Assalammualaikum wbt and ramadhan kareem everyone.
Today is my ultrasound day on cd13. Recap: i was on femara starting cd2-cd6 7.5mg daily. I arrived at clinic at 10.30am and the clinic was so quiet, and less people inside. I registered myself and ask am i late or something, the nurse said that less people prefer to have treatment in ramadhan month as there is no way they could do transvaginal scan or other procedur like iui or ivf.
So, i was in no queue at all. During the scan, the sonographer said she will be doing abdominal scan only as im fasting. So, as it is hard to see follicles using this scan, she had to push the scanner tool harder than usual on my stomach. And alhamdulillah, when she scan my right ovary, she easily spotted one big follicle measuring 23x18mm in her screen, while others in left ovary are very small one measuring only 7x7 each. Endometrium lining also looks good with thickness 10.1mm. After the scan, i went to the registration counter and an indian doc name dr prakash waited for me and look at my form. He said this is very good and we need to trigger this now. I was so excited as my follicle grew this fast and as prof hashim expectation. Alhamdulillah. So i trigger with pregnyl 2000iu at the clinic and will bd in the next 36 hours from now.
Also, i had started using opk the last two days, and today my opk is darker than yesterday, and i found out that my vaginal discharge also a little bit sticky and going to be egg white a little bit. I hope this is the month for us, inshaAllah. The best month for ibadah and du'a, and also a miracle soon inshaAllah. Do pray for us, and i hope for the best for u too.
Happy 8th ramadhan to all.
Showing posts with label PCOS. Show all posts
Showing posts with label PCOS. Show all posts
Monday, 13 June 2016
Sunday, 22 May 2016
Medication review - Diane35 and Meftormin
Assalammualaikum wbt,
Lately i was thinking of starting a vlog, because i love to watch ttcian from all over the world documenting their journey through videos in youtube. However, i am a shy person, especially in front of the camera hehe. I also figure it out that no ttcian vlog are made from my country. Hurm, should i make it?
Back to the real topic for this post, it is about my medication for this time of treatment. As i mention in my previous post, my doctor, Prof Hashim from Hukmsc, presribed me with birth control pill, or oral contraceptive pill called Diane35. Actually diane35 is not a new drug for me. I was previously on this drug when i was 21, right after my first diagnosis of pcos.
Diane35 is an antiandrogen drug together with estrogen (cyproterone acetate 2mg and ethinyl estradiol 0.035mg). This drug is not solely use for contraceptive purpose only but also to prevent or reduce androgenic effect of the body such as acne and hirsutism. That is why this drug is suitable to treat pcos as we are high in androgen hormone. So as any other birth control pill, it consist of 21 tablet for a month supply and should be taken a tablet daily as a same time. Personally i dont really like this drug, well i Hate it!!! Haha. It causes me a lot of side effects that i cannot stand it any longer. Luckily i was on this drug for only 2 month before i start my fertility drug. These are some of the side effect that might occur to you when taking diane35:
Lately i was thinking of starting a vlog, because i love to watch ttcian from all over the world documenting their journey through videos in youtube. However, i am a shy person, especially in front of the camera hehe. I also figure it out that no ttcian vlog are made from my country. Hurm, should i make it?
Back to the real topic for this post, it is about my medication for this time of treatment. As i mention in my previous post, my doctor, Prof Hashim from Hukmsc, presribed me with birth control pill, or oral contraceptive pill called Diane35. Actually diane35 is not a new drug for me. I was previously on this drug when i was 21, right after my first diagnosis of pcos.
Diane35 is an antiandrogen drug together with estrogen (cyproterone acetate 2mg and ethinyl estradiol 0.035mg). This drug is not solely use for contraceptive purpose only but also to prevent or reduce androgenic effect of the body such as acne and hirsutism. That is why this drug is suitable to treat pcos as we are high in androgen hormone. So as any other birth control pill, it consist of 21 tablet for a month supply and should be taken a tablet daily as a same time. Personally i dont really like this drug, well i Hate it!!! Haha. It causes me a lot of side effects that i cannot stand it any longer. Luckily i was on this drug for only 2 month before i start my fertility drug. These are some of the side effect that might occur to you when taking diane35:
- Breast tenderness/pain*-especially towards the end of finishing the pill
- Abdominal pain*
- Nausea*-worse ever in me!
