Monday, March 21, 2011

Rawatan kesuburan perlu korban

Rawatan kesuburan/ kemandulan untujuan dapatkan zuriat memang perlu banyak pengorbanan tenaga, masa, wang ringgit dan perlu kesungguhan, ketabahan dan kesabaran. Ada pasangan yang telah kahwin selama 2-3 tahun belum hamil dan bila buat temu janji untuk pemeriksaan dan rawatan kesuburan, tiba2 didapati hamil secara spontan . Begitulah kuasa Allah SWT bila sampai waktunya dan dengan kehendakNya jadilah makhluk mengikut perintahNya ' kun fayakun'

Ada pula yang bertahun2 berusaha dengan menjalani berbagai jenis ujian dan rawatan dengan banyak doktor2 pakar serta berbelanja terlalu banyak jumlah wang, tetapi masih gagal juga untuk hamil. Munkin tidak ada rezeki . munkin ada hikmah terbaik dengan kaedaan tanpa zuriat, hanya Allah sahaja yang mengetahui.

1.  Jangan putus asa, teruskan usaha dan rawatan, berdoa dan mohon dari AllahSWT untuk dapat zuriat

2.  Kuatkan azam dan kesungguhan khususnya untk mengawal berat badan dan amount makanan yang mengadungi  karbohaidret dan manisan gula. Ini sangat penting kerana bila berat badan naik, kesuburan menurun. Ini sagat relevan dengan pesakit2 PCOS. Kebanyakan pesakit PCOS gagal mengurangkan berat badan. Ikuti free weight loss program


3. Amalkan exercise/riadah  - amalan  ini adalah sangat penting untuk membakar lebihan gula yang bolih ditimbukan  sebagai lemak dan kesannya menambah berat badan. Riadah juga memberi ketenangan minda dan jiwa. Segala stress dan tension akan dapat dikurangkan atau hapuskan sama sekali dan kesannya meningkatkan kesuburan.Ikuti Fertily exercise


Fertility Yoga

4. Amalkan catit suhu BBT untuk mengesan waktu subur/ ovultion dan tentukan ada hubungan waktu subur

5. Makan yang berkhasiat , makanan segar dan mentah (buah2 , sayur dan ulam). Lauk2 /perotin dari daging, ayam ikan yang segar dan tidak diperoses. Jauhkan makan yang diperoses, yang mengandungi pengawet , perisa dan pemanis, termasuk fast dan junk foods.

6. Jika ada penyakit saperti endometriosis, fibroid dan PCOS dan doktor cadang untuk dibedah , jangan takut kerana pembedahan adalah salah saatu kaedah rawatan untuk kesuburan yang berkesan.

7. Rawatan kesuburan dengan apa kaedah pun - secara ubatan, IUI, IVF atau bedah memerlukan belanja kewangan yang banyak. Malangnya majikan tidak bolih membiayai kesemuanya, munkin kalau ada peyakit endometriosis, fibroid atau PCOS, pihak majikan atau insurance bolih biayai pebelanjaan tetapi untuk IUI dan IVF  pesakit perlu bayar sendiri.

8.  Suami isteri perlu berkerja sama dan sepakat untuk berusaha menjalni pemeriksaan, ujian dan berbagai kaedah rawatan kesuburan.

9.  Kaedah rawatan tambahan/alternatif saperti acupuncture, bekam, urut dan supplement2 tambahan termasuk herba dan antioxidants bolih diambil bersama2 rawatan perubatan moden.

Insyaallah berkat ketabahan anda, suatu hari kelaka Allah akan kurniakan zuriat.

Wednesday, March 16, 2011

Kuruskan untuk subur

Rahsia Kurus Badan 



Usaha untuk mengurangkan berat badan bagi pesakit PCOS adalah sangat penting untuk mencapai kejayaan, iaitu menjadai hamil. Biasanya saya beri pengidap2 PCOS ubat kurus badan, ubat kurangkan gula dan ubat imbangkan hormon. Tapi malangnya kadar kejayaan kuruskan badan amat mengeciwakan. Sedikit saja yg berjaya maknya dapat kurungkan 10% dari tahap berat asal

Malah ada pula yg meningkat berat badan walau pun makan ubat2 supplement yg saya beri. Sungguh menghampakan.

Sebenarnya faktor terpenting dalam usaha kuruskan berat badan ialah Pengurangan makanan pada keseluruhan, khusnya pemakanan yg mengadungi karbohaidret dan gula. Contoh2 makanan tersebut ialah, nasi , mee, roti canai, spageti, coklat, ais krim, kueh2, cookies dan banyak lain2. Makan ini semuanya patut dikawal ketat, makan sedikt saja jangan lebih atau tambah.

Masalah pokok ialah tabiat makan yg tak terkawal, mereka ini didepan orang makan sikit, rasa malu, tapi belakang orang makan bertambah2. Waktu menonton TV atau berehat makanan sampingan junk foods tak putus2 dikonyah. Orang gemok sebenar terlebih makan daripada apa yg diperlukan olih badan untuk kegunaan tenaga, repair sel dan tisyu dan pertumbuhan organ.

Mereka juga makan telalu cepat , belum sempat makan jadi lumat ketika dikonyah dalam mulut sudah ditelan. Ini tabiat tak baik. Biasa kantung perut akan menghantar signal keotak yg ia dah penuh / kenyang, Tapi ada tempoh jarak waktu atau lag time lebih kurang 20 minit. Olih itu orang tabiat makan slow2 dan konyah makanan perlahan2 tidak akan terlebih makan.

Orang gemok ada lah dalam keadaan 'self denial', mereka tak akan mengaku makan banyak. Ini adalah satu keadaan yg memerlukan bantuan ahli pakar saikoloji. Mereka memerlukan counselling dalam mengatasi situasi ini

Ikuti "Program Ramping' anjuran Klinik saya , sila hubungi Nini Hadi melalui Facebook. atau staff Klinik Dr Hamid Arshat

Tuesday, March 15, 2011

Lendir cervix dan kesuburan

Ciri2 lendir cervix pada hari penetasan telor/ovulation.





Lendir pandkal rahim jernih dan banyak  , rupa saperti putih telor dan bila dipegang anatara dua jari ia bolih dijalurkan tanpa putus.


Bila dipadankan dengan carta BBT, ada kaitan dengan waktu penetasan telor/ovulasi




Perhatikan ciri2 lendir mulai dari hari ke10 (dikira dari hari pertama haid) , pengeluarannya makin banyak , jernih, saperti putih telor dan bolih dijalurkan tanpa putus dan pada waktu penetasan telor ia paling banyak keluar dari faraj. Kadang kala disertai dengan rasa senak dibawah perut/ari2 kerana ketika itu telor sedang menetas/ovulation. Ketika ini juga suhu BBT akan menurun, menandakan ovulasi. Ini lah waktu terbaik untuk mengadakan hubungan dengan suami untuk hamil.


