Stork Diary.
to Share Stork Life Events
Showing posts with label IVF abroad. Show all posts
Showing posts with label IVF abroad. Show all posts

A birthday gift giving back to the future!


A Birthday gift giving back to the future!

"I make that as a birthday gift to myself. Thanks to the advanced modern medical technology, I can freeze my fertility at this age and have a hold of my future."







I did not plan to have any children at first. I enjoy the time with myself and my freedom. That was me a few years ago. But people change, especially when you are at your most vulnerable moment when you are sick. Someone in the family got sick, everyone in the family is called up to help. That's when I realized you can never have enough family members. 



This is the moment when my thought of freezing my eggs appears. Your child is not necessarily staying with you the whole life. But it is always nice knowing that you have a family that cares about you. Raising a child is not an easy task in 2020, as well as having pets or keeping myself warm. 


The thought planted in my head for so long, it finally sprouted. I turned 39 this year, is the same age that my mother gave birth to me. Time is flying. I realize that I have to take some action! I studied a lot online and found Stork Fertility Center's website. They have detailed blog posts and graphics at a glance. Suddenly I apprehend that the quality of your eggs is tile with your age.  


When I realized that I am competing with time, I started doing research comparing different hospitals and fertility centers. I finally chose Stork Fertility Center. They specialize in infertility and fertility preservation. Their treatment plan aimed at achieving "4- F". Fewer blood tests, fewer ultrasound exams, fewer injections, fewer clinic visits. That's a big attraction for me as I can not get away from work that often.


I make that as a birthday gift to myself. Thanks to the advanced modern medical technology, I can freeze my fertility at this age and have a hold of my future. Some might say that you might never use those eggs. Why bother to spend all that money on that? I think egg freezing is like time traveling. When you are planning for a family maybe five years later, you will be thankful that you made the right decision. Time is irreversible, no matter how much money you own. A word before is worth two behind.



Stork Fertility Center's team is very professional and helpful throughout the treatment. They helped me to arrange the time so that I won't have to take so many off from work. In the end, I only take one day off for surgery day. The blood tests, ultrasound, and clinic visits were all arranged at mine non-working hours. They have their application. It shows your itinerary daily by just one click on your phone. And the surgery took only 10-15 minutes. The operation room's ambiance is warming, not like any other hospital. You feel comfier with the cozy atmosphere and friendly staff. 



Egg freezing is like insurance. You will feel safer after having one. This is probably the most meaningful birthday gift that I ever had. 



Note : 


1. Stork Fertility Center offers "4-F" treatment. Fewer blood tests, fewer ultrasound exams, fewer injections, and fewer clinic visits. The treatment is done with a minimum of two clinic visits. Just like our case above, taking only one day off from work! Before anyone knows, you already finished the treatment!  


2. The case froze ten mature eggs at her first treatment. 

Doctors suggest that the number of frozen mature eggs in each age group is different. It is related to age. With higher age, comes with a higher chromosome abnormal rate. Egg freeze treatment is suggested before age 35. The pregnancy rate and live-birth rate are relatively better. 



3.The recommended number of mature eggs for cryopreservation for bringing a baby home at different ages is as follows:


AGE

35 or below

35~38

39~40

>40

Number of mature eggs

10#

15#

20#

>20#

Register：Oversea Form 

E-mail：en_service@icryobank.com

WhatsApp：+886-905-737-501


Facebook－Youtube

Stork Fertility Center Stork Fertility Center Author

Hesitate no more, Freeze you future now!





What would you do if you come upon a huge fortune? It is easy to plan how to spend. But what if we are forced to take leave from work for two whole a month with no salary? That is a conundrum. 

2019, like the virus, spreads all over the world, countries locking down one by one. The world seems to be frozen. The pandemic has had a significant impact on the aviation industry. With this much free time, what do you want to do the most? 

On the morning of 6th March 2020, 3 special patients came into the Doctor’s room. They were besties and visited Stork Fertility Center looking for egg freeze. One of them is a flight attendant, another is a pilot! Wow! At such a young age, so impressive. 
 I always ask egg-freezing patients three questions,” How do you know us?”, “Why do you want to do egg freeze?” How many babies would you plan to have?” These questions helped me to understand the motive and purpose of the patients. And during the talk, I realized one of the patients are friends with our employee. And she gets into the aviation industry from the medical industry after 4-5 years of strict pilot training. She wanted to focus on her career in the next few years before starting her own family. Freeze your eggs first, so that in the future, you can borrow eggs form yourself! What an awesome idea! 

