Interesting - LH and hCG

Aku suke pegi website ni skang www.peeonastick.com

Semua pasal pregnancy test n ovulation predictor test. byk gambar2 test kit. hahaha.

Astu ada info psl OPK. since aku heran aku dpt positive OPK smlm, aku bace la sket. rupenye, org yg pregnant pon akan dpt positive OPK, sebab LH dan hCG ni molecule2 nya lebih kurang.

"OPK's detect LH (luteinizing hormone) which is the hormone associated with ovulation. Pregnancy tests detect hCG, the hormone associated with pregnancy. LH and hCG are, at a molecular level, nearly identical. hCG has a beta subunit, meaning it has an extra little "doodad." To use a stupid but easy to understand example, LH and hCG are identical twins, except that hCG wears a funny hat."



Cute kan! So aku paham skang ni kenape nak trigger ovulation, kite diberi HCG trigger. mule2 aku mmg takpaham lansong,mcm mana hormon pregnancy boleh boost ovulation pulak?? rupenye, hCG and LH are aLMOST the same. (tapi nape takde LH trigger? Gynecology is such a mystery)

so hCG makes the body ovulate. and its the same hormon as pregnancy too. so sbb tu kalau baru kena hcg trigger, kena tunggu betol2 period due baru leh buat pregnancy test sbb takot dpt false positive.

jadi kalau pregnant, OPK can detect since the hormon lebih kurang, tapi kalau guna HPT, it only detects 'the hat' so kalau the 'hat' is not present, kita dapat negative. Utk lebih lanjut pegi terus page tu.

SO, i do have enough LH yesterday, and yes, rugi kalau tak 'baby-dance' haha! im lucky he's in a good mood yesterday. eh sorry to much info ;P

Positive OPK

OPK - Ovulation Predictor Kit.

I bought one set of them, ada 3 sticks. it was on stock-clearance at Watson. so half price laa..slalunye OPK kan mcm mahal sbb ade byk test kit dlm dia.

aku saje beli sbb murah and aku start test 2 hari lepas (29 may 2011)

dah lama gila tak test OPK ni sbb aku rasa mcm tak reliable. die detect LH surge, kalau nak ovulate, LH hormon akan kuar dgn bnyk. so kalau line yg kedua tu lebeh terang atau sama terang dgn control line,.it means positive n we should be ovulating the next 12-24 hours.masalahnya still gak ada org yg dpt LH surge but did not ovulate. (based on their charts)

on 29th may, CD 25 - aku dpt 2 line yg takbrapa sama terang dgn line kedua. so we should consider its a negative. tapi aku xpenah dpt line LH seterang tu sebenanya. so its great, to know that i have LH, pretty much to show on an OPK.

semalam 30th may, CD26 - dengan tidak disangka2 aku dpt POSITIVE, sbb line itu adalah lebeh terang drp line kedua. this is strange, because im on CD 26 already. tapi memikirkan yg CYCLE aku sewel, so maybe gak aku ovulate lambat? who knows? ENTAH sbb 5 hari lepas leading follicle aku yg 13mm aritu dah ilang, n yg plg besar yg tggal just 9mm.

kalau die grow 2mm every day..eh..skang dah leh 19mm..boleh jadi?

i also noticed that i got EWCM (egg white cervical mucus) yesterday, AND, my BBT dropped too. harini dah raised balik.
i have to test 1 more OPK. sbb tinggal lagi 1. utk confirm yg betul ke aku ovulate semalam or its just an LH surge without ovulating. sbb PCOS may cause LH to be elevated. :-| u sucks,pcos.



i really hope  that i ovulated. ada byk chart dkt fertilityfriend.com ni tunjok ramai org ovulate lambat on Letrozole especially yg PCOS. chart yg lagi tunggang langgang drp aku pon ada. mlm ni lepas dah test final OPK baru upload gamba.

Gonal-F

Khamis lepas (26/5/2011) was CD 22, aku baru nak gi dr delaila untuk follow-up, sepatutnya aku pegi CD15, tapi sebab aku dah gi on CD12 and leading follicles was only 13mm, then doc soh dtg balik...(tunggu gaji la gamaknye baru leh dtg balik)

so lepas dah gaji baru leh dtg.

mase scan tu, the leading follicle that was found on CD12, was gone. doc ckp maybe dah shrink balik, OR dia dah pecah. tapi my temp doesnt show any ovulation signs or anything, as well as my cervical mucus. and as well as mu uterus lining. 9.4mm je! so doc ckp, i may not having my period this month, OR this will be a longer cycle.
i started to worry again, but keep positive that bende ni baru lagi kalau nak sedih pon. selagi belum period and belum due period, takyah sedih sgt. SABAR BYK2!

