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#machukm

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last day here... updates are on the air.. hope we can contribute progression to our fraternity... may Allah ease our journey.. #machukm #infertility #ivi7congress #bilbao #spain🇪🇸 @dr.maiza @ijah_ly

"Find a group of people who challenge and inspire you; spend a lot of time with them, and it will change your life." I do miss the trip and the companions... #tbpic #Barcelona #infertility #machukm @ijah_ly @dr.maiza

The Zumba Team @ Jay Z Aerobic Center. We had so much fun! Definitely gonna repeat this again next year😙
#hukm #fertiliti #machukm #upm #keepfit

The remembrance is priceless.. Tq to my Sifu..Prof Dato' Dr Zainul @mac_ukm
#machukm
#dahtuapundapatduitraya 🙊

@Regrann from @women.health2016 - Anda ada masalah kesuburan? Endometriosis? Ingin mengetahui nutrisi yang optimum untuk kesihatan wanita? Jom sertai kami :
💎27 November 2016, Ahad
💎8am-1pm
💎Klana Hotel Seremban
#ttccommunity #ttcmalaysia #endometriosis #machukm #Regrann

"The Oath of A Muslim Physician"
In the name of Allah, Most Gracious, Most Merciful. I render this Oaths in my Thy Holy Name & I undertake:
To hold human life as precious and sacred, and to protect and honour it at all times and under all circumstances in accordance with Thy law;
(The 3rd Oath)
#doctorsoath #rru #upm #ttcmalaysia #janjidoktor #machukm

@Regrann from @women.health2016 - 💎Panel 1: Dr.Maiza Tusimin "Fertility & Endometriosis"
Dr. Maiza atau lebih mesra dikalangan pesakit beliau sebagai Dr.Mai, merupakan Pakar & Pensyarah Kanan di Jabatan Obstetrik & Ginekologi, UPM. Beliau merupakan graduan pertama program doktor perubatan UPM & telah berkhidmat di sektor awam selama lebih 15 tahun. Beliau telah mendalami bidang SubKepakaran "Perubatan Reproduktif & Infertiliti" di mana beliau mencurahkan segala ilmu yg ada untuk merawat pesakit-pesakit yang mempunyai masalah untuk mendapatkan cahaya mata. Beliau aktif melibatkan diri di dalam forum kesihatan umum/wanita dan pernah dijemput sebagai panel oleh TV-Alhijrah untuk program Al-Quran & Sains membicarakan tentang "Emosi & Infertiliti dari Perspektif Islam". Beliau juga terlibat secata aktif di dalam penulisan artikel ilmiah dan media cetak.
Ikuti perkongsian beliau membicarakan tentang "Infertility & Endometriosis" di dalam forum awam pada 27 Nov 2016, Ahad, 9pagi @ Klana Hotel Seremban anjuran Jabatan O&G, Pusat Perubatan Universiti Kebangsaan Malaysia
#rruupm #machukm
#ttcmalaysia #forumawam #infertiliti #endometriosis #cahayamata #Regrann

"The Oath of A Muslim Physician"
In the name of Allah, Most Gracious, Most Merciful. I render this Oaths in my Thy Holy Name & I undertake:
To aqcuire the courage to admit my mistake, mend my ways and to forgive the wrong of others;
(The 8th Oath)
#janjidoktor #doctorsoath #rruupm #machukm #ttcmalaysia

2016.
Kurang 6 jam lagi 2016 akan ditinggalkan. Juga tanda berakhirnya kembara ilmu @mac_ukm.Alhamdullillah..tahun yang banyak meninggalkan kenangan manis dan kejayaan peribadi. @mac_ukm terukir sejuta memori yang akan terpahat kemas dihati. Terima kasih atas segalanya. May Allah bestow you @mac_ukm the same kindness you have bestow upon me.
#machukm#infertiliti #ttcmalaysia

MOST RECENT

15/11/2017...9:20am (waktu Vienna) kami selamat sampai di airport, 2 jam perjalanan dari Istanbul. Tunggu geng yg lain sampai dr London utk gerak sama2
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Punye le seronok sgt jalan ye sampai bulan pun salah. Tu tanda kena pegi lagi ni 😆😆😆🤪🤪🤪
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#vienna #austria #flughafenwein #viennaairport #safelyarrived #roadtovienna2017 #vienna2017 #kursussambilbercuti #familyholiday #isfp #isfp2017vienna #isfp2017 #machukm #reproductivecentremalaysia #macppukm #viennainnovember #freezingcold #sejuksampaiketulang

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CENTRAL OBESITY : Say Bye Bye👋👋 To Those Belly Fat
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'Abdominal obesity (or android obesity, central obesity or upper body obesity) is the form of obesity most likely to be associated with an altered risk factor profile contributing to an increased Cardiovascular Diseases & Type 2 Diabetes Mellitus risk' .
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#Jomkurus not just for beauty😉... but Optimum Health!

