hormon estradiol

As salam..

term baru lagi ;)..setiap kali jumpa Dr akan dapat satu ilmu baru..alhamdulillah..suka sgt Dr..very informative..she will explain for almost everything..because she want me n mdh to understand and know what happen to my body..tp kadang2 tu tak paham gak..faham2 laa term2 yg dia guna kita tak pernah dengar kan..so kita kena tanya laa..

hari ni jumpa Dr..all the way dari Melaka ke KL pukul 5 pagi..solat subuh kat Seremban..masuk KL dlm 6.45pagi..huh dah jam..kagum dgn org KL ni..awal betul keluar pergi kerja..kalau aku sure tak sanggup..skrg ni pun pergi ofis ikut masa class..kalau kelas start kol 9 pagi..maka kol 8.50 baru gerak keluar dari rumah..syukur sgt tak face jam jam ni..balik pada cerita tadi, bila sampai KL awal, maksudnya sampai clinic Dr awal laa..maka tercapai hasrat nak jadi org pertama lagi..alhamdulillah..

so hari ni Dr nak monitor lagi perkembangan ovum..mcm biasa bykkkk sgt ovum..yg paling besar hari ni saiz 14mm-15mm..lining of the uterus pun cantik..tebal 9mm..Dr cakap bila uterus agak tebal, elok untuk embrio melekat nanti (mean ready for implantation)..tp Dr risau tgk byk sgt..walaupun saiz telur ok..uterus ok..tp kalau byk sgt merbahaya..Dr pelik kalau dah buat laps dulu, supposely telur tak byk mcm ni..lagi satu kali ni Dr tak nak bagi injection Ovidrel (utk pecahkan telur yg dh matang), sbb kalau telur yg matang byk sgt, lagi high risk nak kena OHSS..so kitorg duduk discuss dgn Dr mcm mana..dia suh try dulu secara natural..dia kata kalau tak ok, maybe kena buat laps & monitor Gonal F dgn dose lagi rendah (37.5 iu)..

sekali lagi dia suh amik darah..kali ni utk test 'homon estradiol'..dlm otak dok fikir ape plak ni..lagi lama buat treatment lagi expert agaknya pasal fertility ni ek..masa Dr ckp pasal estradiol ni tak berapa nak faham, sampai je Melaka (kami sampai melaka pukul 12.45 hari yg sama..mcm dekat je kan MLK-KL)..terus search apa tu estradiol, utk apa? end up jumpa ni sket2..kalau nk baca detail dekat sini yer..sangat bagus tau..

Estradiol levels also give important information on the functioning of the ovaries. This can help doctors evaluate menstrual problems, including abnormal bleeding or missing periods. The test may also be used in boys or girls to check for damage or disease of the testes, ovaries, or adrenal glands.

Blood estradiol is also used in combination with ultrasound scans. Taken together they help indicate how (and if) the ovaries are responding to stimulation. Is there a response? Is it adequate? Is it excessive? To tell us this, the blood level has to be viewed in relation to the stage of pregnancy and the day in the cycle in which the level is being taken.

For example, a level of 1500 pg/ml on day eleven might be considered acceptable in a stimulated cycle, as reflecting the presence of a reasonable number of mature follicles. However, if this level were present on day eight, it would be considered unacceptably high. It would almost certainly reflect the presence of an excess of follicles. At this stage (day eight) they would still be Immature ones. Their quantity, however, would suggest that continued stimulation would carry an unacceptable risk of developing OHSS-- ovarian hyperstimulation syndrome. 

maybe because of my experienced on OHSS, Dr suh check estradiol level kot..takut it will happen again & Dr mmg ckp pun, possibilities nak kena OHSS mmg ada kalau silap sikit..Ya Allah takutnyaa..oh btw hari ni dah CD11..hopefully result test ni at acceptable level laa..Dr nak tengok level hormon estradiol bawah or atas 1000ml..Ya Allah harap2 semua ok..takut nya nak hadapi mcm mcm lagi..

errmm..kali ni Dr advise pasal pemakanan & jaga kesihatan badan..dulu diri ni selalu perasan sihat jer..rupanya mcm2 yg tak kena kat badan ni..so apa yg kena mkn/minum & buat:

• minum 2 little air setiap hari
• makan 2 biji putih telur setiap pagi (tak kira nak goreng ke..rebus ker..separuh masak ker..tak kisah)..
• timbang berat badan setiap hari
• ukur lilit perut setiap hari..kat tempat yg sama (ni utk monitor for OHSS..sbb kalau perut bloated tu salah satu tanda laa)
• jaga badan/jalan elok2/perlahan2..(no lompat2/no lari2 or jogging/no sport/jgn angkat berat)..Dr suruh assume masa ovulution period ni, badan kita bawa 2 buah apple/limau yg fragile (ovari la ni)..ovari akan membesar bila telur yg byk2 tu diransang & mengembang..kalau aktif sgt takut ovari akan terpintal..tau je laa ovari kan hanya di pegang oleh tiup fallopio yg halus tu..

Ok tu dulu utk kali ni yer..

my remark:

19/1/2012 (Khamis):  3rd appointment on CD11

Cost incurred:

Blood test & investigation = RM 63.10

TVS  & Consultation Dr =RM160

TOTAL =RM223.10

Ya Allah besar harapanku agar semua berjalan lancar..tolonglah hambamu Ya Allah..