- Oedema
- Headache*-for me it is more like light headache when starting the pill
- Skin rash
- Itching
- Insomnia
- Depression - i dont know if this happen to me, but i do feel a little bit emosional
- Changes in body weight*- i ate a lot and of course i blame diane35, hehe but i did not gain weight
- Change in libido
*side effect that happened to me
After 4 days stopping diane, my period came like a hero (seperti juara!) . It was heavy for about 2-4 days and spotting for another 5 days. Huu. No severe abdominal pain during period time yeayy alhamdulillah.
Ok, next is Metformin.
Metfromin is a type 2 diabetes mellitus drug, prescribe as a first line therapy. However, since pcos is link with insulin resistant and sooner or later we will develop diabetes as well. This drug presribed ia a low dose for pcos to regulate insulin by increasing its sensivity hence reducing insulin level in the blood and also help to increase glucose uptake. In simple explanation, it makes our insulin function properly. Pcos tend to have insulin resistant becouse pcos is an endrocrine disorder. This disorder disruption endrocrine hormones like insulin and our fertility hormones.
My doctor presribe me with 850mg metformin. At first i did not manage to complete a strip because i cannot tolerate it's side effects, however, after completed my 2nd dose of diane35, i continue taking it until now. It is because the side effect of metformin and diane is slightly similar and it making g much much worse for me.
The side effect of metformin are:
- Nausea*- worse.ever.😷
- Diarrhea*- after 5 hours of taking it (i usually take it before i went to bed to reduce the nausiatic effect) it woke me up in the middle of the night and rush we go to the toilet!
- Flatulence and bloating*- they come like a package with before diarrhea. Imagine that! I barely slept at night because of this!
- Metallic taste
- Abdominal pain*- combo with diarhhea yeayy
However, all these side effect im having is slighly reduce after i start over meftormin again. And now im free from all those side effects!!! Alhamdulillah. It takes a while to tolerate with it (dont be like me), but you will get used to it. The best thing is, i didnt have a craving anymore! Usually before this, i MUST ATE AFTER 4 hours of meal. Gile x.? I think it's my hormone becoming haywired. And if i didnt ate, i will become grumpy and i feels like a hypoglycemic effect. Now, it didnt happen!. Even did not feel hungry when it is time for meal. So, i manage to eat small portion without the 'starving' feeling anymore!.
Annndddd there is more! Metformin in conjuction with clomid or letrozole increase the chances of ovulation, then the fertility drug itself! Best kan?!! Cool isnt it?? This part i will talk about it in other post ok.
Orait that is all for now. I hope my writing benefits you. And feel free to share what is your side effects taking these 2 pills in the comment below.
Bye..👋🏻
Monday, 16 May 2016
TTC @HUKM - 1st appointment
Assalammualaikum and good day everyone.
Today i decide to write in 80% english language. Another 20% will be in my mother's tougue language, which is Malay Language. It is because i want any information writen to be useful for all my friends around the world. *ntah ade ke pembaca dari omputih ni..kih3..biaq pi lah*. And also, i want to improve my english writing skills, so if there is any grammatical mistakes, please, do guide me ok.
It's been a while since my last entry. After about a month break from ttcing, we went to prof hashim's clinic at HUKM private wing. FYI, hukm provide 2 clinics for fertility, one in the Medical Assisted Conception (MAC) clinic, which is the government sector part, one in private sector at level 7. We chose to go to private sector since our record is already there, when we sought for a second opinion on my ectopic, and also to cut all the other procedur needed in MAC (well this one i didnt know much about, maybe they need you to do certain test or queue up or something).
The first visit was very simple and quick, appointment was made 1 month before the appoitnment date because Prof is going overseas for about half a month, so we didnt manage to see him before he go. Usually, if you are lucky enough, the 1st appointnment will be around 2 weeks. I was schedule to see him at 3pm. So we arrive at 2.30pm, register at nurse counter and i got number 5 out of 7 patient during 3-4pm session. Not bad. So we went for solah first, and wait in front of his room. The queue was rather quick actually. By the time i came back from solah, there is already 3 patients had seen him. So, i waited for about another half an hour and our name were called.
