Ramadhan

dah mula ramadhan..aku berazam nak berbual amal sebanyak mungkin, amin.

aku dah start 2nd cycle of birthcontrol (Diane35) tu. aku period haritu sgt banyak tapi skejap je dlm 5hari.

so harini aku bole la puase. aku period tu awal drp tarikh sepatotnye, and habis cepat. naseb baik la so bole la berterawikh smlm. untong umah aku dekat gile dgn masjid,..aku gi jalan kaki jek dgn along. aku rase cam dah bertahon2 gak aku tak gi terawikh. mase budak2 dulu rajin gile. haihh rosakkkk

hehehe

aku teringat lak nak citer sal ape bapak mertua aku pesan. aritu kwn2 along lepak umah along yg kat sek20 tu. mase tu sbb angah saket, lepas berubat diorg layan lpk sampai 2 3 pagi sbb bapak mertua aku dandan lak berceramah bagai kat diorg. hahaha..so aku dan adek2 ipar aku join skali la dgr ape yg die dok bebel.

die bebel psl sedekah & zakat. aku baru tau zakat yg mase org dok byr time nak raya tu just zakat fitrah. and kebanyakkan org lepas byr zakat fitrah, Im DONE. rupenye zakat harta semua lain lak..kite sepatotnye byr zakat setiap bulan dlm 2.5% or suku drp gaji kita. byr zakat tu takkesah la, sedekah masjid ke, org susah ke..so that hidup kita ni walaupon sederhana, kita tak sesak psl duit. kan kdg2 org tu gaji byk, tapi still sesak gak. tgh bulan duit dah habis. (seperti aku) hahaha! dulu gaji keje CS takpenah cukop walaupon nak banding dgn gaji keje sirim ni, berganda2 lagi gaji mase kat cs. tapi? sket2 tgh bulan aku pinjam kat ceti (aini) heheheheh

bapak mertua aku ckp. org yg jarang bersedekah/byr zakat, Allah akan uji mcm2 yg bagi kita sesak duit. contohnye, kite jatoh saket la, kete asik rosak la, asik kene repair kete walaupon kete baru beli. (MCM KENAL JE!) haihh! aku lagi tuh! so disebabkan kite jarang bersedekah, duit kite terbang ke arah bende2 tu. PATOT LA KETE AKU ASIK TAYAR PECAH JEKK yg si satria neo tuh! tayar dah aa mahal!

aku mengaku. aku mmg jarang bersedekah. aku just bersedekah singgit 2inggit kalau aku tgh makan then ade org bute dtg. or anak yatim. itu pon kdg2 aku takbrape nak bagi sgt since byk kes org tipu ni. aku pon penah nampak org tu buat2 bute tapi sbenanye tak bute. aku penah nampak org cacat ni yg takde kaki sbelah dok mintak sedekah hari2 padahal die dah ade kaki palsu. time nak mintak sedekah die bukak kaki dia. aku penah nampak budak yg ngaku anak yatim pegi main game kat ss15 dgn duit yg org bagi sedekah tu. bende2 camtu membuatkan aku cam malas nak sedekah sbb aku was2 n takot tak ikhlas. time raya, baru la bagi budak2 duit raya or bile ade kawan bersalin. yg lain2 tu aku takpenah.

padahal ramai org pesan kat aku supaye bersedekah byk2 mase mak aku meninggal dulu. baju2 mak aku yg elok2 bole disedekahkan kat org yg memerlukan. aku lak pikir aku syg sgt baju2 mak aku tu sbb mak aku yg jahit sendri baju dia. dia put much effort utk jahit baju pesen2 gulatis yg harge beratos2 tu tapi die leh buat sendri. aku jadi syg nak bagi org. tapi aku penah berazam nak bg sedare mare yg dekat2 so aku leh tgk lagi baju tu. (tapi aku takbuat2 sampai skg)

astu aku penah bernazar kalau aku dpt keje kat sirim aku akan sedekah sket duit gaji 1st aku kat masjid tempat mak aku disembahyangkan. (aku dah buat) tapi that's it la.

betol bapak mertua aku ckp. astu aku terpandang balik diri aku yg sebok usaha nak dpt anak dan masih takdpt2.

kak lin aku dulu pon (anak makchah aku) dia 2tahon lebih baru leh conceive. die jumpe mcm2 doctor last2 satu doctor ni bagi nasihat, Banyakkan bersedekah. insyallah mengandung. niat kite bersedekah tu utk peroleh zuriat. camtu la doc tu kate. then kak lin aku buat. dlm 3 bulan lepastu die mengandungkan si amani. (anak buah aku).

jadi aku rasa, betol kite kene bersedekah n berzakat. aku mmg tattau psl zakat yg kene buat tiap2 bulan ni. zakat fitrah je aku tau n aku ingat tu je satu2nye zakat. jahil tol aku. laki aku ckp die pon tattau sampai la bapak die gitau mlm tu. zakat fitrah yg dpt resit tu lain. tu org laki je buat. kalau org pompuan dah kawin, takyah. kalau lom kawin, bapak die yg byr.