Lendir yang cair dan jernih adalah sangat penting untuk membolihkan sperma2 menembusinya untuk masuk kedalam rahim. Dipercayai ketika sperma2 melalui lendir cervix  , mereka memperolihi daya 'capacitance' atau kemampuan untuk bercantum dengan telor/ovum.

Beberapa hari selepas penetasan telor/ovulation, lendir cervix bertukar menjadi pekat dan keladak dan ia tidak bolih lagi ditembusi olih sperma2. Begitu halnya jika ada jangkitan kuman dalam faraj atau pada cervix, lendir bolih dicemari olih kuman2 dan sel2 inflamasi dan munkin perubahan berlaku pada lendir cervix menyebabkan sukar untuk ditembusi olih sperma2. Cervical erosion, cervicitis dan infeksi vagina bolih menggaggu kecairan lendir cervix waktu ovulasi.


Fertile Cervical Mucus

How to Check For Fertile Cervical Mucus to Predict Ovulation


Ovulation and Cervical Mucus

As ovulation approaches, your cervical mucus (sometimes abbreviated on BBT charts as CM) changes from a consistency not-so-kind to sperm, to a more fertile variety that sperm can survive and swim through better. Right after ovulation, the cervical mucus changes back to the less fertile kind.
While everyone's body is different, the general changes that cervical mucus go through are dry or sticky, to creamy, to wet, to a raw egg white consistency, and then, back to dry and sticky.
When your cervical mucus is in the wet or egg white consistency stage, ovulation is approaching. This is the best time to have sex, if you want to get pregnant.

How to Check Your Cervical Mucus:

  1. First, wash and dry your hands well.
  2. Find a comfortable position, either by sitting on the toilet, squatting, or standing up and putting one leg up on the bathtub edge or toilet seat.
  3. Reach one finger inside your vagina; your index or middle finger is probably best. (Be careful not to scratch yourself.) Depending on how much cervical mucus you're producing, you may not need to reach so far, but getting a sample from near your cervix is ideal.
  4. Remove your finger from your vagina and observe the consistency of whatever mucus you find. Do this by both looking at the mucus and rolling what you find between two fingers (usually your thumb and index finger). Also, try pressing your fingers together and then slowly moving them apart.
    • If what you find seems sticky, or findings are scant, you're probably not ovulating yet.
    • If what you find is creamy, ovulation may be coming, but not just yet.
    • If what you find is wet, watery, and slightly stretchy, ovulation is very likely close. Find time for some baby-making sex.
    • If what you find is very wet, stretches between your fingers for an inch or more, and resembles raw egg white, your cervical mucus is very fertile. Ovulation is right around the corner, and now is the ideal time for intercourse.
  5. If you are charting your BBT, you should mark down on your chart your cervical mucus findings. Abbreviations often used are S for sticky, C for creamy, W for wet, and EW for egg-white cervical mucus.

Tips:

  • Don't check your cervical mucus during or right after sex, or when you're feeling sexually aroused.
  • You can also check your cervical mucus by looking at the toilet paper or your underwear, but sometimes you can get a better sample by reaching inside, as described above.
  • If you have trouble finding anything, checking your cervical mucus after a bowel movement may be easier. (Don't forget to wash your hands well.)
  • Some women, especially those with PCOS, have several patches of fertile-looking cervical mucus throughout their cycle. If this is your situation, predicting ovulation by tracking cervical mucus might not work well for you. Taking your BBT will help you pinpoint which patch of fertile mucus was related to ovulation.
  • Some drugs, including antihistamines and, ironically, Clomid, can dry up your cervical mucus. In this case, you might not find as much fertile cervical mucus before ovulation.
  • If you never or rarely notice wet or egg-white consistency cervical mucus, let your doctor know. Infertility can sometimes be caused by something referred to as hostile cervical mucus.
  • Some women notice that their cervical mucus becomes wet or almost egg-white like again right before menstruation. Obviously, this isn't a sign of impending ovulation.
  • A day or two after sexual intercourse, you may confuse semen with wet cervical mucus. With experience, you can learn how to differentiate the two. But for the purposes of getting pregnant, assume that you may be approaching ovulation and mark your



D&C dan kesuburan



Orang mengaitkan cuci rahin atau D&C hanya untuk tujuan merawat keguguran. Sabenarnya D&C ada banyak peranana lain saperti:
1. Mengatasi perdarahan dari rahim, biasa berlaku pada wanita umor empat puluhan, yang berpenyakit fibroid atau adenomyosis, gangguan hormon.
2. Buat diagnosis untuk mengesahkan kanser rahim atau lainnya.
3. Untuk merawat kemandulan dan  sukar hamil.
4, Lekat uri lepas besalin.

Biasanya selepas menjalani xray HSG, lebih kurang 30% akan hamil dalam tempuh 3-6 bulan jika benih suami normal dan saluran fallopian terbuka lepas HSG. Jika masih belum hamil lagi dalam tempuh itu , saya cadangkan  prosedur D&C dan hydrotubation. Ia dilakukan lepas haid dan perlu diberi bius umum (pesakit tidur)

Bagaimana D&C dan hydrotubation bolih meningkatkan peluang hamil?

1. Dalam prosedur ini saluran pintu rahim perlu dibesarkan (dilatation) dan ini akan mumudahkan benih2 suami masuk kedalam rahim.
2. Dinding rahim atau lapisan endometrium perlu dikikis dan dibersihkan. Biasanya ada berlaku penebalan lapisan ini sebab ia tidak luruh kesemuanya ketika haid, dan lama2 ia bertimbun/menebal menjadikan 'endometrial hyperplasia' atau 'endometrial polyp' yang munkin menyukarkan embryo melekat/implant dalam lapisan endometrium. Lepas D&C, lapisan baru akan dibentuk dan ini munkin memudahkan peroses implantation embryo.
3. Dalam prosedure ini juga saluran fallopio akan diperbesarkan dalam prosedur 'hydrotubation' dan ini memudahkan perjalanan benih2 suami bergerak menuju ke muncung saluran fallopio dimama percantuman benih dan telor/ovum berlaku.

Prosedur ini dijalankan sebagai 'day surgery' , hanya perlu masuk day surgical center hanya separuh hari sahaja. Pesakit datang pagi dengan berpuasa sejak tengah malam. Prosedur dilakukan dengan bius am (pesakit tidur) dan 2-3 selepas itu ia bolih pulang.

Talipon staf klinik sejurus lepas habis haid dan prosedur ini biasanya dilakukan 2- 3 hari lepas habis haid tetapi sebelum subur.

Tiada patang larang khas lepas itu, hanya ia perlu tidak mengadakan hubungan dengan suami selama seminggu. Makanan mengikut sajian biasa dan vitamin supplemen perlu diteruskan

Bagaimana peluang hamil ?
Purata antara 20 - 30 % pesakit yang menjalani prosedur ini akan hamil dalam tempoh 3 - 6 bulan.

