Assalammualaikum,
I wrote this entry about 5 months afer opu procedure. It is because i was in a very uncomfortable situation at that time.
This time, although my opu procedure went well, and the eggs retrived was 13, only 5 survive after fertilisation because mostly the sack was empty. And only 4 made it to blastocyte with 2 in a good grade and 2 are average grade. And the worst part was, i had OHSS right after opu! It was so bad, my stomach was bloated like 5months pregnant, i had difficulty to breath, i cannot sleep lying in bed, i had to sit up straight the entire time and i was very exhausted. I had no appetite, eventhough sometime i felt hungry, i can only sip half a glass of water and i felt already full! If i ate or drink more, i will feel suffocated, like drowning underwater.
This condition last for about 2 weeks! Even during the day of my embryo transfer.
That day, despite all the pain, i push myself to feel excited and happy. We went to hukm 6 days after opu. They let us see the blastocyte, and prof suggest to transfer 1 good grade and 1 average grade. I had a feeling my body isn't ready for this. But we pray hard and tawakal to Allah.
7 days after tranfer we went to check for beta hcg and the result was below 2. This time i didnt feel sad much because all i think about was to feel better from all this ohss. It is so bad, at one point i beg my husband to bring me to emergency and poke my stomach to release all the water retent inside me.
I stop all my meds and i got my period the next day. Soon after that, all my OHSS are gone and i felt free again.
It was a traumatize experience for me. I do felt dissapointed but ohss is a bigger issue than being not pregnant. I dont know if i can bare another ivf after this or not.
1 month after that, we went to see prof hashim. He suggest for me to take antibiotic, tab azithromycin 500mg for 3 days every month for 3 months, to rule out any infection in my adhesion side, together with vitamin D3 to boost up my egg quality and diane 35 contraception pill to regulate my cycle. These meds is to be taken for 3 months.
So today is after 3 months, and this is my last cycle. I will be meeting prof tomorrow to ask if we can proceed with fet this month. I am so excited and optimist about this time as my mind and body is ready for another journey and adventure in TTC.
I hope all my friend and readers are still in a high spirit and energy to continue your treatment and ttc journey as this is the sweet bitter part of our life that Allah had given to us. If we had much sabr, inshaAllah He will reward us, maybe not here but in hereafter.
Love,
Asma'
Showing posts with label TTC. Show all posts
Showing posts with label TTC. Show all posts
Wednesday, 19 July 2017
Monday, 13 June 2016
TTC @HUKM - Ultrasound CD13
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.
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.
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
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.
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.
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...
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, 14 October 2014
CD60
Assalammualaikum wbt..
harini tepat cd60 T_T. last BFN hari jumaat lepas, 10/10/14, time cd56. i dont feel preggy jugak..af apetah lagi.. ok maknanya selama ni period bergantung pd duphaston je. last time buat atkins (sblm raya haji) dpt la turun dari 64kg ke 59kg. but ya lepas raya makan bagai nk rak! nk diet balik dah kelautttt...tp swimming tetap swimming. skrg sekurang2nya saya swimming 3 kali seminggu. but kalau larat 5 kali seminggu..tp mmg flat la setiap hari..huhu..ok teruskan usaha asma'!.. about my period, rase nk jumpe doc lg 10 hari xperiod..means dlm cd70 cmtu..lama2 xperiod nnt doc adilah marah! huu..pcos really mess up my period. hurm...
but selain swimming, asma skrg tgh mkn:
1. pati delima- rasa sgt manis n masam! takut kekdg nk mkn..kang bertambah teruk kadar gula dlm darahku...mkn mlm sblm tido
2. madu+apple vinegar-ni hubby beli kat genting. die dah campur sekali.. ok la dr kena mkn apple vinegar je kan..masammmmmm..bila ade madu tu bole la telan sikit.. ni makan pagi sblm bekfas
3. multivitamin blackmore 1 biji kali sehari pagi
4. fish oil blackmore 1 biji 2 kali sehari, pagi n ptg
5. habbatussauda' currently mkn brand halagel sebab die ade packing 120 biji/botol..beli ngn member dpt harga rm55..ni mkn 2 biji 2 kali sehari, pg n ptg
6. 2 biji telur half cook setiap pagi.
7. chia seed - ok ni x consisten..asyik lupe je nk mkn..mungkin sbb kedudukan die kat peti sejuk..
well..now im having a very bad habit! sblm ni asma xpenah suke minum nescafe or kopi..but lately sedap gile both of them ok! hari2 mesti pekena 1 kali..huaaaa..caffein is not good for ttcian kan..tp sedappppp...huhu...
tertanya2 kenapa la lambat sgt period ni..mungkin sbb last 5 cycle sblm ni induce by duphaston kot..hurmm...tp cycle ni pelik..time cd18-cd20 tu cramp gile perut mcm nk period. tp pastu xde pape dah. but cycle ni xjumpe langsung egg white. bbt lagi la kelaut sampai malas nk ambik dah.. Ya Allah jika ada nyawa dalam rahimku Kau peliharalah, Jika tidak, Kau turunkanlah darahku itu. amin
btw semalam baru abes 'dose' sireh yg mak bidan tu suro makan..actually terskip 1 hari xmakan! haha..ok bergantung lah, kalau berkesan alhamdulillah, klu xpun, xpe kite usaha kan., Allah yg tentukan.
last week pegi lagi akupuntur. doc still wat kat point yg sama. doc cite last 2 weeks ade couple ni amik ubat homeopati shj dr die tanpa akupuntur. couple ni dr johor dtg semata2 nk jumpe die. lepas 2 minggu mkn, terus lekat..rezeki kan..alhamdulillah. lepas wat akupuntur tu cramp2 perut..hurm...
ok itu shj perkembangan asma. doakan asma period/ade baby dlm perut..org kate selagi xperiod selagi tu ade harapan lagi kan..ok..hope is where i hold on too.. and to Allah i give my greatest hope.