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Sharing some #awsome simple, do-it-at-home workout Vids from @kevinzahri

#jomkurus #jk1m #pcosdiva
#eatinggoal #keeponstriving #keepfit #infertiliti #obesiti #ttcwarrior #ttcmalaysia #machukm #rrupm #upm #mediputra #kesuburanwanita
@a5ri

Today is the day we have been waiting for. We havent heard any news about the thawing process, but assuming everything is on schedule, we hope they survive the thawing and ready to come home to mummy and daddy! "Ya Allah ease our journey, grant us what is best for us and keep us strong together." #fetday #fet #ivfmalaysia #hukm #machukm #hukmsc #profhashim

🔮3 days to FET #1
We are super excited and positive about this cycle. Although we had gone through a failed fet cycle due to our embryo didnt survive the thaw. But i believe n optimist that this batch is strong and healthy in the freezer and they just cant wait to come home to mummy! "Allah Al Mighty, to You we surrender and to You we seek refugee. We ask for what is best for us. We plan and You plan, but You are the best planner." ❤

#fet #ttcmalaysia #pcosmalaysia #ivfmalaysia #hukmsc #machukm #profhashim

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PROFERTIL : 10 Things You Ought To Know
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💎The unique of PROfertil®’s : combination of eight micronutrients
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💎The unique of PROfertil®’s : has been patented in Europe & it is the first male fertility pill to be made available in Australia for more than eight (8) years
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💎Composition : 💊 L-arginine 💊L-carnitine 💊Coenzyme Q10 💊Zinc 💊Folic Acid 💊Vitamin E 💊Glutathione 💊Selenium
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💎PROfertil® indications:
*In primary infertility
*In secondary infertility
*male preparation for vitro fertilization (IVF)
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💎Proven in clinical studies:
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*enhancing sperm quality🏋
*enhancing sperm motility by 23%🏊🏊 *improving sperm count, volume & morphology
*decreasing the risk of DNA fragmentation in sperm cells
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💎Hence, PROfertil® increases the possibility of successful conception and pregnancy for couples in which the male has been experiencing subfertility!
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💎PROfertil® is available as one-month supply (60 capsules) & as 3-month supply (180 capsules)
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💎It is recommended to take two capsules per day with some water, preferably with or after a meal
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💎PROfertil® should be taken for at least 3 months for optimum result
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💎Patient can repeat semen analysis after 3 month of PROfertil® consumption
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#profertil #siscuba #drmaisharing #keeponstriving #sharingiscaring #rrupm #machukm #ttcwarrior #ttcmalaysia #infertiliti #infertiliti #houseofficer #mediputra#malefertility #sperm #speed

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OVATEL : Get to know my advantages!
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💖I'm a Saliva ovulation test
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💖I help you to predict ovulation by pinpointing/identifying the estrogen surge most women 👸get just before the onset of ovulation
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💖 Each month your estrogen should build & cause a pattern to form when your saliva dries (ferning). This means that the egg you are making is becoming mature and ready for ovulation
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💖I reveal your 5 day fertile period ↔ improving your chances of conception
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💖I am 98% accurate – when used properly
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💖I am reusable & long-lasting
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💖I am 100% Natural… ideal for Natural family planning
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💖Just swipe a drop of saliva on my lense (best place to collect is from under the tongue) using the small stick provided
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💖Let dry completely (don't use hair dryer😂)
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💖Hold my lens to the light & view the images/patterns
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💖You can also simply place your phone camera over the lens of your ovatel, point the lens into the light and snap a picture📸
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💖If you are ovulating or coming up to ovulation, you can see the fern-like or crystal-like patterns on my lens
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💖Once this occur, it is recommended that couples have intercourse💏 once every day for the entire fertile period …usually 5 days. Healthy couples who do this will have higher chances of conceiving👶!
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💖 If you have not been seeing a onetime ferning pattern that lasts between 2-5 days, then you may want to talk to your doctor...you may have ovulatory issues

All the best #ttcwarrior
#Keep on striving

@mac_ukm
#notsalesrep #infosharingbydrmai
#fertileperiod #ttcian #sharingiscaring #rrupm #machukm #ttcmalaysia #infertiliti #infertilitiwanita #houseofficer #mediputra #medicupm #medicalstudent

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ESMYA : 10 Things You Ought To Know ----------------------------------------
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💎Active component : 5mg Ulipristal Acetate
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💎Esmya belongs to a group of medicine called Selective Progesterone Receptor Modulator (SPRM😉)
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💎Dosage : 5mg daily💊
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💎Esmya works by blocking🚫 the effects of the female hormone progesterone
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💎By blocking🚫 the receptors for progesterone, Esmya stops fibroid cells from multiplying & reduces the shedding of the uterus lining each month
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💎Esmya reduces the size of uterine fibroids & their associated symptoms, such as heavy periods & anaemia, before surgery to remove the fibroids
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💎Esmya tablets should be started in the first day of your menstrual cycle. One Esmya tablet should be taken once a day for up to three months (as directed by your doctor)
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💎The most commonly reported side effect: dizziness, hot flushes, acne, breast tenderness, lighter period or stop completely
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. 💎You should avoid drinking grapefruit 🍇juice or eating grapefruit while taking this medicine, as it could affect the level of the medicine in your blood
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💎 Esmya may make hormonal contraceptives such as the combined pill, mini pill and progesterone-releasing IUD (Mirena) less effective
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@mac_ukm
#infosharingbydrmai #eshre2017 #esmya #fibroid #siscuba #keeponstriving #sharingiscaring #rrupm #machukm #ttcwarrior #ttcmalaysia #infertiliti #infertilitiwanita #houseofficer #mediputra #drmaishare

Terima kasih sebab jemput kami datang makan.
Terima kasih daun keladi,
Lain kali jemput la kami lagi.