lepastu aku pun google, and aku search BBT charts kat fertilityfriend yang on Letrozole mcm aku. oh rupenye beratus2 org OVULATE lambat on letrozole. ada yg ovulate on CD30! and got pregnant. ada yang period on day 40. so, i have to be a little bit more patience.

sbenanye semua ni utk sejukkan hati sendri sbb Dr Delaila kata haritu, I MAY NOT respond on letrozole this time. and i should not wait longer. dia suruh proceed to injectable meds. it is called GONAL-F.

lastyear dah penah dr sudha suggest, aku penah google and bende ni ialah sebentuk Pen, yg kite kene cocok sendri kat perot. dia ada hormon FSH, the same hormon as Clomid/Letrozole suruh brain kite buat but it work differently. Fertility Pills trick our brain and tells that we are lack of the reproductive hormones, so our brain hantar signal (FSH) byk2 to our ovary utk buat byk2 lagi follicles. kan.





skang ni my brain doesnt care less to send that signal. mgkin dia kata, "WHAT EVA!" so my ovary doesnt receive any signals (FSH) the name is enoughsaid, Follicle Stimulating Hormone. without it, our ovary doesnt know what to do. skang ni Pen yg kena inject ni, teros inject direct and die akan pegi ke ovary teros utk buat benda tu. so kite skip signal2 drp Brain sbb Brain aku malas. kenape tah ? =)) adekah aku mengalami masalah OTAK?

Dr Delaila bagi surat utk aku mintak GL drp HR. Mesti benda tu mmg mahal, sbb tu dia suruh mintak GL...

aku dah call HR smlm, rupenye GL just utk spital gomen jek...so kalau SJMC mmg xdpt.kene byr sendri mcm biasa and claim kemudian. (50%)...

aku try gak google price dia..range dlm 300engget sekotak n aku pon tattau brape kotak aku kena guna nnt. satu kotak tu ada 1 pen je. ade dosage2 tertentu lah.. ade yg aku tgk org gune sampai 3 kotak...so skg tattau bende tu brapa.

i decided to wait for this cycle to end. lepastu baru pikir nak buat apa. sbenanye mmg takmampu kot nak afford pen tu. risk dia pon kene tanggung gak, kalau tak berjaya, ovary plak bengkak sbb takot ter-OVER stimulate..

aku kalau leh nak cube sedaya upaya utk taknak hurt my ovary. dah la tak function normally, nak dera dia plak lagi..adoi..

so kesimpulannya adalah satu, aku kene bersabar dan mmg lambat lagi agaknya utk aku mengandung dan dpt anak sendri. aku redha kerana Allah yg tahu kenapa aku masih takboleh lagi. Dia adalah yg Maha Adil.

Allah telah memenuhi keperluan kite. Dan tak semua keinginan kite itu dipenuhi sebab MUNGKIN kita tidak memerlukannya buat masa skarang. Jadi aku bersyukur kerana keperluan aku buat masa ni sebenarnye telah dipenuhi oleh Allah.

So GONAL-F ni, aku kene fikir panjang dulu..alang2 gonal-f tu baik IUI je terus. tapi, takpe. aku nak bagi masa kat diri aku sendri utk rileks dan fikir.

takyah rush!! hehe..rezeki tu takyah RUSH..usaha je yg penting.

mcm cantek plak Gonal-F tu kan. hehe!

Food For Fertility

Taken from http://www.womansday.com/Articles/Health-Fitness/Nutrition/Foods-for-Fertility.html

Dah baca banyak kali benda2 mcm ni, setiap kali baca, mesti ade new info. Before ni aku baca, protein mesti kena makan, and eat SLOW-CARBS mcm pasta, brown rice (oh patut la dlm produk Biodex ada brown rice) lepastu baru aku baca ni protein yg harus dimakan ialah yg dari Plant sources. bukan animal. protein from animal mesti dikurangkan kot.

"Protein, mostly from plant sources. Women who ate the highest amounts of animal protein were 39 percent more likely to experience ovulatory infertility. Good choices include beans, nuts and eggs."

aku ingat semua protein pun takpe! so ayam ikan semua, still takleh ambik byk.

Slowly Digested Carbohydrates, such as pasta and whole-grain carbs. Women who ate a large amount of high glycemic-load carbs (those that are digested quickly, like white rice and potatoes) were 92 percent more likely to have ovulatory infertility than those who ate “slow carbs” (brown rice, whole-wheat pasta, whole-grain bread).

Good Fats including mono- and polyunsaturated fats, found in olive oil, peanut oil and canola oil, as well as cashews, almonds and seeds like sunflower and pumpkin. These fats help decrease the risk of insulin resistance and inflammation in the body—both of which can interfere with ovulation. And avoid trans fats: The more the nurses ate, the higher their risk for ovulatory infertility.