May Allah bless.
harini tepat cd60 T_T. last BFN hari jumaat lepas, 10/10/14, time cd56. i dont feel preggy jugak..af apetah lagi.. ok maknanya selama ni period bergantung pd duphaston je. last time buat atkins (sblm raya haji) dpt la turun dari 64kg ke 59kg. but ya lepas raya makan bagai nk rak! nk diet balik dah kelautttt...tp swimming tetap swimming. skrg sekurang2nya saya swimming 3 kali seminggu. but kalau larat 5 kali seminggu..tp mmg flat la setiap hari..huhu..ok teruskan usaha asma'!.. about my period, rase nk jumpe doc lg 10 hari xperiod..means dlm cd70 cmtu..lama2 xperiod nnt doc adilah marah! huu..pcos really mess up my period. hurm...
but selain swimming, asma skrg tgh mkn:
1. pati delima- rasa sgt manis n masam! takut kekdg nk mkn..kang bertambah teruk kadar gula dlm darahku...mkn mlm sblm tido
2. madu+apple vinegar-ni hubby beli kat genting. die dah campur sekali.. ok la dr kena mkn apple vinegar je kan..masammmmmm..bila ade madu tu bole la telan sikit.. ni makan pagi sblm bekfas
3. multivitamin blackmore 1 biji kali sehari pagi
4. fish oil blackmore 1 biji 2 kali sehari, pagi n ptg
5. habbatussauda' currently mkn brand halagel sebab die ade packing 120 biji/botol..beli ngn member dpt harga rm55..ni mkn 2 biji 2 kali sehari, pg n ptg
6. 2 biji telur half cook setiap pagi.
7. chia seed - ok ni x consisten..asyik lupe je nk mkn..mungkin sbb kedudukan die kat peti sejuk..
well..now im having a very bad habit! sblm ni asma xpenah suke minum nescafe or kopi..but lately sedap gile both of them ok! hari2 mesti pekena 1 kali..huaaaa..caffein is not good for ttcian kan..tp sedappppp...huhu...
tertanya2 kenapa la lambat sgt period ni..mungkin sbb last 5 cycle sblm ni induce by duphaston kot..hurmm...tp cycle ni pelik..time cd18-cd20 tu cramp gile perut mcm nk period. tp pastu xde pape dah. but cycle ni xjumpe langsung egg white. bbt lagi la kelaut sampai malas nk ambik dah.. Ya Allah jika ada nyawa dalam rahimku Kau peliharalah, Jika tidak, Kau turunkanlah darahku itu. amin
btw semalam baru abes 'dose' sireh yg mak bidan tu suro makan..actually terskip 1 hari xmakan! haha..ok bergantung lah, kalau berkesan alhamdulillah, klu xpun, xpe kite usaha kan., Allah yg tentukan.
last week pegi lagi akupuntur. doc still wat kat point yg sama. doc cite last 2 weeks ade couple ni amik ubat homeopati shj dr die tanpa akupuntur. couple ni dr johor dtg semata2 nk jumpe die. lepas 2 minggu mkn, terus lekat..rezeki kan..alhamdulillah. lepas wat akupuntur tu cramp2 perut..hurm...
ok itu shj perkembangan asma. doakan asma period/ade baby dlm perut..org kate selagi xperiod selagi tu ade harapan lagi kan..ok..hope is where i hold on too.. and to Allah i give my greatest hope.
May Allah bless.
Wednesday, 8 October 2014
Finally, jumpe mak bidan mengurut
Assalammualaikum wbt,
Semenjak xde update sebab xjmpe doc Adilah, atas alasan nk kumpul duit wat drilling and sebab doc adilah g haji, so malasnya bertimpa2.
but ya, nk share pengalaman berurut dan berubat dengan bidan kampung.
Balik raya haji lepas, adik saya terseliuh kaki dan mak bawak la g jumpe mak ude tukang urut ni. so, al kisahnya tnye la mak uda tu bole urut utk kesuburan ke x. die kate die cuba je Allah yang tolong. so wat appointment dgn die the next day. die mintk bwk daun sireh 7 helai dan air 1 botol.
so besoknya datang dlm kol 9 cmtu. berdebar jgk nk berurut ni. yela sy ni org sains sikit. n xbrpe nk caya mistik2 ni. mak pesan suro baca ayat kursi byk2 sebagai pendinding so that if let say org urut tu nk masukkan apa2 dah xleh..huu..