Kos prosedur D&C dan Hydrotubation termasuk bius RM 1500 - 2000

Untuk mengetahui selanjutnya hubungi klinik

Saturday, March 12, 2011

Herba dan vitamin untuk subur




Tahap kesihatan yang baik adalah penting untuk meningkatkan kesuburan dan untuk wanita selamat menjalani peroses kehamilan dan kelahiran. Peranan vitamin dalam penjagaan kesihatan tubuh badan memang telah diketahui umum. Vitamin meningkatkan immunity atau ketahanan badan untuk melawan penyakit dan menangkis serangan berbagai jeniis kuman yang merbahaya.

Vitamin bertindak untuk mempertahan keutuhan sel2 dan serta mencegah kerosakkan. Terdapat banyak jenis vitamin2 saperti A, B ( B1 - 12), C , D. E, K dan setengah vitamin penting bagi fungsi organ yang khusus saperti Vit A adalah penting bagi kesihatan mata dan penglihatan. B6 dan B12 penting bagi sistem urat saraf.

Apakah vitamin2 dan logam2 yang penting bagi sel2 benih dan peranakan?







 Here is information we've collected about how the various vitamins, minerals and herbs affect fertility. As with all use of any of these products, please check with your doctor as to how they might affect you.

Vitamins and Minerals for Fertility
Vitamin C and Fertility:
According to a study conducted at the University of Texas Medical School at Galveston, insufficient amounts of vitamin C in a man’s diet can lead to agglutination of sperm. Agglutination occurs when sperm cells clump together, thus inhibiting maximal progression or movement of the sperm. According to Dr. Earl Dawson M.D., Ph.D., associate professor at the U of Texas at Galveston, vitamin C is also helpful in smokers who have increased amounts of abnormally formed sperm. Cigarette smoke is absorbed through the lungs and enters the circulatory system (bloodstream). Once the toxins reach the bloodstream they find their way to the semen and this can lead to less than optimal sperm count and function. It is believed that vitamin C helps to neutralize the toxic effects of cigarette smoke on the sperm. When sperm stick together (a condition called agglutination), fertility is reduced. Vitamin C reduces sperm agglutination,(3) increasing the fertility of men with this condition. The recommended dietary allowance (RDA) for vitamin C is 60 milligams per day for an adult male. According to Dr. Dawson intake of 200 to 1000 milligrams per day had a beneficial effect on sperm.
Women should avoid megadoses of vitamin C because it can dry up cervical fluid, preventing sperm from reaching the egg. Limit the amount you take to the dose included in your prenatal vitamin.


Vitamin E and Fertility:

Vitamin E Essential for fertility and reproduction. Deficiency in rats has shown that it leads to absorption in the female and loss of fertility on the male. This potent antioxidant plays important roles in male sperm production. It is known that a lack of vitamin E inhibits the formation of sperm. Low vitamin E levels can cause a decline in the formation of key sex hormones and enzymes responsible for sperm production.. Although potency is not affected, fertility is improved due to its protective effect on sperm cell membranes. Supplementation with Vitamin E may also aid in improving sperm motility. Dose: 400 IU daily. Talk to your doctor prior to starting Vitamin E, particularly if you are currently taking aspirin or other blood thinners.

Selenium:

A study conducted at the University of Padua in Italy and published in the Journal Science states that a diet low in selenium could be a cause of male infertility. Selenium acts to help prevent oxidation of the sperm cell, thus aiding in maintaining sperm cell integrity. Good sources of selenium can be found in red meat, liver, brazil nuts, almond and seafood. The recommended dietary allowance (RDA) for selenium is 70 micrograms/day for an adult male.

Zinc:
This mineral is involved in over 200 proteins and enzymes and is essential for male fertility. Zinc is involved in the activation of key sperm enzymes, and moves into the prostate with the assistance of testosterone. A lack of zinc causes a lowering of testosterone, shrinks testicle size and produces misshapen and less healthy sperm, among other negatives. Upon restoring a daily dose of 15 milligrams, testosterone and sperm count levels rebounded to acceptable levels within 12 months. Take zinc with a full glass of water.

Herbs for Fertility

Black Cohosh


Black cohosh is used primarily for hot flashes and other menopausal symptoms. Black cohosh, a phytoestrogen, is the most promising herbal remedy to treat mood swings, hot flashes and vaginal dryness associated with menopause. Phytoestrogens are non-steroidal, plant-derived substances that bind or activate estrogen receptors in various areas of the body. In post-menopausal women, phytoestrogens typically act as weak estrogens.
An improvement in overall menopausal symptoms, reduction in hot flashes and stimulation of vaginal changes were observed in a series of clinical studies in more than 800 women. Few or no toxic effects were observed.

Evening Primrose Oil:

Evening Primrose Oil (EPO) lowers cholesterol, helps to alleviate pms and most importantly here, aids in the production of fertile quality cervical fluid. EPO is an essential fatty acid that contains gamma linolenic acid (GLA). It is converted to a hormone-like substance called prostaglandin E1 which has anti-inflammatory properties and may also act as a blood thinner and blood vessel dilator. The anti-inflammatory properties help people suffering from rheumatoid arthritis. We want to discuss the effects EPO has on pms and cervical fluid.

If you suffer from pms - this is a sign that you are deficient in the fatty acid contained in EPO. EPO can help the body to alleviate the pms symptoms. EPO does a world of good in treating aliments of all sorts.

EPO helps the body to produce more fertile quality cervical fluid also known as "egg white cervical mucus." This is because fertile cervical fluid is thin, watery, clear and "stretchy" and easily aids the sperm to swim through the uterus and into the fallopian tube, and to the egg. If there is a lack in this type of cervical fluid, it can impede and/or prevent fertilization. Some women are very dry, and have problems in producing an adequate amount of fertile quality cervical fluid. Drinking a lot of water and taking the EPO can certainly help in the production of fertile cervical fluid. Also, this type of fluid helps the sperm to stay alive for up to five days inside the fallopian tube, thus enabling conception to happen even if you don't have intercourse again by the time ovulation occurs.

EPO should only be taken from menstruation to ovulation. This is because EPO can cause uterine contractions in pregnancy. The dosage taken should be 1500mg to 3000mg per day. I usually took around 2000 mg of EPO. Since essential fatty acids are necessary, you can take flax seed oil in place of EPO after ovulation. This may be taken throughout pregnancy. Check the label to see the correct dosage.

There are many remedies out there to help with fertility, but few are as good as EPO. EPO is excellent for women because of the help it gives in alleviating pms symptoms, and even menopausal women can benefit from taking it. I have heard of many praises to EPO and the fact that it definitely increases the fertile type cervical fluid. This may take a month or two to build up, and produce the results you are looking for. It is imperative that you chart your fertility symptoms and signs, so you can know when you have ovulated. By knowing this information, you can discontinue the EPO after ovulation and start the flax seed oil. Unless you are very regular, charting your fertility signs is the best tool to determine where you are in your cycle.

