Trying for Mini J #2

pre-cycle	Start 100mg aspirin* + 2mg (2 tabs) methyl folate* + 1000iu vitamin D*
CD2	Start 8mg (4 tabs) progynova
CD5	Start 10mg (2 tabs) prednisolone*
CD12	Scan - lining 8.2mm trilaminar
CD14	Start crinone twice daily + 0.4ml clexane* nightly
CD19	ET at 2pm. Increase to 20mg (4 tabs) prednisolone*
14dp5dt	beta-hCG - 1731.7 IU/L Received 1 shot of proluton^ + Start 10mg duphaston^ twice daily
15dp5dt	Minor bleeding in the late evening. Increase to 20mg (2 tabs) duphaston twice daily. Stop clexane and aspirin
18dp5dt	Received 1 shot of proluton
19dp5dt	Spotting reduced. Restart clexane
22dp5dt	Spotting stopped. Reduced to 10mg duphaston twice daily.
31dp5dt	First fetal scan. No sac found. Chemical pregnancy.

*Prescribed by Dr Sheila Vasoo
^Prescribed by Dr Marianne Hendricks

This round, perhaps due to COVID-19, KKIVF was rather empty every time I visited, a vast contrast to the crowd and long wait in the past. The pharmacy, however, was still as crowded as ever.

I was totally caught by surprise that I wouldn't be issued an MC on the day I have to return to KKH for beta-hCG blood test (which is compulsory by the way). Reason? Because I didn't see a doctor. It seems that this is not unique to KKH, NUH doesn't issue MC for the same reason. Didn't need the MC in my last cycle because I took no-pay leave. But I don't know why I only realise this in my 9th cycle; I can't recall if I ever asked for MC in my earlier cycles. If BFP, you have to go back in the afternoon to collect the papers for the next appointment and collect the medications, which meant another 2 hours spent at KKH. Anyway, no biggie for me, but I imagine some may get caught in a stressful situation.

I thought I should explain here that KKH typically prescribe duphaston after beta-hCG if BFP, but for me, Dr Sadhana agreed to my request to continue crinone but this also meant that duphaston wouldn't be in my protocol. Based on my previous pregnancy experience, I went to Dr Marianne Hendricks to ask for more support medications, in hope to prevent bleeding. But this time, bleeding started much earlier at week 4+ than my previous pregnancies (week 5+).

The first pre-natal scan (or dating scan) is typically scheduled 2 weeks after beta-hCG BT. I decided not to waste anymore time at KKH and went straight to my private doctor. At KKH, you have to see the sonographer for scan, then see the doctor to tell you the scan result and issue prescription, and finally queue at the pharmacy to buy medicine. This is too much waiting time for me.

What's the biggest difference between my previous pregnancy and this one? Back in 2018, I had very bad nausea, indigestion and tiredness, starting from around week 5, but all these symptoms have yet to surface at week 6. I was right to be paranoid and worried. How can I be so lucky not to have any major morning sickness this time round. Indeed, something went wrong.

At week 7 (or maybe almost week 7), there was no sac. It was a chemical pregnancy.


Goodbye my angel baby...