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Sunday, November 4, 2012

Infertility: Medical Intervention

So, PCOS apparently is one of the most complex female health issues of our time. The pollution, the stress, the lack of body movement, the food, the food, the food. I just had to say food thrice. The chicken that we eat which has been injected with whatever growth hormones, pesticide laden fruits and vegetable, GMO foods. SubhanAllah!

So, my journey with PCOS. I discovered I had it a few months ago. And after trying to incorporate herbs and supplements into my diet the longing to have a baby is getting stronger, I do not know whether I have the patience to wait for the herbal supplements to start working which should be around 3 to 6 months. I been a geek reading all sort of things, and I read the Metformin, a medicine which has been given to Diabetic Type 2 patients by the doctors could help to regulate period and to bring on the ovulation for PCOS sufferers. 
So I decided to find a fertility specialist. Seeing a gynaecologist is not enough as their job is mainly address other female health issues and natal care rather than the focus to get women pregnant and keep the baby till labour.

So I happen to bump into my cousin who had her 1st baby after 6 years of marriage. Asked her for her fertility doctor. She said she been to a few fertility specialist, but this doctor is the one who helped her get pregnant. His name is Dr. Prashant Nadkarni from KL Fertility Centre. Can find out more about him here.

So, I went with Jaffa. Our appointment at 10 a.m. on Wednesday last week. Nice clean clinic with nice clinic assistant. (I'll take the picture of the clinic later). Then my name is called. Dr. Prashant is OK looking, no-nonsense kinda guy, but I think it's because our first time meeting him. So, he asked me about why I'm there and here's my script:

"Well my husband and I are married last year, June 2011. I was on birth control for 1 month, and I got off it and I immediately got pregnant. No problem at all. Then I had a miscarriage in November at 14 weeks. On our 8th week we went for a check-up there was heartbeat. But then, no more heartbeat at 14 week. Had a D&C. And in late February 29 then I got my period. After that my period has gone out of whack from 35 days to 77 days. The 77 days one, the period was induced with Duphaston. And then I took Clomid. 50mg in the morning, and 50mg at night. The Clomid wasn't fun for me, I and my husband rarely fight, but when I was on Clomid, we had a huge fight over something very small and I put on almost 5kg in 1 month. And I went back to the gynae for a scan and he sees no follicle. And he suggested to double up the dose to 200mg. And that's when I decided to see a fertility specialist"

And then Dr. Prashant said, good story. (Well, I sort of rehearse my script before I met him, because I was expecting to see a very busy, high in demand doctor, so I was prepared to make sure he likes my cut-the-chase, get-to-the-point story. hehe) Glad he appreciated it.

Then we left him alone writing all the notes, and then I said to him, "Dr. Prashant, we would like to have 8 kids" and he confidently said "Yes, sure. Why not?" and you should see Jaffa's face. He was beaming!

Then we had an internal vagina ultrasound. It wasn't that bad. Just need to be relax. Then he told us that for normal women, we should see less than 6 eggs (?) in easy ovary, and he started to count it on each of my ovaries. I have about 30 on my left, and 30 on my right. Yikes! Confirmed PCOS then.

Good. Now that we know for sure the problem, let's now fix it. Now. :)

He asked both of us to go for a test. Blood test for me, and sperm analysis for Jaffa. (Good sign of a good fertility dorctor. My friend went through many many painful tests to find out she alright, and after 7 years realised it was her husband who had low motility, low count spermies)
So he asked me to go on a blood test because he suspects I am insulin-resistant. And he said that if it confirms then he will give me a medicine that will usually fix the problem. And I asked him, "Is it Metformin?" he said "Yes, wow you know.." and I said "Yeah, I've been a geek, reading all sorts of stuffs" :)

So yeah. The medical bill was RM 450. Here's the breakdown:

Consultation RM 100
Scanning/Ultrasound RM 100
Fasting Insulin Test RM 150
Semen Analysis RM 100.

Not bad for a infertility specialist who has got Dato' title, and has 20 years of experience huh? So we happily paid for it, and left. We went in again the next day for my fasting insulin test and to deposit Jaffa's semen for testing. Result should be out on Monday, 5th November.

At this point of writing this it's already 5th November. I called the clinic just now and the assistant said that once the test result is out, they will give me a call.

Now I wait.

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