2.5% drp gaji sebulan kite bukannye byk noo kan. tu pon takkan takleh buat.

azam baru bulan ramadhan ni: nak start byr zakat 2.5% each month dgn bykkan bersedekah.

kdg2 patotla kite tgk org kaya2 dan byk duit tu kdg2 byk masalah, stress, asik kene tanggung kerugian, slalu eksiden atau ditimpa mala petaka, (kdg2 yg takbrape nak kaya sgt pon terkene gak) sebab kita tidak bersedekah & berzakat. ataupon bile dah bersedekah tu, heboh plak kat org ramai. dah mcm riak.

yg aku ckp atas2 ni bukan aku riak tau, aku bukan riak tapi aku nak remind diri aku sendri ape sgt je sedekah yg aku penah buat. nampak sgt sikit gila dan patotla aku kdg2 byk masalah walaupon tak patot ade masalah pon. slalu kene spend duit kat klinik, dan supplement2 semata utk dpt anak. before2 ni lak, kete slalu problem, flash&camera slalu problem, semue bende2 yg aku buat utk cari rezeki yg buat problem kat aku. sebab rupenye, aku tidak bersedekah dgn duit gaji yg aku dpt drp sumber alat2 yg aku gunekan utk keje tu. sunggoh bodoh la aku ni.

syukor la aku cepat sedar.hadoi

Period!

yayyyy

dah perioddddddddd!!!!!!!!!!!!

lame nye tak perioddd

rinduuu

hahahaha

ade tak org mcm akuh?

New friend - Femara

Jumaat lepas (30/7/2010) aku gi klinik UMRA balik. sebab nak inform doctor yg aku dah habis Diane35 on 29th july tu and nak collect another cycle of Diane35 and Clomid 150mg. -konpiden nak mintak clomid aku nih.haha

then aku sgt suka sbb doctor yg ada hari tu ialah Dr Sudha lagi skali. aku rase die mmg ade setiap ptg jumaat before 630pm. so lepas ni aku akan dtg ptg jumaat je lah!

Dr Sudha gitau yg die mmg akan bagi Diane35 lagi tapi die takkan bagi Clomid dah. sbb die ckp based on Dr Karamjeet nye report dlm aku nye record tuh, aku nye follicles mase ambik clomid dulu terlalu kecik sgt. so aku may not respond to clomid dgn bagos. so no point of up dose lagi. mmg boleh tapi terlalu kecik sgt mase aku ambik clomid 100mg tu. so die ckp tak berbaloi try utk benda yg kite dah mmg tau kite takleh respon.

pastu aku tanye Then nak kasi apa?

dia ckp Letrozole.

aku cam HaaaA?

LETROZOLE

sumpah takpenah dgr. ni pelik gak ni aku takpenah dgr sedangkan hari2 aku google psl fertility drugs.

die ckp org yg tak respon dgn clomid mmg doctor akan tukar kpd Letrozole and ramai org yg tak respon to clomid, is responding well with letrozole. aku pon cam Ok la what she thinks the best.

then die kate kali ni aku mmg perlukan bantuan injections.

aku tanye injection ape nak bagi?

Gonal-F and HCG to break the egg.

Gonal-F tu aku mmg penah dgr. aku pon baru nak tanye doctor, tapi die dah ckp dah aku mmg kene ambik. memandangkan hormon reproductive aku ni mmg sgt sikit atau tak balance atau aku pon tattau!

benda tu hari hari kene inject sampai 7hari. aku tattau mcm mana nak inject tu sbb ade yg aku google kite leh buat sendri bende tu. ape2 pon bagi aku period sampai 2nd cycle of diane35 ni dulu baru aku leh dtg klinik balik utk tanye psl injection2 ni. harap2 time tu Dr Sudha ade la. aku takmo jumpe doctor2 lain kat situ dah. semua bagi aku information yg sgt susah aku nak paham sampai aku salah paham.

aku ade tanye doctor, falopion tube aku sumbat tak?

die ckp I also donno if your tube is sumbat or not. because to reach that point, u MUST MUST have good ovaries first. if your ovaries are not ovulating regularly then there is no point checking for your tubes. so we are not there yet :)

OoOOOO baru la aku paham. yg penting penting penting skali ialah ovary aku.

kalau ovary semua ok, tak pregnant gak, baru leh investigate tube.

jaoh sunggoh perjalanan aku..

well, im actually enjoying it. walaupon aku kdg2 penat. tapi aku takleh putus asa..

doakan aku eh :)

---

hari ni aku masok ofis aku teros google Letrozole tu menatang apa.

laaa

FEMARA rupenye! femara tu name brand dia. name saintifik dia letrozole..kalau femara aku mmg penah dgr laaa..!

klinik tu tak boh tablet tu dlm kotak, tapi dlm plastik ubat mcm biasa tu..so tattau ape brand name dia..aku kene ambik 5mg sehari for 5 days starting 2nd cycle period (with diane) nnt.

