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.



Friday, 9 October 2015

My IVF Journey - Progesterone and me

Assalammualaikum,

Seperti semua pesakit IVF, sy juga xketinggalan dalam memerlukan luteal support selepas FET. Luteal support ini ialah pengambilan hormon2 tertentu, terutamanya Progesteron untuk membantu proses rahim menyediakan medium yg optimum bagi bayi menempel. Dalam kes saya, doc precribe 2 jenis ubat iaitu femoston yg mengandunyi 2 jenis pils, sy perlu guna pil yg mengandungi progesterone shj, dan crinone, atau progesterone vaginal gel. Yes, vaginal gel means insert in your vagina, termasuk pil progesterone femoston tu.


ini juga kerana ovaries saya dua2 tidak aktif menghasilkan telur dan sepatutnya sarang telur atau corpus luteum yg merembeskan progesteron. So itulah sebab sy perlukan progesteron luar. Bila cerita benda ni kat mak2, diorg mcm blur plak..hehe..yela if undergone natural pregnancy, rase sy pun xambik kisah benda ni.

So, since the 1st beta smpai skrg, effect progesterone sgt ketara kat saya.. Sepanjang minggu ke 4, sy demam selsema sepanjang hari, teruk sgt, xleh kena kipas or aircond, mesti selsema.. Bdn sentiasa panas smpai skrg.. Masuk minggu ke 5, demam selsema terus hilang, tp bdn still rase panas dr biasa, dan, mula simptom baru. HEARTBURN! 1st time kena mlm sblm tdo, mula2 rase sesak nafas, ingat semput ke kan, then rase senak dada, sakit tekak terutamanya time baring, sepanjang malam xboleh tdo. Xpernah rasa mcm ni sblm ni, so esoknye google lah..tgk2 same simptom pedih ulu hati ni.. Bila progesterone da tinggi dlm bdn, ia akan relaxkan muscle esofagus dan menyebabkan asid perut naik ke atas..mlm ke 2 kena, pun teruk, smpai kena mkn gaviscon 2 paket baru boleh tdo, tu pun terjaga malam2 rase kena bakar je tekak ni..n lama2 tertdo sbb penat n ngantuk sgt.

Jadi, bile sy komplain simptom ni kat doctor, doc nasihat supaya kena kerap makan n amik early dinner so acid tu xkeluar mlm2. Doc pun precribe ubat femoston estrogen utk di mkn 3x sehari utk balance kan hormone.

How's progesterone effect on you? Do share it with me in the comment below.. Tq :)



My IVF Journey - Beta #3

Assalammualaikum wbt,

Beta kali ke tiga bukan dalam perancangan kami.

Harini 20dp5dt, predicted 5 weeks 4 days, hari appointment untuk scan kantung, but unluckily, xnmpk lg kantung. Doc kate mungkin sbb hcg rendah lg time 2nd beta, so harini cek lg beta ye.. Hati dah berdebar semula..aduiii..xjadi ke..but time scan tu doc ade tunjuk mcm tiny bubble kat rahim but doc kate it's still too tiny to tell, it maybe something else..so ambik beta utk 2 hari tgk die double n jmpe die semula minggu depan.

Dan result beta ialah......233! Alhamdulillah.. Tinggi, dan bila cek doubling time kat internet, perfect!..

Ok ape tu hcg doubling time? Bila kita pregnant, hcg expected utk double the value setiap 2 hari pada 4 minggu pertama pregnancy dan bila masuk minggu ke 6 & 7, doubling time jd makin pnjg ke 3.5 hari. Hcg akan mula menurun pada minggu ke 8. Menurut kajian, hcg value perlu double sekurang2nya 35%, cth dlm kes saya, if 1st value 19, 2nd value 32, doubling time ialah 2.7 days with 68.4% increase..ada paham ka? Haha.. If nk penjelasan lanjut bole tgk website ni: http://perinatology.com/calculators/betahCG.htm

So doubling time sy:

1st beta : 19
2nd beta : 32
Doubling time : 2.7 days with 68.4% increase every 2 days

2nd beta: 32
3rd beta : 233
Doubling time : 2.8 days with 64.3% increase every 2 days

So far so good..alhamdulillah..