#dietkelaut #jomkurus #lepasnijomgantipuasa #meerebusmuar #lunch #selamathariraya #maafzahirnbatin #machukm #repromacppukm #staffgettogether #terimakasih #alhamdulillah

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Metformin & PCOS : 10 Things You Ought To Know
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💎Yes! It is a diabetic medication!
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💎Dosage : 500mg twice daily or 3 times daily
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💎Elevated ⬆insulin causes elevated testosterone, which causes PCOS ↔ Metformin lowers blood sugar levels! If blood sugar is lower ➡then insulin will be lower ➡ thus testosterone will be lower
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💎Metformin can help mitigate the symtpoms associated with PCOS such as acne and facial hair
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💎Metformin is not as effective as diet and lifestyle in the long run... so keep eating & living healthily!🏄🏋🏊🏃
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💎Every person’s PCOS is different – Metformin does not work for everybody😓
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💎The most commonly reported side effects of Metformin : nausea, cramps, bloating, discomfort, and diarrhea
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. 💎Metformin alone does not result in ovulation! So gotta combine it with Clomid!👫
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💎Kidney effect? Patient with kidney problem is forbidden from taking metformin🚫
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💎Metformin reduces↘ the risk of Ovarian Hyperstimulation Syndrom (OHSS) in PCOS patient undergoing IVF
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The End .
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. *references : European Society of Endocrinology / AES / PCOS Society Task Force Statement
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#pcos #siscuba #keeponstriving #sharingiscaring #rrupm #machukm #ttcwarrior #ttcmalaysia #infertiliti #infertilitiwanita #houseofficer #mediputra#metforminforpcos #insulinresistance

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Metformin & PCOS : Bhg 2
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Dr.M : Sebenarnya, PCOS is a 'diagnosis by exclusion'. Maksudnya..kita perlu siasat penyakit lain yg juga mempunyai symptom2 yg sama...tetapi implikasi & rawatan yg berbeza.
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Pn. H : Ada ke satu special test yg boleh diagnose PCOS?
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Dr.M : Hingga kini, tiada satu special diagnostik test yg specific utk PCOS. Diagnosis dibuat berdasarkan sejarah kitaran haid, ultrasound pelvis dan ujian darah. Ujian darah FSH, LH, testosteron atau DHEA dapat membantu utk membuat diagnosis
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Pn.H : So Dr ..apa ciri2 pesakit PCOS?
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Dr.M : Terdapat 4 JENIS (phenotypes) PCOS berdasarkan
Rotterdam-AE PCOS criteria:
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💎Frank PCOS : oligomenorrhea, hyperandrogenism & polycystic ovaries (PCO)
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💎Ovulatory PCOS : hyperandrogenism, PCO & regular menstrual cycles
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💎Non-PCO PCOS: oligomenorrhea, hyperandrogenism & normal ovaries
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💎Mild or Normoandrogenic PCOS : oligomenorrhea, PCO & normal androgens
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Pn.H : Ooo..pening jugak ye doc😂
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Bersambung... .
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. *references : European Society of Endocrinology / AES / PCOS Society Task Force Statement
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picture : scene from al-quran & sains, TV alhijrah

#pcos #siscuba #keeponstriving #sharingiscaring #rrupm #machukm #ttcwarrior #ttcmalaysia #infertiliti #infertilitiwanita #houseofficer #mediputra
#drmaishare

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Metformin & PCOS : Bhg 1
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Dr.M : Bukan semua pesakit PCOS perlu makan metformin.
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Pn. H : Jadi kenapa saya google, banyak info kata pesakit pcos perlukan metformin🤔?
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Dr.M : Begini, terdapat pelbagai penyelidikan klinikal mengenai fungsi metformin utk pesakit PCOS. Tetapi bukan bermakna semua pesakit PCOS perlukan metformin
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En.A : Jadi siapa yg betul2 perlu ambil metformin doc? Isteri saya perlu ke?
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Dr.M : Untuk isteri En, selain daripada mempunyai PCOS, Pn.H juga mempunyai masalah berat badan (obesiti). Jadi untuk permulaan rawatan kehamilan, Pn.H akan bermanfaat sekiranya mengambil metformin
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Pn.H : Dengan mengambil metformin , saya tak perlu ambil clomid ke doc ?
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Dr.M : Metformin & clomid mempunyai fungsi yg berbeza. Metformin bertindak sebagai 'insulin sensitizer' di mana ia membuatkan insulin menjadi lebih sensitif terhadap perubahan glucos dlm badan. Ini boleh menurunkan paras androgen & sekiranya digunakan bersama clomid, ia akan meningkatkan lagi respond ovari Pn. terhadap rawatan kesuburan.
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En.A : Maksud doc..steri saya hanya perlu makan metformin utk bantu kehamilan?
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Dr.M : Bukan begitu En, Pn.H masih perlu menurunkan berat badan, menjaga pemakan, bersenam & mengamalkan cara hidup sihat. Ini masih merupakan rawatan utama bagi pesakit pcos yg obese.
Saya juga akan prescribe clomid yg berfungsi utk merangsang ovari utk mengeluarkan folikel yg mengandungi ovum wanita.
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Bersambung... .
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*this is a personal opinion based on various meta analysis / journal & protocol review. Each patient is unique & management should be patient-tailored approaches.

