CA 125 normal :)

Alhamdulilah.. Baru sahaja dapat result CA 125 td dr nurse Nurul.

Result CA 125 Normal

Dapat je result ni, cepat2 send pic ni kat nurse Dr. P . Nurse ckp, doc kata boleh start FET dah bulan ni. Datang klinik day 5-9. So, insyallah my FET journey will start soon. Sekarang tunggu period lah. Lucrin xpayah inject lagi. Lega nya! 1 kali jab lucrin je dah bagi result CA125 normal. 

So tips untuk org yang ada adenomyosis/endometriosis, sblm start ivf / fet, buat CA 125 test dlu. Kalau result normal, xperlu ambil test CA 125. Tetapi, kalau result xnormal, ambil lucrin. Then repeat test CA 125. Lucrin lebih berkesan dari Vissanne. Tapi kalau nak lambat kan FET boleh lah ambil Vissane sementara tunggu date sesuai utk FET tu. 

Thank you Allah. One hurdle after another. Must.be.patient. Good things will come to those who wait.  :)

Visanne Hari ke - 43

Assalamualaikum semua dan Selamat Tahun Baru!!!!

Alhamdulillah sampai sudah kita ke permulaan baru di tahun 2017. Marilah sama-sama kita doa agar tahun ini di berkati Allah swt dan apa yang dihajati dapat di perkenan oleh-Nya. Amin.

Last post, saya ada update pasal consuming visanne sebagai alternatif untuk berhentikan period. Saya akan kongsikan apa pengalaman ketika penggunaan visanne.

Apa itu visanne?

Visanne 2mg 1 kotak 28 biji

How does this medication work? What will it do for me?

Dienogest belongs to the class of medications called progestins, medications that act like progesterones in the body. Progesterones are female hormones. They are produced by the body and are necessary along with other hormones for normal female sexual development and for the regulation of the menstrual cycle during childbearing years (males also have progesterones, but in low amounts).

Progestins reduce the effects of estrogen on tissues such as the endometrium (lining of the uterus) and the breast. By reducing the growth effect of estrogen on the endometrium, dienogest helps to reduce the pelvic pain experienced by women with endometriosis. Endometriosis is a condition where endometrium-like tissue is found outside the uterus, which causes chronic inflammation.

Basically, visanne adalah hormon sentetik tambahan berbentuk hormon progesteron (hormon perempuan). 

Bagaimana fungsi nya?
-Secara kimianya, saya xberapa pasti bagaimana interaction nya dengan hormon kita. Secara medikal nya, saya di fahamkan oleh doktor saya, (Dr. Hatta), Visanne dapat mengurangkan sakit period dan seterusnya dapat menghentikan cycle period kita. Visanne dikatakan dapat menggantikan / mengambil alih peranan Lucrin sebagai alternative untuk pesakit endo. 

Bagaimana penggunaanya?
-Penggunaannya adalah sebiji sehari (2mg) tablet setiap hari untuk 28 hari (1 cycle). Di sarankan agar pengambilan nya di ambil pada waktu yg sama tiap2 hari.



Pengalaman ketika mengambil vissane
- Side effects
Minggu pertama: Kepala pening (dizziness), Trouble sleeping (susah tidur),
Minggu Kedua dan seterusnya : Berat naik mendadak (~3kg), selera bertambah. Mood swings. Spotting di CD 3-10 (prolong spotting) untuk 2 cycle. Sepatutnya period berhenti terus, tetapi masih ada spotting / bleeding.

- +ve effects (compared to Lucrin)
~Harga jauh lg murah dari Lucrin (Rm130 jika beli di klinik biasa, mungkin percuma di klinik kerajaan),
~ Mudah dihadam. (Lucrin kena cucuk sebulan sekali mengikut jadual. Dan selalunya tempat cucuk sakit dan bengkak pada waktu yg agak lama. Visanne telan sebiji sehari. Simple!

