#14 Road to ICSI - I am near there!

CD 6 - TVS session with Dr. T again.

Appointment at 1215 pm.
Arrived at around 1150 am and the nurse asked me to go and have lunch first as there is around 6 other patient more.

And I managed to see doctor at around 115 pm.
DH have to passed his Friday prayers on this.

So straight away Dr. T did the TVS.
Found 8 follicles between 10-11mm in sizes.
A bit faster than normal 8-10mm.

Dr. T prescribed me with lower dosage of Puregon, Humog and to start with Orgalutron.

Gosh!

Dr. T expect my OOC / OPU to be schedule next Wednesday but that is all depend on my next TVS which is yesterday (Monday).

So headed back to KL Fert yesterday.
Appointment suppose at 1130 am but I arrived around 11 am.

Met Puan Stroberi there and I was shocked at first coz someone called up my name there!
Nice meeting you though it is just a quick one and good luck on your IUI tomorrow!

This time didn't wait for too long, at around 1115 am my name was called.

Again, straight away to TVS.

Same numbers of follicles = 8 but only 2 in 18mm sizes. 2 at around 13mm. 1 at 15mm and 3 around 11mm.

Dr. T decided to postpone the OPU to next Friday.
Sedih sekejap sbb Rabu tu hari Wukuf kot. Hari doa mustajab.
Lagi sedih bila hari Jumaat tu Dr. T takde to do the procedure.
It will be replace with Dr. Helena.

So Dr. T asked me to continue with Puregon (lower dosage), Humog and Orgalutron till tonite.
Tomorrow I need to do another TVS.

If OPU on Friday, then my transfer will likely be on next Monday (3 days transfer) or Wednesday (5 days transfer).

May Allah ease my journey. Aamiin.


Cost CD 6 - RM 5,000 (2nd payment)
Cost CD 9 - RM 575.60 (for extra Puregon and Humog which is not in the package for day 9/10)

Total - RM 5,575.60

Total paid so far for ICSI treatment and not including my passed appointments before stimulation starts = RM 11,065,60.

#10 Road to ICSI - Appt with Dr. T, again!

As expected, my CD 1 came on the 2nd of Ramadhan (Friday).
So I called KL Fert that morning to make the appt with Dr. T.
Appt secured at 945 am.

We arrived at the centre at 845 am and Dr. T is already there and we are the 1st patient!
Yeay!

Baru duduk 3 minit kot nama dah dipanggil.
Dr. T looks beautiful today wearing batik.

1st discussed about my sugar level result the other which doesn't seems good to her.
She referred me to Pusrawi's Endocrinologist to monitor my sugar level for this 2 months.

After that she did TVS to see my numbers of follicles.

And Alhamdulillah, my right ovary was super easy to find now!
But only contain 2 follicles.
On the other hand, the left side got 5 follicles and that makes it 7 in total.

Phewwww!
Dr. T was happy with that.
So I don't need to do AMH test.

And my ICSI is scheduled either on August / September.
I need to come back again this 30th June for my uterus lining measurement pulak.

Dr. T asked both of us to do a blood test for HIV, Hepatitis, Siflis and additional Vit D and Kidney function test for me.

After that we both are given all the information on the ICSI procedure and costs involves by the nurse.
Dr. T quoted us RM 14,600.00 *gulp!* and this include all the standard medication and the procedure itself.
Frozen Embryos is on a separate costs.

Today's costs : RM 1038.00.

Proxeed Plus

Last mth, DH went for another sperm test.
Bought the voucher from Groupon.
Buat dekat Damai Service Hospital.

Alhamdulillah, even still under low count punya category, but it improved from the last time we did the test.
I forced him to take Shaklee Zinc.

But, as usual, we want more.
So google here and there.
Asked some other TTCians in my WA group.

We decided to buy Proxeed Plus.

A bit expensive though but got a lot of good feedback.

So went to Klinik Medina dekat Tmn Melati.
Bought a box of it.
Last for 15 days at a cost of RM 180.

Minum pagi seblom breakfast - 1 sachet
Minum petang sebelom dinner - 1 sachet.

Mixed it with cold water.

Tgk lah lps raya nnt nak repeat test balik.

Crash, boom, bang!

Macamana tajuk post, macam tu lah hati saya waktu received the blood test results.
Need I elaborate more?