Ginseng:

Stimulates the immune system and can help fight male impotence and improve male fertility. Measurable test results show that it can increase sexual desire, raise testosterone levels, increase sperm count and increase sperm mobility

Pycnogenol






According to a study done by Dr. Scott Roseff, author of the study and Director of the West Essex Center for Advanced Reproductive Endocrinology "Up to 60% of infertile couples have difficulty conceiving due to abnormalities in the male's sperm. By taking Pycnogenol(r) to increase normally functioning sperm naturally, couples may be able to (or potentially) avoid in-vitro fertilization and either enjoy improved natural fertility or undergo less invasive and less expensive fertility-promoting procedures."
Pycnogenol(r) is a natural plant extract originating from the bark of the Maritime pine that grows along the coast of southwest France. It represents a unique and natural combination of genetically programmed constant proportions of procyanidins, bioflavonoids and organic acids, making it a super antioxidant.
The antioxidant Pycnogenol improved the quality and function of sperm in men with fertility problems by a mean of 38% and 19%, respectively, after only 90 days of use, according to a new landmark clinical trial being published in the October 2002 issue of the Journal of Reproductive Medicine, giving infertile couples new hope and a new alternative to more invasive procedures.

Saw Palmetto:



Iis a natural steroid source herb with tissue building and gland stimulating properties to tonify and strengthen the male reproductive system. It is a primary herb for male impotence, low libido and prostate health.

Vitex (Chasteberry):









Vitex helps to lengthen luteal phase defects and helps to lower high prolactin levels, both of which causes infertility. However, vitex does not contain hormones - its benefits stem from its actions upon the pituitary gland - specifically upon the production of lutenizing hormone. This helps to increase the production of progesterone - thus helping to regulate the menstrual cycle. It also aids in decreasing prolactin levels. A breastfeeding mom, for example, would produce a high level of prolactin, thus the natural birth control effect. But in decreasing the prolactin levels - it may enable a woman to finally become pregnant

Some say to take it from menstruation to ovulation - stopping once ovulation has been established and then continuing again if menstruation should occur. Others have said it is safe to take all month long - stopping if pregnancy should occur. On this argument - the effects vitex has on a woman’s hormones can benefit her throughout her entire cycle. Also, it may be a smart practice to discontinue any supplements during menstruation, to allow the body to completely cleanse itself.

Vitex is not a fast acting herb and may take several months to build up in your system. When using vitex to treat infertility you can take it up to 12 to 18 months - or until pregnancy occurs. Should pregnancy not occur in that time span, seek the advice of a health care professional for the next steps in achieving pregnancy. Another note of caution - you cannot take vitex while taking the fertility drug Clomid - or any drug like Clomid. It seems that vitex and Clomid counter act each other.

Vitex helps minimize symptoms of PMS, regulate heavy, frequent or lack of menses.
It helps to improve fertility in cases where fertility is the result of hormonal imbalances.
Vitex useful in treating peri menopausal and menopausal symptoms, in particular hot flashes, and menstrual irregularities such as flooding, clotting and irregular cycle. Post menopausal women who still feel cyclic mood swings can also benefit.
Vitex should not be taken during pregnancy or with hormone therapy.


Flaxseed Oil








There are quite a few different herbs that men can take to increase their fertility. One such herb which plays a role in promoting male fertility is flaxseed oil. The ingredients within flaxseed oil help to keep the sperm healthy and may also help with regard to male impotence. Flaxseed oil is a wonderful herbal supplement to consider taking when trying to promote fertility and achieve conception.
Treat menopausal symptoms, menstrual cramps, female infertility and endometriosis. Because the hormone-balancing lignans and plant estrogens (phytoestrogens) in flaxseed oil help stabilize a woman's estrogen-progesterone ratio, they can have beneficial effects on the menstrual cycle, and relieve the hot flashes of perimenopause and menopause. Flaxseed oil may also improve uterine function and thus treat fertility problems. In addition, the essential fatty acids in flaxseed oil have been shown to block production of prostaglandins, hormonelike substances that, when released in excess amounts during menstruation, can cause the heavy bleeding associated with endometriosis.

Hormones for Fertility

Progesterone Creams


Modern science confirms that insight, as, of all female hormones, progesterone is the one most essential for conception and to the survival of the fertilized egg and the fetus throughout gestation.At Ovulation, progesterone levels rapidly rise from 2-3 mg/day to an average of 22-25 mg. per day, peaking as high as 30 mg/day. If fertilization does not occur in ten or twelve days, progesterone levels fall dramatically, triggering the shedding of the secretory endometrium (the menstrual cycle).If pregnancy does occur, however, progesterone production is taken over by the placenta which secretes an ever increasing supply, reaching 300-400 mg/day during the third trimester!

Among the numerous Other Desirable Effects of Natural Progesterone are the following:
Makes Possible the Survival of the Fertilized Egg
Maintains the Secretory Endometrium which Feeds the Ovum & Resultant Embryo
Progesterone Surge at Ovulation is the Source of Libido
Inserted intravaginally it will help eliminate vaginal dryness due to menopause.

Because Progesterone is essential to prevent the premature shedding of the supportive secretory endometrium, a significant drop in progesterone levels or blockade of progesterone receptor sites during the first 10 - 12 weeks of pregnancy may result in the loss of the embryo (Miscarriage).

Bekam untuk subur



بسم الله الرحمن الرحيم
السلام عليكم و رحمة الله و بركاته
sila hubungi Ust Hafiz Razak untuk keterangan lanjut di talian 013-2469027
atau Ustazah Nisa' di talian 013-2469021
syukron



Bekam adalah satu rawatan bagi berbagai kaedaan dan penyakit. Rasulullah sendiri mengamalkanya.
Biasanya bekam dilakukan untuk tujuan2 berikut;


1.Migrain/Sakit Kepala/Pening

2.Darah Tinggi/Hypertension

3.Gout/Uric asid tinggi

4.Alergi/Gatal-gatal badan

5.Kencing Manis/Diabetes

6.Sakit Badan/Sakit pinggang /Kebas-kebas badan

7.Sakit Saraf



Kegunaan bekam untuk tujuan meningkatkan kesuburan tidak banyak dibincangkan, tetapi saya dapati satu pakar diMesir yang berbuat demikian , iaitu Dr Muhamad El Hennawy - Bekam untuk meningkatkan kesuburan


Sila Lihat Video ini














Ikuti Slide show tentang bekan dan faedahnya dalam kesuburan

Antioxidants untuk subur

Acai berries mengandungi antioxidant


Antioxidant yang terkandung dalam banyak bahan makanan kita khususnya dalam sayur2, ulam2 dan buahan2 adalah penting bagi mencegah kerosakan sel2 dalam tubuh badan kita. Semua organ dan tisyu adalah dibentuk dari jutaan sel2 yang sentiasa melalui peroses kerosakkan dan penggantian sel baru.

Jika kita bolih perlahankan atau cegah peroses kerosakkan sel2 dalam organ2 terpenting saperti otak , jantung, paru2 dan kidney, insyaallah, kita akan terus menikmati kesihatan dan umur panjang serta awet muda.

