IVF, this is our story part IV

Continue from Part III

The bigger picture:

Date	Day	Medication/dose	Antagonist/dose	Given by	US Scan
20/10	1	Puregon 200iu	-	Me@8:30pm	-
21/10	2	Puregon 200iu	-	Me@8:30pm	-
22/10	3	Puregon 200iu	-	Me@8:30pm	-
23/10	4	Puregon 200iu	-	Me@8:30pm	-
24/10	5	Puregon 200iu	Orgalutran	Me@10:35am/Me@8:30pm	-
25/10	6	Puregon 200iu	Orgalutran	Me@10:35am/Me@8:30pm	Ultrasound
26/10	7	Puregon 200iu	Orgalutran	Me@10:35am/Me@8:30pm	-
27/10	8	Puregon 200iu	Orgalutran	Me@10:35am/Me@8:30pm	-
28/10	9	Puregon 200iu	Orgalutran	Me@10:35am/Me@8:30pm	Ultrasound
29/10	10	-	Orgalutran	Me@10:35am/Me@9:30pm(OVIDREL)	-
30/10	11	-	-	-	-
31/10	12	-	-	-	-

Instruction List:

You are now ready to proceed to egg collection. Prior to that you need OVEDRILL 250 mg. Date: 29/10/11. Day: Saturday. Time: 2130 hrs (9:30pm).
Your egg collection is scheduled to take place on: Monday at: 0930 Date: 31/10/11. Utrogestan 200mg should be taken vaginally, three times a day: 12mn, 8am, 4pm starting from Monday date 31/10/11.
Tablet Duphaston 10mg should be taken orally three times a day: 8am, 4pm, 12mn starting from Monday, 31/10/11.

Your embryo transfer will be scheduled on:___________ Date:____________ Time: _____________. Please come to the Reporductive unit on the _____________ for a pregnancy test.

Our story continue .. Part V

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IVF, this is our story part III

Continue from Part II

The next appointment was schedule on Friday, 28 October 2011. I had ultrasound and there were 10 mature egg (5 each from right & left ovary). We will proceed with the Orgalutran & Puregon shot but this time around, my gynea prescribe me with Duphaston, Utrogestan & Ovidrel.

Duphaston & Utrogestan were for luteal phase support in IVF or to support the lining of the uterus. Meanwhile, Ovidrel is used to ripen (mature) the follicles.

The total cost for this round were RM 676.60.

The breakdown cost:

- Registration = RM25

- Orgalutran 0.25 mg/0.5 ml (2 syringes) = RM 300

- Duphaston (for 2 weeks) = RM 115.40

- Utrogestan (for 2 weeks) = RM 151.20

- Ovidrel = RM 85

We will having another appointment on Monday, 31 October 2011 for egg collection. Below is the list of instruction that we need to comply:

You are now ready to proceed to egg collection. Prior to that you need OVIDREL 250 mg. Date: 29/10/11. Day: Saturday. Time: 2130 hrs (9:30pm).

Your egg collection is scheduled to take place on: Monday at: 0930 Date: 31/10/11. Utrogestan 200mg should be taken vaginally, three times a day: 12mn, 8am, 4pm starting from Monday date 31/10/11.

Tablet Duphaston 10mg should be taken orally three times a day: 8am, 4pm, 12mn starting from Monday, 31/10/11.

Your embryo transfer will be scheduled on:___________ Date:____________ Time: _____________. Please come to the Reporductive unit on the _____________ for a pregnancy test.

More stories .. Part IV

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IVF, this is our story part II

Continue from Part I ..

On 25 October 2011, I went for another appointment @ PPUM on the day 6 of my menstrual cycle. I had an ultrasound and I had 12 matured egg (6 each on the right & left ovary). I did response well to the treatment because there were not too much egg produced that can cause you abdominal pain (OHSS).

This round, I was prescribed Orgalutran for 3 IVF cycle (3 days). Basically, Orgalutran will delay the ovulation until your follicles have reached the optimum size. I started to take Orgalutran at 10:35am considering the 24 hours cycle.

The total cost for this round were RM 1175.

The breakdown cost:

- Registration = RM 25

- Orgalutran 0.25 mg/0.5 ml (3 syringes) = RM 450

- Puregon 600iu (for 3 days) = RM 700

The story continue .. part III

Price RM 450 for 3 syringes.

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IVF, this is our story ..

We have been married for 8 years & having difficulty to get pregnant. This is our story on our latest attempt for getting pregnant by undergone IVF treatment.

Where: PPUM
Gynealogist: Dr. Nuguelis bt Razali

At the end of Dec 2010, I did a HSG (hysterosalpingogram) test. The test is to check if I had a blockage at my fallopian tube. The result was normal. The procedure cost me RM 80.

Then in Jan 2011, my hubby went for sperm count test. Its for semen analysis and to check the total sperm count, motility and morphology. The result was normal. The test only cost him RM 15.

