Showing posts with label Hospital Pantai. Show all posts
Showing posts with label Hospital Pantai. Show all posts

Saturday, 13 February 2016

Post IVF #1- The review

Assalammualaikum wbt

Suspen x baca post ni..hehe..last post was 4 months back. So actually da mcm2 benda berlaku..jom sy summarizekan

5wks pregnant ivf #1:
No sac seen on tvs n abdominal ultrasound. Bhcg reading pun sgt rendah..

6wks pregnant ivf#1:
Still no sac seen on uterus, but something was seen on the fallopion tube!! Ade sakit2 jgk kat bhgian kiri rahim..aduiii..doc a da suruh admit takut ectopic. But we r very optimistic sbb pain tu xteruk sgt. Doc suggest amik second opinion di hukm dgn prof hashim. Went to prof hashim, he said nothing to worry about since the mass xbesar n baru 6wks..if die burst pun dlm 7 wks. To be cautious je. Prof suruh berhenti semua ubat luteal support sbb die yakim pregnancy ni xjadi coz bhcg rendah scan xnmpk pape. So benti semua ubat

7wks pregnant ivf #1:
Tepat2 masuk 7 minggu wooosh darah mengalir dgn jayanya.. 2 hari sblm tu keluar lendir2 putih telur. Ummi sy kate tu sarang baby tu, sbb xjd so xnmpk pape, die pecah terus. Heavy bleeding for 7 days follow by 30 days spotting onwards. Heavy bleeding tu jgn ckp la sakitnye mcm mane huhu..tu la contraction agaknye ek. Tepat2 30 hari spotting, sy period semula. Alhamdulillah rase lega sbb period lps miscarriage.

So i wait for another 2 cycle sblm jumpe doc a semula.

Jan 2016, we went for another fet since we had 1 frozen morula. Segala ubat2 fet beli ade dlm rm500. Then thawing day arrive, our morula seem did not generate well. Lps 3 hari thaw, die mati aka degenarate. Fet/ivf#2 was cancel due to morula didnt make it. So we plan to shift to hukm after this.

What actually happen:

After 2 fail ivf (1st one was chemical pregnancy until 7 wks, one didnt make it even in the petri dish), doc a conclude that maybe my gene or the embryo gene is not good enough for them to survive. Usually a women my age have a good quality of embryo of 2:3, means 2 out of 3 is a good embryo. But mine is very confusing, it is like my embryo langsung xbagus semuanya, thats why they didnt make it. I was so afraid that the problem is with genetic, doc kate kat tropicana ade tools utk cek gene of embryo tp cost about rm12k lg..so xworth, baik try again for another cycle.

We plan to shift to hukm mostly due to cost wise, pantai had a very good doctor and i really like doc a, however their cost is very unbearable. Tu belum tiba2 emergency kena warded la kan.. So doc a cadang ke hukm pulak.. Hukm xde doc perempuan, which this is my 1st priority in seeking treatment, but no choice sbb kepakaran is my 2nd priority, and it is suggested by doc a to seek prof hashim. So our next appointment will be on march 2016 inshaAllah, can't wait!!

Perasaan saya?

 Hurm, nangis mmg wajib la kan bg setiap perempuan hehe..but mostly im grateful to be in this journey this far! Im young, just turn 27 last november, i had about 13 years more to try for baby. So why be sad now? Im excited to try again n again until Allah permit us to have babies. We will never give up. I know His plan is better for us. Ingat kate2 ni if rase down:

If i ask Allah for something that i want, and He gave me, i thank him once, but when i ask him but he didn't gave me, yet, i thank him 1000x, because He knew what is best for me.

Kalau kate pasarnye, if kite keluar rumah dah jln separuh n baru teringat ade tertinggal brg kat rumah n kena patah balik, jgn merungut sbb mungkin Allah nk selamatkan kirpte dr malapetaka di tgh jln. Cmtu la lbh kurang..hehe

So sebulan without any treatment is my recovery month. Means no hormon yeayy..so i plan to take supplement to improve my egg quality. I bought royal jelly, coq10, fish oil, multivit n folic acid. InshaAllah nk mkn utk sebulan sblm jmpe prof hashim.

I google about prof hashim but xbyk yg tulis review treatment dgn die. Kenape ek? Anyone know or been his patient before? Just want to know a bit about his style before starting with him.



Wednesday, 16 September 2015

My IVF Journey - FET is coming!

Assalammualaikum

Harini ialah CD18. Alkisahnya lps OPU haritu, doc prescribe utk makan progynova 1 tab 3x daily and femoston merah shj utk insert kat vagina 1 tab 3x daily until cd17, which is appointment date, which is yesterday. Owh before that, sepanjang cycle ni jgk sy consume 50ml promengrate juice pagi sblm sarapan and 1 cup of raspberry leaf tea ptg time teatime. Both products sy beli online, which said to help in thickening the endometrium lining.

