Saya masih memilih untuk menulis di alam siber secara percuma walaupun sesekali ada yang mencadangkan agar saya menulis buku mengenai infertiliti. Sebelum mencedok atau memetik 'ilmu' dari laman ini, anda tidak perlu meminta kebenaran tetapi diingatkan membuat semakan sendiri terlebih dahulu dengan doktor anda atau guru anda sebelum mem'forward'nya kepada orang lain dan memikul tanggungjawab akibatnya. Pohon doa kesejahteraan dan limpahan rahmat Allah ke atas guru-guru saya dan juga pesakit-pesakit saya yang banyak mengajar saya bidang ini. (peringatan untuk diri sendiri) Segala pujian bagi Allah. Mudah-mudahan, taubat saya diterimaNya dan segala dosa saya diampunkanNya serta saya terus dilimpahi rahmatNya. Sekiranya ada kesalahan, pohon dibetulkan, saya terbuka kepada teguran.

Sebarang percubaan berbentuk komen atau soalan bertujuan mengiklankan apa sahaja perniagaan atau blog sendiri tidak akan disiarkan. Blog ini bukanlah untuk iklan menjual barang. Peace.....

Saturday, 14 May 2011

When the time comes...

A fertilised egg, the beginning of our trillion-cell-bodily life. We are indeed rich, multi-trillionaires!




Just have faith
The time will come
InsyaAllah



2 stories, 2 couples,1 fine Friday
(who says Friday the 13th is bad?)

A 46 year-old lady who has been married for 15 years
She watched the interview in NLKO last February
(NLKO - Nasi Lemak Kopi O in TV9)
I spoke about the importance of healthy eating
and the role ofnanti-oxidants in improving fertility in both men and women
Together with the fact that there are many FRESH anti-oxidants in the supermarket
FRESH and CHEAP
Unprocessed and with no preservatives
(we are not living in outer space, so why do we need processed food products?)
And I gave examples
And I mentioned prunes
Prunes has 5800 ORAC (double the ORAC in raisin)
This lady followed my so-called advice

And she had her last period in March
And she got pregnant afterwards
When I scanned her yesterday, the pregnancy was already into the 8th week
I asked her (ye la, kena tanya petua kan?);

"Makan banyak mana? Sehari berapa biji?"

She answered;

"Saya makan bila teringat je doktor. Saya dah nak habis 2 bekas tu"

"Ada rahsia/petua lain ke?"

She said no. No other changes
She kept praying
Ada satu ayat al-Quran tapi dia lupa surah apa, she promised to give it the me next we meet
(and I shall post it here, insyaAllah)

I did not do any magic
(What is so magical about prunes anyway?)
There is no magic in any 'medicine' after all
But it's HIM who decides as HE wishes.




Same Friday
Another lady, 40 years old, been married for 8 years
I first saw her in March when they seeked second opinion
She had tried a few stimulation cycles before seeing me, including an IUI with FSH injections
She has retroverted uterus
I offered IUI using FSH injections
One try before more invasive procedure
Advised her to take folic acid and multivitamins
Added 2 other medicines to increase her initially thin endometrium
hCG for final follicular maturation and ovulation induction as usual
So she underwent IUI under ultrasound guidance
Luteal support as usual
Yesterday, her pregnancy was confirmed with blood test - BhCG
And today, the level is almost doubled (so, she's pregnant and it's an on-going pregnancy!)
Same story again
No magic
(and who says women with retroverted uterus could not get pregnant?)
Not that the previous doctor is not good
Believe in HIM
Their prayer during Hajj last year was answered



There were 'sad' stories as well during the same week
A younger lady, thus lower dosage of FSH
But had sub-optimal follicular growth and endometrial thickening
I'm still working at it (and puzzled)
Maybe I have not done/read enough
But I believe her time will come
And who knows, she might get pregnant this time (the result is still pending)



The hard part for a fertility doctor is to break the bad news
Be it on the phone
or face-2-face with them
I always feel awkward
We feel the pain too...
But we must never lose hope
In every cloud, there is always a silver lining...