Whole milk and full-fat dairy foods. Researchers suspect that when fat is removed from milk, its hormonal makeup is altered in a way that negatively affects fertility. Make one or two of your daily dairy servings whole milk–based. - yeah ini sama mcm entry aku psl Low Fat milk tu. aku sampai skang mmg dah takbeli LOW-FAT milk.
untuk fertility, mmg tak elok.
Brown rice pun bagus untuk regulate insulin.

aku dah 6 hari tak makan nasik. tibe2 hari ni aku makan balik. pagi tadi. sbb aku susah nak berak kalau tak makan nasik. hohoho...ok limit kan je lah. so harini dah takyah makan nasik dah.

aku avoid nasik bukan sbb nak diet ke hape. sbb aku mmg kene kurangkan carbs sbb aku insulin resistant.

rasa mcm nak beli biodex balik...tattau mana satu yg nak dibuat..aku baru baca kat website biodex yg kebanyakkan produk yg die kate "untuk meningkatkan kesuburan" tu ada brown rice. TAPI, ade jugak SOY.

so skang ni aku tattau adakah PCOS mcm aku yg ambik ubat subor, boleh ambik produk2 yg ada SOY.
sbb aku cari info, ada yg kata PCOS takBOLEH ambik SOY. sbb die lagi akan mem-PCOS-kan kite. ada yg kata SOY boleh ambik tapi kena kurangkan. yg aku tau SOY tu ada phytoestrogen kan. so kalau kite2 yg jahil tattau sgt sains ni anggap, oh kalau hormon tak balance, kena ambik apa2 yg leh increase hormon (like estrogen).

kalau kite ambik ubat subur, takkesah la clomid atau letrozole(femara) both work the same way.
iaitu, dengan menipu otak kite bahawa estrogen tak cukop. kalau letrozole, dia cume tipu hormon aromatase (hormon utk trigger estrogen dan LH ) untuk STOP bekerja. jadi OTAK kita fikir, estrogen punye supply takde, n dia pun hantar information untuk release hormon2 sepatutnye utk develop follicles n buat kite ovulate. (KOT LA betulkan kalau aku salah)
aku pon bukan doc.

so kalau kite ambik SOY, die akan interfere dgn proses2 yg ubat subur tu tgh buat. dan membuatkan hormon kite jadi lagi kelamkabot. satu kata kene supply estrogen sbb tak cukop, jakgi pegi ambik SOY plak. otak pon pening, Eh tadi kata takcukop, ni ada byk ni??

lepas tu pulak bila estrogen sgt byk,..estrogen tu akan di-convertkan jadi testosterone. jadi untuk bangsa2 PCOS mcm aku, yang dah sah2 testosterone lebih, lagi la membuatkan lagi SUSAH nak stimulate ovaries n ovulate...

maybe org yg takde PCOS die boleh ambik SOY dgn selamat.

mcm tu la yg aku pikir...aku rase aku ni byk sgt pikir la. huhu.

kdg2 kalau pharmacist pon tak la semua die tau..die tau dari segi pharmacology je la tapi bukan dari segi medical. bukan la aku lebih tau dari pharmacist tapi aku yg mempunyai penyakit ini, pharmacist itu tidak ada.

aku cite sal pharmacist ni sbb aritu mase lepak kat upstairs cafe dgn zack&nana aku singgah farmasi sbelah tu. aku cite kat die sket prob aku hormon tak balance semua n tgh struggle utk conceive...amoi tu suggest aku ambik SOY / SOY ISOflavones. ade soy yg mahal dlm tablet..ade yg dlm serbuk.

kdg2 bile kite nak berusaha tu selagi boleh, semue benda nak disebatnye. aku beli Soy powder tu. dia ade tambah dgn barley. aku minum skali je. esok tu google jakgi jumpe "Soy is bad for PCOS"

hohoho jadi terus takk minum.

hSG - hysterosalpinggogram

Masa buat hsg ni Feb 2011 tapi sbb payah nak ambik gamba, aku tak upload2..smlm aku cube gak ambik, sbb dia xray kan. kene cari lampu plak.



that's my tubes! mmg rupe mcm pelik, tapi bile aku google org lain punye hsg, rupenye lebeh kurang je. mmg rahim ada mcm2 rupa dan kedudukan. so sah2 mmg rahim aku kebelakang sket, dan ke kiri. L tu aku rasa Left kot?

dr delaila kate tube aku semue ok tapi halus, but its fine.

the whole thing looks like this.

my result:



No abnormal clarification seen. 
The uterus and tubes appear normal.
Good and free spill noted bilaterally. 

normal tubes are like this:

haa mcm lebih kurang kan? org ni punye pon kedudukan die mcm rahim aku.
kalau blocked tube:



blah kanan tube org ni blocked, dye tu tak spill betul2..n takleh lalu pon semua..tapi kedudukan dah cantik, betul2 tengah.

