Wednesday, December 30, 2009

Is today THE day? (30/12/2009)

My appointment is scheduled at 10am (my usual time) and I guess it will be another doctor, since my lovely Dr F is on leave...

As soon as we reached, there is already a patient waiting to see the doctor. I'm finally seeing PATIENTS! During my first 2 visits, there was hardly anyone else at the clinic! As soon as I registered, I asked for my pee container.. heheh... This morning, I didn't pee as I knew I had to do urine test again. So this morning, no problemo with the pee! (Smart me)

Not long after that, it's my turn to see new doctor - Dr S. As I was seated down, Dr S went through my file again - read about the fibroids, the surgery, the cysts, etc. Ok, after that scan time!

Ok, the follicle is bigger now. And Dr S only saw one -which is the huge big black dot stuck in between the cysts. It was 14mm, today it's 16.5mm. Still not quite big enough yet!

After the scan, Dr S said that the test shows "Negative" - this is for the urine test to detect the LS hormone to see if the egg has been released yet. Oh ok... So I still have to wait till 1Jan, and I will see Dr F again! Woohoo~

But... yes, there is a but.... Since the follicle is in between the 2 cysts, it might eventually post problems during pregnancy. Dr S said that I should have got it removed before we embark on the IUI... I was confused! Dr C and Dr F never mention about that!! Dr S also painted a not-so-rosy picture, that eventually when pregnancy progress, it might rupture the cysts or even ovary!!!! TIME OUT!!! This is not good. He suggested that since we have already started the process for IUI, we should go ahead this time. But... yes, again another BUT... (sigh) the risk of having to rupture the uterus is there or eventually the cysts might turn their position then it will result in bleeding or even miscarriage.

So far, nothing is rosy from Dr S in fact it kinda scares us off...

Since he said that we should still go ahead with the IUI, but it is not time yet (the urine test shows negative on LS), I will have to come back again on the 1 January. YES! I thought to myself, Dr F will be back!

Hubby and I were thinking - if this IUI is unsuccesful, then we will go ahead with the laprascopy to remove the cysts. After all the healing then we will engage on the next step - maybe IVF instead of IUI. But we will have to wait and see and talk to Dr F again to see what are our options.

I find it a bit uncomfortable having to "change" a doctor in the midst of my IUI treatment. I know they are all good doctors, but the level of trust or comfort is just not there. I certainly hope Dr F won't go on leave when I'm due to see him...

Tuesday, December 29, 2009

Where is my swab? (29/12/2009)

Last night, I slept at... 9pm?! Hahahaha... No idea why, but I was extremely exhausted yesterday when I got home.

Woke up happy & fresh this morning - after a few sneeze on the bed!

After cleaning up & dressed up for the day, I went downstairs to have my jab. BUT - where is my alcohol swab!! OH NO!!! I checked the fridge (even the freezer), the car, the bed, the bag.. nope still couldn't find it... Oh well, will just have to use tissue + filtered clean water to swab myself.

Today is left jab - the painful side. So I pinched myself HARDER..... And it works! I think I'm getting better at the jab. Having said that, I have more "blue-black" patches all over my fat tummy now. I did asked the nurse if it was normal, she said it's normal and it's ok as long as it's not swollen or harden. Oh well, so nothing to worry...

Just to update about the alcohol swab - I found it. I think it fell off my bag when I placed it in the cupboard in office. I found it :) and hopefully after tomorrow's visit, I won't be needing it.

Monday, December 28, 2009

Is it time yet? (28/12/2009)

10am - my appointment with new Doc!!

As soon as I arrived, nurse said to pee.... I just emptied my bowel before I came!!!! Hahahahah... with the container in hand, I went into the little girls' room. For a couple of seconds, nothing... I had to think PEE for a while before there is a very little urge to pee. So I only managed to fill half of the container given to me.

Before I could sit down again, I was called in to see Doc. To my surprised, it's still Dr F. Good~ If anything is to be done today, I am glad that it's gonna be Dr F. As I lay down on the bed for examination, I see a BLACK ROUND DOT between my 2 cysts! Hmm... not another one PLEASE!!!! Then scan left, scan right, then left and right again - to see if there is any follicles... Dr F stopped at one faint black circular dot and measure and told the nurse the measurement. Then back to the one stucked between my 2 cycsts and did the same.

