Counting the days

Hello world!

A brief update of what has happened lately.

 Day 3 (May 12) - CD3 -  3rd day of menses and it's our follow up at Kato.  Dra. Perillo did the ultrasound (Thank God!) then the hormones check (estradiol, luteinizing hormone, progesterone and fsh) - the results are normal.  Femara was prescribed to be taken once a day (after dinner) for 5 days, then follow up is on Day 10 to see if there's a leading follicle.  It is needed because I have to ovulate (as they would like to mimic the stages until the embryo reaches blastocyst). 

Day 10 (May 19) - We only needed one and that's what I've got! The leading follicle measures 15.5mm.  Dra. Perillo said that my endometrial lining is very promising  No hormones test for this day as the follicle is still not big enough. We'll have to wait for Day 13.

Day 13 (May 22) - Dr. M did the ultrasound - follicle now measures 18.8mm, with trilaminar endometrium, my hormones are also normal. Dr. M told me to use Suprecur (to trigger ovulation.  It's the same nasal spray that I used last cycle.  Each bottle is viable within 6 months upon usage and contains 12 sprays.  You'll be able to utilize 3 sprays per cycle.)

Here's our expenses post-retrieval.

For the details of last cycles expenses you may check on this link.

Hopefully our transfer will push through sometime next week.  In God's will!

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Monday Blues

I'm one of the many who's greatly affected by the so called "Monday Blues".  And my husband has scheduled our acupuncture sessions every Monday morning.  Another thing is,  I just can't understand why all our doctor's appointment is in the morning when it's too dreadful to wake up and drag myself in the bathroom.

 I guess there is nothing much that I can do...

Here's what has happened to our session:

Still Sis. Regina told me that my body is cold.  I know why it's happening because I haven't stop my desire for anything that's cold especially now that the weather is too hot and humid that cold water is a MUST!  Yes, blame it on the weather!

Here's my list of Do's and Dont's.

Sleep early
Exercise more (don't use the brain too much)
Eat right (drink a lot of soup)
Drink Ginger Tea (No Prescription Teas for now.  She said she won't interfere more to this stimulated cycle)
Always wear socks

Anything cold

Caffeinated drinks (coffee and soda)

Cold fruits (melon, watermelon and the likes)

Playing games on phone, IPad and the likes

I hope I can be more obedient.  I hope I'd be able to follow the do's and just cease the dont's.

Btw, tomorrow's my follow up at KATO and my LAT re-test.  Got to start early again.  For now I'd sleep and thank the Lord and pray that tomorrow's gonna be better!

 

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Follow up CD6

April 12 - CD6

I had my follow up today to check my hormones and the ultrasound.

And I made a graph based on both results.

Dr. Mendiola said that my hormones are normal.  The follicles on my ovaries are growing but they need a little push.  He said that in a normal cycle - there would be a single dominant follicle that needs to meet with a sperm in order for the fertilization to take place.  In a stimulated Clomiphene/Clomid cycle - nothing would be different.  Either one or two follicles would be present.

And for us to have a better yield we need the aid of injectables.  He prescribed 2 shots of 75iu Gonal F, (one was injected at the facility and the other I brought home and is to be injected on Sunday) and hopefully we'll see more proud follicles soon. 

We spent a total of P12,208 for today's visit. 

Here's the breakdown:

And I've learned something interesting today.  If the building is PEZA (Philippine Economic Zone Authority) Accredited and one of the couple is a foreign national then sales is deemed to be non-vatable. (This was because of my curiosity over a P360 difference for one vial of Gonal F with another patient.)

This it for now folks!.

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Kato Repro Bio Center

So we decided to do our IVF here.  If we don't get lucky to have the much awaited BFP then off we'll go to Taiwan and I already have a hospital in mind.

Our journey to BFP.  Hopefully, it's with KATO.

April 7 - AF Day 1
April 9 - AF Day 3 (KATO Consultation)

KATO is very systemic about everything.  Staffs are very approachable and are very willing answer to your queries.  A very Japanese approach.

When we approach the reception we were courteously accommodated and was handed a small paper to fill in details about me and my hubby.  Then took our picture.  Btw,  please be ready with your TIN (Tax Identification Number) as they are particular about it only if you are a local resident. 

I'm really amazed that you'll go to 2 different ways of registration.

1. Hard copy - the medical questionnaire that you need to fill up and return to the receptionist
2. Electronic - the same questionnaire through an IPAD. (You'll be handed 2 actually 3 gadgets.  2 IPADs for the couple and a mini tablet if you want to know more about the KATO's facilities).

After the registration we were asked in the treatment room where in the nurse would check the vital signs. 

We came in a couple of minutes late from 11:30am.  We're supposed to wait for the next clinic schedule at 2:00pm.  And yet again, I'm surprise to hear from the receptionist that Dr. Mendiola would be seeing us now.  Wow! it's the first time that we won't be waiting for a doctor!

Q&A with Dr. Mendiola was worthwhile.  My husband was so pleased about what he has learned about the menstrual cycle, how the hormone works for conception and how my body would not be bombarded with ovulation stimulating medications in order for me to produce the precious eggs.

Part of KATO's protocol is to religiously monitor the hormones.  

Here's the result of my hormone tests at Day 3.  Nothing exceeded any limits.  Nothing is lower than expected.  In short, it's NORMAL!

ELPFBP RESULT

The least that I expected was an ultrasound on day 3 of my menses! Nooooo!!!


And here's the result.

And the result said nothing as in nothing about me having PCOS (Polycystic Ovaries)! Finally! 

I guess the stars are working accordingly.  No need to do a sperm analysis as my husband had his  recently.  I thought results would just be handed over.  But! Dr. Mendiola called us again to discuss them! They're getting me really impressed! Really! He said that both results are good.  And the way he sees it I'm not PCOS.  Lovely! (He did the ultrasound himself and this is the first time that my ultrasound was performed by a male doctor).

What's the plan?

He gave me Clomiphene Citrate (Serophene) to be taken at night after dinner for 10 days.  Our follow up is on CD6 (April 12), for another set of hormone tests.  I'm not sure if there'll be another ultrasound. 





I love the order of their approach with the patients.  You'll never go home uninformed.  They'll literally provide you with answers to your yet to ask questions.  Plus, I love the fact that all that you can see in the place is pink and purple.  So cute!

Another thing was they discussed the steps and the approximation of costs for the IVF.

KATO's IVF COST

Appointment card will be given at the end of the visit (one for each couple). 

For the details on the total cost here's the receipt of our initial visit.

Also I forgot to mention that you'll be provided with your Patient ID Card with the ID #. And I think all the transactions done with them are stored under the ID#. 

So this is all for now.  I'll update after our second consultation! God speed! Ciao!

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