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picture : scene from al-quran & sains, TV alhijrah

#pcos #siscuba #keeponstriving #sharingiscaring #rrupm #machukm #ttcwarrior #ttcmalaysia #infertiliti #infertilitiwanita #houseofficer #mediputra
#drmaishare

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Sharing is caring

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The bits & pieces
Of knowledge
That I acquired
From my journey of wisdom
I wanna share it
With my patient
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Because I care
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#siscuba #sharingiscaring #ttcmalaysia #ttcwarrior #infertilitywanita #machukm #rrupm #mediputra #houseofficer #keeponstriving

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Apa yang saya perlu tahu mengenai CLOMID
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💎Nama sebenar : Clomiphene Citrate
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💎Status : ubat kesuburan yang paling terkenal kerana ia adalah yang paling kerap digunakan
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💎Dalam bentuk pil
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💎Dos rawatan : Minimum 50mg, Maximum 150-200mg sehari (bergantung kpd protokol pakar yg merawat)
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💎Makan sehari sekali, pada hari pertama/kedua haid selama 5 hari (bergantung kpd protokol pakar yg merawat)
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💎Fungsi : menggalakan pertumbuhan folikel dalam ovari
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💎 Kesan sampingan yg biasa : pening, loya, perut kembung, rasa panas, perubahan emosi
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💎Kesan sampingan yang kurang baik : (1) mengurangkan kualiti mukus serviks ↔ menjadikan ia lebih pekat & boleh menyukarkan laluan kepada sperma untuk memasuki rahim. (2) menyebabkan lapisan rahim nipis dan kurang kondusif untuk implantasi
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💎Risiko anak kembar : kurang dari 10%
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💎Penggunaan lebih daripada enam kitaran adalah tidak digalakkan kerana kadar kehamilan yang menurun secara mendadak selepas 4 kitaran

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#pcos #siscuba #keeponstriving #sharingiscaring #rrupm #machukm #ttcwarrior #ttcmalaysia #infertiliti #infertilitiwanita #houseofficer #mediputra #drmaishare

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The Bitter Thruth About PCOS
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Doctor is just a Mediator

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It's up to Y.O.U to educate yourself and become empowered
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So... Take a step!

#pcosdiva
#pcos #siscuba #keeponstriving #sharingiscaring #rrupm #machukm #ttcwarrior #ttcmalaysia #infertiliti #infertilitiwanita #houseofficer #mediputra #upmpioneer #mediputra
#infosharingbydrmai

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Debunking The Myths Of PCOS : Part 1
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💎Myth 1 : All 👸 with PCOS Are Overweight

Fact : While PCOS and the resulting insulin resistance can lead to excess W.E.I.G.H.T and obesity, 30% of PCOS ladies are LEAN PCOS
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💎Myth 2 : PCOS Only Affects Women in Their 30’s & Beyond

Fact : PCOS does not discriminate based on age ! The medical community is now recognizing that the condition can affect 👸 of all ages, & even young adolescent girls!
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💎Myth 3 : All 👸 Who Have PCOS Have Ovarian Cysts

Fact : The name Polycystic Ovarian Syndrome is very MISLEADING!. PCOS is a hormone-related disorder. Ovarian cyst Do Not have to be present in order for the disorder to be diagnosed.
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💎Myth 4: 👸 Who Develop PCOS Cannot Have Children

Fact : The truth is that while PCOS can complicate conception and reduce your chances of pregnancy, it does not prevent you from having a baby. Management modalities involve lifestyle modification & Assisted Reproductive Technology (ART) can help you manage your condition and, as a result, achieve pregnancy when you are ready
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💎Myth 5 : There is No ❌ Cure for PCOS

Fact : This myth is technically true😢. There is no actual “cure” for PCOS. However, there are many treatments and lifestyle modification that can help you take control of the disorder. A proper diet, control of insulin and an active lifestyle can make a significant difference. For example, if you are insulin resistant due to your PCOS, you might be given a prescription called Metformin. Instead of letting your PCOS control you, these changes will help you control your PCOS!

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pictures credit : a.d.a.m, medicine.net

#pcos #siscuba #keeponstriving #sharingiscaring #rrupm #machukm #ttcwarrior #ttcmalaysia #infertiliti #infertilitiwanita #houseofficer #mediputra #oncall #drmaishare

. بِسْمِ اللهِ الرَّحْمٰنِ الرَّحِيْمِ

وَزَكَرِيَّا إِذْ نَادَى رَبَّهُ رَبِّ لَا تَذَرْنِي فَرْدًا وَأَنتَ
خَيْرُ الْوَارِثِينَ ﴿٨٩﴾
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Ya Tuhanku, Janganlah Engkau membiarkan aku hidup seorang diri, dan Engkaulah waris yang paling baik
Al-Anbiya {21:89}

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#keeponstriving#dontgiveup
#ttcmalaysia #infertilitiwanita #infertiliti #upm #rrupm #machukm

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SPERM : 10 Things I Need To Know About You

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💎I am produced in the TESTIS (factory) & later temporarily stored in the EPIDIDYMIS (store)
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💎I am being produced in approximately every 64- 72 days cycle
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💎My life is greatly influenced by my two "T" buddies ↔Testosterone & 🌡Temperature .
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💎Yes, I do need some superfood (micronutrient) to boost me ; Folic Acid, L-Carnitine, L-Arginine, Vitamin E, Zinc, Selenium, Glutathione, Coenzyme Q10
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💎My normal count is 15million/ml
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💎I need to move fast too... so that i can reach my destination in time.. (at least 32% progressive motility🏊🏊)
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💎Once released in the woman's reproductive tract (Miss V) I can survive for at least 3 days💪💪
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💎The fastest swimmer🏊🏊 i.e. sperm can reach the egg by 45 minutes.. while the slowest sperm will reach in about 12 hours😰
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💎Please don't kill 🔫me & slow me down with Cigarette🚭
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💎Please take care of your weight! Obesity is related to lower sperm count & slow swimmer!
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Keep on striving!