Sel2  benih lelaki dan wanita juga bolih rosak akibat dari bermacam2 tindakan dari luaran saperti jangkitan kuman. racun , toksin dll yang munkin berpunca dari makanan kita sendiri yang berlebihan gula dan lemak, juga makanan2 yang terlalu banyak mengadungi bahan2 pengawet, perisa dan pemanis Fast dan junk foods) yang semuanya menjadi toksin dalam badan kita,  tabiat merokok , minum arak, dadah dll.

Akbatnya orang lelaki kurang benih sperma, dan wanita tandus telor atau telornya tak matang menjadikan mereka kurang subur.
Anti oxidants bolih membantu meningkatkan kesuburan lelaki dan wanita.Saya dapati supplement jenama NuFocus adalah yang terbaik untuk tujuan meningkatkan kesihatan, kesuburan, antistress dan awet muda.




Antioxidants for Fertility   
Vitamin E – Lab experiments have shown that vitamin E was able to extend the life of the common type of human cell.  I think this is because vitamin E helps to reduce the oxidative stress on our cells. This could have a positive effect on both egg and sperm health by protecting them from damage. Vitamin E has also been shown to prevent miscarriage in mice. Many people do supplement with vitamin E but usually only consume alpha tocopherol, there are at least three others that you should be including in your E supplementation (tocotrienols and mixed tocopherols). Foods that vitamin E is found in: cereal brans; rice bran, wheat bran, and oat bran

Lipoic Acid – Lipoic Acid is one of my favorite antioxidants because it helps to reactivate all of the other antioxidants and rejuvenates itself. It also turns bad genes “off” and boosts glutathione which is critical for liver detoxification (and helping your liver to get rid of toxins and excess hormones). Lipoic Acid can be found in spinach, potatoes, and red meats.

COQ10 – COQ10 is involved in production of ATP so a lack of this antioxidant could cause a shortage of energy to every system in the body, including the reproductive system. A study in Fertility and Sterility shared that CoQ10 helped to increase the sperm motility in semen. COQ10 is found in salmon and organ meats, but to make sure you are getting enough supplementation is recommended.

Vitamin C – Vitamin C is easily accepted into the cells to provide protection from free radicals.Vitamin C has been shown to help protect sperm from free radical damage. Humans are one of the few animals who does not produce there own vitamin C. So we must get it from our diet or supplementation. Vitamin C is found in many fruits and vegetables including red peppers, cranberries, broccoli, cabbage, tomatoes, potatoes, and citrus fruits.

Pycnogenol – Pycnogenol has anti-inflammatory properties which has been shown to help with the pain caused from ednometriososis. Pycnogenol has been shown to work even better than aspirin in preventing blood clots, and it does not have the potentially dangerous side effects  associated with aspirin such as gastrointestinal distress, prolonged bleeding, or bleeding ulcers. Pycnogenol is created from pine bark, so supplementation is recommended.


Ginkgo Biloba - Ginkgo is one of the best remedies for impotence. One of the main causes of  male impotence is atherosclerosis (clogged arteries). It may be really surprising to hear that half of the impotency cases are not caused by hormonal or psychological problems, but by clogged arteries. Here is why – in order to maintain an erection, blood flow must be clear and unabstructed. If the blood flow becomes clogged because of atherosclerosis, than blood flow will be impared. In studies with ginkgo it took up to 8 weeks for the men to first begin to see an improvement, by 6 months of therapy, 50% of the patients regained potency. The benefits are taken from ginko’s ability to increase circulation and relax the smooth muscles so the arteries are able to supply blood to the penis to dilate. The Male Performance herbal blend contains ginkgo as its first ingredient.

The Fertility Diet – Rich in Antioxidants

The Nutrient Dense Fertility Diet is naturally rich in antioxidants as it focuses on eating a wide variety of fertility superfoods, fruits, vegetables, grains, and clean meats. Making sure to eat “from the rainbow” will help to get you a variety of antioxidants and supportive compounds. A salad a day with lots of different veggies and a smoothie that includes spirulina and blueberries will take you a long way.

Acupuncture untuk subur







Peranan acunpunture untuk meningkatkan kesuburan mendapat perhatian banyak golongan orang timor dan barat. Amalan acupuncture memang sudah sebati dalam masyarakat cina sejak zaman lampau , untuk merawat berbagai jenis penyakit. Dinegara kita juga  acupuncture sudah diterima umum sebagai satu kaedah rawatan.

Bolihkan acupuncture membantu pasangan yang mandul, yang cuba untuk hamil?

 

Acupuncture and Chinese medicine have been used for thousands of years to successfully address infertility by restoring optimal hormonal balance, increasing circulation through the reproductive organs, and creating an overall environment where new life may flourish.
The symptom of Infertility indicates that there is and imbalance somewhere in the body. Once function, circulation, and hormonal balance is restored. Conception may be achieved once the body's overall health is restored.
Difficulties in conceiving or maintaining a pregnancy can indicate a hormonal imbalance, metabolic imbalance and/ or poor circulation. Using Chinese medicine, we can asses the underlying imbalances and detect stress and/or weakness thought the body. A good evaluation by a well trained practitioner allows for a clear understanding of each individual case. A treatment plan is formed around the underlying patterns of imbalance found by the practitioner. In this way it is possible to successfully treat infertility and improve one's overall health.
Acupuncture and Chinese medicine may enhance fertility by:

Females - Also see Female Hormone Panel Saliva Testing

  • Regulating the menstrual cycle
  • Regulating FSH & hormone levels
  • Increasing blood flow to the uterus
  • Improving the function of the ovaries
  • Increase libido
  • Correcting blocked fallopian tubes
  • Enhancing response to IVF
  • Relaxing the mind & body
  • Preventing miscarriage
Males- Also see Male Hormone Panel Saliva Testing

  • Improving sperm count and motility
  • Increasing libido
  • Correcting erectile dysfunction
  • Increase semen quantity
Infertility can be caused a variety of factors including: advanced age, genetic disposition, poor diet, overwork, insufficient rest & exercise, illness, nutritional deficiencies, metabolic imbalances, and high mental/ emotional stress.
Very often, modern conventional medicine cannot find a "medical cause" for infertility. A comprehensive Chinese medical diagnosis can point practitioners to the underlying causes of infertility. Acupuncture and herbal therapies are a safe and effective way of correcting the functional and metabolic causes of infertility without the financial, physical, and emotional angst often associated with conventional fertility treatment.
A Chinese medicine practitioner uses a variety of diagnostic techniques, including a detailed pulse and tongue, evaluation, to determine the root imbalance that is responsible for hampering the reproductive process. Once the pattern of disharmony has been established, a treatment plan is developed along with nutrition, exercise, and lifestyle counseling.
Since each new life relies on his or her parents for health and a strong constitution, we advise our patients to consider their overall health as they begin to consider conceiving a child. Healthy parents make healthy babies!