so, masuk je rumah die ambik sireh tu letak kapur kat sireh then bukak botol air then baca2..xtau die baca ape tp dgr selawat2 la n doa dlm bhs melayu. moga xde unsur syirik disitu.. then die kate sireh ni kena lipat ikut lipatan yg die ajar then hancurkan n makan sikit selebihnya sapu kat perut. wat 1 helai setiap mlm lps isya'. then baru g berurut..sakit woo die urut. urut belakang dulu..die kate urat sy keras n byk angin. then lps tu pusing ke depan..die urut bhgian perut then tiba2 die kate ade 'angin' ni..4 penjuru..im like...what?? then die kate kena buang angin ni. die yg mkn telur awk...huu..so die picit 4 penjuru perut tu n baca2 then cubit n buang ke luar tingkap. huu..ok pelik2..lepas tu abes sesi mengurut..
mak uda tu pesan dia kata dlm masa 3 bulan jgn urut bhgian perut sb mungkin akan mengandung, if xmengandung lps sethun jmpe die semula. if nk mkn ubat2 hosp xde mslh..
so begitulah secara ringkasnya..esoknya sakit badan..haha..
hope usaha ini Allah perkenankan..dan moga Allah ampunkan dosa kami jika ada unsur mistik yg kami tidak ketahui. sesungguhnya Ilmu itu dtg dari Allah.
Semenjak xde update sebab xjmpe doc Adilah, atas alasan nk kumpul duit wat drilling and sebab doc adilah g haji, so malasnya bertimpa2.
but ya, nk share pengalaman berurut dan berubat dengan bidan kampung.
Balik raya haji lepas, adik saya terseliuh kaki dan mak bawak la g jumpe mak ude tukang urut ni. so, al kisahnya tnye la mak uda tu bole urut utk kesuburan ke x. die kate die cuba je Allah yang tolong. so wat appointment dgn die the next day. die mintk bwk daun sireh 7 helai dan air 1 botol.
so besoknya datang dlm kol 9 cmtu. berdebar jgk nk berurut ni. yela sy ni org sains sikit. n xbrpe nk caya mistik2 ni. mak pesan suro baca ayat kursi byk2 sebagai pendinding so that if let say org urut tu nk masukkan apa2 dah xleh..huu..
so, masuk je rumah die ambik sireh tu letak kapur kat sireh then bukak botol air then baca2..xtau die baca ape tp dgr selawat2 la n doa dlm bhs melayu. moga xde unsur syirik disitu.. then die kate sireh ni kena lipat ikut lipatan yg die ajar then hancurkan n makan sikit selebihnya sapu kat perut. wat 1 helai setiap mlm lps isya'. then baru g berurut..sakit woo die urut. urut belakang dulu..die kate urat sy keras n byk angin. then lps tu pusing ke depan..die urut bhgian perut then tiba2 die kate ade 'angin' ni..4 penjuru..im like...what?? then die kate kena buang angin ni. die yg mkn telur awk...huu..so die picit 4 penjuru perut tu n baca2 then cubit n buang ke luar tingkap. huu..ok pelik2..lepas tu abes sesi mengurut..
mak uda tu pesan dia kata dlm masa 3 bulan jgn urut bhgian perut sb mungkin akan mengandung, if xmengandung lps sethun jmpe die semula. if nk mkn ubat2 hosp xde mslh..
so begitulah secara ringkasnya..esoknya sakit badan..haha..
hope usaha ini Allah perkenankan..dan moga Allah ampunkan dosa kami jika ada unsur mistik yg kami tidak ketahui. sesungguhnya Ilmu itu dtg dari Allah.
Wednesday, 27 August 2014
urut mengurut..dimana ya?
Assalammualaikum wbt,
tgh dlm mood nk berurut..badan asyik sakit je seminggu dua ni..ade suggestion x area s alam? yg bole dtg uma best jgk..nk urut utk dpt baby skali..hehe tq kwn2 :)
tgh dlm mood nk berurut..badan asyik sakit je seminggu dua ni..ade suggestion x area s alam? yg bole dtg uma best jgk..nk urut utk dpt baby skali..hehe tq kwn2 :)
Thursday, 21 August 2014
CD6
Assalammualaikum wbt,
suspen je post yg lepas kan..haha..ok arini da cd6 yeayy...congrate for anotherBFN dan tertipu dgn kesan sampingan duphaston.
ok let it gooo..
nk habaq ni cite semalam. semalam ade kerja luar and kebetulan abes awal dlm kol 4.30 tu bole terus balik. but alang2 dpt balik awal, decide nk singgah kat Pusat Homeopathy dan Acupunture Dr Nik kat glenmarie shah alam. saje nk try rawatan acupunture since bulan ni nk rehat dr treatment, so bole la try2 alternative treatment kan..
so, smpai klinik dlm kol 5 cmtu, klinik die tingkat 1, naik je xde org..huhu..daftar then terus dpt masuk bilik dr badriah. dr badriah ni ade smpai pkul 6 je even though klinik ni bukak sampai pukul 10 malam pada hari2 tertentu.
doktor pn tnye history n tujuan dtg semua..then doktor suggest ubat homeopathy sekali ngn acupunture. ubat die RM200 sebulan..but sebab ongkosnya bawak utk acupunture shj, so lain kali la nk try ubat tu.. kos acupunture RM50/sesi. so, utk rawatan kesuburan, ade point2 die yg tertentu.
seriusly scary jugak bile doc mula nk cucuk, but xsakit pun..hehe..amazing sbb cucuk tp xrase pape..yg bestnye bole tdo 1/2 jam sblm die cabut balik jarum tu..hehe..
ape bestnye acupunture utk saya?
