Thursday, March 31, 2011

Results are in...

i got the results of my endocrine tests. btw, P's blood type is B+. we're both B+ so that wont be a problem. now the other results are another thing.  here's the result of my d3 endocrine tests:

lh = 4.15 (normal)
normal values:
follicular phase = 1.0 - 18 mIU/mL
mid cycle peak = 24 - 105 mIU/mL
post menopausal = 15 - 20 mIU/mL

fsh = 10.44 (slight elevated)
normal values:
follicular phase = 2.50 ‑ 10.2 mIU/mL
mid cycle peak = 3.40 ‑ 33.40 mIU/mL
luteal phase: 1.50 ‑ 9.00 mIU/mL

prolactin = 56.30 (elevated)
normal values:
female = 2.80 ‑ 29.2 ng/mL
pregnant = 9.70 ‑ 208.5 ng/mL
post menopausal = 1.80 ‑ 20.3 ng/mL

estradiol = 36 (normal)
normal values:
follicular phase = 39 ‑ 189 pg/mL
mid‑cycle = 94 ‑ 508 pg/mL
luteal phase = 48 ‑ 309 pg/mL
post menopausal = < 20 ‑ 41 pg/mL

progesterone = 0.40 (normal)
follicular phase = 0.27 ‑ 2.61 ng/mL
luteal phase = 3.28 ‑ 38.63 ng/mL
mid‑luteal phase = 5.25 ‑ 38.63 ng/mL
post menopausal = < 0.2 ‑ 0.82 ng/mL

so i failed fsh and prolactin... i dont know what that means and since my RE is not available until tomorrow, i search the net.  it seems that high prolactin level can cause irregular menstrual cycle.  some months you wont get AF at all. but in my case, i always have my period every month. the problem is that my follicles doesn't burst on day 14.  my average cycle is 28/29 days so im expected to ovulate on day 14.  going back to my old posts, my follicles grew up to 3.4cm until day 16. i still have to get an ovidrel shot to induce ovulation. oh well, i'll just wait for my RE's say on this.

btw, i've also set my hysteroscopy with a doctor affiliated with my health card. on april 6, dra vicencio will performing it and honestly, im freaking out.  i didn't know that i will be knocked out during the whole procedure, i've never experience that.  im scared of not waking up or not being able to sleep at all.  but if this is what it takes, then so be it.  i cry and ask why do i have to go through all of this... but in the end, i'll still do it.  whatever it takes.  i pray and i believe everything will be ok.

baby dust to us!

Wednesday, March 30, 2011

Hormone Tests and Sperm Analysis

i woke up as early as 4:30 this morning so i can have my hormone tests before i go to work. i decided to go to new world lab / mediscan since i knew its location. i went to taft ave branch with P who decided its time to know what his blood type is (yes, it took this long!).

i took the female hormone package and here's the breakdown:
estradiol (E2) = Php 1,013.70
FSH = Php 409.20
LH = Php 474.30
Progesterone = Php 1,116.00
Prolactin = Php 486.00
==============================
Total = Php 3,500.00

we both had blood typing with rh factor as well. that costs php130 each. the tests weren't really advised by my own RE. but since i sent out emails on ivf inquiring about the tests needed before the actual treatment, i thought maybe i should have the test now. if they found any problems, then i have the next few months fixing my hormones... and saving money at the same time. im not sure when i'll get the results but im hopeful everything will be ok.

the ivf center i inquired also required sperm analysis which P already took. he was diagnosed with teratospermia and hyperzoospermia. teratospermia means that the morphology of the sperms is low. normal count, according to kruger morphology should be 14%, hubby only has 7%. but recently i've read somewhere that its already updated by WHO and they lowered the normal count to 4%. sperm counts of greater than 250 million/ml is are referred to as hyperzoospermia and could also cause infertility.

i will post my research on the sperm analysis when i have the time.

baby dust to all!

