talked to my cousin and asked if she would consider donating her eggs. She was incredibly kind and agreed to help me.

    However, with the positive result from the ninth cycle, I wanted to build on that progress. As I mentioned in my post about the ninth cycle, the next cycle was still within the window where PRP and HGH were still effective, so I didn’t want to miss this opportunity.

    For the tenth cycle, I needed more HGH. However, due to the high demand and scarcity of the drug, I had to pay extra.

    I had also been getting acupuncture six days a week and tried Glutathione drips. This drug is available in oral, injection, or drip and is commonly used for patients recovering from cancer treatments or with liver inflammation for detoxification. It is also used in the beauty industry for skin brightening. In IVF, it’s believed to potentially improve the quality of eggs and embryos.

    The benefits of the medication aren’t clear, and opinions on it vary. But with IVF, it’s often a process of trial and error, and the results are uncertain. The protocols and methods used depend heavily on the doctor’s experience and personal approach. I just wanted to try everything possible to hopefully improve the outcome.

    In VN, I bought this drug directly from a pharmacy without a prescription, and then paid about $2 for a nurse to give the drip. The price of Glutathione was around $10 for a 1200 mg dose, which is relatively cheap for a single use. However, like supplements or other assisted methods, it’s usually recommended to use it for a certain period, like 3 months, before seeing any effects. So, when you factor in the total duration of treatment, the overall cost can add up.

    Despite all my hope and efforts, this last cycle unfortunately ended up with no fertilization and no embryos. That was it. For me, it was more than enough. I no longer questioned if I had tried enough. I accepted the failure with peace.

    To get ready for the transfer, the doctor suggested a scan of my uterus to check for any issues. I agreed and stressed that I wanted a thorough look to make sure nothing would mess with the transfer or a potential pregnancy. I didn’t look at what he wrote on the order form when I left his office, but later I freaked out when I saw ‘Mổ nội soi OB’. I guessed ‘OB’ meant my abdomen, and ‘Mổ nội soi’ was like laparoscopy, a somewhat invasive procedure that involves a small incision for a camera device to check the area. I totally wasn’t expecting that! I really hate surgery and try to avoid it whenever possible. I immediately told him that the uterine sonography would be enough for me, and he agreed. I thought my request for a “detailed examination” might have caused confusion, that’s why he had changed the order to accommodate my “preference”.

    Two days after the procedure, I flew back to the US with a one-way ticket due to a sudden situation. I hoped to return to VN soon, ideally within two months. But honestly, everything was so unpredictable and out of my control back then, and I had no idea what was waiting for me back home.

    My IVF journey, after 10 cycles, is finally on pause, with my three day-3 embryos. Finally I’m able to have the first transfer. I never thought I’d make that far, nor did I expect the emotional toll it would take on me. I have given everything I/we had for this – our money, and my physical and mental health, so I know I’ll never regret not trying enough

  • IVF Cycle 8

    When my seventh IVF cycle failed after all the efforts I’d put into improving my fertility health, I went through the darkest days of my life—days I will never forget. I was losing so much of myself, something I never expected. The toll this journey took on me was beyond anything I could have imagined. I felt pressed and crushed. You would never know the depth of it until you’re already caught in that spiral, and by then, it’s too late to back off without pain or exhaustion.

    I don’t think words can be enough to express how I felt, or maybe I’m just not capable of expressing it through words. All I can say is that I was living through the hardest days of my life. It was a lonely journey, one I accepted because it was my choice, whether voluntary or not. I had love and support—more than I ever expected—so there was no reason to moan about it. My focus was on doing my best to deserve the good things I had received along this challenging path.

    My eighth cycle began with a host of fertility issues: endometriosis, low egg ovarian reserve, poor egg quality, and poor sperm quality. It felt like every obstacle was in my way.

    I had been focusing on eating healthy, staying active, going to bed early, and minimizing stress, but the results still hadn’t improved. To prepare for this cycle, I added acupressure and reflexology twice a week, and my acupuncturist had me doing acupuncture every day except Sundays. I also researched a method called PRP (Platelet-Rich Plasma), which has been used recently in the US and other developed countries. It’s said to help rejuvenate ovaries, potentially improving the quality of eggs by up to 50%. There was a lot of debate about this method, with some people dismissing it as just a marketing gimmick, while others considered it a game-changer. On Reddit, many IVF patients who tried it shared positive results. However, it was completely new in Vietnam. The only information I could find here was a short YouTube clip from a scientific conference—it wasn’t educational, just an introductory video.

    When I brought up this method to my doctor, he was surprised I’d heard of this since at that time, PRP injections were still being researched and hadn’t yet received national medical approval there.