Secara kesimpulannya:
Saya berpuas hati dengan Visanne setakat ni (Day 43). Period pain langsung tiada, maka dapat menghentikan langsung pengambilan Arcoxia (pain killer). Akan tetapi, saya tidak dapat mencapai objektif asal saya mengambil Visanne ----> STOP PERIOD! huhu.. So, saya bimbang dengan spotting saya yang agak lama untuk 2 cycle ini tidak dapat memberikan keputusan yang baik untuk CA 125 saya. Objektif asal pengambilan Visanne adalah untuk menghentikan period supaya uterus saya dapat rehat dan seterusnya mengecutkan adenomyosis saya. Akan tetapi period / spotting tetap datang cuma dia datang dengan tenang (tiada sakit). Oleh itu, saya rasa minggu depan, saya akan minta untuk injection Lucrin untuk 1 kali supaya period dapat di hentikan serta merta. Secara umumnya, tindakbalas reaksi visanne berbeza untuk setiap pesakit. Kita kene cuba dulu baru tahu tahap kesesuaian ubat terhadap badan kita. Insyallah.

                           

List of Gynae Specialist in KL (My list)

We all have our preference in selecting the right gynae for us. Some doctor might work for us while others might not. 

Here is a list of doctors (specialist in Gynae - infertility) I had encountered during my journey. The list is in no particular order or ranking. 



1. Doctor Adilah Ahmat - Hospital Pantai KL

She was my 1st gynecology doctor I met and she was the one who diagnosed me with endometriosis back in 2011. I had a laparoscopic operation for my cyst performed by her and Dato' Dr Abdul Fahmi A. Karim.  I still am an avid follower of her blog. You can contact and make an appointment with her nurse Salina.
Specialist - Infertility (endo, pcos, etc) and IUI, IVF.
Blog / website : http://dradilah.blogspot.my/
Tel No : 03-22989836 DL (Nurse : Salina)
Address : Pantai Hospital Kuala Lumpur, 
B403, No. 8, Jalan Bukit Pantai, 
Taman Bukit Pantai, 
Wilayah Persekutuan, 
59100 Kuala Lumpur, Malaysia

2. Doctor Marista Mansor - Klinik Pakar Wanita Medina 

She was my 2nd opinion doctor. I went to her after I found out about my endometriosis diagnose. She also suggested operation but using laparotomy. I didn't do my operation with her. 

Specialist - Infertility (endo, pcos, etc) and IUI, IVF.
Blog / website : None
Tel No :  +60 3-4106 6990
Address : No. 67, Jalan Melati Utama 4, 
Melati Utama, 
53100 Setapak,
Wilayah Persekutuan

3.Prof. Dato’ Dr. Zainul Rashid Mohd Razi - Hospital UKM (Specialist Centre)

He was my 3rd doctor. I went to see him after I had my laparoscopic. I needed a 2nd opinion on Lucrin injection. He agreed on Lucrin and normally prescribe them 6 months for each of his patients. Based on his opinion and judgement, I proceeded my Lucrin shots with Doc Adilah for 3 months.

Specialist - Infertility (endo, pcos, etc) and IVF.
Blog / website: http://www.ukmsc.com.my/?page_id=508
Tel No : 03-91455540
Address : 7th Floor, Clinical Block, UKM Medical Centre

Jalan Yaacob Latif,
56000 Cheras, Kuala Lumpur

4. Dato' Dr. Prashant Nadkarni - Kl Fertility Clinic

He was my 4th doctor. I went to see him to get advise on IVF. Currently he is my doctor and will proceed IVF with him next month.

Specialist - Infertility treatment - IVF.
Blog : http://www.klfertility.com/dato-dr-prashant-nadkarni/
Tel No : 03-20933500
Address : Suite 604, 6th Floor Wisma Perintis,
47, Jalan Dungun, Damansara Heights,
50490 Kuala Lumpur, Malaysia.

5. Dr Tee SP - Metro IVF KL

Actually, I didn't get to see him. He was replace with another doctor. I can't remember her name, an Indian lady doctor. She did a full check up and got my full medical history. I was supposed to go back to see Dr Tee the following appointment. But, I cancelled. The last time I went, the clinic was at Jalan Changkat Thamby Dollah. But when i went to their website, it is not listed there anymore. Maybe it has moved to some other location.