So yesterday was the appointment to check my lining. Alhamdulillah it was 9mm! The ideal lining for implantation, which it should be above 7mm. Terkejut jugak secepat ni dia tebal sbb lps opu haritu doc predict fet lps raya haji. But masa scan tu ade 1 corpus lutheum yg x shrink lg dr lps opu haritu which doc afraid it will secrete progesterone and mess up the whole fet cycle. Doc ade tnye ade x bloating and sakit breast and nipple..sy ckp xde.. So most likely progesterone sgt low, but to be cautious doc mintk cek progesterone level. Result akn dpt pagi khamis and if ok, ptg tu fet.

Wahhh soo sooonnn... Mcm xprepare la plak..hope level tu cukup rendah utk proceed khamis ni. So doc prescribe injection proluton untuk inject pg khamis. Injection mesti dibuat oleh doc or nurse sbb die inject intramuscularly, which expert je yg bole injectkn. And femoston kena tuka ke warna kuning, which contain progesterone, and habiskan progynova. And one more thing, crinone, which is a vaginal progesterone gel to be inserted every morning.

So, harini cuti malaysia, kelam kabut kemas rumah bagai sbb lps fet dah xleh wat kje2 berat..huhu

Excitednye utk fet.. I dont know what to expect but im feeling positive this whole cycle. What ever happen it is for the best for both of us. Mohon doakan kami ye kwn2.


Monday, 24 August 2015

My IVf journey - IVF Cost and Expenses

Assalammualaikum.

Disclaimer: post ini hanya applicable utk di hosp pantai bangsar under Dr Adilah Ahmat pada bulan Ogos 2015 shj

Saja buat disclaimer yela skrg cos rwtn berubah2 ikut tmpt masa dan perawat kite. So here we go!

28/7/2015-CD2

Scan RM143.10
Consultation RM111.30
Admin fees RM 11.80
TOTAL: RM266.30 inc GST

31/7/2015-CD5

Scan RM111.30
Consultation RM111.30
Admin fees RM 11.90
TOTAL: RM234.50 inc GST

1/8/2015-CD6

Blood test for: Full blood count, liver profile and renal profile  RM 120
TOTAL: RM120

2/8/2015-CD7

Medication:

pergoveris 8pcs X RM 370: RM 2960
Orgalutron 5pcs X RM190: RM 950
Crinon 1 box : RM 375
Decapeptyl 2pcs X Rm70: RM140
Needles and alcohol swaps: RM15
TOTAL: RM4440.00

3/8/2015-CD7 (S1)

Scan RM143.10
Consultation RM111.30
Admin fees RM 11.80
TOTAL: RM266.30 inc GST

7/8/2015-CD11 (S5)

Scan RM143.10
Consultation RM111.30
Admin fees RM 11.80
TOTAL: RM266.30 inc GST

10/8/2015-CD14 (S8)

Scan RM143.10
Consultation RM111.30 + RM42.40
Admin fees RM 10.40
Lab test for HEP B and HIV : RM60
Lab test for ahep B adn HIV for husband : RM57
Medication post OPU: carbegoline 4 tabs X RM33.75: RM135
TOTAL: RM560.30 inc GST

13/8/2015-CD17 (OPU day)

OPU package include: anesthesiologist, embryologist, gynae, day care ward, freeze for 1 year: RM12721

14/8/2015-CD18

Warded 1day post OPU due to complication: RM456.75 inc room and bed, consultations, medications (antibiotic vibramycin and panadol) and scans

Medication bought at AA pharmacy Bangsar:
Carbegoline 8 tabs : RM197
Norculut 5mg 2boxes X RM7: RM14

TOTAL: RM 680.40 inc GST

18/8/2015-CD22 (5 days post OPU)

Consultation RM111.30
Admin fees RM 11.80
Lab test for  Full blood count: RM172
TOTAL: RM337.60 inc GST

TOTAL bill so far for OPU cycle: RM 19784.70

Wow!! Banyaknyee..huhu..memang kena spare banyak duit tepi sbb xtau bile kena wat blood test, bile kena warded, bila kena g appointments, so jgn terkejut dgn total bil nnt..huhu

Next stop, FET!

Wednesday, 19 August 2015

My IVF Journey - Post OPU Complication

Assalammualaikum wbt.