MORE ON HSG http://www.advancedfertility.com/hsg.htm

Alhamdulillah my tubes are fine. sgt syukor. sbb kalau tube sumbat, lagi complicated..lagi rasa mcm jauh lagi perjalanan..yg PCOS mcm aku ni pon rase mcm jaoh gile perjalanan..

tpi dlm xray tu pelvic aku mcm kecik gile je? ke mmg mcm tu..heheh..kalau aku pregnant mesti nak beranak kene c-zer :-| erkk..eh tattau ah..itu dlm gamba je.

BBT as for today :

ha naik sket arini, means progesterone is increasing!!...but did i ovulate?? haih tattau..

please la naik lagiiiiii ..

CD15

Make an ovulation ticker

Wah, kalau betol boleh ikot tepat2 mcm ticker atas ni, alangkah senangnya. Aku tak sure aku dah ovulate ke tak, kalau ikotkan lining, dr delaila kate belum waktu subur, tapi itu isnin lepas (16/5/2011) hari ini khamis, like doc said, mgkin dah subur waktu ni. semalam temp aku drop, kalau betul aku ovulate temp aku kene mendadak naik hari ini. tapi die naik sket je. kelakar la kdg2 hormon pompuan ni. so aku taktau apekah maksudnye. estrogen tgh high skang tu pasti, sebab muke aku naik jerawat. bile nak ovulate, estrogen akan high. itu yg aku tau. tapi lepas temp tu drop (drop means estrogen is high) patutnye die naik mendadak. jadi jika die naik sket tu ape maksud?

iskkk



HA apekah maksudnye?

patut harini kene gi checkup lagi...aku duit dah la kering. taktau nak gi ke tak. pegi pon semata2 check follicles je nih..kalau besar doc maybe akan inject hcg..kalau taknak buleh ke eh? hehehe, adekah kite akan ovulate jugak without the hcg trigger. sape tau?

aku rase maybe follies yg blah kiri ni dah grown bigger kot sbb smlm sakit, harini pun sakit. aku rase mcm ni bile makan ubat subor je, kalau tak mmg xpenah rase. nampak sgt jarang gile aku ovulate seumor hidup aku..



smlm aku gi guardian time lunch..beli B Complex (21st Century). before ni aku ambik B Executive, tapi bile tgk betol2 jumlah mg dan jenis B vitamins yg ada dlm B Complex, its better than B Executive sbb yg aku beli ni, selain B1 B2 B3 B5 B6 B12, ada Inositol (B8) and PABA (Para Amino blablablabla lupe xingat) these are the benefits of both of them for PCOS.

Inositol and PCOS (article)

Inositol may be important for PCOS women for at least three reasons:

* It may aid insulin action and thus reduce insulin resistance.
* It may help to relieve depression, which is common in polycystic ovary syndrome.
* It helps your liver to metabolize fat.

Inositol is a compound that has nine different forms. The most well-known and nutritionally active form is "myo-inositol", which most people simply refer to as "inositol". It is a necessary component of the membranes of your cells and is vital to many biological processes in your body. It is a precursor to a number of essential "signaling molecules" that instruct cells how to behave.

Some of inositol's signaling is related to activation of serotonin receptors, which could relieve depression and improve appetite balance. Serotonin is a brain chemical with several important functions in the body, including mood and appetite regulation.

Inositol is also a fat-solublizing agent that helps to transport fat from the liver. For those overweight PCOS women who may have a problem with fatty liver congestion, inositol can be helpful.

Although inositol is widely thought of as a member of the B-vitamin family, it is technically not a vitamin because the body can manufacture inositol and is not required to get it from the diet.

PABA (Para Amino Benzoic Acid) 

PABA is a B Complex vitamin that is synthesized in the body. PABA is believed to increase the ability of estrogen to facilitate fertility and increases the ability of some infertile women to become pregnant. A clinical trial reported that 12 of 16 previously infertile women were able to become pregnant after supplementing with PABA over several months.

yg lain boleh just google, byk sgt info. before ni aku ambik B Executive, takde dua benda ni...hm try pulak kalini tgk mcm mana.

susahnye nak pregnant kan. takpe la, tuhan nak uji. probs aku bukan la complicated mana. agak complicated kdg2 sbb aku xpaham dgn body system sendiri tapi sebenanye sebab2 aku susah pregnant yg telah 'dikenalpasti' adalah:

1. Polycystic Ovaries.

2. Follicles kecik2, tak matang.

3. Progesterone & Estrogen yang tak balance yang menyebabkan 2 perkara di atas.

4. Insulin Resistant - dan menyebabnye berlakunya 3 perkara di atas.

im 27, still young, how to solve the probs above??
masih ada 3 years sebelom 30tahun, where chances akan berkurang,..tapi kita taktau tuhan nak kasi mcm mana. tah2 lepas 30tahun aku baru subur?

no one knows..