well, dr ilmu yg dpt dr bacaan di internet, acupunture sesuai utk pcos sebab die tolong regulatekan cycle, matangkan telur dan ade pengalaman kwn ttc yg dpt egg white bile wat acupunture! ok, atleast im doing something in between treatment kan..xla dok sahaja tnpa usaha..hehe,,lgpun best la try bende baru!
btw, sape2 yg berminat nk try, bole click kat link kat atas tu k. waktu operasi semua ada dlm website tu.
owh btw, da mula terasa badan mengembang dgn jayanya, so semalam nekad utk berubah! ubah cara pemakanan memang susah, so, kite mula dgn senaman dulu.. semalam try senaman level 1 by Jillian Micheals. senaman die ok la, 20 mins abs and cardio workout. best! harini nk try level 2 plak..huhu
moga istiqamah..plan for diet, just kurangkan amount nasi je kot skrg..
till then girls.. may we have better luck to BFP this cycle! amin...
suspen je post yg lepas kan..haha..ok arini da cd6 yeayy...congrate for anotherBFN dan tertipu dgn kesan sampingan duphaston.
ok let it gooo..
nk habaq ni cite semalam. semalam ade kerja luar and kebetulan abes awal dlm kol 4.30 tu bole terus balik. but alang2 dpt balik awal, decide nk singgah kat Pusat Homeopathy dan Acupunture Dr Nik kat glenmarie shah alam. saje nk try rawatan acupunture since bulan ni nk rehat dr treatment, so bole la try2 alternative treatment kan..
so, smpai klinik dlm kol 5 cmtu, klinik die tingkat 1, naik je xde org..huhu..daftar then terus dpt masuk bilik dr badriah. dr badriah ni ade smpai pkul 6 je even though klinik ni bukak sampai pukul 10 malam pada hari2 tertentu.
doktor pn tnye history n tujuan dtg semua..then doktor suggest ubat homeopathy sekali ngn acupunture. ubat die RM200 sebulan..but sebab ongkosnya bawak utk acupunture shj, so lain kali la nk try ubat tu.. kos acupunture RM50/sesi. so, utk rawatan kesuburan, ade point2 die yg tertentu.
 |
| ni point2 yg doktor cucuk |
ape bestnye acupunture utk saya?
well, dr ilmu yg dpt dr bacaan di internet, acupunture sesuai utk pcos sebab die tolong regulatekan cycle, matangkan telur dan ade pengalaman kwn ttc yg dpt egg white bile wat acupunture! ok, atleast im doing something in between treatment kan..xla dok sahaja tnpa usaha..hehe,,lgpun best la try bende baru!
btw, sape2 yg berminat nk try, bole click kat link kat atas tu k. waktu operasi semua ada dlm website tu.
owh btw, da mula terasa badan mengembang dgn jayanya, so semalam nekad utk berubah! ubah cara pemakanan memang susah, so, kite mula dgn senaman dulu.. semalam try senaman level 1 by Jillian Micheals. senaman die ok la, 20 mins abs and cardio workout. best! harini nk try level 2 plak..huhu
moga istiqamah..plan for diet, just kurangkan amount nasi je kot skrg..
till then girls.. may we have better luck to BFP this cycle! amin...
Thursday, 14 August 2014
CD36
Assalammualaikum wbt.
semalam hari last on duphaston 10mg 3 kali sehari. amik selama 15 hari lepas. tp hari ni da CD36. last month period 10/7/2014.. so basically klu ikut kiraan org normal, saya da lewat 4 hari. tp sebab on duphaston tu yg xperiod2 kan.. semalam loya2 teruk smpai balik awal dr keje, n baring xsedarkan diri.. mlm muntah sekali baru lega.. pagi ni badan panas2 nk demam.. baru cadang nk ganti pose arini..mcm xtercapai je hasrat nk pose. perlu x cek upt, padahal br semalam last duphaston...arghhh..tiap2 bulan cmni..tensen betul..kan senang kalau period regular je.
semalam hari last on duphaston 10mg 3 kali sehari. amik selama 15 hari lepas. tp hari ni da CD36. last month period 10/7/2014.. so basically klu ikut kiraan org normal, saya da lewat 4 hari. tp sebab on duphaston tu yg xperiod2 kan.. semalam loya2 teruk smpai balik awal dr keje, n baring xsedarkan diri.. mlm muntah sekali baru lega.. pagi ni badan panas2 nk demam.. baru cadang nk ganti pose arini..mcm xtercapai je hasrat nk pose. perlu x cek upt, padahal br semalam last duphaston...arghhh..tiap2 bulan cmni..tensen betul..kan senang kalau period regular je.
Monday, 11 August 2014
fefeeling pregnant :D
Assalammualaikum wbt..
ade x kat sini yang selalu feeling die preggy but not? or end up pregnant?
ok nk cite sikit..
skrg asma on duphaston since 30 julai lepas smpai 13 ogos ni inshaAllah. kali ni doc suro mkn 1 biji 3 kali sehari, berbeza dgn yg lepas, hanya 2 kali sehari je. n biasanya, lepas 2-3 hari mkn duphaston, mood pn akan jd ting tong, moody gile, breast sakit nipple sakit, cramping perut, semualah. but kali ni none of the symptoms tu xde langsung. padahal dose lg tinggi dr yg lepas2 nye dose..xphm kenapa..lg bestnye, sex drive menjadi2 plak sejak 2 menjak ni..biasa ade je alasan klu suami ajak bersama, penat la, ngntuk la..keje la..haha..but terbaik plak kali ni..asyik rase xpuas je (errkk sorry if too much info).. suami pelik berganda2..haha..last2 die kate awk pregnant ni tu yg pelik je perangai. biasa asyik xnk je. :p
ntah la, fefeeling pregnant tu xde plak mcm org lain rase nk demam ke, perut cramp ke, breast sakit ke.. tiada! lg 2 hari nk abes duphaston ni..nk cek upt lah..hoho..selalu letak hrpn cmni..last2 frust.......................................... but mane tau ade rezeki kan...