Semlm, 18/8/15 merupakan temujanji pertama lepas OPU. Lepas warded 1 hari dan on Carbegoline utk 5 hari, so nk tgk result sama ada ovari masih bengkak atau tidak. Yes, salah satu komplikasi lepas OPU utk PCOSer is ovary lmbt surut. Alhamdulillah sign of OHSS xde lg. Since keluar ward haritu doctor mintk update kat dia 4 benda setiap pagi:

1. Ukur lilit pinggang
2. Berat badan
3. Input air
4. Output air kencing

So hari appointment tiba. Senak2 perut dah kurang, nk gerak pun da xbrape sakit. Nk bgn dr katil klu 1-2 hari lps discharge dulu pyh sgt, skrg da boleh, cuma kena push bdn guna tgn utk bgn..xbrani nk guna muscle perut. Alhamdulillah time scan, ovary sy yg 9cm tu dah surut jadi 8cm je..doktor kate lmbt jugak die respon pd carbegoline. Ovary 1 lagi masih 6cm. So, ubat carbegoline diteruskan sehingga next appointment 27/8/15, iaitu khamis depan.

So lepas scan tu, doctor tunjuk gmbr embryos day 3-6. Out of 5 yg berjaya fertilise aritu, 2 jadi blastocyte gred BB. Bb tu da cukup baik bg doktor sbb die kate by noon biasa die da jd AA. 1 masih stage morula. 1 masih stage 2 sel, 1 lagi byk fragmentation, which doc kate nmpk mcm sel tp sbnrnye bukan sel. Mcm cacat la. So end up freeze  blastocytes n morula tu shj.. Alhmdulillh.. That's good enough for me. Comel je tgk blastocyte tu..mmg tgk perfect je bulat n sel2 kat dlm.. Doktor beritahu yg biasa FET doktor mmg akan masuk 2/3 embryos..so doktor tnye nk brpe.. Kami tnye doktor balik ape yg terbaik..die kate dlm usia awak ni, 70% chances utk semua embryos survive implantation if masuk 3, so masuk 2 je la utk kurangka. Risiko multiple pregnancy.. Klu twin pun risky, lg la triplets. Sbnrnye byk soalan kami tanye doktor psl transfer ni. So sy listkn terus soal jawab ni:

1. Ape risiko mengandung twins?
Risiko untuk rahim xkuat. Klu die xsurvive time implant, tu mmg gene die xkuat, tp klu gugur time after 20 weeks, tu maknanya rahim xkuat. Biasa rahim xkuat sbb faktor umur, donor egg, donor sperm or surrogate mother. So in case awak, umur muda, dua2 sperm n ovum dr ibu bapa kandung, so probability utk survive tinggi.

2. Ape % live birth twins kat Pantai?
Dlm kes saya, setahun ade 36 kes twins, 3 gugur, so dlm 10% failure. Tp klu single pregnancy, ade dlm 50 lbh cmtu, 1 je gugur. Ni xtermasuk yg xsurvive implant sbb tu xkire gugur.

3. Ape umur baby untuk survive time lahir?
Bila berat baby dlm 1.5kg above, which dlm 7-8 bulan ke atas. Tp klu pregnant twins mmg kami akan induce birth dlm 8 bulan or early 9 mth.. Biasa 8 bln..

4. So nnt time FET semua akan di thaw kan ke or yg blastocyte je?
Itu bergantung pd embryologist jgk. Biasa 1 vial die letak 2 embryos. So kes awk ade 2 vials la. Paling cntik time FET tu blastocyte stage hatching, bukan da hatch, tp tgh hatch.

5. Mcm mane timeline utk FET?
Ok lepas ni habiskan norculut (norethisterone) untuk 12 hari, which rabu depan last dose, expected period mungkin dlm 1/9/15. Time tu da bole start ubat2 utk kuat dan tebalkan rahim. Ubat tu makan selama 3 minggu lebih kurang..so mungkin dlm akhir september lah FET.

So itulah lebih kurang. So skrg kena tumpukn kesembuhan ovary ku. Doktor still xbg gerak banyak, so mmg bedrest je la da hmpr 3 minggu..housechores semua husband yg buat, ok la sidai baju basuh bj, lipat je die xbuat lg so bertimbun2 baju dilonggokkan..haha..semput la die nk wat semua kje..baru tau penat jd surirumah smbil kerja.. Nnt time pregnant mmg kena cr pembantu la...die xlrt nk buat semua benda..huu...

Ok itu shj.. Bile la nk wat post kos ni..malas betul..huhu..

Friday, 14 August 2015

My IVF journey - OPU day

Assalammualaikum wbt..