It's BFN!

Sedih?
Yes. But kali ini lebih kuat.
I cried for only few minutes in the car.

Bila dipujuk oleh DH, I managed to set myself calm.
We had our discussion.
DH wants us to give a break before proceed with the 2nd IUI.
So this cycle break jap and continue March.

DH wanted us to improve on our weaknesses the other day.
Me to reduce the fibroid size and DH to improve his sperm counts.

Kendian DH pancing pulak to go for retail therapy.











And we bought this!

After dekat 10 tahun tak tukar katil.
Dr zaman sebelum kawin.
Time kawin pon beli katil baru utk letak rumah my in laws je.

So who knows can, dgn aura katil baru, we manage to conceive naturally lagi ke..
In Shaa Allah.

Semlm masuk kerja pon saya kuat.
And later in the evening ada spotting.

AF is on its way.

Today, AF muncul.

Bohong kalau ai cakap ai tak sedey..
But I have prepared myself, kalau tak jadi this time, I will redha and will keep on trying.
I have to be positive at all time.
I tak nak stress as stress pon boleh membantu fibroid utk membesar dgn jayanya.

Besides berdoa, ai do alot of readings.
Read psl rakan2 TTCians yg dah berjaya mendapatkan zuriat.
What they do, what they eat.. semua lah.
Mana yg i mampu, i ikut.

At least I know when it turns out BFN, i know that I have gave my best shot in trying rather then not trying at all.

Till then..

Thanks to my TTCians friends and friends in Whatsapp, IG, blog, FB yg telah mendoakan saya.
Saya pon berdoa agar semua yg senasib dgn saya dibagi peluang utk mendapatkan zuriat mereka jugak..

In shaa Allah...


BHCG test = RM 91.

11dpIUI

Lagi 4 hari akan buat blood test.

Let me story kat u ols apa jadi hari IUI tu.
This is going to be a very long entry.

On 12th Feb 2014, my IUI is scheduled at 1030 am.
Hubs need to ejaculate by 830 am.
Arrived PHKL at 815 am, rushed to BLock C the IVF lab to give the sperm.

Settle urusan tu dlm kol 845 am.

Went off for breakfast.

By 930 am, I cannot pee already sbb 1030 am kena make sure I am fully bladder.

Today tak ramai sgt patient pon.

Sbb ramai Dr. Cina yg dah start cuti CNY.

So 1030 am, my name is called to see the Dr.

Bismillah....

First of all, Dr told us that his count was not so good but still can proceed with IUI since she had experienced with lower count than his succeeded before. 

Although a bit down, am still glad it can still be proceed.

So Dr told me to lie down on the bed and bend the knees.

Relax, she said.

So she put out all the necessary utensils with the help of her assistant, Ida.

Then slowly and gently she put the speculum into my V.

This is how the speculum looks like.

At first she puts in the smaller size but unfortunately my uterus cant be open with that size. 

The fibroid is pushing so it is not opening.

Amik ko.

Dr. said that she need to changed the speculum to a larger size.

Rasakan.

Waited for about 5 minutes jugak lah sbb Ida nak kena cari that speculum.

So continue again.

This time Alhamdulillah, terbukak uterus tu selepas Dr cubit sket.

Terjerit jap I masa ni sbb sakit.

Penderitaan I tak habis di situ.

Lepas speculum dah lepas, Dr need to insert the catheter lak.

This is how the catheter looks like.

Memula Dr masukkan yg 1st one tu. The rubber one.

Tak ley masuk.

Then tukar to 2nd one, slightly tough rubber.

Tak ley jugak masuk.

Then changed to the 3rd catheter, a tougher rubber.

Gagal jugak.

Masuk no 4, pon sama!!!!!!!!!!!!!!!!

Then she said, I'm going to insert the STAGE 4 catheter.

If failed, we can't proceed.

The final catheter is the one made from STEEL.

Ya besi!!!!!!!!!

But besi lembut lah.

Dgn lafaz Bismillah...

It works!!!!

Berjaya dimasukkan terus ke my uterus.

Then she quickly bukak the USG machine and asked me to hold and tgk masa dia masukkan sperm tu directly to my uterus. 

I was about to tears masa ni.

If you are not sure how the process is, here is the video.