Upon seeing him, he smile at us and ask what is our plan. We said that we wanted to try again after the miscarriage and we will do whatever he suggested. He then said that the key treatment for pcoser like me is to regulate my period back. According to his experience, with 3 cycle of period, and proven ovulation, pcoser can get pregnant naturally. So he suggested for me to take diane for 2 cycle, and start fertility drugs in the 3rd cycle. We agree. He also put me on metformin 850mg daily for my insulin resistant, although i do not have this yet but pcoser tend to have this sooner or later, and metformin can improve my hormonal imbalance during fertility treatment. I will explain about this further in other post about drugs ok.
So no ivf this year i think. Just back to basic. Well, i actually relieve because i know we are in a care good hands. Prof Hashim is the head of MAC and had experience in consulting many couples and also teaching in UKM. As according to doc adilah, he is a practical person, he may not do what exactly the book said, but he knows how to apply them, and he knows what he is doing. Tq doc adilah for suggesting him.
Ok, some of you may worries on him being your fertility doctor since he is a male. Well, i will discuss this matter in other post ok.
Until then.. Byeee
Today i decide to write in 80% english language. Another 20% will be in my mother's tougue language, which is Malay Language. It is because i want any information writen to be useful for all my friends around the world. *ntah ade ke pembaca dari omputih ni..kih3..biaq pi lah*. And also, i want to improve my english writing skills, so if there is any grammatical mistakes, please, do guide me ok.
It's been a while since my last entry. After about a month break from ttcing, we went to prof hashim's clinic at HUKM private wing. FYI, hukm provide 2 clinics for fertility, one in the Medical Assisted Conception (MAC) clinic, which is the government sector part, one in private sector at level 7. We chose to go to private sector since our record is already there, when we sought for a second opinion on my ectopic, and also to cut all the other procedur needed in MAC (well this one i didnt know much about, maybe they need you to do certain test or queue up or something).
The first visit was very simple and quick, appointment was made 1 month before the appoitnment date because Prof is going overseas for about half a month, so we didnt manage to see him before he go. Usually, if you are lucky enough, the 1st appointnment will be around 2 weeks. I was schedule to see him at 3pm. So we arrive at 2.30pm, register at nurse counter and i got number 5 out of 7 patient during 3-4pm session. Not bad. So we went for solah first, and wait in front of his room. The queue was rather quick actually. By the time i came back from solah, there is already 3 patients had seen him. So, i waited for about another half an hour and our name were called.
Upon seeing him, he smile at us and ask what is our plan. We said that we wanted to try again after the miscarriage and we will do whatever he suggested. He then said that the key treatment for pcoser like me is to regulate my period back. According to his experience, with 3 cycle of period, and proven ovulation, pcoser can get pregnant naturally. So he suggested for me to take diane for 2 cycle, and start fertility drugs in the 3rd cycle. We agree. He also put me on metformin 850mg daily for my insulin resistant, although i do not have this yet but pcoser tend to have this sooner or later, and metformin can improve my hormonal imbalance during fertility treatment. I will explain about this further in other post about drugs ok.
So no ivf this year i think. Just back to basic. Well, i actually relieve because i know we are in a care good hands. Prof Hashim is the head of MAC and had experience in consulting many couples and also teaching in UKM. As according to doc adilah, he is a practical person, he may not do what exactly the book said, but he knows how to apply them, and he knows what he is doing. Tq doc adilah for suggesting him.
Ok, some of you may worries on him being your fertility doctor since he is a male. Well, i will discuss this matter in other post ok.
Until then.. Byeee
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..
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..
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.
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.
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
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
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.
Monday, 24 February 2014
Start Over Again
Assalammualaikum wbt..
Maha Suci Allah yang sebaik-baik perancang.
Plan nk start treatment bulan 3 nanti terbantut. alkisahnya.....
2/2/14 - 1st day period selepas di induce by duphaston 10mg
11/2/14 - period end
13/2/14 - HSG done. heavy bleeding after that
15/2/14 - bleeding almost stop
16/2/14 - bleeding continue, almost like period type of blood
18/2/14 - called lppkn to consult doc about bleeding. dr hamizah ask to seek for local gp first before meeting her.