11/8/15
Suntikan orgalutron di awalkan ke 10am dan suntikan decapeptyl pada jam 11pm

12/8/15
Mkn 10mg bisacodyl utk proses pembuangan air besar jam 6pm dan start puasa penuh jam 12am

13/8/15
Sampai hosp kol 7.20am..terus pergi bhgian admission. Dlm kol 8 pergi masuk wad day care kat blok C tingkat brpe xingat sbb da berdebar sgt..rupenye wad sblm ivf unit je..masuk bilik terus salun baju OT..doktor bius dtg dlm pukul 9.30..then kol 10 jalan kaki dr wad ke OT ivf..power jugak ivf unit sini ade bilik OT sndr..dalam bilik OT tu aduiyai berdebar sgt even ni kali ke 2 masuk OT..doc A interview sket2 tnye bile suntik ubat..doctor bius sempat buat lawak lg time nk masuk line kat tgn..then lps 30min sedar ade bende kena tarik dr mulut..adui tu sakit sikit sbb tgh lalok lg..pastu sedar balik ade kat luar OT..terus tnye nurse da pukul brpe..nurse kate kol 10.30...oooo mmg 30min je ek..lps tu kena sorong ke bilik, perut rase senak n sakit sgt..nk tdo pun xbole even tgh lalok..kol 2pm br bole mkn..pastu doktor A dtg..doktor kate time mula2 masuk needle die ter poke arteri, so ade bleeding kat faraj..die da jahit tp takut ade internal bleeding..die scan perut sbb die kate time procedur telur kanan tinggi sgt..so kanan dpt amik sikit je. Time scan lembut je doktor tekan sbb mmg tgh sakit..lps doc scan, pergi toilet terus burse kencing..n lega sikit xsakit sgt..lps tu mkn sandwich n panadol..br lega sket..tp tiba2 sakit lg..terus g toilet lg n kencing..then lega.. Dlm kol 7pm doctor A call, tanye sakit lg ke x..die kate blood result ok xde internal bleeding..bgtau doktor sakit time nk kencing..rase bloated..doktor kate sbb ovary tu mmg rapat kat bladder so jgn biar bladder penuh nnt mmg sakit. Mlm tu makan cabergoline 1/2biji utk permulaan.

14/8/15
Owh sebab doctor nk monitor psl internal bleeding tu day surgery jd in patient plak..so terbang la RM400++ huhu. Harini doctor scan tvs kat klinik die. Alhmdulillah xde internal bleeding, tp ovary kanan da tinggi sgt ni..die betul2 rest kat bladder..dan size die 9cm!!! Normal size ovary 2.5cm je..n post ivf ovary ptt dlm 5-6cm..i punya 9cm!! Doktor tanye ade mkn supplement pelik2 x 6 bulan lps..sy kate mmg xde..nk mkn multivit pun mls2 huhu.. Doktor kate mungkin sbb besar sgt so slight movement pun bole sbbkn ovari teralih. So kena betul2 bedresr as if xleh duduk langsung..baring je..huhu..ok doc! Sbb klu pecah lagi bahaya..so harini dpt discharge alhamdulillah..

Owh lupe nk bgtau, doc ade wassup gmbr embryos. Alhamdulillah doc dpt collect 7 ovums and 4 of them da start membahagi..1 br nk membahagi harini, 1 lysed 1 xmembahagi langsung.

Syukur ya Allah...

Doakan embryo kami membesar dgn jayanya jd blastocyte sblm di frozenkan..

Monday, 10 August 2015

My IVF Journey - S8 appointment

assalammualaikum wbt

Hari ni stumulation day 8, means hari terakhir untuk suntikan pergoveris, dan hari ke3 suntikan orgalutron.

Appointment dgn doc A dlm kol 11 td alhamdulillah berjln lancar. Eventho dpt turn no 10, tp sbb ramai xde dpn klinik, dpt skip 4 org huhu.. TVS nmpk byk gile telur n roughly je doktor cek saiz.. Mmg besar2.. Ade 17.5, ade 16.7.. Doktor nmpk puas hati dgn saiz skrg tp doc pun takut dgn potensi OHSS. So, doc kate proceed OPU khamis ni 13/8/15 kol 10pg. So kena daftar wad kol 7pg. Regime ubat pun bertukar. Orgalutron lg 2 dos, 1 inject mlm ni kol 11, satu lg inject esok pg kol 10pg. Then mlm kol 11pm 11/8/15 inject decapeptyl 2 dose sekali. Ptg 12/8/15, kol 6pm mkn dulcolax 2 biji n puasa tp bole lg minum air, n puasa semua mknn n minuman start kol 12am. Sblm balik tadi, doktor mintak suami buat ujian hep B and HIV, sy pun kena buat tp 12/8/15, sehari sblm opu. Doktor jugak bg ubat 3 bijik carbegoline untuk elak potensi OHSS. Yg ni mkn lps opu, but doc xbgtau mcm mne nk mkn. Semua ubat nnt saya review dlm post review ubat k.