#siscuba #sharingiscaring #ttcwarrior #ttcwarrior #machukm #rruupm #infertilitilelaki #infertiliti #sperm #oligospermia #mediputra #medicstudent
#drmaishare

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"Before you give up ....think of the reason why you held on so long"
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#keeponstriving
#ttcwarrior #ttcmalaysia #machukm #rrupm #mediputra #mediputra #infertilitiwanita

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DIANE 35 : 10 Things I Need To Know About You
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💎Contains 0.035 mg ETHINYL ESTRADIOL ➕ 2mg CYPROTERONE ACETATE .
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💎CYPROTERONE belongs to a group of medications known as antiandrogens .
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💎Not ONLY designed for contraception .
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💎21 days active pills with 7-days pill-free interval .
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💎Good for cycle control & balancing of female hormones i.e FSH & LH .
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💎Reduction in BMI (body mass index) & Testosterone hormon .
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💎Beneficial for PCOS patients with acne problem and excessive hair growth .
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💎Diane 35 is superior to Metformin in reducing androgen & sex hormones binding globulin .
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💎Should NoT take Diane 35 if : known allergy, history of cholestatic jaundice, active liver diaseas, have or suspected breast cancer .
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💎common side effects : headache, breast pain, nausea, dizziness

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source: meta analysis, pubmed, ncbi

#siscuba
#sharingiscaring #ttcwarrior #ttcmalaysia #machukm #rrupm #mediputra #pcos #drmaishare #infertility #infertiitiwanita #houseofficer

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FOLLICULAR TRACKING
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The predicted follicular growth and endometrial thickness on a stimulated cycle
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*ovarian response varies in each patient depending upon age, cycle regularity, disease & stimulation regime

Reference : multiple journal review

#siscuba #sharingiscaring #ttcwarrior #ttcmalaysia #machukm #rrupm #mediputra #upm #uniputra #drmaishare #infertity

"Find a group of people who challenge and inspire you; spend a lot of time with them, and it will change your life." I do miss the trip and the companions... #tbpic #Barcelona #infertility #machukm @ijah_ly @dr.maiza

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Kembara Ilmu 1
May,2017
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7th IVI Congress : Reproductive Medicine & Beyond
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There's always hope...my dear patient
Have faith
Keep on striving
Will do my part
The best that I can
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#ivf #ivicongress #rrupm #mediputra #machukm #infertilitiwanita #ttcwarrior #ttcmalaysia

last day here... updates are on the air.. hope we can contribute progression to our fraternity... may Allah ease our journey.. #machukm #infertility #ivi7congress #bilbao #spain🇪🇸 @dr.maiza @ijah_ly

. .
To all #ttcwarrior
.
There are times when we feel like giving up
When hopes were just to far away
That's life darling
Yes...
Life is tough my darling
But so are YOU
.
.
#keeponstriving
#ttcwarrior
#ttcmalaysia #upm #rrupm #machukm #doayangbaikbaik

.
.
The TTC jargons
Make an effort to know your #ttcwarrior

_____

1 in 8 couples have infertility issues... but you are not alone. The best is yet to come!
_____

ttc = trying to conveive
bbt = basal body temperature
cd = cycle day
tww = two week wait
opk = ovulation predictor kit
cm = cervical mucus
dpo = day post ovulation
dpr = day post retrieval
dpt = day post transfer
bfn = big fat negative
bfp = big fat positive
_____
#keeponstriving #ttcmalaysia #ttcwarrior #infertilitiwanita #mediputra #upm #rruupm #machukm

.
Hikayat Hidup Si Folikel Ovari
____

OVARIAN RESERVE : FINAL
____

Puan W: Saya sudah bersedia untuk ke next level doc.. IVF
.
.
Dr.M: Baik Pn...insya allah saya cuba bantu..
.
.
Puan W: Dr rasa ...based on my AMH... boleh ke IVF saya berjaya?😥
.
.
Dr.M: Actually banyak faktor yg mempengaruhi kejayaan IVF. But one of if...jom kita tengok AMH level awak.. (refer 1st table).
Based on this table... insya allah your chances are good. But hopefully kita boleh optimise other faktor sebelum Pn menjalani rawatan IVF untuk tingkatkan lagi chances Pn...
.
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Puan W: Thanx Dr ...this is quite relieving...😍
____

The End
.
.
* 1ng/mL=2.25pmol/L
*1pmol/L=0.45ng/mL
#ovarianreserve #ttcmalaysia #ttcwarior #amh #infertilitiwanita #infertiliti #ivf #rrupm #machukm #uniputra #mediputra
#infosharingbydrmai

.
INSPIRATION.MOTIVATION
.
LEE WOMEN'S HOSPITAL, TAIWAN
_____

One of the best IVF centre in the world.
.
Has developed tremendously in service; first started in 1985 & now after 30 years has progress to do almost 3000 IVF cycles a year
.
The Laboratory is equipped with modern high tech instrument, more than 30 incubators, 10 embryologist and clinicians begin their work at wee hours ..as early as 5 am!
.
To make it more valuable, everyday they will have a journal review and teaching session.