Now, Dr F explained. Those 2 black circular dots ARE follicles. Oh ok... Thank goodness it's not another cyst between the existing two! Phew! He mentioned that the 2 follicles measured about 14 and 12mm, they are not big enough. It should be at about 17mm then ovulation will happen.

He also explained that with one of the follicles stuck between the 2 cysts could be giving pressure to the follicle and unable to grow bigger. Hmmm... I hear "problem" here... He said let's see how it goes in 2 more days, if it is really affecting the growth then I might have to do a laproscopy surgery (also knowns as keyhole surgery) to remove the 2 cysts.

Now that the 2 follicles aren't big enough, I had to take more jab before my next visit scheduled on 30th December. And this time for sure, it's gonna be Dr S. If on 30th, the follicles are at the right size then it's time to do IUI. Otherwise, will have to go back again on 1st Jan - this time Dr F will be back.

So there will be 2 more days of jab and then back to the clinic on 30th December!

Merry Christmas (25/12/2009)

Today is the last of the 5-day jabbing day! And I have extra pair of eyes - my mom, my sis and my bro-in-law. They witnessed my last jab. I realised that jabbing on the right is less painful as compare to on the left, I wonder why. So today is RIGHT day, so today is smooth as silk - no "ouch"

Last jab, last meds.... so now I just have to wait for 28th to go back to the clinic. Seems that Dr F will be on leave and there will be a new doctor visiting from KL clinic - whom I shall refer as Dr S.

For now... it's Christmas season, let's sit back and relax.... Merry Christmas everyone!

Thursday, December 24, 2009

Christmas Eve (24/12/2009)

Today is Christmas Eve - tomorrow is the day that Christ was born in Bethlehem more than 2 thousand years ago. I am forever grateful for this.

I am thankful also that today is the eve of my last jab :)

This morning woke up, looking at the sky outside thinking, "Hmmm.. it's still dark out there." Then I asked hubby about the time, "It's 8.30." I opened my eyes wide - oh no! I need to jab by 8am!!! In my peejays, I ran downstairs to the fridge and grabbed my box. And ran back into my bedroom.

Thinking to myself: remember the steps, don't miss any. And lovely hubby decided to take pictures of me jabbing! Hahaha, I haven't seen the photographs yet so I wonder how it looks like from a different perspective.

Well, you see, I just woke up (without brushing my teeth or washing up), obviously the pinching part is a little lack of strength! Hahahah... As I pinched, I jab, "Ouch!" The needle went in 1mm perhaps, and I pulled it out. (Surprised that at this time hubby hasn't fainted yet) Again I pinched harder, and JAB!!!!!!!! Phew, this time it went in well. Counting backward from 10... and release........ Ah~ a sigh of relief.

Tomorrow is the last dosage, and my sis & my mom will be around tomorrow. Not sure if they are ready to see me jab myself! Hahaha! After tomorrow, I will be returning to Dr F on 28 December. He mentioned that I will be scheduled for Follicle Scan. So let's pray that all the jab is fruitful!

Extra note: I just browsed through some of the photographs that hubby took this morning, I realised I have "blue-black" marks surrounding the jab area. I wonder if I did it right???

Wednesday, December 23, 2009

Piece of cake! (23/12/2009)

8am - time for jab! Oh well, recalling yesterday's horror pain. I paused for a moment before I do a jab-half-way incident again. Now now... sit down.. PINCH HARDER (hubby says the harder the pinch, the lesser pain)... So I pinched harder!!!!!! And JAB!!!!! (Hey, it works. My pinching numbed the surrounding fat!) Count backward... then release~

Today I can really call it - PIECE OF CAKE! (Give myself a pat on the shoulder)

On my own for the first time (22/12/2009)

Today is the first day I had to jab myself. In my mind, I tried to recall what the nurse taught me step by step... First, make sure the dial is at 75, put in the needle, pull the dial, swap, pinch, then jab, and count, and RELEASE... Piece of cake right? WRONG!