So Polycystic

Monday aritu kena pegi checkup follicles sbb day 12.
so pegi klinik dr delaila.
mase scan tu, doc terus ckp "u ni sooooo polycystic la kan."
ala, menci la. rase mcm nak korek je telor kecik2 tu. geram akuh!
Lining uterus aku mengate kan aku lom sampai waktu subor (mmg la sbb baru day 12...sgt jarang kot org subor day 12...dulu check dgn dr sudha day 14, aku dah subur and follicles aku cukop besar)
Lining uterus aku 16/5/2011 aritu = 8.7mm
Right ovary: Leading Follicle, 10mm
Left Ovary: Leading Follicle, 13mm

then doc kata "awak belum subur ni..takpelah dtg balik hari kamis. it should grow 2mm a day so kamis ni patut dah cukop besar, lining pun belum cukup tebal"
"kalau tebal waktu subur brapa?"
"10-14mm"

heheh ok la dah 8.7mm sket je lagiiii

astu aku ckp "doc saya dah start metformin balik. terpaksa"
die senyum n ckp "good"
hahaha

skang ni blah kiri rahim aku adalah sgt senak, sakit denyut2, hope its a good sign!

New info on Soy Isoflavones

Taken from www.pcosnetwork.com
this article was written by Angela Grassi (PCOS Nutritionist)

Soy and infertility
It is currently unknown whether soy has a positive or adverse effect on the fertility in women with PCOS. As mentioned, hardly any studies exist involving soy with PCOS and none so far have really examined its affect on ovulation. One study found that 6 g/day of black soybean powder taken for 6 months improved ovulation in women who weren’t ovulating (5). On the other hand, there are many studies available that show that mice treated with genistein had reduced fertility (6). Some studies even suggest early exposure to soy and/or isoflavones like those found in soy-based infant formulas may have long-term effects on reproduction (4). A study in The Journal of the American Medical Association, however, found no difference in a wide range of reproductive problems between those who were fed soy formula and those fed cow milk formula as infants (8).
A review of 7 soy intervention studies done on women using 32-200 mg/day of isoflavones showed increased menstrual cycle length (9). Currently the evidence doesn’t imply that soy prevents ovulation but may delay it.
While much more research is needed, those of you who are trying to become pregnant or struggle with infertility may want to limit your intake of soy.


Bottom line: much more studies need to be conducted on soy consumption as it applies to humans, and with PCOS in particular. Women with PCOS who struggle with infertility, consume few calories or eat a poor diet may want to avoid or limit soy products. Otherwise, a moderate-low intake of soy (once a day or several times a week) can be part of a healthy diet for women with PCOS.

---
tanye doc je la sng. nnt aku tau dah dr delaila jawap ape.
"it's not proven"
haha

SOY ISOFLAVONES

okay this is something that i JUST knew. tadi google benda lain, terjumpa benda ni.
Soy Isoflavones, sometimes TTC women use it because it acts like clomid.
hurmmmmm

I did my research on this product when I was trying to conceive. After TTC for awhile, I got pregnant on my first cycle using soy isoflavones. I got pregnant again with my second child on the first month I used the soy isoflavones. Both my kids were full-term, healthy babies, and I didn't have any side effects. My cycles returned to normal after having baby #2. I will use it again when we are ready for baby #3! It's less than $6.00 at Walmart, all-natural... I wouldn't hesitate to recommend it.

I have been TTC for 8 months and tried a variety of things - preseed, Robitussin, different positions, eating pineapple - none of it worked. This month I tried Soy Isoflavones for the first time - 100mg from CD3-7 and just got my BFP yesterday!!! I had the most powerful ovulation ever - had pains on both sides for about five days off and on, and obviously the soy helped!

Good luck ladies! Soy may not work for everyone but I am a believer!

this is my second cycle of soy, first cycle of soy after trying clomid. I ov'd on soy but not on clomid! Give it a go, it might help. Good luck.

----

just nak share..belum nak try lagi. kalau 2nd attempt on letrozole tak berjaya, then nak try soy isoflavones ni plak. air soya bean taksame ke? heh
rase mcm ade post aku nye entry titled "soy is choy!"
hmmm

kene membace lagi ni. confusing.

-----
taken from http://fertility-challenged.blogspot.com/2008/07/soy-isoflavones-natural-clomid.html

Soy Isoflavones - The Natural Clomid?

I have been doing some research on Soy lately as I have been contemplating trying it to see if I see any changes.

Up until now I have avoided soy as I had heard it may impact fertility, but interestingly I'm now finding a lot of conflicting reports and some that say that soy is actually HELPING women fall pregnant.
yes, im also avoiding SOY since last year..urghh
I found this interesting article (reprinted from TwoWeekWait) which had this to say about Soy Isoflavones.