Masa scan sempat tanye doktor, rase2 nye brape telur dpt ni. Die kate ade dlm 15 ni..tp sbb awk pcos takut ade yg kosong. So hope semua berjln lancar opu nnt. Sejak inject orgalutron, rase senak dah berkurang, tp mmg rase berat dgn perut..mcm rase terbakar (burning sensation) pun ade kdg2..tp klu baring mmg sedap xde rase sgt, tp mmg lenguh la..yela asyik baring je kejenye..lps opu nnt..ade mse bertenang since nk freeze all, so nk g berurut la kjp, hehe.. Ade suggestion x urut sedap area s alam?

And sy nk wat entry pasal kos ivf bile semua da selesai inshaAllah.

Friday, 7 August 2015

My IVF Journey - S5

S5 means stimulation day 5.

Assalammualaikum.

Harini cek up utk tgk size telur in response to pergoveris for the past 5 days. Alhamdulillah ade 1 biji belah kanan yg size 15mm, 1 biji lagi 14mm belah kiri. Tp secara keseluruhannya doc xpuas hati tgk keadaan ovari sbb dua2 ovari penuh dgn telur kecik2. Patut la rase senak sejak semlm. Nk tdo pun susah.. Sbb semua telur tu berebut2 nk membesar same..huhu..but doc kate just nice with plan, mlm ni da bole start injection orgalutron pukul 11pm. Alhamdulillah..

Lepas keluar bilik doktor mood terus baik, sbb dpt good news alhamdulillah.. Padahal td muke punya la monyok sbb cuak bagai. Husband excited sgt..xsabar nk tgk embabies..hehe..sejak ivf start ni die rajin la gugel mcm2 istilah ttc.. 2ww tu ape, dpo tu ape..hehe..hari ni ajar istilah embabies plak..represent embryo + babies. Setiap mlm pun kami akan tgk video2 icsi, stage fertilization.. Nk bg attraction tu ade. Smpai husband angan2 la nk wat ivf machine sendiri..huhu..he and his robotic maniac.

So, cant wait for another appointment this coming monday, 10/8/15, on S8.

And doctor pesan xleh renyah2 dah skrg. Sbb takut telur ruptured. Solat pun kena duduk, xleh bongkok2.. Bersama pun xleh.. Tp air mani kena keluarkan n buang pd 9/7/15 nnt.

Ok baik doctor.

Doakan telur saya cantik membesar dan penuh dgn isi.

Thursday, 6 August 2015

My IVF journey

Assalammualaikum wbt..

Wowwww sekian lama tidak menulis..and im back!!

Actually byk fasa ttc yg dah lalui..mari kite singkatkan:

7 Jan 2015: laparoscopy ovarian drilling with prof hatta (suami dr adilah) di HUKM
Mac 2015: followup with dr adilah again post laps, seems my ovary didnt react positively with laps. Doctor suggest to procees iui or ivf..
Apr 2015: we decide to proceed IVF next cycle.
Mei 2015: IVF postpone for 3 cycle as i was warded due to leptospirosis.

Sadis jugak time warded bln 5 tu sbb da semangat nk start ivf. Tp Allah lbh tau apa yg terbaik.. Instead xdpt proceed, dpt ikut suami bercuti ke Los Angeles!! Hehe..klu start ivf gamaknya tinggallah xdpt ikut..

Ok as soon as period bulan julai appear, terus buat appointment dgn doc adilah:

28 julai 2015: CD2

Doc scan TVS untuk cek telur, time ni baru cd2.. Doc kate belum cukup 3 bulan selepas masuk ward bln mei tu.. Klu nk ikutkan 15/8/15 br cukup 3 bulan. Doc sgt particular sbb menurut doc, concern dia ialah liver ade problem x as ubat n kuman akan cerna kat situ.. So doc mintk dtg blk hari jumaat utk scan skali lg.. N time ni doc da bg senarai ubat yg kena beli.


1 ogos 2015: CD6

Sepatutnya appointment kol 11, tp tiba2 doc kena masuk OT kol 11 tu..ape lg memecutla dr shah alam kol 10.15 ke pantai bangsar. Kol 10.45 smpai terus amik valet je sbb sure penuh parking. Then naik tunggu 1 turn n dpt jumpe doc. Doc scan n tgk bole proceed injection ahad atau isnin.. Tp doc suruh tunjukk. Blood test time warded lepto. Aduiii.. Mane ntah simpan segala bils tu..ptg tu balik n cari2 ade resit je..lap result xde.. Terus msj doc...mlm nr doc reply bgtau esok kena dtg buat blood test kat pantai.

2 ogos 2015: CD7

Kol 10.30 sampai pantai. Jumpe nurse salina amik borang withdraw darah, n proceed ke tingkat 2 bangunan yg sama ke outpatient lab. Lps da withdraw darah terus msj doc.. Skali doc kate apsal lmbt sgt amik darah sbb lab hri ni separuh hari je...huaaaa apsal bole lupe sabtu separuh hari.. Sejak xbekerja ni mmg lupe dah hri ape org kje huhu..