Tuesday, March 29, 2011

Special Leave for Women Undergoing Surgery

good news to all women who are scheduled to have surgery for gynecological disorders. we now make use of special leave of up to two months from the date of surgery and recuperation. source: DOLE website

DOLE approves special leave for women in the private sector who undergo surgery

Women working in the private sector who are scheduled to undergo surgery for gynecological disorders can now file for special leave.

This special leave privilege is contained in Department Order No. 112-11 which lays down the guidelines for availing the special leave benefit provided for under Republic Act 9710 (Section 18), known as the Magna Carta of Women (MCW).

Labor and Employment Secretary Rosalinda Dimapilis-Baldoz, who issued the order, said that the guidelines ensure compliance on the implementation of the special leave benefits for women employees in the private sector.

“The two-month leave is in addition to the leave privileges under existing laws,” said Baldoz.

The Civil Service Commission also issued a resolution providing for the same privilege for women employees in the public sector.

Eligible for the special leave benefit are women employed in both the private and public sectors, regardless of age and civil status, with at least six months' aggregate employment service rendered in the 12 months prior to the surgery.

The leave may be for a maximum period of two months per year with full pay, based on the employee's gross monthly compensation following surgery caused by gynecological disorders.

The special leave benefit shall be granted to a qualified female employee after she has undergone surgery, without prejudice to an employer allowing an employee to receive her pay before or during the surgery.

"It may be used for the period covering the surgery until recuperation. Absence incurred from the pre-surgery period, as well as those in excess of the two months allowed under the special leave benefit, may be charged against the employee's earned leave credits," added Baldoz.

To apply for special leave, a woman employee shall file her application leave within a reasonable period of time from the expected date of surgery, or within such period as may be provided by company rules or by a collective bargaining agreement.

Gynecological disorders refers to disorders that would require surgical procedures such as, but not limited to, dilation and curettage and those involving female reproductive organs such as vagina, cervix, uterus, fallopian tubes, ovaries, breast, adnexea, and pelvic floor, as certified by a competent physician.

The benefit is non-cumulative and not convertible to cash, unless otherwise provided for in a collective bargaining agreement (CBA).

The guidelines shall take effect 15 days after its publication in a newspaper of general publication.

END
Source: Labor Communications Office

Fertility Supplements

since i will be having my hysteroscopy this cycle, i will skip on the clomid+puregon meds.  my husband then insisted suggested  that we should buy more supplements. right now, P is on 1000mg vit c, vitamin e with selenium and l-carnitine. i'm on folic acid and vit e. we dropped by healthy options to... well look for options. the store is crazy-filled with supplements and we got confused what to buy.  finally, P told me about fertility blend supplement and he made up his mind that we're going to try it. hahaha. so he purchased online a 3-month set for the both of us.

for those searching for fertility supplements, here are what's written from the "Path to Pregnancy" e-book:

1. Vitamin E - Increased fertility in both men and women has resulted from this powerful antioxidant. Studies show that a low level of Vitamin E in males decreases sperm production and supplementation may also improve sperm motility.

In women, vitamin E helps to normalize hormone production and may improve egg quality. Studies show that vitamin E can increase sperm potency by 2 1/2 times. Two studies found that vitamin E supplementation lead to a 20% pregnancy rate in previously infertile men.

Dosage: 400 IU daily (If possible, vitamin E should be D-alpha and not DL-alpha. The reason is that D-alpha is natural and has a higher absorption and benefit rate.

2. Vitaminc C - Also a powerful antioxidant, Vitamin C blocks damaging free radicals. It can increase count and motility of sperm. It also reduces sperm agglutination (clumping), a condition where sperm tend to stick together, which reduces fertility.
If you‘re currently taking the drug Clomid to encourage ovulation, Vitamin C might increase your chances of a better ovulation by assisting in ovarian function and egg development. Vitamin C may increase the amount of water in your cervical mucus, which will make it more plentiful. However, women should avoid very large doses of Vitamin C because it can have the opposite effect, and dry up cervical mucus.

Dosage: Men – 200 to 1000 milligrams per day Women – Up to 1000 milligrams per day

3. B Vitamins - For men, B12 will help increase the quantity and performance of his sperm.Women can benefit from taking B6, B12 and a B-Complex vitamin.