ade x kat sini yang selalu feeling die preggy but not? or end up pregnant?
ok nk cite sikit..
skrg asma on duphaston since 30 julai lepas smpai 13 ogos ni inshaAllah. kali ni doc suro mkn 1 biji 3 kali sehari, berbeza dgn yg lepas, hanya 2 kali sehari je. n biasanya, lepas 2-3 hari mkn duphaston, mood pn akan jd ting tong, moody gile, breast sakit nipple sakit, cramping perut, semualah. but kali ni none of the symptoms tu xde langsung. padahal dose lg tinggi dr yg lepas2 nye dose..xphm kenapa..lg bestnye, sex drive menjadi2 plak sejak 2 menjak ni..biasa ade je alasan klu suami ajak bersama, penat la, ngntuk la..keje la..haha..but terbaik plak kali ni..asyik rase xpuas je (errkk sorry if too much info).. suami pelik berganda2..haha..last2 die kate awk pregnant ni tu yg pelik je perangai. biasa asyik xnk je. :p
ntah la, fefeeling pregnant tu xde plak mcm org lain rase nk demam ke, perut cramp ke, breast sakit ke.. tiada! lg 2 hari nk abes duphaston ni..nk cek upt lah..hoho..selalu letak hrpn cmni..last2 frust.......................................... but mane tau ade rezeki kan...
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
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..
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..
Monday, 14 July 2014
Our Little Caliph
Assalammualaikum wbt,
hehe suspen x entry i? ok saje je nk gimik.. sbnrnye Our Little Caliph ni nama whatapp group saya untuk org2 ttc. mula2 mmg ade join 1 wassup ni, mmg best kat situ, ramai yg berpengalaman berttc smpai ivf berkali semua..tp sygnye xleh nk add org lain sbb da penuh. so saya decide untuk buat yg baru n rekrut budak baru2..haha..setakat ni ade la dlm 10 org :)
so saya open pada kwn2 yg nk join support group ttc through whatapp, bole email saya nombor anda di nuraz_29@yahoo.com
ape yg kami buat?
nth, borak2 psl family, ttc, emosi..semua lah..
haha..
ok saya jemput semua yg nk join bgtau k :)
hehe suspen x entry i? ok saje je nk gimik.. sbnrnye Our Little Caliph ni nama whatapp group saya untuk org2 ttc. mula2 mmg ade join 1 wassup ni, mmg best kat situ, ramai yg berpengalaman berttc smpai ivf berkali semua..tp sygnye xleh nk add org lain sbb da penuh. so saya decide untuk buat yg baru n rekrut budak baru2..haha..setakat ni ade la dlm 10 org :)
so saya open pada kwn2 yg nk join support group ttc through whatapp, bole email saya nombor anda di nuraz_29@yahoo.com
ape yg kami buat?
nth, borak2 psl family, ttc, emosi..semua lah..
haha..
ok saya jemput semua yg nk join bgtau k :)
Tuesday, 8 July 2014
How is TTC treating you?
Assalammualaikum wbt,
rase macam pernah tulis entry mcm ni tp malas nk look through previous post balik..hehe
so, how's ttc treating you?
being a ttcian is tough, but somehow it change you to be a better person kan?
i wrote this not to brag or riak (Nauzubillah), but just to share what i felt and what happen to me since i start planning for pregnancy.
at first, i became so knowledgeable! haha. i start to search every single aspect of getting pregnant, what food should i take, what i hv to prevent, which is the best supplement, what happen to my reproductive system, what drugs help with ttc..i googled almost everyday. ttc had became my major in my research (kalo buat paperwork ni dah cemerlang dah..haha)
then it come to a point of experimenting...i try this vitamins, this milk, that method etc etc etc...pantang baca success stories sikit dah nk try. but not all i had tried yet (such as acupuncure, bekam, homeopathy). i tried berurut once but im a bit skeptical of this urut thingy.. takut dgn bidan tu die masukkan benda2 lain ke...erkkk..
but as a human, after all methods fail, you will return back to The Creator. i seek back what i had missed.. i perfecting my solah little by little as i watch my husband perform solah so perfect i became so jealous of him. it is not just the way you pronouce the ayah, it is also how to sit for tahiyat awal, how to angkat takbir or the way you fold your legs when sujud. it's all matters. then, i try to increase my good deads my doing zikr everytime i drove back n forth to work and home. i bought this cute digital tasbih counter and it really help me boost my spirit to do zikr when im driving. so, what i do is, i recite istighfar when on my way to work atleast 1000 times, and salawat for our Prophet 1000 times when i drove home. it was hard at first as i like to tune in to ERA FM when driving and listening to johara's joke keep me awake and focus., but it's weird to listen to songs when you do zikr, a really a contradictory act lol.. so, i tune off the radio and focus on my zikr. but i became bored..so i tune in to IKIM fm, and to my surprise, it helps me to stay focus on my zikr and if im bored or sleepy, i stop and listen to IKIM fm. by doing this, i manage to gain 2 things at a time! knowledge and zikr. alhamdulillah. another thing is i start to concern about my act of sadaqah. so i bought the Aman Palestine piggy bank that only cost RM2 and me n husband trying hard as much as possible to donate everyday and everytime we see that piggy bank. and lastly not to forget about reciting the most famous Prophet Zakaria's du'a. i discipline myself to recite it after each prayer and i 'force' my husband to do that too as i manage to make him memorize that ayat..hehe..good job sayang!
