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  1. #211
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    Hi Atomic, I just got my lab results, all in the normal range apart from my testosterone which is lower then normal. Can you help me take a look? These are taken on the 3rd day of my period.

    AMH 3.29ng/ml
    TSH 0.755uIU/ml
    T4 7.64ug/dL
    LH 4mIU/ml
    FSH 5.9mIU/mL
    Prolactin 9.7ng/ml
    progesteron 0.16ng/ml
    estradiol 32.49pg/ml
    testosterone 6.71ng/dL

    Did i miss any important marker?

    Semen analysis results are pretty much the same, normal sperm count but lower than normal concentration, low motility (slightly improved) and low morphology (this one did not improve at all over the last 10 months).
    Concentration 14x10^6/ml
    count 56x10^6/ejac
    PR motility 28%
    morphology normal 1%

    We will see the andrologist tomorrow and hopefully the fertility specialist next week to get second opinion and inquire about possible fertility treatments.
    2018 2019 Swaying for a in 2021 to complete our family!

  2. #212
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    You need to eat a little more fat. I know you've already been trying to eat more, but that is the reason why your testosterone is low.

    The biggie is the HSG test to look for blockages in your uterus and tubes. I really urge you to get that done even though these tests have come back good.
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  3. #213
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    Hi Atomic, we did some more tests in the past week and to my surprise, my Cholesterol came back higher than normal (Total 243mg/dL and LDL 161mg/dL, the HDL is normal 77mg/dL). Is high cholesterol mainly caused by diet? I couldn't think of any food that may be the cause...too much butter and dairy? So if I need more fat, I need to get them from nuts and seeds that sort of food? I am also lower on Vit D 23.1ng/mL, should I be on Vit D supplement? What dosage is safe?
    2018 2019 Swaying for a in 2021 to complete our family!

  4. #214
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    High cholesterol is genetic. The idea that diet raises cholesterol has fallen out of favor.

    There is no way you're getting high cholesterol from what you've been eating. HOWEVER, there is another secondary cause of high cholesterol and that is anorexia. I am very concerned when someone who has been on a diet as long as you have has high cholesterol, because I honestly cannot know if you guys are eating enough from here, and I strongly urge you to follow up with your doctor to rule out a liver issue caused by being too thin for too long.

    Yes PLEASE take 1000 mg Vit. D daily for 6 weeks (or a higher dose if your doctor recommends it) and then go to 2x a week maintenance dose. That may help you get pregnant as well. Don't worry about your sway, when you're low in something the rules change.

    (((please take this seriously because you need to rule out seriously damaging your health)))
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  6. #215
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    By anorexia do you mean because I am not eating enough and starving myself? I think I'm eating pretty ok...at least I never felt hungry ever since I started LE. Thank you for the heads-up though, I have booked a consultation with endocrinologist and see what is wrong with me. My dad used to have high chol but I think it was from his diet/lifestyle. After he changed his diet it was pretty much under control. I thought my diet is bland enough so it means that I can continue consuming milk/butter?

    Past months we did scrotal USG and hormonal tests for DH and no significant issue found was in the result. We were referred to IVF treatment by our andrologist so I will book an appointment with IVF clinic after my AF starts in a few days. We are going back to Taiwan for the treatment where we can apply for government subsidy but unfortunately gender selection is illegal there so I think all I can do now is eat as healthy as possible so I can make more high quality eggs and hopefully get more girl embryos right?
    2018 2019 Swaying for a in 2021 to complete our family!

  7. #216
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    Wishing you the best! I hope you can get some answers and get the little girl you are dreaming of!
    2001 Girl ~ 2003 Boy ~ 2012 Girl ~ 2021 Sway Boy got Boy ~ 2022 Sway Girl- Lost little Girl ~ Due April 2024 Girl

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  9. #217
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    Thank you Treens, it's still pretty overwhelming and I still have hard time believe we have secondary infertility. But I guess we will take baby steps at a time and pray that I get plenty good girl embies! Good luck to your attempt this month!! And so so sorry to hear about your lost...
    2018 2019 Swaying for a in 2021 to complete our family!