For women, when your body is deficient in B6, it builds up too much estrogen, causing your ovaries to shut down the production of progesterone. This can result in a luteal phase defect, which can be corrected with B6 supplementation. B-Complex vitamins help you reduce stress and maintain a healthy balance of hormones in your body. Lack of B-vitamins is very common in people who eat mostly refined and processed foods as well as those who smoke.
Dosage: B6 : 50mg - 100mg per day; B12: 1000 mcg per day; B-complex: contains 50mcg B12, 50mg all other B vitamins

4. Zinc – The focus of numerous studies in fertility of males and females, this nutrient is essential for your pregnancy and your future baby‘s health. A deficiency of Zinc can lead to decreased fertility and also increase the risk of having a miscarriage. It helps women to more effectively utilize the hormones estrogen and progesterone, to achieve conception. Zinc deficiency is quite common, yet even a mild zinc deficiency can drastically reduce sperm counts. Zinc deficiency will also affect how long the sperm can live in the vaginal tract.

In the journal Fertility and Sterility doctors reported that men with fertility problems who took a daily dose of 66 milligrams of zinc and 5 milligrams of folic acid for almost six months saw a 74% increase in their sperm counts.

Dosage: 50 mg. with a full glass of water Works best when combined with folic acid to improve sperm count.

5. Selenium - Another antioxidant, increased levels of selenium have been found to produce higher sperm counts in men. Selenium deficiency causes fragile sperm with easily broken tails. Semen is high in selenium so it must be replenished regularly.
It improves overall reproductive health in women and may help to prevent miscarriage.

Dosage: 50-200 mcg per day

6. L-Carnitine (Amino Acid) – Many recently published studies indicate that both L-carnitine and L-acetyl carnitine improved sperm in a number of areas key to fertilization, namely sperm quality and sperm function.

Dosage: 300 to 1,000 milligrams three times a day

7. L-Arginine (Amino Acid) – Amino acids are the building blocks of life. The head of the sperm contains an exceptional amount of this nutrient, which is essential for sperm production. It helps increase both sperm count and quality.
It can also help maintain a healthy uterine lining and may improve egg quality.

Dosage: 1500 – 4000mg over the course of a day on an empty stomach

8. Coenzyme Q10 – A nutrient used by the body in the production of energy. While its exact role in the formation of sperm is unknown, there is evidence that as little as 10 mg per day (over a two-week period) will increase sperm count and motility

9. Folic Acid – A vital component during your pregnancy to prevent spina bifida (a neural tube defect) in your child. It needs to be in your system at the time of conception so you should begin taking it well before you start trying to conceive.

Also needed for sperm production, count, motility, and low morphological abnormalities. Dosage: minimum 400 mcg per day Vitamin C aids in absorption.

10. Magnesium Citrate – An essential vitamin which goes hand in hand with the ―B‖ vitamins. Low levels of magnesium have been linked to miscarriage and infertility.

Dosage: 200 mg. Daily

11. Manganese - The metabolism of the female hormone estrogen depends on manganese. Therefore, a deficiency of manganese may significantly reduce fertility in women.

12. Calcium – Before, during and after pregnancy you need 1000mg daily taken along with Vitamin D for absorption.

13. Glutathione and Cryptoxanthin – These anti-oxidants may prevent damage to sperm that makes them sluggish and unable to fertilize an egg. It's probably best to get these anti-oxidants from food sources rather than supplementation.

Standard dosage computation: 10mg per Kg BW (Body weight) per day. Should be divided so that it is taken 2-3 times per day along with Vitamin C.

14. Geritol Tonic – Often referred to as a ―Baby in a Bottle,‖ this highly potent liquid vitamin and mineral supplement is recommended by many women who personally took it and then conceived. It is supposed to work well in increasing cervical mucus. While there is no medical research regarding this supplement, since so many women across the Internet claim that it worked for them, I have decided to include it in this list.

Dosage: Follow directions on the bottle.

