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#machukm

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It's a blessing to be part of a wonderful team.
51 days to go😯
#machukm #hukm #rru

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

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

"Wahai Tuhan kami! Janganlah Engkau memesongkan hati kami sesudah Engkau beri petunjuk kepada kami, dan kurniakanlah kepada kami limpah rahmat dari sisiMu; sesungguhnya Engkau jualah Tuhan Yang melimpah-limpah pemberianNya" (A-li 'Imran : 8)
11.01.17.
Antara azam 2017...berkongsi sebanyak ilmu yang mungkin dengan pesakit2 tersayang💖
Insya Allah..
#ttcupm #ttcm #infertiliti #rruupm #machukm

"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

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

Ending the year 2016 with the final oath. Bismillah..
"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 be ever-conscious of my duty to Allah and His Messenger (S.A.W) and to follow the precept of Islam in private & in public ;
O Allah grant me the strength, patience and dedication to adhere to this Oath at all times
(The 9th Oath)
#janjidoktor #doctorsoath #rruupm #machukm #ttcmalaysia

"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

MOST RECENT

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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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