Tuesday, November 11, 2014

The first appointment


Making an appointment with Selva's Fertility Clinic was fairly easy. I tried to make an appointment on Sunday morning. Yes, I'm aware that Sunday is an off day but in Johor we work on Sundays and we rest on Friday-Saturday so I totally forgot that it was even a Sunday to begin with. Calling the number on the website turned out to be the wrong number so I called Mahkota Medical Centre - which was when they told me to call again tomorrow! What a spaz!

I commented on the "contact us" part on the website and got an email from the associate partner of the clinic within hours - Dr Agilan. As a result, the receptionist called me and we set up our first appointment that way. She took a brief history on the phone so be prepared for some personal question, haha.

The appointment itself was a breeze.

We sat in the waiting room from 8.30 - 9.00 am (receptionist told us to come at 8.30 but the doctors come at 9.00). very limited seats and i wish family members (i.e. not the husbands) would sit outside so patients would have seats. Patients with appointments much later on (10am, 12pm) also come very early in the morning so it all makes for a "meriah" waiting room. They called me at 9.05 am. I think its because I'm a doctor. One of the few perks of being a doctor.

Dr Agilan saw me first. He's very professional, asking just the right questions and explaining everything as well. Proceeded with a pelvic scan - bleugh. I opted to have a pap smear as well so that made it all the more uncomfortable haha. Pelvic scan was normal(ish)..just that I have a persistent 2cm follicle in my right ovary (it was there since June)

Dr Selva and Dr Agilan agreed that I should probably go for a hysterosalpingogram, to make sure that my tubes are in A-ok condition and since Dr Agilan saw that my uterus might be a little bicornuate, he wants to do a hysteroscopy as well. Since hubby has not done any sperm analysis before this, we will have to do that too.

When in a private centre, everything has to be paid upfront. Radiology told me that it will be at least an hour before I can get my HSG done as there are two prior patients who are doing a complicated procedure before mine. Hubby did his thing first.

 The HSG was uncomfortable to say the least. The doctor performing it was not the cheery kind, and I felt really annoyed that a doctor like that was working there. It was a very exposed procedure (strip down to your bra leh) and he didn't even do anything to make the patient (me in this case) feel better. He comes in, straight away took the speculum and pushed it in my vajay-jay without even a "hi ma'am" or whatever. And afterwards, he took off the radio protective gear, threw it on the shelves and went off without a "okay that's all". The nurse who assisted him in the procedure was a very warm, friendly person. The contrast between them was like night and day! So if you have to do a HSG, maybe do it in Pantai or another centre..haha

After reviewing all the results with Dr Agilan in the afternoon, we had the hysteroscopy done which also showed a normal uterus (yay!). No bicornuate uterus. Just a  cute, fluffy uterus.

Our diagnosis....PCOS!

I knew it! My scans were normal but with my symptoms, I was pretty sure I had PCOS. Dr Agilan told me to stop my Diane pills and to wait for my normal menstrual cycle. I was to induce my ovulation with Clomid pills from Day 2 to Day 5 for 3 months, and to see him again if no pregnancy occurs for 3 months.

So far..no Aunt Flo..

CD 16 and counting! :)

Hoping for the best....

Friday, November 7, 2014

Our first adventure...


to the Fertility Specialist!

DH and I have been married for about a year (this coming weekend!) and with our previous troubles, we decided that enough was enough and it was high time that we saw a specialist in Fertility, not just O&G.

My periods started to become a bit wonky this year. Okay, that's maybe a small lie. They have been wonky in the past as well but always aligned themselves nicely after 2-3 months but this year it was practically 4 months of a cycle. We went to a Gynecologist in May and he did an abdominal scan - just a 2cm right ovarian cyst, no biggie! So I was told to take fertility blood tests at my own clinic (I'm a doctor) and I can either review it with him or if its normal, no need to worry.

The blood test was fairly normal - except for a slightly raised Prolactin (19 instead of the normal 12-17). Worried, I visited another Gynecologist, a little closer to home this time. This new doctor gave me a working diagnosis of Dysfunctional Uterine Bleeding. He advised me to lose weight (my BMI was 29 at that time), take some Metformin and Diane-35 pills for at least 4 months and then we can revisit the idea of parenthood. "At this point, even if you get pregnant you will most likely have a miscarriage very early on." He said.

A little disappointed, we went on ahead with his plan. I lost a total of 8% of my body weight since then and took my pill religiously. My period started coming regularly but I was unable to tolerate the Metformin. After a couple of cycles, I started to doubt myself and my diagnosis.

So I decided that maybe a Fertility expert would be of more help. We made an appointment at Selva's Fertility Clinic in Mahkota Medical Centre in Malacca, and off we went for our first fertility visit...