Filling in the Gap

What happened in 2018? It was a year of many changes. Most importantly, it was the year my rainbow baby was born.

After my 2nd miscarriage Oct 2017 and knowing that my angel baby is chromosomally normal, I went for a blood test to check my progesterone level during luteal phase and did a sonohysterography as suggested by Dr Sadhana. Conclusion, progesterone level wasn't ideal to try natural FET (with ovulation medication), while sonohysterography result came back normal.

In Apr 2018, I embark on yet another medicated frozen cycle. By then, I have exhausted the 15k Medisave limit and this cycle was fully pay by cash. In May 2018, my beta-hCG was at 1893 IU/L, much higher than frozen #5, but it wasn't time to celebrate yet. True enough, I started bleeding at around week 5, just like previous miscarriages. For the sake of familiarity, I went to KKH 24-hour O&G, and it turned out to be a complete waste of time. Out of desperation, I asked for an urgent appointment to see Dr Sheila Vasoo, who referred me to Dr S F Loh and I saw him on the same day. I was given a proluton jab and my bleeding stopped. However, the bleeding started again about 1 week later and Dr Loh gave me another jab. It happened again at week 8 and thankfully, that was the last episode. The following months went on peacefully, except for the very bad morning sickness that finally went away in 2nd trimester, and the very bad itchy rashes in 3rd trimester.

What was different between frozen #6 and the earlier ETs?

	FET#1 to FET#4	FET#5	FET#6
Progynova	✔	✔	✔
Crinone (pre beta-hCG BT)	✔	✔	✔
Crinone (post beta-hCG BT)			✔
Duphaston	✔	✔	✔
Proluton			weekly from week 6 to 8
Aspirin		✔	✔
Clexane		0.2 ml	0.4 ml
Prednisolone		10 mg	20 mg
Folic Acid	✔	✔
Folate			✔
Vitamin D		✔	✔

I wouldn't know if it was the higher progesterone support or the higher doses of clexane and prednisolone (or both) that helped. Most O&G doctors view that all these are not neccessary; they don't believe in Dr Sheila's protocol. "Duphaston is sufficient" they said. "You don't need the blood thinners and prednisolone" they said. They are right, based on scientific evidences which probably wrote that 95% of the candidate showed positive outcome with duphaston twice daily. But they could be wrong, for the minority who do not fall within the statistic.


Day 2 embryos x6, Day 5 blastocysts x3, Clexane jabs x276 (from 0.2 ml to 0.4 ml to 0.5 ml).