Treatment Stories and the costing

Chronology of events for my fertility treatments (I may revise the info as at the latest treatment I go /do):

2011	2012	2013
Nov – 1st time decided to refer OBGYN and went to Pusat Bersalin UMRA @Poliklinik UMRA Seksyen 13 Shah Alam.   Assigned to Dr. Niraj, explained our situation..bla bla bla and did ultrasound to check my fatty tummy..ngeh3 (perfect and no issue)   Advised to take / do these: -          Clomid for next cycle (Dec 2011) and seek my hubby for SA, -          TVS at CD12 for cycle Dec (done by Dr Ummul, found few good follicles and very thin uterus lining (no additional advice for that) , -          Blood test at CD21 to look the progesterone level (done by MO -result is good as ovulation occur and that’s it no additional advice); -          Jan 2012 – pain during period and given painkiller (by GP)   Costing: Consultation + procedure + lab test + medication  = +/- RM600	1st quarter – on & off went to UMRA to see Dr Niraj – he advised to do blood test again to see my hormone level and so on..bla bla bla   A week later, went there again to review the result – Dr. Niraj explained everything perfect and no issue at you. And asked my hubby to do SA and given Letrozole for next cycle.   Did SA at Path lab Puchong, and jeng3………result unexplained.   2nd quarter  (to be exact 2 weeks before Ramadhan) – went to UMRA to meet Dr. Niraj (unfortunately he had an emergency delivery case) so, my case forwarded to Dr. Rafi. Dr. Rafi saw the results and straight away suggest IVF. Heartfelt and cried – later Dr. Rafi advised to meet the Psychiatrist and the IVF advisor at UMRA soonest possible.   Seek opinion with family members and friends – they suggest getting 2nd opinion from the specialist.   Digging for the best specialist in town and build my strength to face my 2nd stage of treatment.   Nov – able to get appointment with Dr Adilah (IVF advisor and also an experienced specialist who handled many types of fertility issues and pleased with her success stories.   This is my journey with Dr Adilah @ PHKL:   Met Dr Adilah on CD12, explained my previous treatments. She did TVS, later found few fibroids surrounded my uterus (seems no harm if I get pregnant) and also found immature follicles (PCOS) hurmmmm.   Advised to take / do these: -          Clomid for next cycle (as it is working for me on Dec 2012), hormone /blood test, HSG and seek my hubby for SA. -          Multivitamins for both of us.   Dec - Went for hormone / blood test at CD3.also to set appointment but unfortunately Dr Adilah was on holiday (2nd half of the month)..her nurse asked me to proceed with HSG and advised to take clomid the next cycle (Jan 2013) and do necessary treatment in Jan 2013.   Costing for UMRA: Consultation + procedure + lab test + medication  = +/- RM300   Costing for PHKL: Nov / Dec 2012 – 1.       Consultation+ procedure + medication (clomid)  = RM342.80 2.       SA (by Embriologist) =RM120 3.       Hormone / Blood test for me (at Pantai Premier Pathology)       = RM424 4.       HSG (at Tawakal by Dr Fatimah) = RM180 TOTAL = RM1066.80	Jan – set appointment with Dr Adilah on CD11 (taken clomid on CD3 until CD9)   CD11, Dr did TVS and found these: -          Left Ovary - 3 good follicles @ 16mm and 15mm for 2. -          Right Ovary – 3 follicles @ 10mm each -          Uterus lining was at 2.7mm (not good)   Advised to take / do these: -          Femoston – 3 pills on CD11 through vagina -          Come back on CD13 for TVS   CD13, Dr did TVS again and found these: -          Left Ovary - 3 good follicles @ 18mm and 14mm for 2. And got extra follicles growing…hehehe -          Right Ovary – 3 follicles @ 8mm each (don’t know what happen to the earlier one) -          Uterus lining was at 3.7mm (good sign -increase 1mm within 36 hours on femoston)   Advised to take / do these: -          Femoston – 3 pills daily through vagina until CD19 -          Review hubby’s blood test result -          Ovidrel injected on CD13 (10.30pm) -          Proceed with IUI @CD15   Shall update the IUI procedure (if happen to proceed at CD15) later   Costing for PHKL: Jan 2013 – 1.       Consultation + procedure+ medication (femoston) =RM255 2.       Hormone / Blood test for hubby (at Pantai Premier Pathology)       = RM228 3.       Consultation + procedure+ medication (ovidrel) =RM304  TOTAL as at today = RM787

HAPPY NEW YEAR 2013

Hye smua....dah lapan hari di tahun baru nih...rasanye x terlambat mama cahaya nak ucapkn HAPPY NEW YEAR 2013 nih kn....