3 ogos 2015:

Pagi2 msj doc tanye bile nk start injection, doc reply since blood result esok pg br bole tgk, esok pg2 isnin tu jumpe die 1st pts. So kami pun kelam kabut call kak Futk beli ubat pagi ahad tu...tup tap kol 11 sampai rumah kak F.baik sgt kak F ni hidang kuew tiow lg pd kami..dia kate kami muda lg ni. Kak  F ajar mcm mane nk guna semua ubat n suami kak F bg tips2 semasa rawatan..dia kate jgn stress.. Buat mcm mula2 kawin dulu. Layan isteri mcm puteri bila da transfer telur nnt. Jgn buat kerja2 kasar..baring je klu bole..naik tangga pun xbole..solat pun kena duduk..byk tips lg dapat..baik sgt both of them.. Then total kos ubat RM4550 termasuk sringe n jarum2..

Nk tau x ubat ape yg mahal sgt tu? Hehe

Ingat nk upload gmbar tp xtau cane setting ipad ni. Kite senaraikan je lah k:

Pergoveris (fillotropin) 0.5ml
Orgalutron
Decapeptyl
Crinone (progesterone vaginal gel)

Sekarang ni tgh injection Pergoveris shj. Pergoveris ni utk stimulate folicle development. Esok scan pada Stimulation Day 5 (S5). Klu ivf cycle die ikut stimulation day brpe sbb klu ikut cycle day mcm xvalid sgt. Doakan esok telur cntik membesar dgn jayanya ya.

See u again..byeeeee...




Tuesday, 5 August 2014

5th appointment Hosp Pantai Bangsar: Bad News again

Assalammualaikum wbt dan selamat hari raya.

last appointment dgn doc adilah sebelum raya aritu. lepas 2 hari observe ade telur besar 15mm, but scan balik telur tu still besar tu je..huaaa sedih betul..huhu..tp xpe..doc kate mungkin telur sy lmbt membesar..try naturally dulu. no trigger were given that day. n doc bagi duphaston utk kuatkan rahim incase preggy.

so, 21/7 - 2 telur 15mm
23/7 - 1 telur 15mm
duphaston 30/7-13/8

doc bagi option untuk next treatment incase this time fail, sama ada guna suntikan untuk trigger telur membesar or buat ovarian drilling since banyak cyst2 kecik keliling ovary. the best option if drilling la but cost about 15-18k! which i dont have any insurance covered for this surgery. klu guna ubat suntik shj, chances die same cm mkn clomid je since i punya ovari dah penuh dgn cyst, tkut telur xleh membesar jgk.

we wanna opt for drilling if we are financially stable in the next few months inshaAllah..

btw, how is your raya so far? me? alhamdulillah most of the relative prayed for our future kids..ade la sorg yg celupar but sorg dlm 20 org xde efek mane kan..hehe..

husband mcm dah xsabar nk ade baby..yela kwn2 baya die dah anak 3...huhu..sabar ye, inshaAllah ada rezeki kita nanti.

till here..moga kami berjaya hamil this cycle naturally..aminnn

Wednesday, 23 July 2014

4rd Appointment Hosp Pantai - good news!

Assalammualaikum wbt,

isnin lepas, 21/7/14 saya pergi check up time cd12. ok mari imbas kembali apa saya buat this cycle:

10/7/14- CD1
11-19/7/14- Tab Clomid 100mg
21/7/14- appointment

ok basicly cycle ni regimen clomid agak berlainan, which biasa clomid amik time cd3-cd7 (5hari), but doc nk pnjgkn time sy amik clomid sbb last 2 cycle clomid xberi respon. jadi saya kena makan dari cd2-cd9 (8hari). dan alhamdulillah, time scan tu ade 2 biji follikel yg besar 15mm! ya Allah gembira xterkata mcm dpt berita pregnant. doc pn mcm teruja sbb sy bgtau ni 1st time nmpk besar. mmg nmpk besar gile kat screen tu..haha..jakun!

doc kate mungkin saya ni lmbt respon kat clomid dan mungkin juga sbb saya amik vid D. but sadly my endometrium lining baru 3-4cm shj. untuk penempelan bagus 8cm ke atas. so doc precribe ubat hormon femoston, amik yg estrogen pil shj(warna merah) dan bukan makan, tp insert kat vagina setiap 6 jam! huhu..1st time dpt ubat insert kat vagina.. jakun lg! haha

so, hari ni appointment lg nk tgk progress pembesaran telur. sebab telur boleh membesar 1-2mm sehari. jadi estimated paling x telur akan besar dlm 18mm paling kurang. Ya Allah besarkanlah telur2 ku.. Kurniakanlah kami rezeki anak2 soleh di bulan ramadhan yg mulia ini..amin..