ABOUT FEMARA

Femara (Letrozole) for Infertility, Ovulation Problems and PCOS Treatment

What is Femara - Letrozole?

• Femara (generic name is letrozole) is an oral drug which can be an effective fertility treatment for women with ovulation problems, or for those with unexplained infertility.


• This medication is in a class of drug called aromatase inhibitors. Femara has mainly been used to treat certain cases of breast cancer.

This page is about the use of Femara for infertility

How are Femara and Letrozole Used as a Fertility Drug?

Femara to Induce Ovulation

• When the enzyme aromatase is inhibited by the letrozole medication, estrogen levels are suppressed in young women. This results in the brain and pituitary gland increasing the output of FSH (follicle stimulating hormone).


• In women that have polycystic ovary syndrome or anovulation (a problem with ovulation) the increase in FSH hormone can result in development of a mature follicle in the ovary and ovulation of an egg. Doctors call this process "induction of ovulation".

Femara to Increase Pregnancy Chances in Ovulating Women

• In women that already ovulate on their own, treatment with Femara can result in development of multiple follicles and multiple eggs releasing.


• Release of multiple eggs can increase the chances for pregnancy as compared to release of a single egg with a natural menstrual cycle.


• Doctors refer to the process of stimulating ovulation of multiple follicles and eggs as superovulation, or controlled ovarian hyperstimulation.

Femara to Treat Infertility After Clomid Attempts Fail

Femara vs. Clomid

Clomid (brand name) or clomiphene citrate (generic name) is an oral medication that is often used for stimulating ovulation in women that do not ovulate on their own. Femara has sometimes been used in these women as an alternative to clomiphene.

Some women will not respond to Clomid at all.

Letrozole can induce ovulation in some of these women.

• Women that do ovulate with Clomid still might never get pregnant with it.


• Some of these women will conceive with letrozole


• There can be unpleasant side effects with Clomid that cause women to stop taking it


• This can be a reason to use Femara instead of Clomid

Femara and Pregnancy - Success Rates Using Femara and Letrozole

• Monthly chances for getting pregnant using letrozole are about the same as they are for using Clomid.


• Much will depend on the age of the female partner and on the status of the fallopian tubes and the male's sperm quality.


• Higher Success for Women Not Ovulating on Their Own


• With the following conditions, we can expect approximately 15% per month for a chance to get pregnant with Femara:


• No other fertility issues are present


• The female partner is under 35 years old


• We achieve ovulation with the letrozole in a woman that was not ovulating


• Lower Success for Unexplained Fertility in Ovulating Women


• When it is being used for unexplained infertility in a woman who ovulates regularly on her own, the expectations for success are significantly lower than that.

Femara and IUI

Whether it is being used in unexplained infertility, or to induce ovulation, adding intrauterine insemination (IUI) and Femara together significantly improves chances for pregnancy.

Femara and Letrozole Dosing

• The most common dose of Femara is 2.5 mg per day on days five through nine of the menstrual cycle.


• Sometimes it is given in higher doses of 5 mg or 7.5 mg per day.

Risks and Side Effects of Femara

Report on Higher Incidence of Birth Defects

• Many physicians will not prescribe letrozole because of concerns from a 2005 report from some Canadian fertility doctors suggesting a possible higher incidence of birth defects in pregnancies from using letrozole.


• This study was from a small group of pregnancies and the study has been severely criticized for having an improper design.


• Femara is known to have a short half-life in the bloodstream and is given early in the menstrual cycle - several days before a fertilized embryo is present. It is believed that the drug has cleared from the system before the egg is fertilized. Therefore, it is puzzling as to what mechanism could be responsible for the drug causing birth defects.


• The manufacturer of letrozole sent a warning to doctors saying there are reported birth defects in children born after mothers took Femara. This may have been due to liability concerns (lawyers and financial risks for a drug company) rather than real science.


• The manufacturer of the drug has apparently not filed for FDA approval to use it for infertility. However, physicians often use medications in an "off label" way. When the off label use is safe and effective it is perfectly legitimate.

Is Femara Prescribed by Fertility Specialists?

• Some fertility specialists or gynecologists will not prescribe Femara


• Others will use it - after explaining to the patient that there has been concerns raised regarding the potential for increased rates of birth defects