Targeted Fertility Treatment

Treatment for infertility is usually over a course of 3-6 months. We have had patients get pregnant in as little as 6 weeks and take as long as 2 years. Each person's condition is unique and each person responds differently to treatment.
Our success rate is over 60%. All fertility patients are interviewed prior to treatment to fist see if they are a candidate for treatment, We DO NOT accept all cases for infertility treatment. Our years of experience has allowed us determine whether or not conception will be probable in each case. If we determine that there is a good chance for conception, then you may be accepted into our treatment program.

IVF-Acupuncture Combined Treatment

Combining IVF treatment with acupuncture has shown to dramatically increase the chances for conception. We recommend that treatment begin prior to retrieval and continue through the implantation procedure.
On the day the embryos are implanted, we suggest receiving a special acupuncture procedure before and after implantation. We will make special arrangement around your scheduled appointment. These are the most important acupuncture treatments of the series.

Recommendations to Enhance Your Reproductive Health

  1. Avoid the following:
    • Meals consisting predominantly of starch and sugars - You need at least a small serving of fat & protein
    • Fruit juices & whole fruit in large quantities
    • Polyunsaturated oils (salad dressing, mayo, margarine, vegetable oils), and fried foods.
  2. Eat more eggs, meat, fish, & poultry, not necessarily in large quantity, but more frequently - protein, fat & veggies should be the foundation of your diet. Eat protein at EVERY meal!
  3. Exercise regularly - at least 3 times each week. Needs BOTH aerobic anaerobic activity.
  4. Eliminate stimulants - nicotine, caffeine, refined sugars.
  5. Eliminate use of drugs, and alcohol
  6. Consume more spring & mineral water
  7. Avoid cold or iced foods and beverages
  8. Get enough sleep at night



Mengurut untuk subur

Memang telah menjadi tradisi kita sejak zaman lampau , amalan  mengurut adalah sebati dengan kehidupan kita. Samaada kita keletihan, sakit atau lepas bersalin, selepas diurut badan kita merasa lega , tenang, ringan badan dan lapang fikiran. Mereka yang mengalami masalah mandul atau ketidak suburan juga akan mendapat manfaat yang sama apabila diurut badan khususnya dibahagian perut dan ari2. Fikiran jadi tenang dan lapang dan hilang kesan stress yang munkin jadi punca utama kemandulannya.
Mengurut perut dan bahagian  peranakkan juga bolih membaikki aliran darah kearah peranakkan dan seterusny bolih menolong repair bahagian peranakkan yang rosak saperti disaluran fallopio, serta membersihkan toksin dan racun dari peranakkan menerusi rangsangan keatas aliran kelenjar/lymphatics. Sila lihat video ini

Chinese Fertility massage








It has been discovered that in many cases infertility problems can be attributed to scar tissue, adhesions, and obstructions in the fallopian tubes, accumulation of toxins, and of course, stress and anxiety. Fertility massage can address all of these issues at once. More and more women prefer this type of therapy because it is safer than surgery or pharmaceutical procedures.

There are different holistic massage methods that can have a very positive effect in facilitation conception and help support a healthy pregnancy. Most fertility massage methods use deep abdominal massage that helps direct and increases the blood flow to the reproductive area.



Fertility massage is designed not only to increase the flow of blood to the uterus, ovaries and fallopian tubes, but also to increase a sense of well being, strengthen the immune system, stimulate the balance production of hormones, and improve the health of the lymphatic system. The result of all this is increased chances of conceiving a baby.

Detoxification

Fertility massage also aids the release of toxins through the stimulation of the lymphatic system. This system drains fluids from your body and detoxifies your tissues by filtering out toxins and foreign substances, strengthening the immune system. A sluggish lymphatic system means that the waste disposal process in your body is compromised, and the body suffers from a build-up of stagnant lymph. When lymph circulation stagnates, toxins accumulate impairing cellular functioning and indirectly your ability to conceive.

Thursday, March 10, 2011

Rahim retroverted

 Anteverted uterus



Kebanyakkan wanita , 80% lahir dengan rahim dalam kedudukkan anteverted atau menghala kehadapan, iaitu kearah perut. Ini adalah kedudukan rahim yang terbaik dan darah haid mudah keluar dan jarang sekali berlaku tumpahan darah haid kebelakang rahim (retrograde menstruation)


Rahim retroverted atau menghala kebelakang kearah tonkin berlaku dalam 20% wanita.Sebahagian besar dari mereka tidak mengalami masalah, tiada senggugut, mudah hamil dan melahirkan anak  dan tiada masalah gangguan haid.


Tetapi lebih kurang 30% akan mengalami masalah senggugut, sukar hamil , mudah gugur dan bebabagai gangguan haid. Seringkali mereka ini ada endometriosis dan adenomyosis. Dikalangan mereka fenomenon tumpahan darah haid kebelakang rahim sangat sering berlaku dan ini munkin punca utama kejadian endometriosis. Disamping itu immunity wanita berkenaan amat rendah dan tidak bermaya melawan kesan darah haid, akhirnya sel2 endometrium tumbuh dikelakanng rahim , ovary. usus, pundi kencing dan lain2    (tingkatkan immunity).


Soalnya perlukah kita betulkan rahim yang retroverted yang berkaitan dengan gejala2 diatas?
Saya telah melakukan banyak pembedahan untuk mebetulkan rahim retroverted kepada anteverted dan disamping itu mengatasi endometriosis dalam bentuk ovarian cyst, pelvic adhesions dan scarring, blocked tubes, fibroids, PCOS, ketika keguguran dan ectopic pregnancy. Prosedur pembetulan digelar ventrosuspension of uterus samaada melalui minilaparotomy atau laparoscpy.


 Biasanya juga saya lakukan, diwaktu yang sama,  bedah buang cyst / cystectomy, buang fibroid / myomectomy, dan jika ada kerosakkan saluran fallopio saya akan repair sekali. Sering juga banyak adhesions dan scarring yang juga perlu diperbetulkan.


Lihat video laparoscopic cystectomy 

Alhamdulillah, hasilnya sangat memberasangkan dan ramai yang hamil selepas pembedahan tersebut.
Malah ramai diantara mereka telah menjalani berbagai2 rawatan kesuburan termasuk IUI dan IVF sebelumnya tetapi gagal.

Wednesday, March 9, 2011

Tiada penetasan telor


 Peroses ovulation atau pematangan telor dalam ovary


 Gambar ovulation









Punca telor gagal matang

Tanda utama tiada ovulation ialah kitaran haid tidak teratur, haid datang 2-3 bulan sekali atau lebih.