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  11. #218
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    Yes, that is exactly what I mean. A woman who is very thin, eating very little, with high cholesterol may have it genetically, but anorexia/bulimia/disordered eating is also a possible cause, as is malnourishment. There is NO WAY given what you're eating that diet is causing you to have high cholesterol, and if you start limiting your diet more so, you're going to potentially exacerbate the underlying issue if it's related to your overall food intake. We need to talk to that endocrinologist about that possibility - please bring it up to him/her when you're there. Many doctors will just handwave cholesterol away as genetic but that may not be the case here.

    Scientists are proving more and more that diet really isn't the root cause of high cholesterol. While some people, like your dad, who have high cholesterol, can lower it some via diet, the reason they have high cholesterol to begin with has more to do with their genes than their diet.

    You probably need that fat intake to get and stay pregnant since the sex hormones are made from fat and cholesterol. I don't want you to now start starving yourself trying to eliminate fat. You need fat to stay healthy.

    Not feeling hungry doesn't mean anything. Your body can adjust to inadequate food intake over time. A person can be overweight and still be malnourished. I really hope your endo is able to rule these things out and then we can decide what to do from there.

    And yes, that's exactly right. We want you to be healthy as possible to be sure you can make a lot of eggs, because IVF is a numbers game and the more eggs we get, the more can be fertilized, upping our chances of getting XX!! FXFXFXFX!
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  13. #219
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    I have been adding alot of nuts, seeds, avocado, olives, lots of lean meat, veg and daily egg to my meal. Continuing whole fat milk and reducing my carbs to 1 toast and fruits. I am taking CoQ10, Vit D, folate, prenatal and omega. Really want to do cardio but no energy I have cut down sugar/carbs and up my protein for probably 2 months but not with the additional nuts and seeds and eggs. Is enough to boost the egg quality? If I can start the IVF cycle next month, do you think I should go ahead or wait a few more months on the diet?

    Can I ask for your opinion? Do you think I should choose a clinic with high success rate but cannot choose gender, or an average clinic but can choose gender with PGT? The fact that the clinic I am going cannot choose gender makes me anxious. I think I should go for the the clinic with better lab because they can yield more viable embryos and therefore more chance of getting XX? Even if I go to a clinic where GS is applicable, without enough embryo to choose from I might end up with no XX to transfer. Am I thinking right?
    2018 2019 Swaying for a in 2021 to complete our family!

  14. #220
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    That is fabulous that you're eating more healthy fats.

    You don't need to reduce your carbs, that's not what I am saying. You need to continue to eat carbs to keep weight on and stable, and also because being very low carb has actually made some people's cycles go missing (even when not losing weight.) That is very likely why you have no energy right now. PLEASE increase your carb intake to a normal level like we discussed where you're getting 30-40ish percent of cals from carbs, and be sure you're getting enough calories as well.

    There is a HUGE difference between a swaying diet where you're eating a lot more carbs, and a healthy for IVF diet. You can have, and indeed should have, a reasonable intake of fruit and whole grains. You don't need to load up on things like gummy worms and marshmallows, but 1 piece of toast is not enough.

    BAD diet for IVF: skim yogurt for breakfast, bagel with fat-free cream cheese for lunch, pasta and salad for dinner (very high carb, very low fat and low protein)

    GOOD diet for IVF: whole grains, nuts, seeds, fruit and veg, full fat dairy, meat, eggs, but you don't need to be and in most cases shouldn't be eating very low carb!

    I think you should go where you can choose gender. I think that at this point if you go through all this and end up with a child that is not your desired gender, you will be extremely upset and disappointed. As long as the success rates are reasonable I would personally go where I could select the gender I wanted.
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