21/2/14 - still bleeding heavy. went to Hosp Umra Shah Alam for consultation, met Dr Getha. She was surprise to know that i'm undergone HSG without any doc scan me or asked about my history as she knows (according to my previous record there) i'm a pcoser. she said having a cyst is a risk to do HSG because the dye inserted can twist the cyst at the ovary making the placement of ovary altered or it may cause the cyst to rupture. She also said that HSg is not for everyone. the best soluton for cyst is laparoscopy. done physical check and TVS, Dr Getha confirm it is period bleeding as she didn't see any scar tissue or any baby inside. cyst also in normal size. Dr suggest to come back to LPPKN this monday as today will be my appointmnt to take the D21 blood test.
24/2/14 - called lppkn explaining about my condition, Dr Hamizah said to have to start over again in the next cycle. ( D2 adn D21 blood test for FSH) T_T
k that's it. agak sedih sebab mmg berangan-angan nk start treatment yg pertama bulan 3 ni. Tp Allah tangguhkan rezeki tu kan. xtau plak lps HSG tu adalah period. adei. maybe dye yg masuk tu mmg die tlg tolakkan yg tersumbat kot tu yg bleeding agaknya. hope lps period ni leh conceive secara normal dulu..aminnnn
P/S: Allah tangguhkan sesuatu nikmat utk bagi nikmat yg lebih baik di masa akan dtg kan..kalau bukan kat dunia, kat akhirat nanti inshaAllah...
Maha Suci Allah yang sebaik-baik perancang.
Plan nk start treatment bulan 3 nanti terbantut. alkisahnya.....
2/2/14 - 1st day period selepas di induce by duphaston 10mg
11/2/14 - period end
13/2/14 - HSG done. heavy bleeding after that
15/2/14 - bleeding almost stop
16/2/14 - bleeding continue, almost like period type of blood
18/2/14 - called lppkn to consult doc about bleeding. dr hamizah ask to seek for local gp first before meeting her.
21/2/14 - still bleeding heavy. went to Hosp Umra Shah Alam for consultation, met Dr Getha. She was surprise to know that i'm undergone HSG without any doc scan me or asked about my history as she knows (according to my previous record there) i'm a pcoser. she said having a cyst is a risk to do HSG because the dye inserted can twist the cyst at the ovary making the placement of ovary altered or it may cause the cyst to rupture. She also said that HSg is not for everyone. the best soluton for cyst is laparoscopy. done physical check and TVS, Dr Getha confirm it is period bleeding as she didn't see any scar tissue or any baby inside. cyst also in normal size. Dr suggest to come back to LPPKN this monday as today will be my appointmnt to take the D21 blood test.
24/2/14 - called lppkn explaining about my condition, Dr Hamizah said to have to start over again in the next cycle. ( D2 adn D21 blood test for FSH) T_T
k that's it. agak sedih sebab mmg berangan-angan nk start treatment yg pertama bulan 3 ni. Tp Allah tangguhkan rezeki tu kan. xtau plak lps HSG tu adalah period. adei. maybe dye yg masuk tu mmg die tlg tolakkan yg tersumbat kot tu yg bleeding agaknya. hope lps period ni leh conceive secara normal dulu..aminnnn
P/S: Allah tangguhkan sesuatu nikmat utk bagi nikmat yg lebih baik di masa akan dtg kan..kalau bukan kat dunia, kat akhirat nanti inshaAllah...
Wednesday, 8 January 2014
Lose Weight Program
Assalammualaikum wbt,
PCOS dan kegemukkan mmg susah nak dipisahkan. lagi2 lepas kahwin ni lg ketara kenaikan badan. Saiz baju pun gila mendadak dr M sebelum kahwin ke L 3 bln lps kahwin dan akhirnya XL sethun lps kahwin. Tahniah asma'!
tp org asyik mengata je:
"gemuk dah ko asma', dah berisi ke?"
"xpe gemuk, tanda bahagia"
ok dua-dua statement ni tak suke sangat, sbb yg 1st, mmg tak laaa... and yg 2nd tu, rase mcm sgt geram sbb pcos mmg senang naik badan dan susah sgt turunkan berat badan. lagi2 saya, makin tensen makin makan, so sbnrnye more pada tak bahagia sbb asyik makan je, gerrr...