_____

My dream. My vision.
Shariah-compliant IVF & Reproductive Centre.
_____

May Allah ease me in this journey to serve humanity.
May all the embryos that i transfered/involved in handling grew into a good soul & serving good to mankind.
.
.
#rrupm #machukm #fertility #ttcmalaysia #ttcwarrior #keeponstriving #needfunding

.
Hikayat Hidup Si Folikel Ovari
____

OVARIAN RESERVE : PART 2
____

Dr.M: How r u my dear?😊
.
.
Puan W: To be frank doc... I am soo anxious😥 sebelum saya tau result saya doc... selain dr pesakit endometriosis mcm saya...siapa lagi yg akan benefit dari test AMH ne?
.
.
Dr.M: Now.. be calm dear... Insya allah sye cuba explain as simple as possible😊... selain pesakit endometriosis, antara yg disarankan utk membuat ujian AMH :
1.pernah melalui rawatan kemoterapi
2.pernah melalui pembedahan ovari
3.berumur lebih daripada 35 tahun
4.pernah membuat rawatan ivf tetapi respond kpd ubat utk perkembangan folikel sangat rendah
.
.
Puan W: Oo....so apa benefit klu buat test AMH?😥
.
.
Dr.M: Dgn AMH, Dr fertiliti akan boleh menjangkakan respond ovari Pn kpd ubat kesuburan. & this can guide us to properly plan your treatment. Each patient is unique... so treatment should be tailored-made according to patient profile.
.
.
Puan W: Ok dr...I'm ready now.. so apa level AMH saya dr😓?
.
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Dr.M: Result Pn adalah 20... now cuba Pn lihat graf AMH ne (refer the 1st picture). Untuk umur Pn i.e 35 yrs ...value tersebut berada just above the green area..bermaksud ovarian reserve Pn masih mencukupi.
Lazimnya, wanita yg berumur 40 tahun ke atas mempunyai AMH yg rendah, & pesakit PCOS mempunyai AMH yg tinggi.
.
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Puan W: Does that means saya still ada chance utk buat IVF.
.
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Dr.M: Insya allah Pn...
.
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Puan W: Just curious doc.. kenapa pesakit PCOS mempunyai AMH yg tinggi..tapi sukar hamil?
____

To be continue...
.
.
* 1ng/mL=2.25pmol/L
*1pmol/L=0.45ng/mL
#ovarianreserve #ttcmalaysia #ttcwarior #amh #infertilitiwanita #infertiliti #ivf #rrupm #machukm #uniputra #mediputra #infosharingbydrmai

.
Hikayat Hidup Si Folikel Ovari
____

OVARIAN RESERVE : PART 1
____

Puan W: Dr... apa maksud Dr 'ovarian reserve' saya dah berkurangan?😓.
.
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Dr.M: Like this dear... wanita dilahirkan dgn lifetime supply telur (folikel) yg akan secara beransur-ansur berkurangan dgn peningkatan usia. In addition, pesakit endometriosis yg telah menjalani pembedahan cyst juga berisiko utk mengalami ovarian reserve yg rendah.
.
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Puan W: So, ada cara utk saya mengetahui tahap ovarian reserve saya?
.
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Dr.M: Saya cadangkan Pn buat ujian AMH = Anti-Mullerian Hormon. AMH adalah hormon yang dirembeskan oleh sel-sel telur (folikel) yg sedang berkembang.Tahap AMH dlm darah wanita umumnya adalah petunjuk yg baik utk mengetahui ovarian reserve beliau.
.
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Puan W: I c.. so boleh saya buat ujian tu hari ne? Hari ni adalah hari ke 5 period saya.
.
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Dr.M: Boleh Pn. AMH tidak berubah semasa kitaran haid, jadi sampel darah boleh diambil pada bila-bila masa. So Pn ambil darah hari ni & kita discuss mengenai result AMH Pn minggu pd appoinment berikutnya ye?
.
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Puan W: Ok doc.. thanx for your lenghty explanation.
.
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Dr.M: My pleasure dear... see you next week. Take care😊
____

To be continue....
.
.
@mac_ukm
#ovarianreserve #ttcmalaysia #ttcwarior #amh #infertilitiwanita #infertiliti #ivf #rrupm #machukm #uniputra #mediputra
#drmaishare #houseofficer

.
بِسْمِ اللهِ الرَّحْمنِ الرَّحِيمِ.
.
"A Pilot Study On The Treatment of Patient With Non-Obstructive Azoospermia (Johnsen's Score 2-7) Using Testicular Injection of Autologous Platelet-Rich Plasma"
.
FRGS grant 2017 evaluation.
RMC : Highly recommended.
Semoga nawaitu untuk membantu pesakit Azoospermia dipermudahkan.
Semoga ada sinar untuk pesakit-pesakit Non-Obstructive Azoospermia (NOA)
.
Next project : Stem cell for NOA .. insya allah.
.
Keep on striving TTCwarrior!
.
#azoospermia #ttcwarrior #infertilitilelaki #infertiliti #rrupm #mediputra #medicupm #uniputra #upm #machukm #ivf

E.M.B.R.Y.O.T.R.A.N.S.F.E.R
.
Getting ready for the big day tomorrow👰?
.
Sending my 💝, 💋 & prayers to all #ttcwarrior
.
Here's my 10 Tips For A Successful Embro Transfer: (PRE-transfer)
.
💎Chillex my dear!
Don't be drowned by your own emotional roller-coster! Remember... women is governed by hormones! So it's time to take charge ladies!👸
.
💎Dear Hubby💑..please pray for your wife😉! Your blessing is very very essential😘!
.
💎Ask forgiveness from your parents👪, parents-in-law & of course your darling husband & don't forget to forgive others before you sleep! #spreadthelove
.
💎Accupuncture🤔? Why not...
It worth a try...especially in ladies with multiple implantation failure. Just make sure you go to an accupuncture centre which practice strict cleanliness!
.
💎Folic acid a day... couldn't leave home without it😉
.
💎Hi5🤗 to plain water & bye bye to caffein☕ & alcohol!
.
💎Say bye bye to your Channel EDT😷!
-Lay of those SCENTED STUFF-
Avoid anything strongly perfumed and keep toiletries to a minimum. This is becasue some products contain parabens which interfere with oestrogen receptors. Also because your embryo needs to come into a body that is calm and familiar. Strong products can spike the immune system and put it on the alert!
.
💎Smoking🚬...is a definite No!No📛❎. Also avoid being a passive smoker!😷
.
💎Tuck in bed a little bit early my dear...Tomorrow is your big day😘. #staycalmandsleeptight
.
💎Think positive😊! Never doubt yourself. & above all ...never ever doubt on HIM The Almighty. HE knows what's best for you.
.
All the best! #Keep all the positives vibes flowing in the air!
#keeponstriving #ttcwarrior #rrupm #mediputra #machukm #ivf #baby #infertility #ttcmalaysia