other than that, i realize that my mindset about getting babies are also change. at first i thought getting babies IS THE MAJOR ISSUE! but i was wrong. the purpose of marriage is far more bigger than that!. all this while, im not happy if my period came or i heard news of my best friends are pregnant. hence, it doesnt help me much either. im not happy, my partner stress out whenever im on my no-mood mode. happiness was put on getting babies. then i realize im not going to live my life not being happy because im not pregnant yet. what if in God's will i will not get pregnant at all? am i going to be upset my whole life? hell no! i hv to live my life to the fullest. now im in a mode of changing my view of life im living on. we r ttc ing as hard as we could but we leave the rest to The All Mighty. we laugh when we do stupid things, we cry to ease our burden.
let's change from inside out. you will feel the sweetness of ttc.
Happy Ramadhan Karem everyone. why not make a new start this ramadhan?
rase macam pernah tulis entry mcm ni tp malas nk look through previous post balik..hehe
so, how's ttc treating you?
being a ttcian is tough, but somehow it change you to be a better person kan?
i wrote this not to brag or riak (Nauzubillah), but just to share what i felt and what happen to me since i start planning for pregnancy.
at first, i became so knowledgeable! haha. i start to search every single aspect of getting pregnant, what food should i take, what i hv to prevent, which is the best supplement, what happen to my reproductive system, what drugs help with ttc..i googled almost everyday. ttc had became my major in my research (kalo buat paperwork ni dah cemerlang dah..haha)
then it come to a point of experimenting...i try this vitamins, this milk, that method etc etc etc...pantang baca success stories sikit dah nk try. but not all i had tried yet (such as acupuncure, bekam, homeopathy). i tried berurut once but im a bit skeptical of this urut thingy.. takut dgn bidan tu die masukkan benda2 lain ke...erkkk..
but as a human, after all methods fail, you will return back to The Creator. i seek back what i had missed.. i perfecting my solah little by little as i watch my husband perform solah so perfect i became so jealous of him. it is not just the way you pronouce the ayah, it is also how to sit for tahiyat awal, how to angkat takbir or the way you fold your legs when sujud. it's all matters. then, i try to increase my good deads my doing zikr everytime i drove back n forth to work and home. i bought this cute digital tasbih counter and it really help me boost my spirit to do zikr when im driving. so, what i do is, i recite istighfar when on my way to work atleast 1000 times, and salawat for our Prophet 1000 times when i drove home. it was hard at first as i like to tune in to ERA FM when driving and listening to johara's joke keep me awake and focus., but it's weird to listen to songs when you do zikr, a really a contradictory act lol.. so, i tune off the radio and focus on my zikr. but i became bored..so i tune in to IKIM fm, and to my surprise, it helps me to stay focus on my zikr and if im bored or sleepy, i stop and listen to IKIM fm. by doing this, i manage to gain 2 things at a time! knowledge and zikr. alhamdulillah. another thing is i start to concern about my act of sadaqah. so i bought the Aman Palestine piggy bank that only cost RM2 and me n husband trying hard as much as possible to donate everyday and everytime we see that piggy bank. and lastly not to forget about reciting the most famous Prophet Zakaria's du'a. i discipline myself to recite it after each prayer and i 'force' my husband to do that too as i manage to make him memorize that ayat..hehe..good job sayang!
other than that, i realize that my mindset about getting babies are also change. at first i thought getting babies IS THE MAJOR ISSUE! but i was wrong. the purpose of marriage is far more bigger than that!. all this while, im not happy if my period came or i heard news of my best friends are pregnant. hence, it doesnt help me much either. im not happy, my partner stress out whenever im on my no-mood mode. happiness was put on getting babies. then i realize im not going to live my life not being happy because im not pregnant yet. what if in God's will i will not get pregnant at all? am i going to be upset my whole life? hell no! i hv to live my life to the fullest. now im in a mode of changing my view of life im living on. we r ttc ing as hard as we could but we leave the rest to The All Mighty. we laugh when we do stupid things, we cry to ease our burden.
let's change from inside out. you will feel the sweetness of ttc.
Happy Ramadhan Karem everyone. why not make a new start this ramadhan?
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.
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
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
Monday, 21 April 2014
7th appointment LPPKN - postpone IUI
Assalammualaikum wbt..
it takes a while to get my rational state of mind to write this post.
