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Perseverance and spirit, secret of all triumphs

Josh Billings said,

“life consists not in holding good cards but in playing those you hold well.” 

They do not have good cards;

They do have the perseverance and spirit

and overcame the premature ovarian failure and azoospermia eventually.

A quote of Taiwanese Poet, Xi Murong, is that “all in rush written in the book of youth.” Youth is like a blooming flower, at the brightest and most beautiful stage of the life. What is your definition of youth?

I still remembered the first day I met her. She came to our clinic for the health screening before getting married and prepared for the pregnancy. The uterine condition and fallopian tubes seemed normal. Unexpectedly, the chocolate cysts were found in her ovaries, with a declined AMH value as 0.76 mg/ml. The ovarian reserve showed severely declined, and it was unusual at her age (~20+ years).

Chocolate cysts is the symptoms of endometriosis which endometrial tissue grows out of the uterus, and in the ovaries. The cysts contain the menstrual blood, chocolate-like liquid, enlarging over months with the menstruation. Thus she often felt pain during the periods, but did not know the actual reason until now.

It was not the entire news. The results of her fiancé 's semen analysis displayed as azoospermia, which means that no sperm could be found in the ejaculated semen.

With such low AMH value, many people would choose to take the donated egg program. However, using the embryo generated from both donors' sperms and eggs is forbidden according to the reproductive legislation in Taiwan. The diminished ovarian reserve and azoospermia became two difficulties in getting pregnancy. Considering her age was still young, the fertility specialist recommended her to take the strategy of oocyte accumulation from multiple IVF cycles and to use the sperm bank.

She agreed with this suggestion. Instead of a fixed stimulation protocol, her doctor designed an individualized protocol to adjust her ovarian function. In her first IVF cycle, four mature eggs were collected and it encouraged them to continue the other programs.

Then their wedding followed behind.

In the wedding vows, they promised each other,

"I will love you, hold you and honor you,

I will respect you, encourage you and cherish you,

In health and sickness,

Through sorrow and success,

For all the days of my life." 

After becoming the husband and wife, they came to the clinic every month to continue the oocyte collection. It was just like running a marathon, and some accidents happened. Eventually, the egg collection took her almost 22 months.

The embryologists performed the artificial insemination using IMSI (6000x magnification) in her precious, frozen-thawed oocytes. The culture condition was controlled very well to grow the fertilized eggs into the blastocysts.

After transferring a blastocyst graded as 4BB, she finally got pregnant, and the beta-HCG level was 500 mIU/mL.

Youth is like a blooming flower, at the brightest and most beautiful stage of the life. Although the ovarian reserve was diminished, the quality seemed not being affected by the maternal age adversely yet. With her whole perseverance and spirit, they finally start a sweet family.

Her clinical outcomes were showed as below,

送子鳥 Stork Fertility Center 送子鳥 Stork Fertility Center Author

A turning point in my life — single embryo transfer in donor cycle

I have been to so many hospitals for taking IVF. 

This time, I made up my mind to come here, 

because I have heard that the oocyte bank at Stork Fertility Center was good. 

I am 44 years now, and have no time to waste.

It's time to know the result of pregnancy test. 

I did not want to do the urine test at home this time, because I was very familiar with the feelings of frustration and disappointment. My husband and I sat in front of the doctor's desk, waiting for the good or bad news.

"Congrats, the beta-HCG is 2000 mIU/mL. You got pregnant!"

My doctor smiled at me, but I was stunned then. Until we walked out of the center, I was just bursting with joy. We have waited for this baby at least 12 years. I even could not remember what I have experienced in the past years. Finally, I got my baby at 44 years of age after transfer only one single embryo. It was the miracle of the eggs, since these eggs were retrieved from a young woman.

Before taking the donated program, I have gone through so many cycles of my own IVF, but it just did not work. In the March of 2016, I have gone through cryotransfer with four Day3 embryos, and the outcome was as disappointed as usual. I asked my husband,

"How can I do? I have no time nor money. Should we continue to try more (IVF)?"

The journey seemed endless, and full of tears. 

After resting couple of days, I decided to use "others' egg," since mine were obviously not good. I found the iCryobank website through net searching, and called to the center directly.

The lady there sounds patient and professional, and we arranged my schedule smoothly. My doctor examined my uterine state after the first visit to the museum-like center, and encouraged us to take the donated program.

Soon, a young donor was matched to us. Thirteen eggs were retrieved, and five available blastocysts were cryopreserved. The process took around three months.

The doctor suggested us transferring a single blastocyst, because both the morphology and developing time of embryos seemed good. I was wondered about the success rate, but finally agreed with the prevention of multiple pregnancies. 

This Day5 blastocyst has become our lovely baby now. My family has started here. I was still proud of myself, for the decision at that day and for my own encouragement during this journey.

Pregnancy code of donated program at Stork Fertility Center (P-code):

送子鳥 Stork Fertility Center 送子鳥 Stork Fertility Center Author