Who are you, PCOS?

Confirmed,

aku ada PCOS. Polycystic Ovarian Syndrome. or PCO.

aku dah tau kewujudan penyakit ni sejak tahon lepas lagi. sejak aku baru 6 bulan kawin.  ade la doc yg kate "u ni mmg dilahirkan period tak betol" tu bagitau. doc ni yg ckp aku MAYBE ada. tapi die tak check sgt. so aku balik2 teros google apekah symtom2 PCOS. yg common ialah overweight, which im not, muke dan badan byk bulu, LAGILAH tak, period tak betol-ni je yg mmg yer. so aku assume oh aku takde kot menda ni. dah tu doc ni pegi bagi aku Progyluton. dia ni doc biasa je. aku rase sbb tu lah kite perlu jumpe pakar.

bile aku dah jumpe pakar, mereka berkata Progyluton ni takbrape bagos n biase nye medication ni diorg bagi kat org yg dah 40+ ke atas. ubat yg sepatotnye utk aku ialah Diane35. (pil perancang). aku baru skali je ambik, lepas tu dr rafi teros bagi clomid plak.

9 july aritu, lepas balik keje, aku nekad nak gi jugak klinik umra balik. (kat bawah ni yg aku ckp nak gi klinik tu aku takjadi pegi sbb malas. akhirnye aku decide kene pegi jugak) before aku pegi tu aku dah call dulu nak tanye dr rafi ade tak. diorg ckp takde. yg ade dr Niraj (adek dr rafi). aku pon cam blasah je la. better jumpe dr lain so leh dengar different opinion & suggestions.

bile aku dah sampai2 jek, diorg ckp dr niraj dah balik plak! hohoh. yg tinggal, dr Sudha. mase tu aku malas nak pikir. aku teros ckp Sape2 je laaa doc yg ada. (kdg2 aku berbulu sket dgn staff klinik nih. dah la mase aku dtg mule2 tu kate Eh Dr Rafi ade!" tak lame pastu "eh tak tak, dr rafi takde"

korang keje camne ni schedule doctor pon korang takde ke? hish!

ok2 sambong. before jumpe dr sudha ni, mcm biase la diorg timbang aku semua. Wah dah turon 3kg plak! gagaga. 46kg dah. heheh :P maybe sbb aku ikot nasihat aini, kurangkan makan nasik. :P

Then Dr Sudha pon panggil. die tgk record aku semua drp awal aku dtg, medication ape yg aku dah ambik sampai la citer psl aku gugor tu. aku tanye lagi skali "dr, saye period sebulan setengah lepas saye tau saye gugor, tu pon mild spotting je utk 2 3 hari. ok ke mcm tu?"

"hmm mmg la ade org mmg lambat sket darah turon, but we have to check la if u have blood clots ke tak dkt uterus u. tapi atleast u period jugak kan?"

"ye laa tapi sikit sgt je doctor..bukan suppose kuar darah ketol2 ke?"

"tak semestinya"

ok so a GYNAE yg ckp mcm tu. aku biase sgt dgr assumptions2 org yg BUKAN doctor berkate EHHH BAHAYE LAA, MANE BOLEEE PATOTNYE KUAR KETOL2 BLABLABLA KENA D&C la ape laa...(mesti ada salah sorg diantara korang penah ckp camtu kat aku kan) hehe, sbenanye itu yg COMMON. aku nye kes, tidak common. rare. sbb aku mmg byk search kat intenet mmg tak semua org teros bleeding lepas gugor yg awal2 tu.. tapi kebanyakan org, mmg teros bleeding. maybe sbb kandungan gugor mase dah besar or more than 6weeks so mmg darah akan turon dgn heavy. tapi itu pon, akak sdare aku baby dah takde mase 3 bulan. tapi dia carry baby tu sampai 5bulan. 2 bulan lepas tu baru bleeding. so? its rare but it happens.

aku mcm biase teros tunjok calendar period aku kat dia. so that sng die nak tgk. die ckp period aku mase awal2 kawin tu normal sbenanye walaupon 2 bulan skali. cycle tu mcm lame la tapi normal katenye. lepas a few months tu baru tak ok. then die kate aku mmg ada hormonal imbalance sbb tu la bile ambik ubat baru period. pastu die ckp

"u might have what we call PCOS, or PCO..do u know that?"

"tau2. dulu pernah ade doc ckp saye mungkin ada tapi tak confirm"

"ok, takpe skejap lagi kita scan. PCO ni common, and all women who have PCO can get pregnant. after treatment, there's no problem of getting pregnant. - if u dont have other problems la. Why or How u get PCO is UNKNOWN. but there are ways to treat PCO. kita boleh buat blood test dulu utk tgk testosterone level u mcm mana. sbb its the hormon lelaki yg lebih ade dlm badan u. the symptoms are including byk jerawat, facial hair, ...tapi u takde ni. bulu kaki ada?"

haish doctor ni =))

"tak. bulu roma biase ade lah!"

"tu lah, i tgk berat badan u pon biasa je. tapi these are all common symtoms. tak semestinye u mesti ada symptom ni utk ada PCO. kdg2 org yg kurus pon bole kena."

"doc, saya dah gemok lah."

"gemok apa mcm ni?"