"TTC Trend Watch ~ Oh Joy! Another Soy BFP!

If you've been surfing TTC boards online recently, you've probably run across several posts from women proclaiming the mighty power of "Soy Isoflavones." If not, you are probably thinking "Soy Isowhat?" Yes, my TTC friends, the underpriviledged step sister to the infamous Clomid pill has made her big stage debut... and she's garnering some impressive reviews. But before you stop reading the rest of this article and burn rubber to the nearest vitamin store, let me encourage you to research it for yourself before trying any new supplement regimen. (And as always, you should consult your doctor trying anything new.) But I digress...

"Soy Isoflavones" is a natural plant derived phytoestrogen (phyto means plant), which is an anti-estrogen, just like Clomid. Both are known as SERMs (Selective Estrogen Receptor Modulators). It works by fooling your brain into thinking its estrogen levels are low. This causes your body to reslease more FSH & LH which helps stimulate follicle production (same as Clomid). You take Soy Isoflavones, like Clomid, on CD 1-5 or 2-6, or 3-7 or 5-9. It is not thought to cause infertility if it is only taken for 5 days a month. There is not much published information available on it regarding TTC, because it is "natural", not patented by the pharmaceutical companies, and not FDA approved. Most doctors will also not recommend it for this reason.

Recently, many women on FertilityFriend.com have been taking 150-160mg a day for 5 days at the beginning of the menstrual cycle (on days previously mentioned). Side effects reported are similar to Clomid. These vary from increased number of headaches to hot flashes. It has been suggested that taking the dosage before bedtime lessens the side effects.

I was doing some research on FertilityFriend.com to uncover just how many girls have recently conceived while on Soy Isoflavones and what days they took the supplement. I found a girl who took it on CD 1-5, 200mg Soy Isoflavones, and she got a strong BFP at 15dpo that cycle. Her chart can be viewed here. Her HCG levels at 15dpo were 443 and at 18dpo HCG 1,347. Impressive. I found a survey on FF that was interesting as well:

What was interesting is that 75% of the women who tried Soy Isoflavones got a BFP in their FIRST cycle trying. I checked the survey more recently and the number has jumped to 77% since I took the screenshot.

While Soy Isoflavones can help bring on an earlier or stronger Ovulation for these women, I must note that in some women it did not help at all. Just like Clomid doesn't always work for everyone. Right now there are a lot more women trying Soy Isoflavones so I will continue to monitor their progress and report back any news I find.

written by Elle (Founder of TwoWeekWAIT.com)"

Interesting huh! I might try it next cycle to see what happens!
---

OKAY i definitely WILL TRY THIS, korang yang tgh nak try naturally for 2nd or 3rd child pon ce try ce try..
hehehe

CD 8

Dah seminggu tak ujan, baru tadi ujan! alhamdulillah. hari2 balik rumah, penat tak tentu psl. bukannye keje byk pon. Yang penting im definitely OK with metformin now. yay!
tah bile nak abis, doc bagi mcm banyak plakk..dah sebulan lebeh tak abeh2..hai

tadi baca forum2 org2 yg TTC with letrozole+metformin..ramai yg berjaya, ade yg miscarried, tapi buat lagi satu cycle with IUI, pregnant..
ala sbenanye taknak buat IUI or IVF ke hape la..selagi boleh conceive naturally. sampai satu tahap doc kate "u kena buat IUI je baru boleh"
baru la aku akan proceed...
tu pon kalau xjumpe option traditional yg lain..huhuhu....
sebab kalau leh nak anak tu dgn cara 'making love' sebab itu lah hasil daripade making love.
tapi like i said earlier, we could PLAN, tapi Allah yg tetapkan...

so kalau ditetapkan mcm tu, kena redho...ape2 pon aku masih boleh cube utk conceive naturally dulu.
kalau org lain tu dah mcm2 cube masih tak berjaya. aku belom tahap mcm2 lagi tapi dah nak ke arah 'mcm-mcm' gak la.
byk option2 baru yg org lain suggest...homeopati la, dong quai la, wild yam la...baru ni ade aku bace, Circle Bloom..hypnotherapy. eh byk lagi la. acupuncture la..semua belom try.

heh, saba dulu..! satu satu.