I also have "Pregnancy Miracle" e-book and here are the supplements that might help (some of it are unknown to me):

1. Essential Fatty Acids (EFA) - supports the immune and nervous system. Omega-3, Omega-6 and Omega-9 are critical in the production of prostagladins which helps regulate hormones.

2. N-Acetyl Cysteine (NAC)  - antioxidant that acts as a mucolytic and increases levels of glutathione. useful for insulin resistance and improves fertility for women. reduces testosterone levels.

3. Vitamin A - helps in the proper production of cervical mucus and protect sperms from damaging free radicals.  Both men and women should have up to1000 IU of beta carotene.

4. B Vitamins - keeps ovary healthy and working well. suggested dosage: B6 - 50mg to 100mg a day; B12 - 1000mcg  per day (B-complex contains 50mcg B12 and 50mg of other B vitamins).

5. d-Pinitol 600 - aids in ovulation; recommended to women with PCOS (1 to 2 capsules a day).

6. Vitex 750 (Chaste Tree Extract) - maintains healthy prolactin and hormonal balance during women's monthly menstrual cycle. helps maintain normal ovarian function, trigger the production of progesterone and helps women with lack of ovulation or infertility.

7. Cinnulin PF - patented aqueous cinnamon extract that has high concentration of active type-a polymers to support healthy blood sugar metabolism and cholesterol+weight management. reduced insulin resistance in PCOS women

8. Vitamin C - recommended is 1000mg a day

9. Vitamin E - at least 400IU of natural, dry d-alpha tocopherol

10. Borage Oil - ensure proper GLA intake and the production of anti-inflammatory hormones

11. Colostrum - for auto-immune disorders

12. Coenzyme (Q10) - improve cellular functions and decrease any decline in egg quality that might be experience with age.

Other recommendations include: bee pollen, royal jelly, blue-green algae, wheatgrass, vitamin B6, and folic acid.

Again, these supplements are recommended by the e-books I've read.

Monday, March 28, 2011

Cycle 2 Day 30

i think my 2ww will end today... if not probably tomorrow.  my bbt dropped from 97.95 to 97.28, a huge indication that my AF will come anytime now.  that and i'm having diarrhea. oh well, we're doing our best so i dont think we should feel bad at all.

as planned, i'll schedule my hysteroscopy once i get my period.  then try for iui twice and if it doesn't work, then we'll stop with the clomid+puregon and save up for december ivf.

baby dust to all of my online friends who's ttc.

Wednesday, March 16, 2011

Cycle 2 Day 18

I was so frustrated last Monday that I wasn't able to write anything at all.  Basically,  my ultrasound showed that I lost one follicle on my right.  Last friday, its1.5cm but come Monday, its1.4cm.  On my left ovary, another follicle was seen which is already 1.4cm.  Now the original dominant follicle is already 3.4cm. Way too big right?  So it's no go for the IUI.  My hubby and I agreed that we'll only have it if I produce more than one.

I had my shot of Ovidrel, Monday at 10:30pm, had contact with my hubby Sunday night, Monday night, Tuesday night and Wednesday morning.  Hahaha, all thanks to Pre-Seed.  We love it.  My husband says its not sticky or yucky as some reviews say.  It's almost the same as my own and it doesn't feel weird at all.  The best part is that the deed is more pleasurable.  TTC couples should definitely try this.  It's helps since all the pressures of getting pregnant and having scheduled sex make women stressed and well... dry.  And its frustrating for both couples.  With Pre-Seed, it makes it more enjoyable, just as it should be. Plus the sperms are left unharmed. So much for the the plug (but it's definite for real... it worked for us).

Anyway, if I don't get pregnant this cycle, then I'll go for a hysteroscopy to remove the polyps my RE found.  And then prepare for IUI.