Wednesday, 30 September 2015

My IVF Journey - 2nd Beta

Assalammualaikum wbt,

Pg td kol 8.30 dah terpacak depan outpatient lab pantai bangsar untuk amik drh sekali lg untuk beta kali ke 2. Then kol 12 suami xsabar2 suruh call nurse salina. Tp tau je la kan, klinik kol 1 lebih baru abis, nurse salina mesti busy.. And as expected, kena tinggalkan nombor nnt die call semula.. Punya la berdebar kol brpe la die nk call ni..

Dlm kol 3 tu die call, tanya nk wat appointment ke.. Haha,, pastu sy btau nk cek beta..ooo nnt die kena call lab dulu cek.. Lg setgh jam die call balik..aduiyaii tunggu lg...

Then, 3.30 pm salina call, bgtau beta reading 32.. Alhamdulillah!!

Kami expect die naik dlm 38 but as long as die naik ke 30++ da ok utk kami...

So husband pun kate da bole bgtau family kot..ok family only..public? I dont think so. Tu tunggu baby keluar la k.

Mohon doa kwn2 baby kuat lekat sehat dan selamat bersalin nnt.

Next appointment time 5weeks 3days which is next week, nk peek tgk kantung..inshaAllah..doakan ye kwn2. Sy pun doakan kwn2 yg membaca ni dikurniakan rezeki anak dlm masa terdekat ni amin...

Monday, 28 September 2015

My IVF journey - BETA day

Assalammualaikum wbt

Beta is better.. Mcm sultan melaka x? Hehe

Harini hari ambil drh utk cek beta. Owh btw masa 8dp5dt, upt clearblue digital said Not Pregnant as expected, so we move on and pasrah utk ujian harini.

Smpai pantai dlm kol 8.30 cmtu, husband drop dulu sbb die kena g dftr seminar kat s alam. Smpai je terus g pathology and draw blood, ujian siap dlm masa 2-3jam lps tu. so g mkn breakfast subway dulu, then lepak kat surau. Solat dhuha, baca yasin sket , google blog2 org.. Time ni sentiasa condition kan diri yg walau ape pun keputusannya, itu yg terbaik utk kami. N siap2 da pk, klu pregnant, nk siapkan projek cross stitch sy (projek ni nnt sy story lain entry ye), n klu xpregnant kena shred 10kgs before next treatment.

Dlm kol 10 g naik klinik utk ambil nombor, dpt no 12. Kol 11 cmtu husband sampai, time tu br nombor 7..sesi pagi punya xabes lg. harini rmi sgt org sbb baru abes cuti raya kan. So dlm kol 12.45 tghhari tu br dpt msuk bilik doc. Berdebar smpai g toilet 3 kali lah huhu..

1st soalam doktor, ubat ape amik n bile amik..terkejut jgk doktor tnye ni..sy jwb la.. Then doktor kate bgs2 sbb hcg awk cantik.. Bacaan 19...

Sy tnye lg, 19 tu pregnant ke x doktor.. Doktor kate definitely pregnant. Cuma bacaan rendah, tkut miscarriage, tp tu kena amik drh lg 2 hari.

Time tu mcm speechless plak..xda sangka langsung ade reading..ya Allah..

Doktor cite bkn ni ade 3 pesakit ivf die, awk n sorg lg pregnant, sorg lg xpregnant sbb slalu skip dose tghhari. Tu yg die tnye tu...ooooo

So skrg teruskn femoston kuning dan crinone, dan rabu ni cek beta lg. expected utk beta double or triple.. Tq kwn2 utk doa dan semangatnya..mohon doakan hcg kami double or triple rabu ni.

Patut la upt semua -ve, bacaan sgt rendah rupenya..

Friday, 25 September 2015

My IVF journey - FET day

Assalammualaikum wbt.