.
.
✋I need to constantly reminding myself
✋No matter where I end up

بِسْمِ اللهِ الرَّحْمٰنِ الرَّحِيْم
.
"ِ ........Dan semoga Allah menjadi saksi atas sumpah ini"
.
Pacakkan hatiku ke tanah.
.

#janjidoktor #doctorsoath #beratsungguhtanggungjawab #taktertanggung #ttcmalaysia #ttcwarrior #rruupm #upm #uniputra #machukm #ilovemypatients #helpmetohelpyou #constantselfreminder

.
From My Dear Patient
(you know who you are😘)
.
You know that wonderful😊, warm-fuzzy feeling that comes over you when someone goes out of his or her way to spoil you or express his or her appreciation towards you? This undescribable☉☄⛅🙃, over-the-rainbow🌈 feeling is even better than watching DSH (no offence DSH 😉)!
.
Thank you so much my dear patient! YOU👉 definitely made my day!
.
I'm lost for words!
.
It's HIM .. who made this possible for you! #alwayshaveandalwayswill
.
Take care & may Allah ease your journey to parenthood😚
.
* Cake was marvelous🎂!@tortebylinda
.
#ttcwarrior #ttcmalaysia #eduputra #rrupm #machukm #infertilitimalaysia #mediputra #upm #ilovemypatient #itsthethoughtthatcount

.
.
✋Selamanya
✋Hingga hujung nyawa
✋Terikat dengan sumpah & janji

بِسْمِ اللهِ الرَّحْمٰنِ الرَّحِيْم
.
"ِ ........Dan semoga Allah menjadi saksi atas sumpah ini"

#janjidoktor #doctorsoath #beratsungguhtanggungjawab #taktertanggung #ttcmalaysia #ttcwarrior #rruupm #upm #uniputra #machukm #helpmetohelpyou #constantselfreminder

💎Jom Target Berat Badan Ideal!

Penambahan berat badan tidak hanya akan membuatkan dress @minaz.my anda berasa lebih ketat atau kurta @bellaammara anda terasa kecil. Tetapi ia juga mengundang satu lagi masalah besar dalam kehidupan rumah tangga... iaitu INFERTILITI .
.
💎Kenapa?
Hormon wanita juga dihasilkan oleh sel-sel lemak melalui proses 'aromatisation'. Pertambahan berat badan akan menyebabkan ketidakseimbangan hormon wanita. Sel-sel lemak yg berlebihan ini akan menghasilkan satu aliran hormon estrogen yg berterusan
.
.
💎Kesannya?
Ia hampir sama seperti anda sedang mengambil pil kawalan kehamilan dos rendah!! Dan semestinya keadaan ini menghalang ovulasi😔 .
.
💎Berat badan yang berlebihan juga meningkatkan risiko untuk mendapat sindrom polycystic ovari (PCOS), satu keadaan yang kompleks di mana ketidakseimbangan hormon menyebabkan wanita menghasilkan terlalu banyak testosteron (hormon lelaki) yang boleh menghalang ovulasi .
.
💎Body Mass Index / Jisim tubuh ideal (BMI) melebihi 30kg/m2 akan mengurangkan 50% peluang untuk hamil bg wanita yg menjalani rawatan IVF .
.
💎Bagi setiap unit kenaikan BMI melebihi 29kg/m2, kadar kebarangkalian untuk hamil menurun sebanyak 4% .
.
💎Pengurangan berat badan secara berperingkat sebanyak 5-10% akan memulihkan kitaran haid, meningkatkan peluang ovulasi sebanyak 50% dan seterusnya meningkat peluang untuk hamil secara semulajadi .
.
💎Jadi?
Jom target berat badan ideal!
.
.
. *Rujukan: ESHRE / academy of medicine /ASRM
#therunningdivamalaysia2017 #keeponstriving #keepfit #infertiliti #obesiti #ttcwarrior #ttcmalaysia #machukm #rrupm #upm #mediputra #kesuburanwanita

Program Kesedaran Kesihatan @ JKR HQ K.L.
Tajuk : Kesuburan : Lelaki VS Wanita.
Bersama team Hospital Pakar An Nur.
Semoga sedikit sebanyak dapat memberi pencerahan, panduan dan ilmu yg bermanfaat kepada peserta program.
Terima kasih Kelab Sukan CPPK di atas undangan sebagai Penceramah Jemputan.
Terima kasih daun keladi, ada program jemputlah lagi😉. #jkr #cppk kelabsukan #ttcmalaysia #machukm #rruupm #uniputra #medicupm
#upmed #ttcwarrior #infertiliti

بِسْمِ اللهِ الرَّحْمٰنِ الرَّحِيْمِ

IKRAR PENGAMAL PERUBATAN MUSLIM : IKRAR 6 "Saya bersumpah demi Allah yang Maha Agong