Ok memandangkan da nk start TTC akhir bulan ni, so sebelum kena marah dengan doc sbb berat dah overweight, saya dah start program kuruskan badan secara serius mulai minggu lepas.
ini antara perkara yang saya sedang, telah (or akan) buat:
1. Avoid nasi: saya dah lbh kurang 2 bulan tak makan nasi. mula-mula rase susah, tp mula2 diet tu konon2 nk wat diet atkins kan, so bila da start bukanlah sesusah mana. sbb time makan mmg mkn byk lauk (protein) dan sayur-sayuran. so akan kenyang jugak
2. Minum Green Tea: atau lebih dikenali dengan nama Teh Hijau. saya minum 3 kali sehari 1-2 jam selepas makan. ia sangat membantu saya utk stay kenyang before snacking time dan bantu kurang kan mengidam benda-benda manis. ia betul ia sgt membantu. dan suprisingly, ia mambantu untuk menjaga mulut anda dari tak berbau makanan or berbau busuk. seriusly (*muka serius*)
3. 5 kali makan: ok let's count my meal time:
breakfast at 8.30am,
snacking at 11.30am,
lunch at 1.00pm,
snacking at 5.00pm,
dinner at 6.30pm
this kind of habits really helps me to stay full all the time.
4. Oat or Muesli for breakfast: it does taste bad, but it really help you stay full
5. Apple as snack. apple does taste well when you choose the right species..cehh. biasa saya suka apple Fuji yg RM1.99/biji tu. mmg rangup dan rase sedap. banyak khasiat apple ni. nnt saya share di lain post k.
6. Air Limau + Madu. 3 biji limau diperah jusnya, letak madu secukup rasa dan dituangkan air panas keatas mereka dan tunggu suam2 kuku baru minum. rase sangat sedap! minum setiap hari sebelum tidur. limau nipis pun banyak khasiatnya jugak. lai kali share k.
7. the malas part is exercise. dulu time belajar setiap pagi or atleast 3 kali seminggu akan jogging keliling tasik UM depan kolej tu dengan rase bestnye. skrg teramatlah berat hati, badan, kaki segala bagai nk start jogging or bersukan. tp suami bagi semangat dengan tolong subscribekan gym dan ikut kelas zumba, sekurang2 nya 2 kali seminggu, dan wat senaman ringan 2 kali seminggu, dan ajak husband jogging 1 kali seminggu. tak kira kena buat juga. btw senanam ringan tu taklah berapa ringan sebenarnya, nnt asma share jugak inshaAllah.
8. sleep. ya tidur sebenarnya membantu anda untuk kekal cerdas so anda takkan malas, takkan makan banyak dan emosi stabil. tapi sekarang ni saya masih tak berjaya nk dpt tidur yang cukup lg. tak tahu kenapa. hish..
ok itu sahaja setakat ini. i'm enjoying this kind of healthy lifestyle for now. well, ade la jgk yg cheat sesekali mcm mak mertua suapkan nasi goreng sedap die or g kenduri kawan baik sangat sampai nak tolak nasi pun payah or terlupa byk uncang green tea ke opis, or ngantuk sgt sampai xlarat nk bancuh air limau. but disiplin kena ada!! yoshh!!
good luck asma'!
PCOS dan kegemukkan mmg susah nak dipisahkan. lagi2 lepas kahwin ni lg ketara kenaikan badan. Saiz baju pun gila mendadak dr M sebelum kahwin ke L 3 bln lps kahwin dan akhirnya XL sethun lps kahwin. Tahniah asma'!
tp org asyik mengata je:
"gemuk dah ko asma', dah berisi ke?"
"xpe gemuk, tanda bahagia"
ok dua-dua statement ni tak suke sangat, sbb yg 1st, mmg tak laaa... and yg 2nd tu, rase mcm sgt geram sbb pcos mmg senang naik badan dan susah sgt turunkan berat badan. lagi2 saya, makin tensen makin makan, so sbnrnye more pada tak bahagia sbb asyik makan je, gerrr...