To save more time for them, we arranged a blood test “AMH” right the way, the results came in 45mins after. Surprisingly, even they were at the same age, their AMH result is distinct. One is 5.6ng/mL, one is 3.3ng/mL, and the other didn’t take the test, so we didn’t know the result. AMH is an irreversible index, the best way the face it is to accept the fact. And try to find a way to preserve our fertility.

With AMH data, we can design a precise treatment for the patient. Most of the patients answered the question ambiguously to the question of the birth plan. One, or maybe two. My suggestion is two so that you won’t regret it. The quantity of ovum is revealed by the AMH, but the quality, at this age, how many eggs do you need to take a baby home with IVF treatment. At this very moment, I use another question to answer their question. “Do you know the name of our Taipei branch?” Sadly, not many of them can give the right answer. Taipei branch is named Stork 11 Fertility Center. Indicated that for women under age 35, freeze 11 mature eggs, we promise 90% chances are going home with a healthy baby. 

Then comes with the question:” How many can I have at each surgery? How many surgeries do I need to have 2 babies?” We’ve been performing precise medication treatment for the last decade. Let the data speak, patients with AMH 5.6ng/mL can retrieve over 20 eggs at a time. 22 mature eggs are the goal for 2 babies, so the patient can finish the egg freezing with one retrieval surgery. As for the second patient, with AMH 3.3ng/mL, each retrieval can obtain 15-20 eggs. We might need two surgery, or one if we increase the dosage of the injections. The last patient didn’t test for AMH, there are 10% chances that her AMH is below 2ng/mL. She might need multiple egg retrieval surgery or IVF with donated oocytes to form a family if she didn’t plan for her future now.      

Patients worry about returning to the clinic frequently, perform injections every day, and the fee… Their AMH are both above 2ng/mL, I showed them the unique NS( no-ultrasound) treatment at Stork. With only 5-6 injections throughout the treatment, and 1-2 return visit. It is more convenient compared to traditional IVF treatments.
They are both in the aviation industry, can they work after the treatment starts? When can they get back to work after the surgery? I suggested no flying at around cycle day 8, as at that time the follicles in the ovary are growing. Which will lead to bloating to a certain extent. And some will experience nausea due to the increase of hormone. Menstruation will come a week after the surgery. By that time, the patient is fully recovered, so going back to work is not a problem at all.  


To maximize the value of each egg, I make sure that they were reminded to go with IVF3.0+ when they thaw eggs in the future. To achieve the highest pregnancy rate.

Can we control our future? The answer is positive! With the pandemic spreading, we can make our spare time meaningful. Most of us might be watching Netflix at home during vacation. But some of us are actively planning for their future. 
After reading their story, you can borrow from them, you can have a hold of your future.  With two “A”, age and AMH, and refer to the form below. Hesitate no more, Just do it! 
（Stork Lai 200316）









Dr. Hsin-Hwa Lai, MD


1. Comparison with age and AMH : AMH reflects the amount of ovarian storage.

Age

25 or below

35  

38

40

43 or above

AMH

>6

4

3

2

1

Reminder

Age lies：For women under 30, up to 8% are with AMH<2.5ng/mL

2.Number of oocytes that you need for 1 baby with IVF at different age:

Age

31~34

35~37

38~40

No. of mature egg

11

15

20

Note

Statistics From Stork Fertility Center



3. Inspiration : Age can not 100% imply your ovarian storage. Those two in the story are higher than average. But there are many that a lot lower than average. For women over 30, I suggest that monitor AMH result annually.

Grab your future, Now! 
Stork Fertility Center Stork Fertility Center Author

Checkups for Infertility couples


  • Female
 Hysteroscopy (H-scopy)
Purpose:
H-scopy uses a hysteroscope to examine if the uterus and uterine lining are normal. There is a direct correlation between the condition of the uterus and embryo implantation. 