Untuk memuliakan Guru saya, mengajar mereka yang lebih muda daripada saya dan menjadi saudara kepada semua rakan dalam profesion perubatan bekerjasama dalam kebaikan dan ketaqwaan

Dan semoga Allah menjadi saksi atas sumpah ini"

#janjidoktor #doctorsoath #beratsungguhtanggungjawab #taktertanggung #ttcmalaysia #ttcwarrior #rruupm #upm #uniputra #machukm #helpmetohelpyou #constantselfreminder

.
PERMANIAN BERADAS : Bahagian 2
.
💖Adakah Jumlah Sperma Penting Untuk IUI? 
Menurut WHO, jumlah sperma yang normal adalah >15 juta. Untuk prosedur IUI, sekurang-kurangnya 3 juta sperma yang bergerak diperlukan. Sekiranya jumlah sperma lebih rendah, peluang untuk kehamilan juga rendah.
.
💖Apakah faktor yang menyebabkan IUI gagal?
.
#faktor umur pasangan
.
#telur & sperma yang kurang berkualiti
.
#kedaan dinding rahim yang tidak kondusif untuk penempelan embryo
.
#saluran fallopian yang tidak berfungsi
.
#fungsi ovari yang merosot
.
💖Apakah risiko rawatan IUI ?

Secara umumnya, rawatan IUI adalah selamat, tidak invasif dan kadar kos yang rendah berbanding IVF.
.
Risiko :
- syndrome superovulasi ovari (Ovarian hyperstimulation syndrome)
-kandungan luar rahim (ectopic pregnancy)
-mengandung kembar lebih daripada 2 (higher order pregnancy.
.
.💖All the best!Keep on striving😘
.
@mac_ukm

#keeponstriving
#ttcwarrior #ttcmalaysia #rruupm #machukm #iui #upm #uniputra #infertiliti #iuibaby #drmaishare

.
PERMANIAN BERADAS: Bahagian 1
.
💖IUI merupakan rawatan kedua terakhir sebelum pasangan yang mempunyai masalah infertiliti dicadangkan pilihan terakhir iaitu rawatan IVF (In-vitro Fertilization / bayi tabung uji)
.
💖Antara pasangan yang sesuai menjalani kaedah IUI: .
-mempunyai masalah infertility yang tidak dapat dijelaskan (unexplained infertility).
-pasangan lelaki anda mengalami mati pucuk.
-pasangan lelaki mempunyai masalah sperma (kurang aktif/ tidak normal/jumlah sedikit).
-pasangan yang masih tidak berjaya hamil walaupun telah diberikan ubat rangsangan telur seperti Clomid.
-pasangan wanita mengidap penyakit endometriosis stage 1 tetapi saluran fallopian tidak tersumbat.
.
💖 Apakah kadar atau peluang kejayaan dengan IUI? .
Adalah sukar untuk menilai kadar kejayaan untuk IUI kerana kejayaan bergantung kepada punca kemandulan, umur pasangan dan ubat kesuburan yang digunakan untuk merangsang pengeluaran telur.
Secara umumnya :
.
15-20 % untuk wanita yang berusia di bawah 35
.
11% bagi wanita berusia antara 35-39
.
4.7% bagi wanita berusia antara 40-42
.
1.2% bagi wanita berusia antara 43-44
.
Lebih muda wanita berkenaan lebih tinggilah peluangnya untuk berjaya hamil. Kadar kejayaan juga meningkat dengan bilangan IUI yang seterusnya secara berturut-turut. Rawatan cara IUI boleh diulang, mungkin di antara 3-6 kali. Sebaiknya dilakukan selang 1-2 bulan.
.
Sekiranya gagal hamil setelah beberapa percubaan, doktor anda mungkin akan mencadangkan prosedur seterusnya iaitu IVF.
.

All the best!Keep on striving😘
.
.

@mac_ukm
#keeponstriving
#ttcwarrior #ttcmalaysia #rruupm #machukm #iui #upm #uniputra #infertiliti #iuibaby
#drmaishare

بِسْمِ اللهِ الرَّحْمٰنِ الرَّحِيْمِ

IKRAR PENGAMAL PERUBATAN MUSLIM : IKRAR 5 "Saya bersumpah demi Allah yang Maha Agong

Untuk berusaha mencari ilmu dan menggunakannya bagi kemanfaatan dan bukan kebinasaan manusia

Dan semoga Allah menjadi saksi atas sumpah ini"

#janjidoktor #doctorsoath #beratsungguhtanggungjawab #taktertanggung #ttcmalaysia #ttcwarrior #rruupm #upm #uniputra #machukm #helpmetohelpyou #constantselfreminder

.
.
#KEY FACTS OF OVULATION#.
.
💎Each women is born with approximately 1- 2 millions of immature eggs
.
💎By menarche, only about 300,000 eggs remain
.
💎Of these, only about 500 will be ovulated during a woman's reproductive lifetime
.
💎Occur approximately on Day 14 of menses in a normal 28-day-cycle women
.
💎Normally only 🗓 egg is released each time of ovulation
.
💎Ovulation can be affected by stress and illness
.
💎Ovulation can occur even if a menstrual period has not occur
.
💎Implantation of a fertilized egg normally takes place approximately 6 days after ovulation
.
💎If an egg is not fertilized, it disintegrates and is absorbed into the uterine lining
.
#ttcmalaysia #ttcwarrior #upmedical #uniputra #rruupm #machukm #infertiliti
#drmaishare

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