Specialist - Infertility treatment - IVF.
Blog / website : http://metro.com.my/our-team-specialist/
Tel No : +603-3341 2277, +603-3341 1941
Address : No. 36, Jalan Pasar, 41400Klang, Selangor, Malaysia

6. Dr Aizura Syafinaz Ahmad Adlan - Pusat Perubatan University Malaya (PPUM) Specialist Centre

I accidentally found her online because I was researching about a new treatment called MR Guided Focused Ultrasound to treat uterine fibroid.  I was hoping she could refer me to the specialist Professor Dr. Basri Johan Jeet Abdullah. He is a Professor at the Department of Biomedical Imaging, University of Malaya and Consultant Radiologist at the Biomedical Imaging Unit, University of Malaya Medical Centre, Kuala Lumpur. But as it turns out, while waiting for her during our appointment, she had to cancelled due to an emergency case. I didn't reschedule for appointment after that. 

Blog / website : http://www.umsc.my/umsc_doctor/aizura-syafinaz-ahmad-adlan/
Specialist - Infertility (endo, pcos, etc) and Minimally Invasive (Key-Hole) Gynaecological Surgery
Tel No : +603 7841 4000
Address : UMSC Specialist Outpatient Clinics
Day Surgery Unit | Haemodialysis Centre | Dental Centre
UMSC Building, Lot 28,
Lorong Universiti, Lembah Pantai,
50603 Kuala Lumpur
GPS: 3°6’58.2739”N 101°39’2.6669”E

7. Dr Ahmad Zailani Hatta Mohd Dali - Hospital Pantai

I was referred to him by his wife, Dr Adilah Ahmat. He specialize in oncology gynae operations and treatment. I went to seek his opinion on my current condition if I needed any intensive surgery. I haven't decided on re-operating on my adenomyosis and has proceeded to do IVF treatment instead.

Blog / website : https://www.pantai.com.my/kuala-lumpur/doctor/obstetrics-and-gynaecology-og/dr-ahmad-zailani-hatta-mohd-dali
Specialist : Oncology Gynae
Tel : 03-22989828
Address : Pantai Hospital Kuala Lumpur,
B403, No. 8, Jalan Bukit Pantai,
Taman Bukit Pantai,
Wilayah Persekutuan,
59100 Kuala Lumpur, Malaysia

*Additional information, I did went to see alternative treatment. I went to this Traditional Chinese Medicine (TCM) for herbs and acupuncture. 

1. Master Tole -The Tole Acupuncture & Herbal Medical Centre

I met with Master Tole himself and was prescribe some herbs and acupuncture treatment. I discontinued my treatment here and went to Tung Shin Hospital instead.

Blog / website : http://www.thetole.org/

Tel No : +60 3-2141 8370

Address : Lot 2.01, 2nd Floor,

Menara KH (Menara Promet),

Jalan Sultan Ismail, 

50250 Wilayah Persekutuan, 

2. ASSOCIATE PROFESSOR YIN LI RONG (殷立荣副教授)- Tung Shin Eastern Medicine 

I continuously go and see her for treatment in nearly more than 3 years. She usually prescribe me herbs and acupuncture session for 30 mins.

Blog / website : http://www.tungshin.com.my/consultants/chinese-medical-division/gynaecology/

Tel No :  +603-2037 2288 

Address : 102, Jalan Pudu, 

55100 Kuala Lumpur, 

Wilayah Persekutuan 

Hope my list will ease you on finding the right doctor for you. 

My advice will be, 

1. Don't wait on getting diagnose. 

2. Find a specialized doctor in your condition. A gynaecologist with sub speciality (PCOS, Endometriosis, Adenomyosis, Infertility - IVF/IUI)

3. Always get 2nd opinion but when you have decided, stick to the same doctor until he/she finally has exhaust all options for you.

4. Always compare their consultant prices, ethics, hospital facilities etc before deciding.

Please let me know should you require any additional info on the doctors above. If you need reviews of each doctors, please email me directly (sarahghazali82@gmail.com).