Lepas settle semua tu, Dr. suruh I baring for about 10 minutes.

Then dia started to brief me on the medication.

I was asked to bed rest till 6dp IUI.

Kurangkan berjalan kata dia.

She prescribed me with Duphaston and Utragestan to be taken till 15dpIUI.

And she scheduled me for a blood test this 14th Feb.

Ya Allah, permudahkanlah semua sepertimana Engkau permudahkan perjalanan sebelum ini...

Total bills for Ovidrel + IUI + Duphaston + Utrogestan + Consultation = RM 2004.30.

Cost may be variance to others specially in my case, a large speculum and 5 types of catheter has been used.

Skang debaran terasa. 

Went to work today after 12 days on leave. 

Update check up CD3 with Dr. Adilah.

Arrived at 840 am and amik no dulu.
Igtkan dah awal, tapi tetaplah dapat no 10.

Amik ko.

Turun bawah lepak Starbucks dulu la jwbnya.
Layan caramel hot choc dulu.

Me mmg addicted with Starbux Caramel Hot Choc. 

So mmg bawak tumbler siap2. 

DH pon layan minum yg sama jgk tp lagi tamak sbb amik size Venti terus.

Dalam kol 1015 am mcm tuh baru dpt jumpa dr.
Nak lagi best?

They can't find my file.
Chantek!

Kena citer balik kat dr apa jadi.
Dr. Chantek suruh buat TVS.

Gosh.

Here comes the bad news.


I have 2 Subserosal Fibroids.
1 is diagnosed on my right side. Closed to my ovary.
Size 5 X 9 cm.
And it had been pushing my right ovary until it cant be seen thru USG.

The other one is diagnosed at 2 cm size and at almost the same position with the right one.


On the other hand, dr. Chantek said that my uterus is fine.
So she prescribed me 100 mg Clomid.
To be taken for 5 days (again).

Next appointment will be next Thursday (CD12)

If on that day, my eggs are there with the right size, will proceed with IUI.

Ya Allah, permudahkanlah semuanya....


Total bill today with TVS, Clomid and Consultation : RM 316.

Treatment History

Transvaginal USG - September 2010 (Jakarta)

Cost : Rp +- 500,000 (app. RM 150)

Blood test - December 2012 (Jakarta)

HSG and Sperm Analysia - December 2011 (Jakarta)

Total cost for all = Rp 1 juta (RM 350)

O & G - February 2012 (Hospital Selayang)

Reg & Consultation cost = RM 100

Fibroid 14cm in size detected.

Lucrine - February 2012 - May 2012 (Hospital Selayang)

Medicine + Consultation Cost = RM 60 per month

Myomectomy Surgery - June 2012 (Hospital Selayang)

Surgery Cost = RM 5k

Rest from June 2012 - Sept 2012

Follow up check up with gynae 

Cost = RM 60 per check up

Clomid 50mg - Nov 2012 - Jan 2012

Medicine + Consultation = RM 90 per month

Cd 2 February 2013 - LPPKN under Dr. Komathy

1st Appointment - Interview + Amik darah + Sperm analysis

Cost : RM 200 + registration

CD 10 February - HSG at Tawakal Hospital

Both tubes are normal in caliber and peritoneal spill is seen on both sides left more than right.

Cost = RM 180

CD 21 - Amik darah (LPPKN)

Free.

CD 1 March - called to make appointment with Dr. but hampa sebab Dr ada kursus. 

They asked me to call next cycle.

Disebabkan kecewa dgn Dr. K, I called PHKL.

CD 12 March - Appointment dgn Dr. Cantik (Pantai Hospital KL)

TVS - got 1 big follicle size 19mm.

USG - 1 sub-ferosal uterine fibroid in 8cm size detected.

Dr. Cantik said can proceed with IUI next Monday.

She prescribed me with Ovidrel.

Cost = RM 585

Unfortunately, something turn out that Monday, we've decided to postpone the IUI.

CD 1 April - Called LPPKN. Managed to get appointment with Dr. K on CD 3.

CD 3 April - Counseling session with Dr. K.

She prescribe me with Clomid 100mg for 5 days.

Cost = RM 46

Next appointment to scan the egg size will be tomorrow. CD 11.

Grand total for now = RM 7361 *icanbuy2pradahandbagandgucciloafers*