Thursday, 26 June 2014

3rd appointment: Hosp Pantai

Assalammualaikum wbt,

kali ke 3 jumpa doc adillah, da bole calm down sbb sebelum ni gabra semcm smpai nk tnye pape semua xleh..haha..

ok kali ni cek telur je, sbb last time ade yg 12mm tu kan, so bile tgk hari ni, 12 mm tu dah xde, tinggal sac je yg da meleper doc kate. dan good news sbb rahim menebal 8mm(ke cm ek) which is sesuai untuk implantation dan doc tgk ade cecair dlm rahim which biasanya cecair ovulation! rahim pun wane putih which mcm tanda2 ovulation.. but bile doc cek balik note die, die prasan yg last time jmpe doc pun rahim putih..n i pun mention yg last week ade keputihan wane hijau n doc pun mengeluh sbb mungkin ade infection..
but doc kate who knows kan..rezeki mmg betul i ovulate..

so, doc bg duphaston again for 2 weeks starting today, then hari terakhir duphaston try cek upt, if negative, wait for the period, if positif, kena cont amik duphaston.

so, the 2ww begins..semoga ada rezeki bulan yg mulia ini..

owh btw ade tnye doc psl result insulin yg lepas, doc kate belum thp nk diabetis or insulin resistance lg but going to which bila umur da 35 above da kne cek drh setiap thun. for now, ia just mengganggu hormon nk pregnant sbb insulin pun hormon kan..so metformin nnt utk stabilizekan hormon je..fuhhh lega!

p/s: bulan ramadhan ni banyak nk doa! tp yg penting kena doa diampunakn dosa agar ramadhan xsia2..

Thursday, 19 June 2014

2nd Appointment: Hosp Pantai

Assalammualaikum wbt,

Setelah dapat call dari nurse ida tentand vit d, esoknye mmg ade appointment dgn doc adilah. this time appointment sangat cepat 10 mins je jmpe docs..huhu.

so hari ni review all the lab result..keputusan sangat mendukacitakan:

1. vit D mmg rendah
2. insulin sangat tinggi (18.8!)

so doc suspect insulin resistant kot eventho doc xmention pun. but doc plan to start ubat turunkn gula dlm darah, mungkin metformin lepas pose nanti sbb takut hypo bile amik time pose. n of cos vit D supplement 1000iu 2 kali sehari..banyak kan?? huhu..

then TVS again nk cek telur sbb aritu time cd3-7 ade amik clomid 100mg. so, as usual, cyst sgt banyak n ade 1 telur 12mm the biggest among other but doc ckp still kecik utk cd13..biasanya 12mm ni cd6..huu..xpe doc kate mungkin die membesar so hari isnin 23rd ni dtg lg cek telur. but i couldnt manage to come that day, so doc kate dtg sehari lmbt pun xpe tp tkut da ruptures la telur tu xdpt monitor, xpe yg penting kena bersama selang sehari. ok doc!

sblm jmpe doc sempat lg melawat kwn kat wad, dia nk wat laps ptg tu..first time jmpe biasa wassup je..hehe..hope u r doing fine sis.. n dpt conceive lepas ni! amin..

hurm, cmne nk turunkan level insulin ek? da la nk pose ni..eksesais mcm tak je..huhu.

Tuesday, 17 June 2014

Result Darah: Vit D

Assalammualaikum wbt,

Baru lepas terima panggilan dari Nurse Ida Hosp Pantai. dia bgtau result vit D saya rendah :(
vit D penting untuk conceive since baby develop tulang dr calcium dan calcium kita dipengaruhi oleh vit D kita. hurm..

Esok appointment ngn Dr Adilah lagi.. nurse kate doc nk start ubat baru utk naikkan level Vit D..

any comment girls?

Friday, 30 May 2014

1st appointment: Dr Adillah Pantai Hospital

Assalammualaikum wbt..

lepas seminggu appointment baru berkesempatan nk tulis blog. 
btw, pade sesiapa yang baru follow blog saya (ade ke?perasan..hehe) saya baru je tukar doctor yg sebelum ni saya wat ngn doc hamizah LPPKN..but due to certain reasons, kami beralih arah ke Dr Adillah di Pantai Hospital Bangsar.

kisahnya bermula, pada pertemuan pertama..

