IUI#3

Actually IUI#2 di hukm..but count as '3' sbb sy pernah buat 1st IUI di klinik suria

Masa appointment jumpa prof zainul ari tu..ringan je mulut nk mintak wat IVF terus
(lagak macam dh cukup duitnya..hihi)

Tapi prof kata..cuba IUI sekali lg..lepas ni klu xde rezeki, boleh pikir nk buat IVF

IUI#1 (hukm), prof bg clomid..tp dgn clomid, ET saya x berapa ok.
Before IUI, ET saya cuma 9.5mm. kata prof, yg bagus 10mm keatas
Result sperm husband masa IUI hari tu kata prof, x berapa bagus..at least kena 20mil/ml

Result sperm husband (ringkasan):
1. Hosp Putrajaya - tiada catatan
2. Hosp Pantai (klinik suria) - 15mil/ml, Volume 3.0ml
3. HUKM (before IUI) - akan dimasukkan kemudian klu jumpa..hihi
4. HUKM (semasa IUI) - 16mil/ml, Volume 3.0ml (agak2)

 Update 13 Januari 2013 (result sebenar)
3. HUKM (before IUI) - 16mil/ml, volume 2.5ml, motility 18.8%
4. HUKM (semasa IUI) - 17mil/ml, Volume 3.5ml, motility 23.5%

Ye..result kurang memberangsangkan sbb x pernah capai 20mil/ml..tp masih ada ikhtiarnya
Hingga sekarang, husband masih consume shaklee wpun nmpk mcm xde perubahan sangat
Saya dh suggest pada dia utk tukar supplement lain..kata dia, nak habiskan dulu yg ada ni
Ok...sy menurut perintah!..=)

Jadi utk IUI#2, utk saya, prof tukar kpd femara pulak..no more clomid
Akan stat makan dari CD2-CD6 nanti..
Lepas tu, akan mula balik rutin scan selang sehari..

Hari ni, CD27, mungkin lg 4-5 hari period akan dtg

p/s:
Maaf..mood malas menulis sedang menderu laju (blog terabai!)

ET-Endometrium Thickness

Dah jumpa Prof Zainul UKMSC

Salam..short entry:

Hasil jumpa prof.zainul..
Husband - repeat sperm count

Saya CD 9 (masa jumpa prof):
- amek darah semula CD 2 - CD 5 (pilih satu hari) dan CD 21, n a few more test..x igt..
- TVS : telur ada (beberapa) terutama sebelah kiri..prof kata banyak..(sbb mkn shaklee ke?)
- Tebal rahim ok
- Xde mention psl cyst or fibroid (so consider xde..boleh?)

Rumusan:
Prof tny nk terus IVF ke?..ke nk tunggu result cek up darah n sperm dulu?..kata saya..klu dh xde cara
lain n perlu IVF..baru consider utk IVF

Ok..prof kata kita tunggu result dulu..next appt on 24/10..baru akan decide next step apa
perlu buat..klu pun boleh buat IUI lg..prof akan monitor ovari mana yg respon dgn ubat dan ada telur..
klu sebelah kiri, prof x kan buat IUI since risiko pregnant luar rahim tinggi due to masalah tiub kiri yg sempit..

Apa2..tunggu 24/10 ni..so far UKMSC punya servis bagus..
Nurse bagus..tempat selesa...
Dan yg penting..waiting list x de lah pjg berjela
Korban duit..terkorbanlah..
Demi mu anak

Kos 1st visit..RM 175 (consultation + tvs)

TTC: Next appointment di HUKM

Previous entry:
Saya ada mention psl sy dh set new appt kt Klinik Suria..
Appt adalah utk cek semula sperm husband
Namun..rezeki kurang menyebelahi kami
Askar hubby masih xde progress..
Kata doc.suria..masih sama mcm iui dulu (less than 1 mill)
Haishhh..x sanggup tgk muka husband saya..
Mata die nmpk merah...kata husband saya.."abg mintak maaf dah kecewakan syg"

Hai abg..sikit pun dlm hati ni xde rasa nk salahkan abg ke..nk marah abg ke..
Sy dh lama terima (wpun susah) yg rezeki kita bab nk dpt anak ni sedikit mencabar..
Kita usaha lagi..lagi..lagi...dan lagi
Kita pikir yg positif2 saje...yg lain dan yang x elok..kita tolak tepi..
Kata Prof. Muhaya.."igt yg baik2..maka hasilnya juga adalah baik"

Doc. suria dah wat referral letter ke HUKM..
Attn to prof.zainul..
Mungkin IVF-ICSI jalan seterusnya..
Tak apalah..jika itu jalannya..kita cuba..
Wang yg ada, kita guna pakai..
Xpe...nnt menabung semula..nk wat personal loan utk semata buat IVF rasa mcm...hmmmm
Yup..personal loan is one of the option...
Tp..lepas berdiskusi pjg dgn hubby..kami decide nk guna saving kami..ye..nekad!

