Daddy and your Sister accompanied Mummy to a gynae on 19 Jul 12, Thursday for follicular tracking or rather an ultrasound with consultation to understand how best we can get you soon.
The waiting time was okay as we were pre-empted in advance that it may take up to 2 hours. So we wandered around the place and then walked to Cineleisure for breakfast.
Daddy ordered Bak Kut Teh for us while your Sister thrive on her milk, refusing to take the rice and all maybe due to her bad cold and blocked nose, I supposed.
After our breakfast, we slowly strolled back to the clinic and waited patiently for our turn.
Finally our turn came and below was what transpired:
Gyn: Hi, what can I do for you?
Mum: We are trying for our Number 2 but have no luck/ news so far and was wondering if you could help us with it etc?Gyn: Sure, but as with all fertility consultations, I will need to find out more information from you. How old are you, Mummy?
Mum: Okay, sure. I am 31 years old while he is 34 years old. Basically, we have been trying for our second child since Dec 11 but there was no news yet. I have monitored using the Ovulation Predictor Kit (OPK) diligently and identified the Luteinizing Hormone (LH) Surge and then proceeded to carry out our activity but there was no news yet. I have the PCOS giving me irregular menses but that has regularised after the birth of our first child but when we started on our trying to conceive (TTC) journey, the menstrual cycle turned haywire again.
Gyn: Okay, but for your first child, was she conceived naturally and how long did it take you both to conceive her?
Mum: Actually it was quite fast, I would say within half a year or so and she was conceived naturally.
Gyn: Okay, then Daddy, I assume that you are a healthy Male. Do you smoke or drink etc?
Dad: No, I do not smoke nor drink.
Gyn: Okay. Then in that case, maybe we can scan Mummy first before we discuss further?
Mum: Okay, but would you be doing the tummy ultrasound of vaginal scan (V Scan)?
Gyn: I will be doing the V scan, it is clearer.
Mummy then proceed to the chair besides the ultrasound machine while Daddy carried your Sister and stood nearby.
Gyn: See, Mummy, those black patches on the screen, they are signs of PCOS.
Mum: Okay, so is there any maturing follicle?
Gyn: There is one here, but measures only 14.5mm. It is not considered as mature yet.
Mum: So, what would be considered as a mature follicle?
Gyn: Usually the minimum is 18mm, so give it 2 to 3 days time, it should grow and mature.
With that and some other scan on the uterues and the lining (7mm), the ultrasound scan ended and we all moved back to the consultation area.
Mum: So, if the follicle were to mature, can we have the HCG jab to trigger the release of the egg, i.e ovulation?
Gyn: Yes, we can but considering that this is Cycle Day (CD) 24 and the follicle is not mature yet, the quality may not be good.
Mum: (thinking that true, as in for a normal 28 day cycle, the menses should report within the next 4 days and ovulation is long over for this group of ladies with normal cycle but for Mummy here, the follicle is not even considered as mature yet) But for our first child, my last menses was somewhere in Dec 08 and we found out that we were pregnant with her around Mar 09, so that would mean that the follicle had also been inside for quite some time and the egg was fertilized too, so this current follicle at CD 24 may not be bad after all right? If the egg is not ovulated soon, you may have to consider giving up this cycle.
Gyn: Maybe your girl belongs to a fresh batch of follicles, that is why.
Mum: (puzzled but gathered that she may have a tiny bit of inkling on what the Gyn was talking about, did not discuss further on this issue) So, by when should the ovulation be so as to render this cycle still okay?Gyn: (counting on the table calendar) By this Saturday or Sunday, it should be ovulated as by then, you will be at CD 26 or CD 27 already.
Mum: Okay, so if the follicle is mature then, can we have the HCG shot to trigger ovulation?
Gyn: That can be done but the follicle needs to mature first. Let me see, so you will come back on 21 Jul 12, Saturday for a scanning and we will discuss further.
Mum: Okay, but in the event that if this cycle does not work out, what are our options?
Gyn: I can put you on clomid, which will help mature the eggs.
Mum: But I read online that there are side effects of clomid, increase risk of cancer and also that there is a maximum number of times that one can take clomid. Plus, it tends to thin out the uterine lining right? My uterine lining is not thick now and as per what my TCM Doctor said, with my light menses flow, the uterine lining may not be thick enough to support implantation, so if I were to take clomid, it may solve one problem but end up creating another.
Gyn: Do you trust online stuffs? But Clomid does tend to thin out the lining. However, we can put you on another medication in conjunction with Clomid to work on the thinning uterine lining caused by Clomid. But that can be discussed later. In the meanwhile, we can schedule another ultrasound scan for your this coming Saturday and we will see how.
Mum: Okay, Thanks.
With that, the nurse proceeded to set us another appointment on 21 Jul 12, Saturday for a scanning. As the appointments are full, she set me in as a walk-in customer and advised that I arrive at around 12 noon this coming Saturday.
After settling the appointment, Daddy made payment for the bill and we left the clinic.
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