memandangkan ini kali pertama jumpa doc adillah, so kena dtg awal untuk tau cmne flow hosp pantai ni. so we manage to reach there at 7.30am. parking kat basement than pegi ke lobby hospital. tanye receptionist mane klinik doc adilah. so, if sesiapa yang xtau lagi, cari atm then nnt nmpak starbuck, terus lagi nmpk lift. naik tingkat 4 than keluar nampak kaunter pendaftaran belah kanan. kalau dtg pepagi cam saya ni, of coz xde org dtg keje lagi..tp no giliran dah boleh ambik.. rupenye nombor giliran manual. hehe..so pegi cari bakul isi nombor giliran atas kaunter tu, cari ikut name doctor anda tau sebab kat situ ade byk lagi klinik run by other docs. so bila da ambik, utk 1st timer, kena isi borang pendaftaran, if yg regular, just kepilkan nombor giliran anda dengan kad appointment. 

hari tu kami dapat no 7. ingatkan kejap, lama jugak tunggu, dlm kol 10 lebih baru jumpe doc. nak di pendekkan cerita, bilik doc adillah sangat comel dan cantik! i like the furniture, ala2 english gitu. well, she seem very serius and tired jugak kot haritu, tp die layan kami sangat superb!. die tnye history semua, review balik semua result saya buat kat lppkn, tgk balik HSG xray. dan buat TVS. so mcm full assessemnt la. 

upon TVS examination, saya n suami terkejut dgn ape yg doc bgtau which never ever any doc mention this to me ever before. doc kate my uterus is flex! usually normal uterus is flex towards bladder, but mine is flex backward!. but doc kate this is not a major thing, it is like some people is right handed and some people is left handed. but ade sebab kenapa jadi flex. so doc suspect endometriosis. suspect shj sebab doc kne wat further test utk confrimkan. 

after that doc kire ketebalan rahim. doc kate rahim saya kecik macam budak kecik..maybe sebab dah lame xde stimulation dari estrogen sbb xde folikel. then doc tgk ovaries. sekali tgk je doc mmg ckp pcos sbb 1 ovary je dah ade 14 cyst..belum masuk yg sebelah lg. utk diagnose pcos kena ade lbh kurang 10 cyst sekurang2 nya.

dan bila doc review blood work dr lppkn, byk rupenye test yang xberapa nak penting diambil dan yg paling sadis, rupenye tarikh blood taken kat lab result tu semua die tulis tarikh yg sama! padahal blood amik time cd3 lah, cd 21 lah..kan tarikh lain2 tu..hish...but result sperm husband is valid. so saya kena amik blood semula dan kena cek Vit D level jugak. 

dan HSG xray pun xberapa nak cantik sebab doc prefer result yg ade time frame per second time dye tu di inject.. so bole tau part mane ade occlusion ke or part mane sempit..hurm...

so kesimpulan pertemuan kami hari ini:
1. saya confirm ade PCOS
2. baru tau rahim flex or kate org melayu, rahim terbalik
3. propability ade endometriosis

sebelum balik doc bagi ubat clomid makan time cd3 smpai habis. then duphaston untuk induce period bulan ni, then doc nasihat mkn multivit n folic acid.

total bil: RM250 full assessment consultation, RM250 blood lab work, RM40 clomid, RM 150 consultation. 

Sekian. 

Friday, 16 May 2014

New Journey..inshaAllah

Assalammualaikum..

Last 13th mei was my CD1, alhamdulillah gembira sebab leh start treatment bulan ni! sepatutnya period datang around 6th tu, but sbb xabes lg dos duphaston, so delaylah seminggu. so, rabu 14th tu terus call lppkn utk set appointmnt. but sgt2 kecewa bila PA dr hamizah kate doc xavailable minggu ni utk jumpe. dah la cd4 saya ari jumaat, sabtu cd5. so mmg xleh nk wat appointment la..pujuk nurse tu, bole ke doc prescribe ubat base on my record then i g amik ubat je, sbb klu jmpe doc pn doc bkn leh scan ke ape kan.. nurse tu kate xleh..hish..geram betul.. by right bole je sbb doc still monitor i punya perkembangan sbb segala scan bagai time da abes period nnt. da la this is my last treatment sblm bln pose..serius down gile..terus pm kwn2 ttc mintk pendapat.. then diorg suggest utk wat appointment dgn doc Adilah, hosp pantai. so, tnpa pikir panjang terus je call nurse ida, & alhamdulillah dpt set appointmnt ngn dr adilah cd12 nnt, bersamaa 23rd, friday. husband pun support sbb die kate xnk membazir waktu tunggu lps pose baru wat treatment.. mane tau ngn doc adilah ni leh fast track kan...inshaAllah..

but the main concern here is money la.. semlm ade kwn ttc first time jmpe dr adilah kne lbh kurang rm1k! wahh..tabung mane nk korek ni~~~ huhu..tp hubby kate jgn risau ngn duit, duit boleh dicari..xyah berkira sgt dlm hal anak..alhamdulillah..hubby sgt sporting.. :))

so, here we go, tunggu 23rd nnt utk jmpe doc yg femes tu..hehe

till then, bye