The 1st appointment with Dr Loh SF

I’ve been feeling the stress and pressure lately……

I decided to change gynae for my further fertility followup since my current gynae Dr Benjamin Tham will be leaving KKH and starting his private practise at TMC in May.Upon recommendation from my paternal cousin, whom is a Nursing Case Manager in KKH,called the hotline on 27th April 2010, for a new appointment with Dr SF Loh whom is a Head & Senior Consultant in Department of Reproductive Medicine. I was pleasantly surprised that there’s available slot the next day.Booked!

Since my miscarriage in 2008, I’ve been having  irregular periods.The longest was 2 months in the year 2009.My last period was on 5th March 2010. 2 weeks late, I took the home pregnancy test and came out negative  (it’s been a year plus+) AGAIN.Very frustating indeed.

And yesterday 28th April 2010, was my first visit with Dr Loh SF.

First impression, he’s quite a nice friendly doctor, very comfortable to be with.I had my discussion then with Dr Loh. He asked me directly,”What’s my weight NOW?” LOL Obviously,Im overweight.97.4kg! I was 91kg back then in Oct 2008. The main factor for my case here is overweight. (Just a thought, why does overweight mummies out there can get pregnant, but not ME!) He continued, “Being overweight can impact hormonal balance and cause irregularity and in some cases prevent our menstruation all together.” Bingo.Yes, I was 70kg in Dec 2006.Go figure how much I gained over the years.tsk tsk.

I had my scan (hoping for a miracle actually), sadly,nothing.But Dr Loh found out that I had thick uterine lining.He told me that it can actually develop into cancer. *Gasps* My eggs is all fine except that it’s not coming out. Huh? Ohhh it means Im not ovulating izzit?

He then prescibed few medicines for me as below;

1. Folic Acid – is a B vitamin. It helps the body make healthy new cells. Everyone needs folic acid. For women who may get pregnant, it is really important. When a woman has enough folic acid in her body before and during pregnancy, it can prevent major birth defects of her baby’s brain or spine.

2.Metformin – is an oral diabetes medicine that helps control blood sugar levels.

3.Phentermine – is a stimulant that is similar to an amphetamine. It is an appetite suppressant that affects the central nervous system.

Phentermine is used togther with diet, exercise and behavioral modification to treat obesity (excessively overweight) in people with risk factors such as high blood pressure, high cholesterol, or diabetes.

4. Dydrogesterone – is a progestogen hormone.

Dydrogesterone has proven effective in the following conditions:

  • menstrual disorders
  • infertility
  • threatened and habitual abortion
  • endometriosis
  • premenstrual syndrome

5. Clomiphene – used to induce ovulation (egg production) in women who do not produce ova (eggs) but wish to become pregnant (infertility). Clomiphene is in a class of medications called ovulatory stimulants. It works similarly to estrogen, a female hormone that causes eggs to develop in the ovaries and be released.

My next appoitment with Dr Loh will in 2mths time, 23rd June 2010.

He “warned” me to lose atleast 1kg for the next visit.

Husband booked an appointment for his sperm analysis on 6th May 2010.

And Im gonna go through the clomiphene cycle once my menses start on the 2nd day follow by a blood test on the 24th day.

FYI, the bill for KKH Private Suite;

Consultation fees $97.

Medicines $86.

Today, I started on my medication except clomiphene.

Im having headache all day, feeling so restless, dry mouth, tired…..

I simply dont wanna do anything.Yes,very lemau gitu.

Hope to change my eating habits and start exercising to reduce my weight.

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The story begins….

HELLO wordpress!

Yeah, the first entry for me.

The reason why I started this blog in a way of document my journey of trying to conceive.

InsyaAllah, may ALLAH grant our dua’ .

The story begins…

My first pregnancy was miscarriage naturally at 5 and half week diagnosed as “Missed Abortion” in Oct 2008. A missed abortion is characterised by there being no reasons to have suspected that the pregnancy is not going to continue but the embryo has died.

10th Oct 2008, in the midst of 10th day eid mubarak , I discovered that my period was late for 10 days.Since I need to go for my medical checkup for L5 licence at RMG, I took the opportunity and did my pregnancy test, the plus sign appeared. Words cant explain the way we feel at that time about having our first offspring. We shared the news with family & close friends.The doctor’s calculation for my EDD will be in June 2009.

And then, I started having brownish discharge since that day, and of course being concerned, booked my 1st appointment with Dr Benjamin Tham at Private Suite KKH, 16th Oct 2008.I had my scan.He assured us that everything was OK!Either it was an early OR unhealthy pregnancy.We didnt really pay attention about the unhealthy pregnancy though.First time parents to be, we are sooo EXCITED like tat! He told us to visit him in 2 weeks time.

24th Oct 2008, while I was at work, initially, I had spotting from which it became heavier like a period with dark clots and some flesh type of tissue. Updated husband & close friends then, they suggested I rushed to A&E KKH asap.I drove (amazingly there’s no pain or cramps) to KKH by myself and before entering the A&E, went to the toilet and I passed a sac tissue that fell right out of me on my panty liner which was greyish white in colour. I knew from that moment, my baby was gone.I was really SHATTERED.:-((((

  25th Oct 2008, I went through D & C by Prof Tee, whom at that time covering my gynae Dr Benjamin Tham while he was away. D & C refers as the dilation (widening/opening) of the cervic and surgical removal of part of the lining of the uterus and/or contents of the uterus by scraping and scooping (curettage).

I did my online research,

 My case is actually of a blighted ovum, where by the scan picked up the image of a gestational sac, but sadly, there is no baby developing within the sac. Often we will have all the signs of pregnancy, and will come up positive on a pregnancy test. It can take a while for our body to figure out what is going on, but eventually, since there is not actually a baby growing, your body will reject the tissue.

26th Oct 2008, discharged and I was given 19 days of hospitalization leave.

And that was literally the most painful experience I endure till now….

Yes, up to now, I pray for it to slowly fade away,but at times, we are unable to control our emotions. As quoted by husband, “Sad” is not the proper word. It’s more than that.

Thanks to family and friends  for the words of encouragement and support till today.

We redha to the Almighty for what HE has plan for us, we will never give up though and always be patience InsyaAllah. Eventhough the waiting is very painful for us….

ALLAH knows best.