    I shared the documents and videos I had collected in English for his reference. He said he could go ahead with it, but I would have to take full responsibility for any consequences. That wasn’t a problem for me because I trusted him, and I knew this method was relatively safe since it uses the patient’s own blood.

    I was scheduled for PRP injections really quickly, on day 6 of my cycle. One of the things I really appreciate about treatments in Vietnam is how flexible the timing is. You don’t have to wait long to book an appointment, and this flexibility extends to almost every step of the medical process, saving a lot of time on administration, preparation, and procedures.

    On the day of the procedure, the doctor drew two tubes of my blood and injected around 4 ml of plasma into my ovaries while I was under anesthesia. Afterward, I felt fine, just experiencing some light cramps and more discharge than usual, which lasted a few days.

    For the procedure, my doctor administered two PRP injections, one in each ovary. Other doctors I’ve read about do multiple injections at different spots on the ovaries, and the amount of plasma used can vary. It really depends on the doctor and clinic, as PRP is not universally accepted or practiced the same way everywhere. A quick online search showed that PRP treatment was around $5,000 in the US, but I only paid 10 million VND (~$400) there.

    Besides PRP, Human Growth Hormone (HGH) injections are also believed to help improve egg quality and have been used in the US. However, it was something completely new in VN. When I mentioned it to my doctor, he was surprised. I told him I wanted to give it a try, but he was hesitant because there wasn’t an established protocol for it yet.

    During my treatment in VN, my conditions worsened, and with doctors juggling so many patients, I realized I needed to take a more proactive approach in finding ways to improve my fertility. I couldn’t expect a doctor to go beyond researching my case or take the initiative to explore new protocols or treatments that might work better for me. I used to feel upset and disappointed, wishing my doctor would do more, but over time, I understood that maybe I was expecting too much. I came to appreciate my doctor for listening to and respecting my thoughts, as well as for his support and attention. These meant a lot to me because it’s stressful for any patient to work with a doctor who assumes they know nothing.

    28 days after the PRP injections on 04/18/24, I started my eighth IVF cycle on 05/16/24. I had daily injections of Pergoveris300 IU for 8 days, added Orgalutran in the mornings starting from 05/20/24, then injected a dual booster of Fertipeptil 0.1 mg and Ovitrellte 250 mg on 05/23/24. My follicles measured 17, 15 mm (L) and 17, 15 mm (R) on the booster day. I got 3 eggs retrieved and only one day-3 embryo, which was frozen the same day. The embryologist explained that the embryo would be unlikely to survive until day 5, and they don’t typically freeze embryos on day 4. The embryologist noted that the embryo’s development was abnormal during cell division, with the cells not dividing clearly, and the fragmentation percentage was over 50%, which was very high.

    Having just one frozen day-3 embryo didn’t mean my results had improved, but it did help my emotions. At least I didn’t end the cycle with nothing. There was still some hope, though minimal, because if there hadn’t been, there wouldn’t have been any reason to freeze it.

    Was I disappointed with the result? No. I had started to become familiar with repeated failures and unexpected occurrences. Gradually, I accepted that being a biological mother might not be for me. I was just trying to do what I could to avoid regret later on. After the eighth cycle, I started to realize the toll it had taken on my body. Since the seventh cycle, my body had ached severely after egg retrieval, even though I had few eggs retrieved. It felt like I was “paralyzed” the day after the procedure. My upper body felt stiff and tight, and whenever I moved, my muscles seemed to “retract,” making breathing incredibly painful. I had to sleep sitting up. In past cycles, I never experienced this kind of pain and never needed pain relievers after retrieval. When the pain first hit, I didn’t even remember the pain relievers I had been prescribed. This time, I took pain relievers, but they only helped a little.

    The pain was a wake-up call, making me think about putting an end to this journey. I started to worry about the long-term consequences of the continuous IVF cycles. I started to accept that I had done enough. It was time to stop, take care of myself, and consider a different path.

    However, since PRP injections are believed to be effective for up to three months and I still had nearly two months left, I didn’t want to miss the chance. So, I decided to continue the ninth cycle, this time trying HGH.

  • Beyond tears

    10 IVF cycles (8 egg retrievals, 2 cancelled on days 8 and 9 of stimulations). The numbers say it all… Still hopeful but hopeless at the same time.

    Not related, but it’s not easy living with fear—silent but turbulent at times. Bear it, embrace it, befriend it, and pray, knowing that things shall pass.

    In the worst situations, prayer, compassion, and gratitude are my navigators through struggles and miseries, without whining, “poor me!”