Procedure:
Patient will be asked to lie on her back on the examination table with feet raised and supported by stirrups, similar to a pap smear or vaginal exam. An optical instrument connected to a video unit with a fiber optic light source is inserted to check the conditions of the uterus.

If only a simple examination is required, there is no need for anesthesia. The whole process takes about 3 mins, after which, the patient is asked to rest for another 30 mins. For further examination and operation, anesthesia will be administered and the process will take about 5 mins. Resting period is an additional 1-2 hours.

When to test:
Best time to test is after the last menstrual cycle and before ovulation takes place for the next cycle. If it is a regular cycle of 28 days, the best time will be in the morning of the 7th to 11th day.



Cervical cultures









Purpose:
Inflammation of female genital tract includes viginitis, cervicitis, salpingitis and pelvic inflammatory disease (PID). Chronic inflammation may cause endometirum polyp(s), tubal adhesion, obstruction and/ or hydrosalpinx, etc. Bacteria, Chlamydia trachomatis and human papillomavirus (HPV) are 3 most common pathogens.



Auto-immune system 

Purpose:
Through blood tests, we can determine whether patients' immune system is normal or not. Some patients' immune system will attack embryo after implantation, which will affect its bedding procedure or even cause miscarriage.

We suggest blood tests if you have any of the following symptoms : 
1. infertility with unknown reason, advance age, premature ovarian failure, constitution allergy
2. Recurrent miscarriage or habitual abortion ※Def :  ≥ 2 miscarriages within AP20wks 

What items are included in the blood test ? 


1. Anti-Thyroglobulin antibody (ATA)
2. Anti-Thyroid peroxidase antibody (Anti-TPO)
3. Anti-Extractable nuclear antigen antibody panel (Anti-ENA)
4. Anti-Thyroglobulin antibody (ATA)
5. Anti-Thyroid peroxidase antibody (Anti-TPO)
6. Anti-Extractable nuclear antigen antibody panel (Anti-ENA)
7. Anti-Phospholipid antibody (APS)
     -Anti-b2 glycoprotein IgG/IgM (B2GP)
     -Anti-cardiolipin IgG/IgM (ACA)
     -Lupus anticoagulant


Blood test for couples’ chromosome
Based on stats, over 70% of spontaneous abortion are related to abnormality of fetus’ chromosome. It is important to check for couples’ chromosome if you have any of the following symptoms:
  1. Infertility with unknown reason, poor sperm quality, azoospermia 
  2. Fail implantation with accumulated 4 GBR or 2 blastocysts with normal chromosome
  3. Recurrent miscarriage or habitual abortion ※Def :  ≥ 2 miscarriages within AP20wks


  • Male 
Blood test- hormone levels
For patients that cannot find sperm at multiple sperm analyses, doctor collect the first will collect urine sample after ejaculation, to eliminate the possibility of obstructive azoospermia. After that, blood tests are suggested to evaluate patient’s spermatogenesis.  



How to read the reports?
Dysfunction of hypothalamus or pituitary gland (lack of hormone to produce sperm)
Blood test results
Low in FSH & LH
Low in Testosterone
High in PRL
Treatment
Treat with injections (retain hormone supplies)
Treat with medicines
 Transfer to oncology after Docotr`s evaluation
Dysfunctional testiculus   
Blood test results
 High in FSH & LH
Testosterone normal or lower than average
High in PRL
Treatment
Treat with injections + MESA /TESA
IVF with donated sperm
Treat with medicines





Ductus deferens blockage

Blood test results
Normal in FSH & LH
Normal in testosterone
Treatment
MESA /TESA



Blood test for couples’ chromosome
Based on stats, over 70% of spontaneous abortion are related to abnormality of fetus’ chromosome. It is important to check for couples’ chromosome if you have any of the following symptoms:
  1. Infertility with unknown reason, poor sperm quality, azoospermia 
  2. Fail implantation with accumulated 4 GBR or 2 blastocysts with normal chromosome
  3. Recurrent miscarriage or habitual abortion ※Def :  ≥ 2 miscarriages within AP20wks



Stork Fertility Center Stork Fertility Center Author

POSTS

Stork Fertility Center
Copyright ©
| Distributed By Gooyaabi Templates