"dulu i underweight tau doc, berat i 34-36kg je..skang lepas ambik ubat tu ubat ni naik pulak badan"

"haa bagos la..kalau mcm ni dah balance..tapi u kena maintain la..kalau overweight lagi susah nnt"

"ok, so how to cure PCOS?"

"ok kalau u gemok slalunya kita akan suroh u turonkan berat badan dulu which is metformin..tp sbb u tak, so first kita bagi u diane35 balik je la, but atleast take it for a couple of months. 2 bulan atleast. then teros ambik clomid but maybe kite up dose a bit drp last time u ambik. then, quickly get pregnant! settle :)"

KALAU BOLEH!!!

"other ways are we have to do minor surgery la sket, kita buat laparoscopy dulu, then ovarian drilling (NGERINYA DENGAR!). kita drill ovari u guna laser so that the dead follicles can be released. tapi, ur case tak terok sgt sebab u get your period atleast 4-6  times a year. kalau u tak period setahon baru kita buat drilling ni. ur case kena ambik diane je dulu, baru clomid"

"kenape diane ye?"

"sebab diane mengurangkan hormon androgen & testosterone level u, and add up the estrogen in your body, so with balance hormones, u can get pregnant"

oo sbb tu la kdg2 kalau org nak ilangkan jerawat or nak bg kulit cantik doc bagi diane ni.

"ok jom kita scan u nak tgk betol tak u ada PCOS"

aku pon baring and ultrasound. teros doc tu tuju kat tempat ovari aku.

"THERE!"

dah same dgn gambar ultrasound PCOS yg aku penah paste before ni. aku rase muke aku teros pucat sbb doc teros tegor "u jgn laaa takott.dont worry, ramai org kena n can get pregnant"

aku ngeri tgk bulat2 itam kecik keliling ovary aku tu sbenanye. woh so tu la benda yg berbulan2 tidak release. hampeh. aku rase aku ni baru2 je kene menda ni sbb mase 1st time aku jumpe dr ummul tu, dia scan gak. tapi dia ckp No ovum is present. kosong. bak kate zack, kilang tidak bekerja. abeh aku ni kilang buat keja tapi product tak kuar. heheh. boleh camtu?

then dr sudha check ovari blah kanan plak. same. ade bulat2 kecik2 berantai. :( *(@^*(!@#&*(! lagi skali doc tegor aku "u nih jgn la takot sgt, dont worryy..kalau stress nnt lagi terok"

hehe...pastu doc check plak rahim aku

"there, your uterus is so perfectly fine. no blood clots, no abnormal stuffs. position pon OK"

(thanks to makcik yg urut aku before ni.)

dr sudha tanye lagi

"mase u ambik clomid tu, ade dr karamjeet bagi u injection utk trigger the release of ovum tak?"

"takde pon?"

"laa..yeke..sepatotnye kena..sbb kdg2 u need help utk bagi telor u release..hm takpelah, lepas ni kite start balik, then make sure u ask for the injection"

hoho, aku lak kene ASK for the injection..padanla akak2 ofis aku pelik kenape aku tak kene injection tu. sbb ade akak2 kat sini yg penah ambik clomid semua then doc bagi injection utk pecahkan telor.

mungkin sbb bahaye kot kalau bg injection tu? tah ni aku dok search ni, katenye mcm bahaye sket. ade risk la.

astu doc ni bagi lagi explaination yg sgt detail kat aku. dia ckp PCOS ni mmg la tak terok tapi kalau tak buat treatment, lame2 dia boleh jadi CYST. lepastu kalau dah ade CYST kang kene endo plak.

"u dont have endo. dont worry"

peh, tarik napas lega lah aku. kalau ade endo, nak kene operate bebagai plak lagi.

aku suke dr sudha ni. lenkali jumpe die jek lg bagos. maybe sbb die kurang popular so dia lebih byk bg info drp doc2 lain yg semue org nak sgt jumpe tapi bg explaination yg general gile astu skejap. maybe sbb ramai sgt org. dia pon takbyk mase kot.

aku cepat2 la google name dr sudha ni. oh mmg betol she's one of the best, compared to dr yg lain2 tu. ade plak satu blog ni penoh dgn komen2 org psl klinik tu klinik ni doc tu doc ni..plg terok klinik UMRA la diorg kate. alhamdulillah aku xpenah kene terok lg drp diorg. check out this

"...To Klinik UMRA pls take this into consideration, improve your service, monitor your staff and sack all inefficient staff..improve your system, take really good care of your trainee as they are still learning at your place and they have huge potential to be a helpful nurse in future..Dr. Sudha, is one of the best doctor, but she wont be all the time there. To all friends who follow this forum, please3x careful with Klinik UMRA. do your best of not experience the same things as i had this morning."

aku dpt drp link nih http://www.shoppingnsales.com/moms/2008/05/best-cheapest-hospital/comment-page-5/

mmg bagos betol. ramai org bercerita experience diorg psl doc2 yg diorg suka or taksuka.

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lepas abis consultation dgn Dr Sudha, aku ambik blk ubat diane35 and teros start mlm tu jugak. dr sudha soh plan btol2, its ok kalau aku teros nak ambik clomid lepas 1 cycle of diane, tapi its better we try off for 2 cycles, just utk stabilkan hormon. astu dia ckp nnt dtg balik utk ambik 2nd cycle or diane after 21days.

semua skali RM77 je.

so, lps entry ni, mmg penoh la info psl PCOS saje. heheh.