18/4/14 (Jumaat) lepas saya g final scan utk cek saiz telur after another 2 jab on puregon 50iu, the the result is very frustrating. telur semua xmembesar dan byk. saiz lbh kurang sama mcm last time scan iaitu 9-10mm shj. doc kate sy xrespon langsung pd ubat. so iui terpaksa postpone ke next cycle. sedih T_T. tp doc kate have faith because we believe miracle things happen here. ade je yg kes mcm awk tp end up pregnant tau, kate doc hamizah. thanks for this support doc. tp seriusly sedih..hurm..
dah la g scan sorg2 aritu..time drive balik tu xrase pape sgt..bile smpai uma terus masuk bilik xkuar2..hubby balik kjp je..die tnye cmne semua..sy jwb membase basi je..tp die xpasan la yg sy tgh sedih gile.. then die kuar g kje balik.. so mlm tu nanges sorg2 dlm bilik..tepon ummi..nanges..pastu xtahan msj hubby suro balik teman nanges..baru hubby perasan yg i tgh sedih..haha..my hubby is so naive..isteri sedih pun xperasan..ape la...huhu..die terus rush balik..then nanges puas2 lagi smpai mate bengkak..
esknye xkuar bilik smpai pukul 10 lebih..kuar pn sbb lapa..then selubung ngn selimut lg..huu..
ya Allah berilah kekuatan...tunggu period or period delay..
it takes a while to get my rational state of mind to write this post.
18/4/14 (Jumaat) lepas saya g final scan utk cek saiz telur after another 2 jab on puregon 50iu, the the result is very frustrating. telur semua xmembesar dan byk. saiz lbh kurang sama mcm last time scan iaitu 9-10mm shj. doc kate sy xrespon langsung pd ubat. so iui terpaksa postpone ke next cycle. sedih T_T. tp doc kate have faith because we believe miracle things happen here. ade je yg kes mcm awk tp end up pregnant tau, kate doc hamizah. thanks for this support doc. tp seriusly sedih..hurm..
dah la g scan sorg2 aritu..time drive balik tu xrase pape sgt..bile smpai uma terus masuk bilik xkuar2..hubby balik kjp je..die tnye cmne semua..sy jwb membase basi je..tp die xpasan la yg sy tgh sedih gile.. then die kuar g kje balik.. so mlm tu nanges sorg2 dlm bilik..tepon ummi..nanges..pastu xtahan msj hubby suro balik teman nanges..baru hubby perasan yg i tgh sedih..haha..my hubby is so naive..isteri sedih pun xperasan..ape la...huhu..die terus rush balik..then nanges puas2 lagi smpai mate bengkak..
esknye xkuar bilik smpai pukul 10 lebih..kuar pn sbb lapa..then selubung ngn selimut lg..huu..
ya Allah berilah kekuatan...tunggu period or period delay..
Tuesday, 8 April 2014
Study pre treatment
Assalammualaikum wbt
Tak sabar rasenye nk start treatment. So sblm kita mula kena ada pengetahuan psl possible treatment kan.
Selongkar la balik nota2 lama..so here it is:
Paham ke?? Haha..
Ok meh sini sy terang sikit2..
Secara amnya, kitaran haid kita bermula bila hari pertama dtg haid, atau bahasa TTC nya CD1. pada waktu ni, hypothalamus di otak akan sgt aktif utk rembeskan hormon Gonadotropin releasing hormone (GnRH) iaitu GnRH akan ransang kelenjar pituitari di sblh hypothalamus utk rembeskan hormon Follicle Stimulating hormone (FSH). FSH akn masuk dlm salur darah dan pergi ke ovari lalu menggalakkan pertumbuhan folikel. folikel akan membesar dan matang. folikel yg matang akan merembeskan hormon estrogen, dan hormon ini akan memberhentikan perembesan FSH bagi menunjukkan folikel tidak lagi diperlukan. fasa folikular ini berlangsung sewaktu anda period dan selama lbh kurang 14 hari.
bila telur matang, bermula fasa ovulatory iaitu hormon Luteinizing (LH) akan dirembeskan dan selepas 32-36jam telur yang matang akan keluar dari ovari. sarung telur atau corpus luteum akan tertinggal di dlm ovari dan ia berfungsi utk perembesan hormon progesterone. hormon progesterone sgt penting utk penebalan dinding rahim sebagai persediaan utk penempelan. waktu ini digelar waktu subur. waktu subur boleh diukur 14 hari sebelum datang haid utk sesiapa yang mengalami kitaran tetap
selepas itu, bermula Luteal phase dimana telur yg dilepaskan akan bergerak ke rahim melalui tiub fallopio dimana persenyawaan mungkin berlaku di sini. waktu yg diambil utk telur yg disenyawa bergerak ke rahim ialah dlm 6-7 hari. waktu ini hormone progesterone adalah tinggi. jika tiada persenyawaan, 14 hari dari telur keluar, hormone progesterone akan berkurang kerana corpus luteum mati dgn sendirinya dan dinding rahim akan luruh sbg darah haid. jika ada bersenyawaan, telur akan menempel di dinding atas rahim dan perembesan hormon progesteron akan diambil alih oleh placenta.
jadi, pengambilan ubat subur juga berkait rapat dengan kitaran hormon kita. sila rujuk gambar rajah:
1. clomiphene sulphate (clomid)
ubat clomid ialah ubat yang paling murah dalam bentuk tablet dan selalu digunakan utk rawatan kesuburan. clomid bertindak sebagai perancang hypothalamus utk merembeskan GnRH. so GnRH tinggi, FSH tinggi, peluang untuk folikel matang pun tinggi.
2. Letrozole
ubat ini pada asalnya digunakan utk merawat kanser payudara pada wanita yg menapouse. secara amnya ubat ini menurunkan kadar estrogen dalam badan. ia guna sebagai alternatif kepada clomid kepada pesakit yang tidak memdapat kesan darinya.
