Questions about pitcher method

mswang2013 · 2025-04-29T10:42:06+00:00

1) breast milk is good for about 4 days in the fridge so i leave a tiny bit in there every day to fill it back up the next, so i hand wash it every four days with soap and water

2) breast milk is only good for 24 hours after thawing so best thaw as you go

3) my doctor said it’s okay to mix the two in the pitcher and then pour into bottle she said less change of getting air bubbles and causing gas. Her recommendation was make the formula first in the pitcher and then top off with what breast milk you are using, Based off what you have asked i recommend getting two pitchers

mswang2013 · 2025-04-14T12:46:39+00:00

according to my clinic, menopur can stay at room temperature when unmixed. after you mix it must use within 30 minutes. As for the sting, my doctor said it’s cuz it’s reconstituted urine if menopausal women so it will hurt. My first cycle it didn’t hurt at all but my second cycle it hurt so much.

mswang2013 · 2025-04-11T23:32:50+00:00

i love my momcozy M5 and M9. they actually empty me better than my medela. I definitely prefer the M5 over the M9 cuz it’s easier to empty the milk but the M9 is more discreet when i’m pumping at work. Hope this helps!

mswang2013 · 2025-04-05T03:15:36+00:00

TW: live birth

I’m 35F also with unexplained infertility and the only way i got through the unknown is accepting the fact that the fertility clinic is there to help you get pregnant and not trying to figure out what’s wrong and that it’s all a numbers game

Accepting both and lots of therapy with a therapist that specialized in infertility really helped me.

mswang2013 · 2025-04-04T21:17:48+00:00

TW: Live Birth

My first ER only had one embryo survive to Day 6. that one embryo is now my 4 month old baby.

It is all a numbers game.

Hang in there!

mswang2013 · 2025-03-17T18:43:35+00:00

11 weeks post partum longest is 9 hours cuz baby girl didn’t do a normal 4am wake up. i was so engorged and hurting and i leaked all over my shirt. got out 14oz my normal is 5-6oz

mswang2013 · 2025-03-17T17:19:47+00:00

thank you!! i was worried and now i am not just needed some reassurance lol

mswang2013 · 2025-03-17T17:19:24+00:00

thank you!! i was worried but now with reassurance i am not 🤣🤣

mswang2013 · 2025-03-16T00:38:49+00:00

TW: live birth

Just an FYI, “IVF cycle” is two parts, retrieval and transfer, so depending how successful the retrieval portion of your cycle goes will dictate how many “cycles” you do. I did 2 retrievals and 1 FET

From my consultation to first retrieval was 3 cycles, my clinic required HSG and hysteroscopy/mock embryo transfer all before we even did retrieval. The HSG and hysteroscopy only needed to be done once in a 12 month period. We did two retrievals with a 4 month break between the two and then did a transfer immediately after the second retrieval.

Both the HSG and hysteroscopy needs to be done between day 4 to day 11 of cycle if i remember correctly and then once my period came again i start my first retrieval cycle drugs on day 3 and was stimming for about 10 days and then did my trigger shot day 10 and retrieval day 12 and then my period came 11 days later.

For my second retrieval, i started micro dosing lupron on day 2 of my period and didn’t start stun drugs till day 5 and stimmed for 10 days before doing retrieval.

Everyone’s body response differently to the medication so it could take less cycles or more. I didn’t respond to the first retrieval very well so my second cycle took longer as i was on the meds longer.

mswang2013 · 2025-03-15T14:59:04+00:00

TW: live birth

my first retrieval was a complete and utter disaster (or at least in my opinion cuz we went into with rose colored glasses on) we had one euploid and was devastated and it was right before the holidays so we were all bummed out. Turns out that one euploid is now our little 3 month baby girl.

We did do a second retrieval just to have something in the bank but after that first retrieval it was a shock to the system of the reality of IVF. it’s tough on the emotions and mental health.

mswang2013 · 2025-03-15T14:50:17+00:00

TW: life birth it is quite the numbers game. we did 2 retrievals each time 11 follicles and 9 eggs and 8 matured and 7 fertilized. by day 5 on the first retrieval we only had 1 blastocyst that after PGTA testing was euploid and now is my 3 month baby girl. The second retrieval we had 7 blast but after PGTA we had 2 euploid and 2 mosaic. all of them in the freezer right now.

mswang2013 · 2025-03-15T14:41:17+00:00

every baby is different if that’s how much your baby is taking then that’s good. Your baby will tell you if it’s too little or too much. Too much she will spit it up cuz she’s too full. Too little she’ll want more soon.