CD 6

im on cycle day 6 today, and guess what, aku dah tak ciritbirit bila makan metformin!!! :-O
dah 2 hari aku mcm tu, aku dok la pikir kenape aku tak cirit plak? adekah benda tu dah stabil kat badan aku or sebab aku baru start EPO (3000mg) per day.

hmm aku dah tau EPO (evening primrose oil)  ni supplement yg bagos utk org pompuan especially yg nak  conceive tapi tu la kdg2 tu bile kite asik beli je n nothing happen, kdg2 die akan jadi malas nak beli..

sampai la aku terbace article psl ape kaitan EPO ni dgn PCOS, rupenye die byk membantu selain drp die bagi cervical mucus kite berkualiti n 'sperm friendly', die jugak membantu menstabilkan hormon2 yg kelamkabot tuh. diulangi, memBANTU, so apa2 je yg leh membANTU, baik aku ambik drp x ambik lansong.

tapi takde pon die mention kalau ambik EPO ni, combine dgn metformin die akan lebeh ngam..aku tattau la die akan lebeh ngam ke tak tp yg aku pasti aku dah tak kena ciritbirit :D so aku leh mkn je metformin (dan nasik!) hahaha..

pagi tadi aku ada training, diorg bagi breakfast nasikgoreng cili api PEH! (lupe yg aku on metformin ni) sumbat je sbb lapa, semalam 1 hari aku xmakan sbb takde selera. kitkat je yg aku makan smlm, then bile malam tu aku makan nasik sket kat umah, yglain tu laki aku yg abiskan.

arini alhamdulillah leh makann..takde la perot kosong kan.yay! so i guess EPO did something!

article from www.babyhopes.com

EPO for PCOS (Evening Primrose Oil for Polycystic Ovarian Syndrome)

Women with Polycystic Ovarian Syndrome who are trying to conceive are willing to do just about anything for the joyous occasion of seeing a positive pregnancy test. Luckily, there are some fairly simple ways to get started treating your PCOS without any serious drugs or side effects. Keep in mind that PCOS should be treated and without treatment serious long term health risks may occur. However, in the short run, there are a few ways to deal with the hormonal imbalance that may help rectify the PCOS and help you conceive.

One option is EPO, evening primrose oil. This particular oil when taken by women can help balance the levels of estrogen and progesterone in the woman’s body. PCOS is known as a hormonal imbalance so any kind of supplement that helps restore balance between female hormones is definitely worth trying. Many women with PCOS have a ratio of estrogen to progesterone that is elevated. 

Some women may be taking Glucophage (Metformin) for their PCOS and there does not appear to be any problem taking Glucophage in addition to evening primrose oil. However, it is prudent to talk with your doctor first to ensure that is the case before you begin mixing any drugs. Remember, too, that you can conceive with PCOS. It just might take some time to restore your body’s hormonal balance!

Ini BBT utk hari ini:



peh! mase skolah dulu buat graf ke hape ke punye pemalas, benci nak buat pon takreti sbenanye. hehe
CD 1 aku start drp 5th May sbenanye tapi aku merge dgn cycle bulan lps, dah la yg tu lame tak period tu sbb cycle day dia kire salah...

today is my last day of letrozole too! day 12 kena pegi monitor follicles balik dgn dr delaila. 16 MAY 2011.

Make an ovulation ticker

Cycle Day - 2

Hari ni dah Cycle Day 2. So pukul 10am tadi dah start ambik letrozole 2.5mg.

Semalam aku halfday, sebab taklarat n taktahan sakit sgt. dah lame tak kene period pain sbb dah lame tak period. kalau nak diikutkan, last period aku mase sebelom buat hSG tu. awal feb. means dan 3bulan tak period :(

Nasib baik smlm takde benda urgent nak kena buat, so aku takde la rase bersalah tibe2 pegi halfday plak. Bos aku pon kate takpe je kalau xtahan leh la balik.

aku singgah klinik UMRA untuk beli letrozole. haih, payah beno laa nak beli ubat. die mcm nak soh aku jumpe doc gak. tapi lepas aku tunjok note kecik yg dr delaila tulis tu, diorg cam "oh, dr delaila ahmad." diorg soh la aku dok jap.
ade la stengah jam baru aku dpt ubat tu. jakgi nurse tu leh lak tanye aku

"kenape 2.5mg je eh? sebab kite normally bagi 2biji tau..so 5mg, ni mmg doctor u nak bagi sebiji je sehari?"

"ha dah dia prescribe i mcm tu, camtu la"

"oh, takde la sbb normally kite bagi 2biji, takpe lah"

eh dia ni, awak dokter ke?  ade normally normally plak. ikot prescription doctor la. arituh mmg mase kat UMRA dr sudha bagi aku 2bijik. maybe die nak boost stimulation aku untuk produce telor agaknya.

lain doc lain la opinion, bile dr delaila tgk rekod aku yg aku penah ambik 2 bijik letrozole on day 2-day6, die ckp "banyaknya, 1 is enough"

pulak. so maybe lain doc lain cara diorg. maybe dr delaila rase aku ni PCOS so kena start dgn 2.5mg dulu utk tgk response aku mcm mana, takleh teros nak boh 5mg. maybe la.

jadi memandangkan dr delaila ini lebih experience jadi baik aku ikot je advice dia.

letrozole 5biji = RM50. wah sebijik RM10 beb.

