IVF Workup in Taiwan (Part 6) : Menstrual Cycle Day 10 Doctor’s Consultation

continued from… IVF Workup in Taiwan (Part 5) : Menstrual Cycle day 8 Doctor’s Consultation

On my Day 10, May 4, I had to go to Mackay Memorial Hospital twice.  Once in the morning for my Cetrotide injection and in the afternoon for my doctor’s consultation since Dr. Robert Lee Kuo-Kuang’s clinic on Wednesdays is at 2:00 in the afternoon.

As usual I had my ultrasound done first as I arrive in the afternoon.  Since I was nearing my ovulation, my follicles are now bigger and monitoring of my follicles were now done daily.  My right ovary’s follicles now became 3, 1.31 cm., 0.88 cm. and 0.86cm.  Only the 1.31 cm. is significant although still not as big as my follicles in my left ovary.  The 5 follicles in my left ovary are now 1.61 cm., 1.58 cm., 1.33 cm.,  1.62 cm. and 1.34 cm.

My day for egg retrieval was nearing.  I informed Dr. Lee that my husband’s flight is 2 days after, on my Day 12 and asked if he will be in Taiwan just in time.  He said no problem as he can adjust the dosage of my shots.  Since my hubby’s flight is arriving around 10:00 am on Day 12, egg retrieval cannot be performed that day anymore, the earliest day we can do the egg retrieval is on my Day 13.

Instructions of Dr. Lee were getting more but not complicated:

Day 10 (which was the day of my visit) - 3 vials of HMG Menopur.  He asked the nurse to put together in a syringe all the remaining Gonal-F from the pens I brought with me.  The nurse collected 120 IU, Dr. Lee did not like wasting medicines, especially that of Gonal-F which is quite expensive.  He calculates the dosage I still needed each time he prescribed it to me to know whether I need to buy another pen or not.   Dr. Lee then instructed the nurse to inject all the remaining (120 IU) Gonal-F to me.

Day 11 – I should continue with 0.25 mg Cetrotide in the morning.  At 8:30 am, I need to do my ultrasound.  Since Dr. Lee has no clinic on a Thursday, I was asked to bring my ultrasound result to the 6^th Floor or the IVF Lab.  The staff in the lab will call him for further instructions.

4/27	4/28	4/29	4/30	5/1	5/2	5/3	5/4	5/5
Day 3	Day 4	Day 5	Day 6	Day 7	Day 8	Day 9	Day 10	Day 11
2 vials HMG Menopur / day			2 vials HMG Menopur/day		2 vials HMG Menopur/day		3 vials Menopur
225 IU Gonal-F / day				225 IU Gonal-F/day		225 IU Gonal-F	120 IU Gonal-F
						0.25 mg Cetrotide		0.25 mg Cetrotide

My bill for this visit was NT$6,498.00, breakdown as follows:

		NT$	Php
Registration		100.00	151.32
Dr. Examination		300.00	453.96
Medicines
Menopur 3 vials	1,140.00	3,420.00	5,175.14
Cetrotide 1 pack	2,160.00	2,160.00	3,268.51
Treatment		84.00	127.11
Ultrasound		360.00	544.75
Medical Supp		14.00	21.18
Pharmacy Service		60.00	90.79
		6,498.00	9,832.77

As mentioned above, I need to be back the next day, May 5, my Day 11.

to be continued…  IVF Workup in Taiwan (Part 7) : Menstrual Cycle Day 12 Doctor's Consultation