What would you do with $100,000? Some people would use it for the down payment of a five-room flat, pay for a car or finance a university education.
For 36-year-old Audrey Nah, it was the price she paid in her arduous attempts to get pregnant.
While her peers had no problems making babies, the oil broker had to go through a total of six in-vitro fertilisation (IVF) cycles.
She eventually managed to conceive and carry through two successful pregnancies from her second and last cycle.
“I was then 27 years old and never thought I’d have problems conceiving. I remember we started trying for a baby around the same time as another couple.
“Within four months, they had a bun in the oven. But, for us, nothing happened – even after a year,” says Audrey, who was diagnosed with unexplained infertility, which forms about 20 per cent of all infertility cases.
When traditional Chinese medicine and intrauterine insemination failed to help her conceive, Audrey turned to IVF. By then, three precious years had gone by.
For the next few years, Audrey says she became a “pin cushion” from the numerous jabs she gave herself to stimulate ovulation as part of the IVF procedure.
She was so determined to have children that she would even bring along her daily injections of follicle stimulating hormone in an ice bag on her overseas trips.
The pain from the injections was nothing, says Audrey. Instead, the toughest part of her IVF journey was the waiting.
“Every day, you’re waiting for news like whether you’ve got a good number of (ovarian) follicles going or whether the embryos are healthy. There are a lot of heartaches and emotional highs and lows,” she says.
“I think I spent half of my waking hours at the doctor’s waiting. Nothing was as torturous as waiting for calls from the embryologist.”
In IVF, an embryologist preps and fertilises your embryos in the lab. He’s also the person who will give regular updates on the status of your embryos.
Audrey recalls how distraught she and her husband had been when her first IVF cycle ended up in an ectopic pregnancy.
Until today, she remembers clearly the day she lost her first unborn baby.
“It was particularly devastating for me because it was the first time I ever got pregnant. We went through the high of being told I was pregnant, to later the low of learning that the pregnancy wouldn’t work out,” says Audrey.
Her subsequent cycle was a success, and Audrey finally conceived a child.
Although she was elated with the arrival of her daughter Kaitlyn, who is now five years old, she was eager to have another child.
As an only child herself, she didn’t wish for her daughter to go through the similar solitude she had experienced during her childhood.
Side effects from hormones
When Kaitlyn turned 18 months, Audrey embarked on another round of IVF. By then, it was an uphill climb.
Her third and fourth cycles were “completely wasted”, as the quality of eggs collected were not ideal. She got pregnant during her fifth cycle, but it ended in an early miscarriage because of abnormalities in the embryo.
Despite her exhaustion – physically, emotionally and financially – from the numerous IVF treatments, Audrey would not let up.
On the other hand, her husband, 37, who works in the shipping industry, wanted her to call it quits.
“I was lucky that I did not suffer serious side effects, but my husband was worried about the massive amount of hormones I was pumping into my body every day,” she says.
“Still, I was desperate for my daughter to have a sibling. I knew how lonely being an only child would be. My husband’s a twin, so he never knew how it feels to grow up alone.”
It’s all worth it
While patients can undergo as many IVF cycles as they want, Virtus Fertility Centre director Roland Chieng, says success is “unlikely” if the woman has undergone three cycles that did not result in a pregnancy.
For Round 6, Audrey’s doctor decided to try a different approach by including human growth hormones in her IVF treatment.
According to Dr Chieng, such hormones, which can cost approximately $1,000 per week, are typically used in women with poor ovary function. They can potentially improve the quality of the eggs.
Audrey’s perseverance paid off. She conceived twin girls, Ashley and Victoria, who were born full-term in Dec 2011 via C-section.
“For the longest time, I didn’t acknowledge that I was pregnant because I had gone through so many disappointments. I delayed doing the nursery room.
“People were so happy for me, but I didn’t dare to celebrate until my daughters were born,” she says.
Today, Audrey’s a happy and contented mum of three girls.
Looking back, she had not expected to spend so much money on IVF, but not once has she regretted her decision.
“Yes, I’d have a lot more money in the bank if I hadn’t gone through IVF,” she shares. “But, that doesn’t match up to having three healthy girls.”
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