Pesan Doc. Suria..terus call private wing HUKM
Kt sini semua klinik pakar ditempatkan sekali..
Appt pun boleh by phone sahaja...masa jumpa prof.zainul baru bwk referal letter dan lain2 surat doc..
Doc. Suria x nk saya go thru blk semua proses if saya direfer ke tmpt lain...
Pesan Doc. Suria..."make sure awak call klinik pakar ting 7, private wing..cepat sikit..klu tidak..lambat"

Jadi..jika tiada aral yg melintang..appt saya adalah pada khamis depan..
Oh ye..prof.zainul buka klinik pd hari isnin dan khamis shj..
Apa beza MAC HUKM dan Klinik Pakar Private Wing?
Jawapan oleh nurse kt situ.."dari segi charge puan..biasa private wing charge yg dikenakan lain"

Klu di MAC HUKM..appt x boleh set ikut phone..kita kena bwk referral letter ke sana..
Staf sana akan go thru kes kita dan akan bagi appointment baru..
Kira nya di private wing ni..kita dh lompat 1 step..terus dpt jumpa doc...
Tp...bayar lebih sikit lah gamaknya...

Ok..itu saja..hari ni cd34..dh cek upt pg td..n spt biasa -ve..

p/s:
buat upt tanpa ada perasaan..nk abiskan stok je sebenarnya..so..dh xde upt dlm laci..yeayyy!

TTC: Do's and dont's for IVF (Before During and After)

Disclaimer: Saya belum nk buat IVF lg..ni saya jumpa masa google2 about IVF tips..so..saya share kt sini untuk rujukan, jika ada antara kita memerlukan di masa depan.

BEFORE you start your IVF Cycle:

- Eat a balanced diet.

- Exercise in moderation.

- Reach a healthy weight. A BMI over 30 could affect the outcome of your cycle in a negative way. An  ideal BMI is between 20 and 25.

- Speak to your RE about all the medications, vitamins and/or herbs you’re taking. This is very important and unusual interactions between prescribed drugs and others will be more easily identified.

- Try to avoid caffeine or reduce it to 1-2 caffeinated beverages a day.

- Do not smoke. 

- Avoid alcohol or limit your alcohol intake to ½ a glass of red wine a day maximum

DURING your IVF Cycle: 

- Continue eating a well balanced diet.

- Try to reduce caffeine to 1-2 caffeinated beverages a day.

- Make sure you get adequate sleep: a minimum of 8 hours.

- Continue light to moderate exercise.

- Don’t smoke (male and female).

- Don’t drink alcohol (male and female).

- Don’t diet during treatment (losing 10% or more of your body weight can compromise the end result of your cycle). But do diet before if your BMI is greater than 30.

- Always avoid fish high in mercury. 

- Don’t take any medication, even over-the-counter drugs like allergy or cold medication, without talking to your RE about it. 

- Extreme heat can reduce fertility in both partners. 

- Drink lots of water, especially during stimulation.

- In case of OHSS, drink lots of fluids. Drink Pedialyte instead of Gatorade. It’s just better for you! - Drinking 3-5 liters of water per day can prevent OHSS is some cases.

- Speak to your RE about baby aspirin. It’s a blood thinner that increases blood flow to the uterus to improve implantation.

- Last but not least, try not to stress and be positive. High stress levels are known to reduce fertility in both men and women and compromise the outcome of an IVF cycle.

AFTER the Embryo Transfer:

- Don’t eat food older than 12 hours. 

- Don’t eat fish high in mercury.

- Avoid excessive exercise. Don’t over do it.

- Moderate walking is a great exercise during the 2 week wait. Helps to keep stress levels low.

- Make sure you get adequate sleep.

- Do not lift anything heavy. Some professionals believe anything over 2 pounds is too much; others, anything over 10 pounds. Bottom line: everything in moderation.

- Drink lots of water to prevent constipation. Water is also crucial for cell development.

- Extreme heat can reduce fertility in both partners.

- Practice relaxation techniques like meditation, breathing exercises, acupuncture or yoga postures that improve fertility. What’s important here is to do what you enjoy and what helps you relax. Some research suggests that lowering stress levels may improve IVF success rates.

- Think POSITIVE!!!!

Tips for Male Factor Infertility & IVF

- Speak to your urologist about Serophene (Clomid). It helps improve sperm count and quality in 30% of males. Please keep in mind that this only applies in certain cases.

- Vitamins and supplements which may improve male fertility: (note: speak to your urologist or physician before starting anything)

A good multi-vitamin

- Vitamin E

- B12

- Selenium

- Zinc

- Flax oil

- Fish oil

- Vitamin C

- Beta Carotene

- Reducing the stress in your life is very important. Practice relaxation techniques like meditation, breathing exercises and/or acupuncture. Walking is also a great way to help you relax. De-stress in whatever way is good for you.

- Get adequate sleep. 

- Eat a healthy, well-balanced diet. 

- Reach a healthy weight. A BMI over 30 could affect your fertility. An ideal BMI is between 20 and 25. 

- Don’t drink or smoke.

- Take it easy, don’t over do it, and think POSITIVE!!

Info adalah dari sini...

Ada jugak yg suggest untuk buat akupuntur sehari sebelum ET kerana dikatakan boleh increase tahap kesuburan..

Untuk ladies jugak, sauna dan hot tub juga disyorkan sebelum kita buat IVF..boleh buang toksin dalam badan..hmmmm..menarik!

Untuk elak atau kurangkan kesan/sindrom OHSS, boleh amalkan mkn telur ayam kampung (putih), yg penting..kena minum banyak air..

Ok..itu saja...daaaaa