Showing posts with label ER. Show all posts
Showing posts with label ER. Show all posts

Saturday, June 13, 2009

What happens to my eggs if/after they are fertilized?

Well, when I am not preparing for my tuition or spending time with hubby and family members, I am fretting over the little of things. Today is 1 day after Retrieval and since I came back from my in laws place (actually after I had taken my very long nap), I was asking Dr Google many many questions. He has been helpful with the answers. However, with his answers I have more questions. This is truly getting ridiculous. I must get my life back. I can't let what is not beyond my control, control my life. I am sure Allah has His plans. If it is our time to be parents, Insya Allah (God's Willing) we will have a fruitful Monday and a successful transfer. This will be my last post till Monday. No more fretting and no more googling.

So what happens to my eggs if/after they are fertilized?


Approximately 6 hours after egg retrieval, fertilization is accomplished by placing a small concentration of sperm onto each egg, or by ICSI (where a single sperm is injected into an egg.)

Approximately 18 hours after retrieval (the day after egg retrieval) we will evaluate fertilization of the eggs. Normally, fertilized eggs will have two pronuclei.

Zygotes are fertilized eggs. It has two pronuclei. One pronucleus is a packet containing half of the mother’s DNA. The other pronucleus contains half of the father’s DNA. This genetic material will unite to form the full complement of genetic material that will make an embryo. If fertilization takes place ( I am praying and hoping it does), this is where my eggs are currently at now. A ZYGOTE!!! The closest I have been to being pregnant.

The embryos are cultured (or grown) in incubators with an environment designed to mimic the human fallopian tube. A careful balance of carbon dioxide, oxygen, and nutrients are maintained at the correct pH (acid content) to promote embryo growth.

Only normally fertilized eggs are kept in culture. Not all embryos will grow in culture. Some of them will be genetically abnormal. Others cease to grow for unknown reasons. Embryos destined to result in pregnancy will progress through several well defined stages including zygote, cleavage and blastocyst stages.

Cleavage stage embryos are those which are dividing into progressively smaller cells. Two days after fertilization, normal embryos are between 2 and 6 cells. Three days after fertilization, most normal embryos are between 7 and 9 cells.

On the second, third and fifth day after retrieval, the embryologist will evaluate the embryos and grade them. Day 2 and 3 embryos are evaluated on a 1-5 scale, with 1 being the highest grade. Embryos which lag behind in development, those with fragmentation, or those with other abnormalities are given lower grades. A low grade doesn’t necessarily mean the embryo is genetically abnormal. Normal pregnancies may result from low grade embryos; however, embryos with higher grades more frequently result in pregnancy.

Grade 1-2 embryos have a 20-35% implantation rate, depending on the age of the woman. Shall leave a picture of the various stages of the embryo. I am praying and hoping things are going well in the lab.

"Ya Allah pls listen to my prayers and answer them. Pls keep my embryos safe. Pls ensure that they keep growing healthily. Pls let my dreams come true."

Friday, June 12, 2009

Egg Retrieval

Today for the first time since we started TTC, I had my egg retrieval. I was so nervous that I couldn't have a good night sleep. Was tossing and turning in bed last night. Just as I was about to fall into a deep sleep, my alarm sounded at 0515. I need to iron my clothes and bathe waking hubby up. After I was ready, woke hubby up. He too was nervous about having to produce a semen sample that the quantity wasnt really much. Well with IVF/ICSI all we need is one good egg and one good sperm to produce a viable embryo. That is all I am praying for right now. I am not asking for much.

Mum picked us up at 0645 and we headed for the hospital. I was kind of nervous coz the 90 minutes window was almost up and they still do not want to collect the sperm sample. Well I guess they know what they are doing. Not only that, I took my Pregnyl injection at 2030 on Wednesday night so 36 hours later would mean 0830 this morning but due to some delay in the first case, I had my ER at about 0900. Hope that doesnt affect the quality of my eggs.

Anyway, the anasthesist was really very nice. He talked me through about the procedure and what to expect. How he was gonna make me comfortable. I was nervous coz I was not sure what level of pain was I am going to to expect. ANyway, I didnt feel a thing during the procedure. I might have even fallen asleep. Hahaha... Half an hour later the nurse pushed me to the recovery lounge. My heart rate and blood pressure was monitored evert 15 minutes for 3 hours. After which I was given a cup of hot milo and was told I can go home once hubby is here to fetch me.

I asked the nurse and was tol only 8 follicles was retrieved. Although doing the procedure for the first time, I still know that that isnt a good number. But I am just praying for the best. I am not gonna ask for much. Just one will do. BUt two would be good too. :)

Before I left I asked thenurse whether they will call me whether fertilization have taken placed and they said... NO!!! What ??? YOu mean I have to wait till Monday to find out? Gosh there goes my weekend. I will fretting ove rthe fact whether my eggs have been fertilised. Time pls pass faster. Let see... tomorrow I am gonna be going to my in laws place, then will be home alone as hubby is on night shift. SUnday, I will have a date with hubby. Perhaps might catch a movie. Hope Monday will come sooner. I just want to know how my eggs/embryo are doing.

JUst wondering though, how come here in Singapore they never tell us whether the eggs are fertilised and we have to come personally on Monday to find out myself where else in US, the nurse will call the following day to inform the progress. I guess the nurses here are very busy. GOSH!!!!

OKay, time for me to stop worrying and go to sleep. Time for me to leave everything in Allah's hands. We have tried, now the rest is up to Him.

Thursday, June 11, 2009

Am I ready?

Had my early dinner. Now just resting and watching tv while waiting for hubby to come back. I have been having this weird taste in my mouth since I started on the antibiotics given by dr. YUCKS!!! Yesterday after dinner, I threw up. I hope this time around the food will stay down. Last food and drink will be at 10.30 tonight in preparation for my ER. I still feel like throwing up now. My favourite drink taste funny too.

Talking about ER... Am I ready to face the unknown? To find out whether it has always been me who has contributed to us not being able to conceive. To find out that I don't have enough quality eggs to be fertilised? Well... I am okay. Don't worry. I am just stressing over minute issues. Time to just rest and leave the rest to Allah. I have tried, I have prayed. The rest is up to Him to decide. If He feels that I am ready, I am sure He will give us what we had dreamed of for a very long time.

Will I be disappointed if I do not get the results I am hoping for? Sure. But why worry now. I will think about it when I reach at that particular stage.

I will be going back to my mum's place after my ER tomorrow coz hubby will be on afternoon shift and there is no one at home to look after me. So I will be resting at my mum's place. So friends who are waiting for an update from me have to wait till later at night when I get back okay...

Juliah I will sms you once I get out of my drowsiness... Pls pray for me okay friend... Hope to have good news to share with you.

By the way, did I mention my "twins" are in pain. They are super sensitive to the touch. N the tips are damn hard and sore. I know this is just the side effect from the Trigger shot and more is in store for me. I am ready to face anything at this juncture but pls bear with all my random ramblings. Just a way for me to express myself so that I don't blast at my hubby for no apparent reason.