Ok memandangkan da nk start TTC akhir bulan ni, so sebelum kena marah dengan doc sbb berat dah overweight, saya dah start program kuruskan badan secara serius mulai minggu lepas.
ini antara perkara yang saya sedang, telah (or akan) buat:
1. Avoid nasi: saya dah lbh kurang 2 bulan tak makan nasi. mula-mula rase susah, tp mula2 diet tu konon2 nk wat diet atkins kan, so bila da start bukanlah sesusah mana. sbb time makan mmg mkn byk lauk (protein) dan sayur-sayuran. so akan kenyang jugak
2. Minum Green Tea: atau lebih dikenali dengan nama Teh Hijau. saya minum 3 kali sehari 1-2 jam selepas makan. ia sangat membantu saya utk stay kenyang before snacking time dan bantu kurang kan mengidam benda-benda manis. ia betul ia sgt membantu. dan suprisingly, ia mambantu untuk menjaga mulut anda dari tak berbau makanan or berbau busuk. seriusly (*muka serius*)
 |
| Jenis green tea yg saya minum. ni pun tgk suggestion dr ahli diet atkin. |
3. 5 kali makan: ok let's count my meal time:
breakfast at 8.30am,
snacking at 11.30am,
lunch at 1.00pm,
snacking at 5.00pm,
dinner at 6.30pm
this kind of habits really helps me to stay full all the time.
4. Oat or Muesli for breakfast: it does taste bad, but it really help you stay full
5. Apple as snack. apple does taste well when you choose the right species..cehh. biasa saya suka apple Fuji yg RM1.99/biji tu. mmg rangup dan rase sedap. banyak khasiat apple ni. nnt saya share di lain post k.
 |
| fuji apple yang sedap! |
6. Air Limau + Madu. 3 biji limau diperah jusnya, letak madu secukup rasa dan dituangkan air panas keatas mereka dan tunggu suam2 kuku baru minum. rase sangat sedap! minum setiap hari sebelum tidur. limau nipis pun banyak khasiatnya jugak. lai kali share k.
 |
| hanya gambar hiasan |
7. the malas part is exercise. dulu time belajar setiap pagi or atleast 3 kali seminggu akan jogging keliling tasik UM depan kolej tu dengan rase bestnye. skrg teramatlah berat hati, badan, kaki segala bagai nk start jogging or bersukan. tp suami bagi semangat dengan tolong subscribekan gym dan ikut kelas zumba, sekurang2 nya 2 kali seminggu, dan wat senaman ringan 2 kali seminggu, dan ajak husband jogging 1 kali seminggu. tak kira kena buat juga. btw senanam ringan tu taklah berapa ringan sebenarnya, nnt asma share jugak inshaAllah.
8. sleep. ya tidur sebenarnya membantu anda untuk kekal cerdas so anda takkan malas, takkan makan banyak dan emosi stabil. tapi sekarang ni saya masih tak berjaya nk dpt tidur yang cukup lg. tak tahu kenapa. hish..
ok itu sahaja setakat ini. i'm enjoying this kind of healthy lifestyle for now. well, ade la jgk yg cheat sesekali mcm mak mertua suapkan nasi goreng sedap die or g kenduri kawan baik sangat sampai nak tolak nasi pun payah or terlupa byk uncang green tea ke opis, or ngantuk sgt sampai xlarat nk bancuh air limau. but disiplin kena ada!! yoshh!!
good luck asma'!
Friday, 20 December 2013
My PCOS diagnosis
Assalammualaikum wbt,
Harini saya nk cerita sedikit mengenai PCOS saya yang dikasihi.
PCOS dan saya memang tak dapat nak dipisahkan. I think i had live with it since my first menses came. Saya start period sewaktu umur 14 tahun (2002), which is a lil bit late among my other sisters. lepas tu, next period selepas 2 tahun! huhu.. mula-mula memang tak syak apa-apa sebab mungkin kitaran masih dalam versi menyesuaikan diri dengan hormone baru. bila dah start umur 20 tahun, mula period makin tak betul. mula-mula 2 bulan sekali, lepas tu, 3 bulan sekali. the longest period tak datang ialah selama 4 bulan. this is madness!!
Harini saya nk cerita sedikit mengenai PCOS saya yang dikasihi.
PCOS dan saya memang tak dapat nak dipisahkan. I think i had live with it since my first menses came. Saya start period sewaktu umur 14 tahun (2002), which is a lil bit late among my other sisters. lepas tu, next period selepas 2 tahun! huhu.. mula-mula memang tak syak apa-apa sebab mungkin kitaran masih dalam versi menyesuaikan diri dengan hormone baru. bila dah start umur 20 tahun, mula period makin tak betul. mula-mula 2 bulan sekali, lepas tu, 3 bulan sekali. the longest period tak datang ialah selama 4 bulan. this is madness!!
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