1. Polycystic ovary atau PCOS adalah punca utama telor gagal matang dan tiada penetasan/ovulation
2. Kegemokan/obesity  Free Weight Loss Program
3. Hormon prolactin tinggi, tanda sedikit cecair susu keluar walaupun tidak menyusukan, kadang2 berlaku pada pesakit endometriosis.
4. Penyakit thyroid
5. Stress/tekanan fizikal dan mental. Cara atasi stress
6.Terlalu kurus
7. umur ibu meningkat , 40 tahun keatas.
8. Fungsi ovary rosak awal (premature ovarian failure)
Rawatan dengan ubat subur

Sunday, March 6, 2011

PCOS mengancam kesuburan

TENTANG PCOS





Wanita yang gemuk, pusingan haidnya tidak teratur dan tumbuh rambut pada kaki, badan atau muka berwaspadalah mungkin anda mengalami masalah kilang ovary bengkak atau ‘polycystic ovary’.



Polycystic ovary atau PCO adalah suatu keadaan di mana kilang telur atau ovari pada seseorang wanita menjadi bengkak oleh sebab benih-benih telah terperangkap dalam ovari dan tidak boleh menetas pada waktu subur. Maka apabila berlaku keadaan seperti ini lama-kelamaan ovari akan membengkak dan menimbulkan berbagai jenis masalah pada wanita tersebut. 


Kejadian penyakit ini kian meningkat di kalangan wanita-wanita Malaysia ke taraf yang membimbangkan kerana ia menjejaskan kesuburan dan keupayaan mereka untuk hamil dan melahirkan anak.

Apakah tanda tanda penyakit Polycystic Ovary?
  

1        TIDAK SUBUR ATAU MANDUL.
Kebanyakan dari pesakit-pesakit PCO datang berjumpa doktor pakar sakitpuan sebab sukar hendak hamil walaupun telah lama mencuba. Ada yang telah beberapa tahun berkahwin tetapi masih belum medapat zuriat. Ada yang berjaya mendapat anak pertama dan gagal untuk hamil lagi selepas itu. Mereka ini mudah meningkat berat badan mereka dan seringkali peningkatan ini berlaku secara mendadak. 

Mereka tidak subur kerana telor tidak bolih matang dan tidak menetas/ovulation. Hormon perangsang subur FSH dan LH yang dikeluarkan olih kilang pituitary dalam otak, tik mermaya meransang sel benih untuk matang, Paras hormon LH pun melonjak, biasa lebi dua kali ganda FSH.
Kegagalan ovulation adalah punca utama mandul. Seringkali ubat atau suntikan subur diperlukan untuk merangsang pematangan dan penetasan telor.

2     .Haid tidak teratur.
Tanda yang biasa ialah haid yang tidak teratur, biasanya lambat datang haid dan kadang- kadang jarak antara haid menjadi begitu jauh sekali sampai hingga 3 atau 6 bulan barulah datang haid yang berikutnya. Ada setengah wanita pula sampai setahun tidak datang haid. 
Apabila keluar haid, ada yang mengalami perdarahan yang amat banyak (menorrhagia) sehingga letih lesu dan munkin pitam. Setengah pesakit memerlukan transfusi darah kerana anemia (hemoglobin sangat rendah)
Setengah pula mengalami perdarahan sedikit2 tetapi berlarutan sampai sebulan.
3       .Gemuk/obesity
Tanda lain ialah peningkatan berat badan menyebabkan wanita itu gemuk atau obese. Seringkali peningkatan berat badan ini berlaku secara mendadak selepas ia berkahwin dan pada ketika itu pusingan haid pun menjadi lebih tidak teratur dan kesuburan mereka sangat kurang ataupun langsung tidak subur kerana telur tidak dapat menetas.
.
4      Darah haid sikit atau/dan berpanjangan. 
Wanita pula mengalami selain daripada pusingan haid yang begitu panjang jangka waktunya, ialah perdarahan haid yang mungkin berlaku dengan sedikit sekali, tidak seperti biasa haid akan keluar dengan sederhana selama seminggu. Tetapi wanita yang mengidap penyakit polycystic ovary akan mengalami haid yang sangat sedikit hanya menitis selama 2 atau 3 hari. Ada juga dikalangan mereka yang mengalami perdarahan yang berpanjangan sampai 15 hari ataupun 30 hari tanpa berhenti. 

5.     Tumbuh rambut.
Setengah wanita pula tanda-tanda lain ialah tumbuh rambut pada kaki, tumbuh misai dan janggut dan juga tumbuh rambut pada bahagian tangan dan ada kalanya di bahagian dada. Ini menandakan peningkatan dalam hormon lelaki dalam darah wanita tersebut. Iaitu satu keadaan yang sering berlaku dikalangan pengidap penyakit polycystic ovary. 



Apakah puncanya ?.

Sebenarnya punca bagi penyakit ini tidak diketahui. Mungkin satu keadaan semulajadi , iaitu cacat baka, di mana terdapat kelainan atau gangguan pada enzyme yang mengawal pembentukan hormon.

Oleh itu biasanya jika dikaji paras hormon dalam darah, kita dapati wanita tersebut terganggu dalam hormon kesuburan mereka iaitu tahap hormon FSH (normal), LH – tinggi, hormon estrongen – tinggi, hormon progesterone – rendah, hormon progesterone – rendah, hormon testosterone (iaitu hormon lelaki) – meningkat tinggi. Adalah dipercayai bahawa peningkatan berat badan ada kaitan dengan peningkatan hormon testosterone dengan estrogen dalam darah wanita tersebut. 
Mungkin ada ciri atau pengaruh kebakaan atau keturunan dalam penyakit ini. Walau demikian faktor pemakanan iaitu dari segi tabiat dan jenis makanan yang mengandungi banyak karbohidrat dan gula, perisa dan pengawet makan mungkin mempunyai peranan penting dalam kejadian penyakit PCOS . Pengidap penyakit ini mengalami insulin intolerance.

Faktor stress atau tekanan fizikal dan mental yang timbul dari suasana tegang dalam perkerjaan dan rumah, pergeseran dan konflik dikalangan keluarga atau saudara-mara dan dalam kenderaan ketika memandu mungkin juga ada memainkan peranan dalam kejadian penaykit ini.
Ciri ovari dalam ultrasound.
Jika doktor pakar sakitpuan membuat pemeriksaan ‘vaginal ultrasound’ ia akan mendapati kedua-dua belah ovari bengkak dan membesar sampai dua atau tiga kali ganda dari saiz biasa. Kelihatan ovari itu seolah-olah mengandungi bintik-bintik hitam iaitu apa yang digelar “honeycomb appearance”. Bintik-bintik hitam inilah sebenarnya telur atau benih wanita yang telah terperangkap. 

Gambar scan PCOS

Rawatan

i. Tujuan rawatan polycystic ovary ialah pertama untuk meningkatkan kesuburan kerana sebahagian besar daripada mereka berjumpa doktor dengan tujuan untuk mendapatkan anak dan kerana mereka mengalami ketidaksuburan ataupun kemandulan. ii. Tujuan kedua ialah untuk membetulkan pusingan haid supaya jarak antara satu haid supaya jarak antara satu haid dengan yang lainnya lebih kerap ataupun normal iaitu 30 hari. 