Harini dah 7dp5dt bermaksud 7 days past 5 embryo day transfer.

Actually FET berlaku pada 18/9/2015, iaitu jumaat lepas. Khamis pagi sehari sblm fet tu, msj doc tnye psl level progesterone. Alhamdulillah level low sesuai utk fet. But sebab embryo baru thaw pg tu, so better fet esok. So, jumaat pagi tu kol 7.30 pagi da kat admission kaunter. Naik wad dpt bilik same time OPU, nurse situ pun da kenal sy, hehe.. Lepas amik blood pressure semua, kami turun bwh g mkn nasi lemak kegemaran kat kedai ma'cik. Then singgah MBG beli air avocado..sedap!

Kol 9 naik wad balik, tuka baju OT, g toilet kosongkn bladder n start minum air semula. Punyalah cuak minum smpai 1L air, huhu. Dlm kol 9.45 pg tu nurse da dtg nk bwk g masuk OT. Husband g tuka baju OT since die bole masuk sepanjang fet tu. kol 10 cmtu da rase nk terkucil sgt2, tu la byk sgt minum air haha.. Doc dtg dlm kol 10.30 pg. bygkn lame betul thn kencing huaaaa...

Masuk ot, doctor panggil utk tgk embryos kat screen dgn embryologist. Alhamdulillah 2 hatching blastocytes cantik sgt kat screen. Embryologist gredkan 3AB xsilap. Lepas tgk mulakan proses fet. Masa tu bukan takut sakit kena masuk alat kat bawah tp more pd nk terkucil sgt haha. Bila scan tgk mmg betul bladder sgt penuh huhu..tp fet bole je proceed. Dlm 10 mins cmtu, doc mintk baca bismillah n masukkan 2 blastocytes tu. then doc masukkn tiub lepaskn air kencing n baru legaaaaaa...hahaha

Lepas tu nurse xbg bgn lg..lps setgh jam dlm ot, katil sy pun smpai, nurse angkat naik atas katil n tolak ke bilik. Xboleh bgn sejam. Tp lps setgh jam rase nk kencing lg..aduiyaiii..tp thn jgk smpai sejam terus meluru ke tandas. Doc mintk kami admit sehari utk bedrest n kurangkan aktiviti bgn.

Fet tak bius sebab xsakit, cuma seksa thn kencing je la.

2dp5dt
Simptom perut or bhgian rahim mcm ade jarum cucuk2. Perut mmg cramp mcm nk period tp xla teruk sgt..but the cucuk2 things is new which i nvr felt before.

3dp5dt
Cucuk2 simptom masih ade especially bile berehat n baring.

4dp5dt
Time ni da kami balik kg kat desaru. Cucuk2 da xde

5dp5dt.
Kami gatal2 wat upt kol 5 ptg, and hasilnya BFN la huhu..time ni frust sikit tp sedapkan hati sbb amik timing ptg kan.

6dp5dt
Bgn pg2 wat upt lg skali, another BFN. Pg ni pg raya, terus xde mood..huhu..risau sbb baca ramai je da dpt bfp time ni. But bila gugel2, ade yg kate fet ni Hcg level mmg lower than natural pregnancy, so kena tunggu sekurang2nya 10dp5dt, which is my beta date this coming monday, 28/9/15.

7dp5dt
Ops lupe bgtau, sepanjang ni sy solat duduk je, but harini da start solat mcm biasa. Ubat insert seperti biasa iaitu femoston kuning 3 kali sehari dan crinone 1 kali sehari.

 Td selongkar2 kotak lame jumpe another upt clearblue digital..selama ni cek pkai upt rm4 shj..hurm..husband kate cek je la esok. Ape2 pun mmg kena redha, semua da tertulis kat arash dah rezeki kita. Ye btul tu. so, esok fmu inshaAllah..moga Allah perkenankan doa kami dan jadikan kami insan yg bersyukur. Amin aminnn..

Mohon doa semua kwn2 k.

Wednesday, 16 September 2015

My IVF Journey - FET is coming!

Assalammualaikum

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

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

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

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

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