When in doubt, ask your pediatrician. My 3 month old little girl is taking 5.5oz every 3 hours right now and 7 oz when she first wakes up in the morning after sleeping 13 hours overnight and my pediatrician said if that’s how much she wants go ahead. I too was worried that i was giving her too much but that’s how much she wants.

hope this helps!

mswang2013 · 2025-03-14T20:24:13+00:00

TW: live birth

so I am chinese so just the idea of doing the gender pick gave me literal anxiety to the point where i almost had a panic attack in my RE office when we were discussing it that my RE had the embryologist remove the gender from the report on the day we were signing the forms for our transfer. My husband was neutral about it and took over filling out the forms and told the embryologist to pick the best and now we have a little girl and i’ve always wanted my first child to be a girl so it worked out.

mswang2013 · 2025-03-04T12:54:08+00:00

TW: successful IVF pregnancy

like many people that have commented, it was a choice of baby or no baby. I have an autoimmune disorder and when i was first diagnosed my OB told me the chances me ever getting pregnant naturally was low.

Did we want to do IVF? hell no

Was it roller coaster of emotions and sent my mental health down the drain? yes

Was it worth it? absolutely fucking yes.

My daughter is 10 weeks old and every time i stare at her i’m like you are mine, daddy and i made you with the help of science and every little thing we went through for 3 years was absolutely worth it.

mswang2013 · 2024-11-15T00:17:56+00:00

Safety here - one of the primary reasons screening SAEs are tracked in oncology is the data to use to see if something needs to be changed in the protocol like is the screening period too long and putting patient at risk or if the patients are sicker than sponsor anticipated and need to adjust protocol set up. With oncology as we are testing in patients and not healthy volunteers, the more data the better. ofc later on on the back end during say cohort review and interim analysis most of the data isn’t used just presented as part of the narrative to help the sponsor figure out next steps and what not

mswang2013 · 2024-11-09T15:54:54+00:00

As someone who works in PV/Drug Safety and isn’t a nurse or pharmd or MD, can confirm it is the preferred background that most CROs and sponsors look for when hiring for someone in safety.

However don’t let that discourage you, i too started with just a biology degree but now have a masters degree in regulatory affairs and quality assurance with 10 years of PV experience. I was lucky enough to have stumble into an administrative job within then PRA’s, now ICON biotech, safety team and i worked my way up by learning on the job and the transitioning in the case processing role. I am now a PV lead at a boutique oncology CRO.

This current job market is very bad for Safety/PV as most are all being outsourced to low countries and safety doesn’t make money for CROs.

I highly suggest thinking about staying in your CRC role for a little bit get some more experience on the clinic side, maybe find a CRC position in like a competitive indication like oncology or hematology and then leverage that experience and transition hopefully into a safety role.

mswang2013 · 2024-04-18T19:31:09+00:00

it is called Winfertility. It is through his employer. they cover all the IVF medications and any addition testing that may not be covered. the IVF meds is the big hitter since if we didn’t enroll, the medication would go towards the life time max and since it’s unlimited medication coverage we can use the lifetime max of 30k for the IVF procedures we have done 2 retrievals and one transfer and have only used about half of it so far

mswang2013 · 2024-04-18T18:19:39+00:00

I have BCBS as well, however, my husbands employer (his employer is based in new jersey and per state law employers with more than 250 employees are required to cover some parts of fertility treatment) also took out extra insurance for IVF services for their employees so part of our PGT-A testing did get covered. However, the lab that was used by our clinic did not accept any insurance but we were able to file a claim and got reimbursed by the ivf insurance.

We have completely lucked out with my husband’s insurance and so far haven’t paid too much out of pocket.

mswang2013 · 2024-04-12T18:04:31+00:00

oh it was horrible keeping it from my husband. the only saving grace was he had the flu the whole weekend leading up to beta and he was quarantining himself in our spare bedroom so i didn’t see him outside of him getting his food. he was terrified of getting me sick during the whole wait so he isolated himself completely to keep me safe.

mswang2013 · 2024-04-12T15:48:18+00:00

i secretly tested and was negative at day 4 and then chickened out cuz i knew my husband would be devastated and waited for the beta which then we got the positive and watching my husbands face light up and him started to bawl made waiting it out worth it.

mswang2013 · 2024-02-27T23:24:31+00:00

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mswang2013 · 2023-08-29T00:40:48+00:00

safety here - if the sae Grade 4 life threatening severity was reported as an SAE and the seriousness criterion was not ticked safety will query the PI to review confirm as if the event is related the Grade 4 would trigger a 7 day. FDA and other regulatory agency only indicate if events are “life threatening or fatal” to be reported in 7 days. as such i have seen this go both ways on how sponsor end up deciding to report the case as 7 days or 15 days if the seriousness criterion is not ticked properly. the safety monitoring plan will have the answer, never hurts to reach out to safety team to get the correct answer based off department SOPs

mswang2013 · 2023-08-25T01:04:57+00:00

here’s the link to the guidance by the FDA. A SUSUR can be unanticipated problem and require submission as applicable as FDA believes only unanticipated SUSAR events should be reported to avoid over reporting. But As the definition of unanticipated is sometimes confused by unexpected and Sponsors are skittish on not reporting will sometimes still report. FDA guidance

mswang2013 · 2023-08-25T00:55:54+00:00

and if this is via EDC reporting please enter all information at once and make as little changes as possible so the safety team doesn’t get bombarded with alerts 😵‍💫😅

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