Friday, March 11, 2011

Cycle 2 Day 13

as scheduled, i had my ultrasound this morning and my ob found that my follicles are still small.  On my left ovary, there's a 1.6cm follicle while on my right, its still 1.5cm.  no ovidrel shots were given since recommended size should be 1.8cm.  i'm told to continue with my puregon shots until i've used all of it.  we could do the deed on saturday and then be back on monday for another follicle monitoring. by that time, the follicles will be big enough, hopefully, and that i'll get my HCG (ovidrel) shot.

since my hubby and i are contemplating on having an iui, i asked how much it would cost.  she said around php11500.  ovidrel shot is php2900. tentative schedule of iui is on wednesday, thats day 18 already (i definitely ovulate late). iui will be performed in her clinic and will take around one and a half hour.

when my hubby and i were driving to the hospital we're listening to the radio. we're both avid listeners of the morning rush, a morning radio show on rx and today they had a big reveal.  one of the host, delamar, announced that she is having a baby.  its unplanned and she was surprised about it.  nevertheless, i think baby news are always great. and for her age, she's lucky indeed.  i cried a little... im sooo envious.  i pray that it'll be my time soon as well. mine and the rest of the female community praying to get pregnant soon!

total costs: php1300 (consultation + ultrasound)

Monday, March 7, 2011

Cycle 2 Day 9

met with my doctor today for my follicle monitoring sched and she said i have two dominant follicles. yey!  i got 1cm follicle on my left ovary and another .9cm on my right.  last friday, she gave me 50IU of puregon shot. now she asked me to increase my dosage to 75IU starting tomorrow.  she wanted to see my reaction with a higher dosage.  schedule baby dance on thursday then by friday morning, another ultrasound to check on the follicles and probably get a shot of ovidrel to burst them.

now the question is whether we'll going for an iui this cycle or otherwise. i still have to discuss this matter with my hubby.  although i have polyps, its still possible to get pregnant.  im confused whether to go for iui or not.  but whatever decision will make, i just pray that i get pregnant this month.  much better if i get twins. hahaha!

total cost: php 13800
puregon (300iu) - php12500
consultation and ultrasound - php 1300

Friday, March 4, 2011

2nd Cycle: First Checkup

since i finally decided to keep my current OB, i went to see her (as scheduled) for an ultrasound.  my doctor wanted to see if the 3cm dominant follicle ruptured or not.  thankfully, its gone so im all-go for my 2nd cycle.

she found polyps (80% sure) during the ultrasound and recommended that i should have a hysteroscopy. its a procedure similar to D&C (dilation and curettage) but with visual.  since i've already taken clomid, she said that if im dont get pregnant this cycle, i should have one.  since my ob is not affiliated to my health card, she said that i could give her a listing of accredited doctors and would recommend one from the list, if she knows any.  but that is for next cycle.

for this cycle, however, i was given puregon 300iu. im to inject myself of 50iu a day every 7am until monday, which will be my next FM ultrasound.

total costs: php 13900
puregon 300IU - php12500
consultation and ultrasound - php1400

Wednesday, March 2, 2011

To Change or Not To Change

yesterday i met with a new doctor.  i entertained the thought of looking for another doctor because i became irritated on how the assistant responded to my inquiries.  ok, im too "makulit" but i wish she would understand where i was coming from. i wanted to get pregnant and when i got my period last sunday, i wanted to know if i need to meet with my doctor... in case she wants another TVU or what not.  i wanted to make sure that the clomid (by aventis) that i bought is the same as the one they have given to me before which is clomene.  do i have to take the same dosage?  when do i have to meet with my doctor? any other tests i need to do?  does hubby needs another sperm testing?  yes, i could answer most of them but i still would want a go-signal from my doctor.  that everything im doing is ok, right?  and asking questions isn't that bad because let's face it... im currently confused as to why im not yet pregnant.  i wish the assistant would be more patient and caring but of course, i didn't feel it.  my hubby says i should stay with my current doctor. she is great. i like her and i believe her.  but honestly, the frontliner isn't accommodating at all. sigh!  her sms responses were late... the way she answers my call isn't professional.   but then again, im here for the doctor... my doctor.  i will stay with her for another cycle or two. but if the assistant gets the better of me, i might go to this doctor i met who is nice and friendly and good at what she does AND has a friendly receptionist.