2. Gonadotrophin (FSH/LH)
ubat ini biasanya dalam bentuk injeksi dimana ia boleh gabungan antara FSH & LH atau berasingan. biasanya Dr di sini akan bagi Brand Puregon utk FSH. hormon ini adalah mimik kepada FSH dan membantu utk pertumbuhan folikel secara direct (xperlu diransang oleh GnRH)
3. Human Chorionic Gonadotrophine (HCG)
hormon ini mimik LH iaitu utk pelepasan telur yg matang ke dalam tiub fallopio.
4. Lain2 ubat yang berkaitan
terdapat beberapa ubat yang bukan ubat hormon tetapi membantu dlm kesuburan, seperti metformin. metformin pada asalnya adalah ubat kencing manis yg berfungsi utk mengawal kadar gula dlm darah. PCOS amat sensitif pada gula dan kebanyakkan mereka akan mengalami insulin resistance. bila pasa insulin berterabur, ia mempengaruhi hormon2 lain juga. jadi doc biasanya akan beri metformin sekali dengan clomid jika rawatan dengan clomid kurang berkesan. bromocriptine dan carbegoline ialah ubat untuk mengawal hormon prolactin yang menyebabkan penghasilan susu berlebihan atau hyperprolactenimia. ini disahkan melalui simptom penghasilan susu di puting. apabila level prolactin tinggi, progesterone akan rendah.
ok itulah secara ringkas apa2 yg teringat kat kepala ini..huhu..mencabar jugak jadi gynae ni..mcm2 kne ingat..aduiyai..
so, skrg saya tgh on Clomid 100mg OD dan inj Puregon (FSH) 50iu EOD. wish me luck! aminn
bila telur matang, bermula fasa ovulatory iaitu hormon Luteinizing (LH) akan dirembeskan dan selepas 32-36jam telur yang matang akan keluar dari ovari. sarung telur atau corpus luteum akan tertinggal di dlm ovari dan ia berfungsi utk perembesan hormon progesterone. hormon progesterone sgt penting utk penebalan dinding rahim sebagai persediaan utk penempelan. waktu ini digelar waktu subur. waktu subur boleh diukur 14 hari sebelum datang haid utk sesiapa yang mengalami kitaran tetap
selepas itu, bermula Luteal phase dimana telur yg dilepaskan akan bergerak ke rahim melalui tiub fallopio dimana persenyawaan mungkin berlaku di sini. waktu yg diambil utk telur yg disenyawa bergerak ke rahim ialah dlm 6-7 hari. waktu ini hormone progesterone adalah tinggi. jika tiada persenyawaan, 14 hari dari telur keluar, hormone progesterone akan berkurang kerana corpus luteum mati dgn sendirinya dan dinding rahim akan luruh sbg darah haid. jika ada bersenyawaan, telur akan menempel di dinding atas rahim dan perembesan hormon progesteron akan diambil alih oleh placenta.
jadi, pengambilan ubat subur juga berkait rapat dengan kitaran hormon kita. sila rujuk gambar rajah:
1. clomiphene sulphate (clomid)
ubat clomid ialah ubat yang paling murah dalam bentuk tablet dan selalu digunakan utk rawatan kesuburan. clomid bertindak sebagai perancang hypothalamus utk merembeskan GnRH. so GnRH tinggi, FSH tinggi, peluang untuk folikel matang pun tinggi.
2. Letrozole
ubat ini pada asalnya digunakan utk merawat kanser payudara pada wanita yg menapouse. secara amnya ubat ini menurunkan kadar estrogen dalam badan. ia guna sebagai alternatif kepada clomid kepada pesakit yang tidak memdapat kesan darinya.
2. Gonadotrophin (FSH/LH)
ubat ini biasanya dalam bentuk injeksi dimana ia boleh gabungan antara FSH & LH atau berasingan. biasanya Dr di sini akan bagi Brand Puregon utk FSH. hormon ini adalah mimik kepada FSH dan membantu utk pertumbuhan folikel secara direct (xperlu diransang oleh GnRH)
3. Human Chorionic Gonadotrophine (HCG)
hormon ini mimik LH iaitu utk pelepasan telur yg matang ke dalam tiub fallopio.
4. Lain2 ubat yang berkaitan
terdapat beberapa ubat yang bukan ubat hormon tetapi membantu dlm kesuburan, seperti metformin. metformin pada asalnya adalah ubat kencing manis yg berfungsi utk mengawal kadar gula dlm darah. PCOS amat sensitif pada gula dan kebanyakkan mereka akan mengalami insulin resistance. bila pasa insulin berterabur, ia mempengaruhi hormon2 lain juga. jadi doc biasanya akan beri metformin sekali dengan clomid jika rawatan dengan clomid kurang berkesan. bromocriptine dan carbegoline ialah ubat untuk mengawal hormon prolactin yang menyebabkan penghasilan susu berlebihan atau hyperprolactenimia. ini disahkan melalui simptom penghasilan susu di puting. apabila level prolactin tinggi, progesterone akan rendah.
ok itulah secara ringkas apa2 yg teringat kat kepala ini..huhu..mencabar jugak jadi gynae ni..mcm2 kne ingat..aduiyai..
so, skrg saya tgh on Clomid 100mg OD dan inj Puregon (FSH) 50iu EOD. wish me luck! aminn
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