I followed the steps accordingly, until the part where you JAB. Half way into my tummy fat, OUCH~ with the needle still half way sticking into my tummy fat, I paused for almost 5 seconds! I wasn't sure if I was doing it right - there was no pain yesterday, but why the pain today! But I had to do it, so I toughen myself to just jab it in. Then count backward 10... 9........... 0... RELEASE! What a relief.

There was no pain after the jab, I guess it's just me psychologically feeling the super pain magnified when I see the needle piercing through my skin.

So my routine starts, 8am - JAB, 9am - MED, 8pm - MED... This will continue until Christmas day.

A new journey begins... (21/12/2009)

In preparation for today, I had my fibroids removed in March. And only to found 2 additional cysts in October. After running some test, Doc says everything is fine and that we should start considering fertility treatment. But we were soon moving from KL to JB.

We decided it was too troublesome if we had to continue treatment, since I can only make appointment on the day one of my mensus. Thankfully, TMC - the same medical center I visit in KL has a branch here in JB. At first I was skeptical because I've gotten used to Doc.

Nonetheless, we went to TMC to check out the facility here in JB. Only to found that it is located in a no-man-land! Hahaha... It's a clinic located in one of the office plaza. However, at the same floor or the clinic, it was total darkness! There was absolutely no other shop there! With a heavy heart, we walked into the clinic. Again, there was no other patients waiting in line! I am so accustomed to having to wait at least an hour or 2 to see Doc. After registering myself, it's my turn already (not like there is any other people in line).

As I stepped into the consultation room, new Doc welcomed me into the room. After the customary introduction, new Doc said I had to do a vjj scan - on my 2nd day of mensus. New Doc said not to worry, everything will be fine, it's ok... he assured me well.

After the scan, new Doc started explaining in details about the treatment - Intrauterine Insemination (IUI). This is a proceduere where the placement of sperm in the uterus for the purpose of enhancing the chance for pregnancy. This will involve oral medication and daily self-injection. Unfortunately, we were travelling so we had to put off the procedure to another month.

Well, with the outcome of the first visit, at least I get to be more comfortable with new Doc - I shall call him Doc F. He has more time for patients where he will explain this in detailed. I felt more comforting hearing from Dr F and from the nurses.

A month has past... on 21 December, I went back to see Dr F. And on this day, hubby and I started a new journey. Dr F said to go about with everything I do as usual, no need to change any lifestyle just yet... And so, the nurse showed me on how to inject myself -for the next 5 days. The injection pen is pretty cool I must say.. Hahaha... (picture will come later).

The Puregon injection pen already contains my 5 days of dosage - 1 jab, 1 dosage. I had to jab on alternate side of my belly (about an inch away from my belly button) for the next 5 days. Nurse told me I do as she said... First, make sure the dial is at "75" and this is your daily dosage. Then remove the cap from the pen and insert the disposable needle. Thank goodness the needle is no more than half an inch and it was the tiniest needle I've ever seen. Swap the surface with the accompanies wipes. Then PINCH my tummy fat HARD (ouch!), then then then.... slowly jab yourself. I paused for a moment, wasn't too sure if I could do it. Hubby is probably already pale, and about to passed out. After a moment, I toughen myself to JAB INTO MY TUMMY FAT.

Muahahahha... it wasn't as painful as I thought. Phew, piece of cake! Nurse then said to pull it out after counting backwards from 10. So... 10... 9... 8... 7... (gosh this is slow) 6... 5... 4... 3... (almost there,breath) 2... 1... Take it out quick!!! But again nurse said, have to slowly take it out. Oh man~ another couple of seconds of endurance test!

And DONE, that's it! I did it! Hubby can now breath! Looks like I had to do it myself for the next 4 days! Ah well, I'm ok with needles. I'm a brave girl! With the jab, I only have one oral medication - Clomid.

Oh... by the way, Dr F said both these medications are to assist me during my follicle stage so that I have healthy and strong eggs.

And so 21 December is a date I will remembered as the day hubby and I started a new journey...