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The best is yet to come

She was always gentle to the medical team.

Behind the smiling face,
We all knew the disappointments and frustration.

In the past six months,
No embryos were available for transfer.

A woman is born with a limited number of oocytes which gradually diminishes by age. It is an irreversible process. As the maternal age increases, both the quantity and quality of the oocytes decrease. Accordingly, the live birth rate in women over 40 years is under 10%, since the aneuploid rate of oocyte is quite high.

「嘉義 稻田」的圖片搜尋結果

She was a 45-year-old woman from Taiwan countryside, undergoing IUI five times and IVF twice. Still, no good news released. When she came to our clinic at the first time, she was arranged to take the oocyte-retrieval after two days for the observed dominant follicle. Unluckily, it was an immature oocyte. Since then, the fertility specialist recommended the natural-cycle IVF to her because of the declined ovarian function. No additional stimulation injections or oral alternatives were administrated, and supremon nasal solution was used as the trigger. From February to July in 2015, she visited the clinic almost every week, but no available embryo was collected.

She was always gentle to the medical team. Behind the smiling face, we all knew the disappointments and frustration. She told the doctor that she probably could not realize her dream. The fertility specialist encouraged her that there is not an only way to be a mother, and suggested her thinking about oocyte donation program.

Owing to the bountiful supply of oocyte bank at Stork Fertility Center, the matching process only took two months. In September of 2015, nine available blastocysts were derived and cryopreserved. Following with hysterosalpingography, hysteroscopy, and cervical bacteria culture, the doctor checked her uterine environment through several examinations. After the first cryotransfer, the beta-HCG showed negative. Her doctor ordered an auto-immune testing, and transferred her to the related specialists for further immune treatment.

In March of 2016, she took the second cryotransfer. The result was still upset. Why? Why? Why? She continuously asked the doctor and herself. Her specialist asked several questions about her life style after embryo transfer: 

Her family owned a small business in Yilan. She needed to help and stand for a long time for the daily works. Although the doctor concerned the derived pressure to uterus, she refused to take a rest after transfer. The medical team did not give up and continue to convince her. Finally, she decided to grasp the chance. 

The third cryotransfer was in July of 2016 after she arranged the backups for her family business. The fertility and immune specialists adjusted the post-transfer medications for her. She took two weeks for resting after the transfer and stayed at Hsinchu until the pregnancy test released. The beta-HCG showed positive this time, and the fetal heartbeat was detected after another three weeks later.

She was very happy and careful, coming back for the prenatal checks and related immune exams. In the 14 weeks of gestation, the non-invasive prenatal testing (NIPT) showed normal. Now, she was waiting for her healthy newborn.

Her autologous-IVF records were as follows,

And, her outcomes of donated oocyte derived embryos were shown,

Stork Fertility Center Stork Fertility Center Author

I feel bloated—ovarian hyperstimulation syndromes (OHSS)

Ms. Helen started appointments with me since last year. She has been married for two years without preventing pregnancy, but still no good news released. By several examinations, I found that she has some features of polycystic ovarian syndromes.

Stork Fertility Center Stork Fertility Center Author