Cara cara untuk mengawal kegemukan (obesity)
Dalam merawat pesakit perkara yang terpenting sekali bagi pesakit berkenaan ialah ketabahan ,disiplin serta keazaman diri untuk mengurangkan berat badan. Kebanyakan daripada mereka mungkin melebihi 70 kg dan berat badan yang sebaiknya bagi wanita yang ukuran tinggi 5 kaki 2 inci ialah kurang daripada 60 kg.
Untuk mengurangkan berat badan memang memerlukan ketabahan, kegigihan dan disiplin yang kuat kerana sebenarnya orang orang yang obese atau gemuk mengalami masalah tabiat makan. Oleh itu ia memerlukan rawatan mental supaya ia lebih tabah dan disiplin lagi dalam mengawal pemakanan mereka. Di samping mengawal pemakanan yang mungkin berlebihan dalam kabohidret dan gula, ialah mereka perlu membuat riadah atau exercise yang sewajar.


Meningkatkan kesuburan wanita.
Dari segi merawat kesuburan terdapat banyak kaedah rawatan yang sering dicuba oleh pakar-pakar sakitpuan. Diantaranya ialah ubat-ubat seperti berikut. 

Ubat subur Clomiphene 

Biasanya ubat subur Clomiphene atau clomid akan diberikan dalam dos yang tinggi mungkin sampai ke tahap 250 mg atau lima biji sehari untuk selama 5 hari hingga 7 hari mulai daripada hari kedua atau ketiga dari hari mula keluar haid. Tujuan rawatan ini ialah untuk merangsang ovari yang polycystic ini untuk mengeluarkan telur.
Respons yang positif dengan adanya pengeluaran telur mungkin berlaku hanya di kalangan sebahagian pesakit sahaja, mungkin separuh daripada mereka tidak akan menunjukkan kesan positif dari segi pengeluaran telur.

Walau demikian setiap wanita yang menjalani rawatan kesuburan memerlukan pengawasan dan ujian yang teliti oleh pakar sakitpuan kerana jika terlalu banyak telur dikeluarkan pada satu masa dan ini boleh membahayakan kesihatan menyebabkan kandungan yang berganda-ganda.
Ubat kesuburan yang lain daripada Clomiphene ialah ubat suntikan hormon Gonadotrophin yang juga diberikan mulai hari kedua haid selama lima hari berturut-turut. Bahayanya ubat ini ialah rangsangan telur yang berlebihan menyebabkan terlalu banyak telur keluar dan ini boleh menjejaskan kesihatan dan menyebabkan kehamilan berganda.

Ubat Metformine
Sekarang ini ubat Metformine yang biasa digunakan untuk merawat kencing manis digunakan dalam jangka masa enam bulan berturut dan dos yang digunakan ialah antara 1 gm hingga 2.5 gm setiap hari sampai enam bulan. Mengikut kajian 60 peratus daripada wanita yang memakan ubat ini akan menetas telurnya dan sebahagian besar juga akan akhirnya mengandung. 

Rawatan laparoscopy dan ovarian drilling

 Ini adalah satu kaedah baru dimana pesakit “polycystic ovary” akan menjalani pembedahan kecil yang memerlukan bius am. Teropong laparoscopy untuk melihat ovari dan seterusnya laser drilling akan dilakukan dengan menggunakan elektrik cautery ataupun laser cautery. Kaedah rawatan ini juga menghasilkan kehamilan dalam lingkungan 50 hingga 60 peratus. 
Lihat video laparoscopic ovarian drilling



Prosedur suntikan benih suami IUI

Suntikan Benih Suami (Artificial Insemination)


Rawatan secara 'artificial insemination' adalah satu kaedah di mana benih suami yang telah bersihkan/ diproses disuntik ke dalam rahim melalui faraj pada waktu isteri sedang subur.  Proses ini juga digelar dengan nama ‘I.U.I.’(intra uterine insemination).


Siapakah yang perlu menjalani rawatan I.U.I. ?

1.        Benih suami kurang, lemah atau bermasalah.
2 .       Mandul tanpa sebab-sebab yang diketahui (Unexplained Infertility)
3 .       Isteri mengidap penyakit endometriosis  stage 1 tetapi saluran fallopian tuidak tersumbat.
4 .       Suami lemah tenaga batin, tidak boleh menyetubuhi isteri.

Cara menjalani IUI

1.         Mulakan rawatan pada haid hari ke-2 atau ke-3. Perlu makan ubat subur clomid 2, 3 atau 4 biji sehari , selama 5 hari.  Dos bergantung pada berat badan ditentukan olih pakar. Talipon Klinik 0320941115 untuk appointment .
2. Buat ujian ovulation test mulai hari ke10 bagi mereka yang haidnya teratur pusingan 28 - 30 hari. Gunakan air kencing tengah hari. Bagi mereka yang haid tidak teratur - pengidap PCOS mula ujian ovulation hari 14. Buat setiap tengah hari (pukul 12 - 2.00 pm) sehingga dua line sama warna  control dan test sama. Itu tanda positif.

 Telepon klinik bila positif untuk datang keesokkan hari untuk scan dan seterusnya IUI
3.    Lepas haid bolih adakan pesetubuhan sehingga hari ke12. Berhenti 2 hari sebelum datang klinik untuk scanning bagi mengesan pematangan telor.


X

 .
3.         Pada hari subur - hari ke14 - 18.datang keklinik untuk buat transvaginal scanning (TVS) untuk mengesan telor- berapa telor dan sudah matang atau belum, sudah menetas (ovulation) atau belum.
Jika sukar untuk datang untuk buat scan, pilihan lain untuk mengesan ;ovulation' atau penetasan telor ialah dengan mencatitkan suhu badan BBT sebaik sahaja ubat subur dimulakan. Kaedah catit BBT


4.         Pada hari penetasan telur berlaku (setelah disahkan dengan transvaginal ultrasound), suami perlu mengeluarkan air mani yang akan diperoses di makmal kesuburan, lendir dibuang, benih-benih yang paling aktif dan terbaik mutunya dipilih dalam 1cc cecair khas. 

Bagi suami yang sering bertugas diluar negara, offshore atau outsation pada ketika isterinya subur, mereka bolih menyimpan benih dalam freezer khas dan bolih digunakan untuk IUI jika perlu.(sperm freezing)



5.         Suntikan benih dilakukan melalui faraj dengan menggunakan satu tiub plastik ke dalam ruang rahim. Selepas suntikan ia berehat selama 30 minit. Hubungan seks masih bolih dilakukan mulai keesokan malam berselang2 malam selama 7-10 hari, kerana seringkali ada banyak telor yang dihasilkan dengan rangsangan clomid dos tinggi.

6.         Pasangan digalakkan melakukan persetubuhan
tiga malam berturut-turut selepas suntikan benih.
Rawatan cara I.U.I. boleh diulang banyak kali mungkin antara 3-6 kali. Sebaiknya dilakukan selang 2-3 bulan.

Anggaran kos ialah RM 800 untuk setiap prosedur IUI