11 comments:

  1. Doc,

    I slalu baca doa ni...

    "Rabbi la tadharni faradan wa anta khayru al-warithin."

    (My Lord! Leave me not solitary (childless though) You are the best of inheritors.)" (Al-Anbiya 89)

    "Rabbi hab li min ladunka dhurriyyatan tayyibah innaka sami`ud du`a' (My Lord! Grant me from You upright offspring, for You hear all prayers)" (Al `Imran 38)

    Plse refer al-Quran for the exact pronunciation... :)

    ReplyDelete
  2. saya juga mengamalkan doa yg sama..ustaz darulsyiffa yg bagi utk amalan, disamping doa yg penah doc adilah bagi kat blog ni...

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  3. thanks doc untk entry yg sgt bermotivasi!!;)

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  4. DR, ada ubat untuk increse initially thin endometrium sebelum prosedur ye? Lining saya sebelum prosedur dalam 6-7mm sahaja.Sbb selama ni dr cuma bagi untuk luteal support like duphaston and uterogestan selepas prosedur sahaja.Appreciate your opinion.TQ

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  5. Doc, saya minta izin untk post di Facebook untk share entry ni.. i keep reading this so many time, sgt bermotivasi.. i'll put ur url as reference..tq so much doc!

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  6. areina - cuba tanya dr u dulu sbb tak semua sesuai ambil ubat ni (kan ada kesan samping).

    sahida - err....no comment :), jgn lupa disclaimer kat atas sekali tu ya

    ReplyDelete
  7. Salam,
    dear Dr. Adilah,
    you wrote:

    "The hard part for a fertility doctor is to break the bad news
    Be it on the phone
    or face-2-face with them
    I always feel awkward
    We feel the pain too...
    But we must never lose hope
    In every cloud, there is always a silver lining... "

    Allah knows the best.

    I went through that, my first trial, I still remember, from pathlab to Pusrawi, mata bengkak2 and tak bleh keluar suara dah, just couldn't accept my beta hcg reading. But we determined to proceed FET asap with u. One and half month after that, FET done, u ask me to do upt at pantai week after FET, 7dp5dt, but org dah tak sabar, at 5dp5dt, I did my own upt using Guardian UPT. Alhamdulillah, that was my baby Ziyad Faris now. On that day, at 9pm I smsed u to inform abt my upt result, and u replied my sms at 12pm. Meet me tmrw at pantai. :)) I was so touched on that day, u still have time to sms me tengah2 malam tu, and I know u were happy.

    Thank you Dr.Adilah. U've helped so many couples. U've helped them (dgn izin Allah juga) to help all those couples get their own 'zuriat' in which itulah harta yg tidak ternilai for me.

    Only Allah can reward u with the best reward. And I pray that JANNAH is for you and yr family. Ameen.

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  8. Nasibah - Thank you for sharing, only a few IVF patients are willing to come up n be open about their IVF pregnancies/babies. Of course I remember you, the petite mom whom Ziyad would tower over in no time :) Actually, I remember you mostly for the fact u la satu2nya patient I yg buat UPT awal2 to confirm IVF pregnancy (orang lain semua ikut advice I buat blood test BhCG tau :)

    Thank you for your prayer, I need that.

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  9. Assalammualaikum Dr..
    Mmg inspired bila baca entry ini..
    Saya dah try IUI 4 kali tp masih blom berjaya..sekali pd thn 2009 & 3 kali continuously this year.
    Mmg sgt sedih/frustrated bila nak tau result. Now ni tak sure nak proceed buat apa dah...boleh try tips Dr ni dulu kot..

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  10. Hi dr, i am eager to be meeting you this 3rd of March, Saturday. Me and my husband has been married for almost 2 years and have been trying to conceive, nothing has happened. We were recommended by a friend of mine who was in the same case as us and has just delivered a beautiful baby girl today morning, she got pregnant after seeing you. Please treat us and I really hope to have my own one soon...

    ReplyDelete