The following months, in Feb 2011, I went to PPUM for a blood test. First blood test was done on my second day of my mestrual cycle (D2). The second test was done on my 21 days of menstrual cycle(D21). The blood test is to check on my FSH and LH level (day 2) & TFT level (day 21). It turned out that I had hormone imbalance. The total cost for the blood test was RM 100 (RM 80 for D2) + (RM 20 for D21).

After we get the result, we decided to take hormone pills (Yasmin) for 3 months to regulate my menstrual cycle. In fact, Yasmin also known as contraceptive pills and according to www.netdoctor.co.uk , taking the contraceptive pill usually results in lighter, less painful and more regular menstrual bleeding. This means it is sometimes also prescribed for women who have problems with particularly heavy, painful or irregular periods. That is me!

So I started taking Yasmin for 3 months (June-August) but due to some unforeseen circumstances I had extended it until September 2011. The price for Yasmin per box is RM 54.00(I bought @ Farmasi Q-Pharma (PPUM)) so the total cost for 3 months was RM 162.00.

My IVF treatment started on 20 Oct 2011 (Thursday). It was my second day of period. I went to reproductive clinic in PPUM and had my ultrasound. How to get there: click here. My uterus lining quite thick but we decided to proceed with the procedure. So my gynea prescribe me with Puregon shot (200iu) for 6 days. All the nurses in the reproductive clinic were very nice and one of the nurses teach me how to do self injection using Puregon Pen (how to do self injection: click here). It would a very scary thing to do it myself so that job goes to my hubby. TQ Cayang.

Total cost for this round was RM 1441.

The breakdown cost:

- Registration = RM 25

Puregon for 6 days (200iu per day):

-2 boxes of 300iu = RM 716

-1 box of 600iu = RM 700

Our story continue .. part II

Puregon Pen (FOC)
Puregon 600 IU (RM 700 per box)
Puregon 300IU (RM 358 per box)

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How to do fertility shot

1) Kawasan cucuk seelok-eloknya 3cm dari pusat
2) Pegang puregon pen dengan tangan kanan seperti pensil tulis
3) Cara cucuk yang afdal:
- cubit bahagian perut yang hendak dicucuk (dgn tangan kiri)
- puregon pen dipegang dengan tangan kanan & cucuk jarum perlahan-lahan
- bila jarum dah terbenam di perut, lepaskan cubitan & ambil pad alkohol (tangan kiri)
- tekan butang puregon pen, tunggu 10 saat kemudian keluarkan jarum sementara tangan kiri cuci luka cucukan tersebut menggunakan pad alkohol

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How to get to PPUM Reproductive Clinic

1) From Menara Utama, take the elevator to second floor.
2) Once you step out from the elevator, turn on your left & walk straight until you see the playground.
3) Just follow the direction to Kompleks Perubatan Wanita & Kanak-kanak (its a different building).
4) Once you reach the building, just go straight to Klinik Ibu Mengandung and press "A" button to take the queue number.
5) Then take the elevator & go to the 4th floor (Klinik Kesihatan Reproduktif).
6) Ask from the nurse for the yellow slip.
7) Go back to 2nd floor (Klinik Ibu Mengandung) and wait for your number to be call.
8) Go to the registration counter to register.
9) Proceed back to Reproductive Clinic (4th floor)
Note:
For government servant: Free registration
For private sector:
- Registration fees = rm20
- Consultation fees = rm5
- Ultrasound = rm40
Waiting Area @ Reproductive Clinic

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Trip to Perth

Day 1: Landing @ Perth Airport, then cari breakfast, later we went to Fremantle. Jalan2 kat sana sambil shopping beli souvenir. Tips from me, kalau nak beli souvenir murah2, boleh pi kat Fremantle di E Shed Market tapi dia open only on Friday, Saturday & Sunday je. So kena lah plan betul2 ek.. Later, we check in at Budget Apartment in Preston Street

Day 2: Went to Perth Zoo, South Perth. Then went to North Perth naik ferry di Mends St. Jetty menyusuri Swan River (kat situ ada Swan Bell/Bell Tower). Boleh gak naik bas utk explore satu Perth.

Day 3: Drove to Mandurah. Went to Dolphin & Canal Cruise. Then, went to Abingdon miniature village.

Day 4: Went to Caversham Wildlife Park, North Perth. Boleh petting Koala & Kangaroo. Jgn lupa tgk animal show.

Day 5: Went to Rottnest Island. Mandi manda sambil berpicnic.

Day 6: Balik ke KL!!

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TIPS:

1) Before going to Ozie. Make sure to submit ETA (Australian Electronic Travel Authority) for the whole family. Go to this website to apply for ETA >> http://www.eta.immi.gov.au/

2) Then one more thing, kalau nak rent car/van .. make sure amek yg unlimited KM nyer ok .. mine dulu rent ngan Europcar.. booking via http://www.discoverwest.com.au/car-hire/

3) Kalau nak beli souvenir murah2, boleh pi kat Fremantle di E Shed Market tapi dia open only on Friday, Saturday & Sunday je

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