----

then aku terbace lak arinih combination of letrozole-metformin, ramai PCOS women yg clomid resistant, percentage nak achieve full-term pregnancy is higher kalau combine letrozole with metformin.

http://www.ijrm.ir/library/upload/article/af_35393486)%2089-43-4-1e.pdf

i'll be keeping my fingers crossed this time! ;D

BBT as of April - Today



Start dari 3 april, aku nye temps tgk la weh mcm tu, turun naik turun naik, sah sah la hormon tak stabil lansong.

BBT temp kite kalau tinggi, means progesterone tgh tinggi, kalau temps low, estrogen tgh tinggi. so kalau normal cycle, BBT kite patut low start drp hari 1st period, then hari ke 14/15 temp akan drop lagi sikit, and kalau esoknya dia melonjak naik, itu tandanya kite dah ovulate n progesterone is in charge! and kalau progesterone tu remain tinggiiii je for more than 20days, insyallah kita dah pregnant. kalau tak, BBT kita akan drop balik sebelom period, so it shows yg kite tak pregnant n akan period dlm beberape hari lagi.

simple je sbenanya, kalau try guna benda ni mmg sng nak agak psl badan kite sendri. so takyah la dok asik beli pregnancy test je (walaupon aku nak gak beli) hahaha...

ini yg mcm textbook lah tulis, sebab aku penah je google yg ade org pregnant tapi BBT die low. itu maksodnya dia low progesterone n perlukan injection untuk tambah progesterone so leh protect kandungan dia dari gugor.

mcm chart aku atas ni, yg ada tulis P tu start aku ambik Norethisterone (NE) tu. dia progesterone pills. tgk, lepas aku ambik for 5days, temp aku teros naik. then bile stop, temp aku jatoh n period. FE tu indicate Femara (letrozole).

akan update lagi sampai aku scan eggs hari ke 12 nnt. :D

Make an ovulation ticker

Aunt Flow

Aunt Flow is here! (aunt flow means Period in TTC forums)

pagi2 bangun, nak gi toilet tgk2 dah ada darah. tersengeh2 aku, sbb dah period. mcm lambat lak..mase ambik norethisterone dulu, stop 2 hari teros period..kali ni 5 hari lepas stop baru period. takkesah la. asalkan period.

smlm aku gi minum fertilitea ni sbb aku ada bace kalau lambat sgt period leh minum, die mesti kuar. aritu aku minum tak kuar pon...ini maybe sbb aku ambik norethisterone skali. pagi tadi, ha teros kuar.

tapi mcm biase la disertai dgn period pain..sakit gile la skang takleh nak bangon, maybe ingat kang nak halfday la...
laki aku pon xpi keje arini sbb taksihat...

kang leh la aku beli letrozole kat klinik umra. kali ni dr delaila mintak aku beli 2.5mg je. dulu mase dr sudha prescribe aku, die suroh aku makan 2 bijik  (5mg) dr delaila ckp byk sgt. so die bagi 2.5mg dulu tgk camna.

aku tattau la kalau tibe2 dibuatnye aku xde telor yg lebih 18mm, takleh la doc bagi trigger shot utk ovulate :( mintak2 la ada follicle yg besar2 kali nih...best kan kalau dpt pregnant tahun ni, nnt raya mesti best sbb jumpe kazen mazen aku yg ade 2 3 org pregnant skang ni. so takde la aku nak kene menjawap soklan bile nak ade anak tu lagi. sbb dah tgh pregnant pun..mesti sdare mare pon happy sbb diorg semua tau aku tgh struggle..

tapi itu berangan je la...kalau Allah kate takleh lagi, aku kene la usaha lagi. yg aku tau, aku taknak stay kat kampong lame2. kalau leh nak blk jumpe atok aku, jumpe pakcik makcik yg rapat2, lepas tu aku nak pi holidayyyyyy.....so ade alasan utk tidak stay lama2 time raya..aku xsanggop jawap soklan bonus tu lagi dah. penat la wei nak benci kat org!

dah nak mothers day, untuk kwn2 yg dah menjadi ibu, dan bakal2 ibu, Happy Mothers Day :)!
untuk arwah mak aku, Alfatihah..

Hello?

Er, the stats on my blog shows 35 visitors on 2nd may 2011. boleh tahu siapekah lagi yg view this blog? because so far yg aku tau plg byk pon only 8-10 viewers je per day itupon kwn2 sendri/exclients yg rapat2 yg mmg tahu blog ni..

tibe2 ade 35viewers yesterday. boleh tahu siapakah anda? :D

Period!

rase mcm nak period dah harini. weee!

lame weh tak period. haih..kalau period leh la gi beli letrozole kang. esok leh makan.

Hoping for big eggs this month!

and hoping that i will ovulate!