fuh..smoga smua azam2 yg dulu, skarang dn slamanyer tu masih blum expire la ye...ape2 pun kita minta tolong YANG ESA permudahkn perjalanan hidup kita sepanjang tahun ni dan tahun2 seterusnyer..In syaa Allah ..ameen

Habuk dah...haatttchuuuummmmm

Assalamualaikum...wbt

hurmmm..blog nih dah penuh ngan habuk,debu dan segala suku kaum dia
hehehehehhee..mana tak nyer, tgk post yg last pun time puasa, skarang nih dah masuk tahun baru pun...?????
bukan xde masa tp xde mood dssbkn keadaan sekeliling...termasukla hal2 kerja & family.

skrang nih tgh fokus mood tuk treatment baru dgn new gynea yg sgt sweet, humble and informative....kn best klu dr dulu dah wat nih..smbung cite treatment di entry lain la ye.

bye and take care ^___^

Salam Ramadhan

 

Saya mengambil kesempatan ini untuk mengucapkan.......

SELAMAT MENYAMBUT RAMADHAN AL-MUBARAK

SERTA SELAMAT MENUNAIKAN IBADAH PUASA KEPADA MUSLIMIN MUSLIMAT SEKELIAN.

Masuk track smula

Hi kawan2...rs lama xupdate blog nih tp pd dasarnyer baru sebulan lebih kot...hehehehe Entry kali nih nak ckap...Cahaya dah start buat treatment smula dgn harapan rezki anugerah terindah dr Allah

Cycle baru2 nih, iaitu CD2 Cahaya amik time-off semata-mata pegi jumpa Gynea tuk seek advice treatment....cam biasa (doktor dah xingat dah psal result Cahaya awal tahun aritu- yela patient dia bukan sorg je kn)...ngeh3...Cahaya pun tanya few soklan

Dr N: Assalamualaikum, how are you today?

Cahaya: Am fine ^__^

Dr N: Wanna share your problem

Cahaya: Yes doc, am on my second day period. Hurmmmm....

Dr N: OK, knapa you dah lama xdtg wat treatment

Cahaya: A lot of comittments la doc, need to settle everything before proceed for treatment. Klu x byk distraction la doc, effects result nnt ssh tuk sy...

Cahaya: Doktor...Dr U minta wat HSG trus klu period after Clomid. So nak wat HSG bleh???

Dr N: dia duk belek2 result & report yg dulu...hurmmmm xpayahla sbb awak period every month unless awak ade jangkitan. Penah bersama selain ngan husband u??

Cahaya: Ish doktor nih, xpenah la...sy 100% ngan hubby sy je.

Dr. N: Sy terpaksa ckap open utk kepastian dan xperlu tergesa2 tuk HSG tu. OK, kali nih kita try ubat lain dulu ye sbb Clomid aritu xsesuai utk awak dsbbkn dinding rahim awak menipis but in term of eggs production awak seems to be normal. Then, dtg semula on CD12 tuk wat TVS smula utk monitor progress awak utk ubat baru nih ye. Huh jgn lupe minta hubby awak wat sperm analysis skali ye..klu bleh by this week jugak

Cahaya: OK

Lpas tuh...hurmmmm charges yg dikenakn RM178 (mahal la jugak tp nak wat camne kn) dan malam tuh bincang ngan hubby tuk convincekn dia wt sperm analysis tuh....Alhamdulillah, dia pun setuju ^_________________^

Nnt Cahaya update pasal result hubby n TVS nnt...doakan Cahaya dan hubby supaya dpermudahkn urusan kami ye..ameen

Send Baby Dust to ME ya

ME...hurmmmm having a STRESSFUL days since last Friday...arghhhhhh (i know this is not good for me) All problem and stress began from a car (OMG its my car again n again) its having so much of problem dont know why...please shoh shoh
owhhhhh really need this from a friend (who is preggy and reading this entry)

Why not friend...dont you think it would be a miracle for me who is TTC for almost 2 years ++...this would help ME 2 motivate myself to be more ENERGETIC and ENTHUSIATIC to start my TTC journey again ^___^

and MORE please....sobs...

THankS so muCH to all ^______^

HoneyMadu Mooneybulan

Entah ape2 tah topiknyer....tp Cahaya SUKE (bunyi can fifi sukeeeee bleh)...hehehhehee

Setelah setahun booking tiket Air Asianyer...akhirnyer tanggal 26 May 2012 fly jugak g Medan bersama Hubbyku yg comey lotey..hehehhe...berhoneymadu mooneybulan slama 4H3M di Medan, Indonesia ^___^...balik 29 May 2012....hurmmmm gmbarnyer upload dlm entry lain la ye