For IVF, the rule of thumb is call & make appointment on Day 1 of your period. (Note: Heavy menses, spotting is not consider Day 1 of period.) Nobody expect you to make your appointment 1-month in advance.

The doctor/ nurse will then schedule to see you on Day 2/3.

Anyway, irregular period could be due to PCOS. You will have the option to perform laparoscopic surgery (then try naturally) or proceed to IVF, depending on how serious your condition is.

Hi, thanks for the advised.

I have managed to attach under dr.halena previously during my OBGYN posting and i reckon she is very good in what she is doing. She takes her time to explain what is needed and things are taken one step at a time. For those with high risk pregnancy they do work together with FMGC at jaya one, whereby there are three fetal medicine consultants, dr. Raman, dr. Patrick chia, and dr. Yap. They are good in managing high risk cases such as those high maternal age, hypertension diseases in pregnancies and so on. As for dato prashant, we have a nickname for him, he is the god father of fertility. He is the first in malaysia being trained in the UK specifically for fertility.
What I have said above are only my personal view as dr halena and dr raman were my mentors previously and they are highly regarded in their own field of subspecialty.

This post has been edited by Jr.Koh: Apr 27 2014, 11:53 PM

Hi, good to hear that about Dr Helena. I shall see her in 2 month time. Thanks

No issues about that. At the mean time, do prepare yourself by supplementation with folic acid, vitamin D and calcium. Vitamin D is better absorbed in the morning due to low iron meal in our society.

Do visit her website and wish you best of luck in your pregnancy and to mothers out there.

https://drhelenalim.com


Regards,
Koh

Dr Menon left edi? He's good i mean tropicana itself is good for IVF. heard that their IVF success rate is quite high

Try adopting some kids, maybe 2 months old kids. The success rate is 100%

Hi Koh,

I unable to open the link you sent. I was taking some chinese medicine now. As chinese doctor said my body is extremely cold, blood circulation and not enugh QI. so i need to use chinese medicine to solve those problem before heading to IVF. I taking vitamin D n calcium now but i no take folic acid. What folid acid for?

Thanks

Dr.Helena is not really fond of chinese medication as far as i remember back then. But anyhow if its just pure herbs and you are not pregnant i see no issues with that. As for folic acid, it is to aid DNA formation in the fetus and to prevent spinal cord defects such as spina bifida and anencephaly. They are known as Neural Tube Defects (NTD). Do look up on it. Thats why supplementation before pregnancy is important.


Regards,
Koh

But Dr Helena seen very busy recently. She keep on onleave haha...My appointment keep changing date aiks. Would like to check if we are under IVF is it they should come back if our date for treatment is fall on Sunday?

I believe the Lab will be open and the Dr will still come in if it falls on Sun, they do not work on Mon-Sat schedule, but more in-tune of the women's "schedule". Call them up and double check with them, they can explain it further.

Hi there, I just wanted to share with you a site that could help your wife track her ovulation period for fast conceiving and you can also have the gender you want for your baby. It is just a free site and very helpful, I hope this can help you too. http://www.ovulation-predictor.org/

This post has been edited by Ayen85: Jun 26 2014, 07:05 PM

Hi, for those who done their IVF under Dr Helena or KL Fertility. Would like to check the whole package what blood test they will include in. I heard normally before the 1st injection they shall done a proper blood before proceed further. Am i right?

How the procedure in KL Fertility, can anyone here shall out?
Thanks and appreciated that.

I going for my 1st IVF for this coming circle. Heart beat quite fast cos is 1st time haha...wondering how to whole procedure. Wish i can get a better result. and also hope that can have more frozen to stall.

My wife was under Dato' Prashant and not Halena, so I can only comment on KL Fertility experience.

OK, blood test, they will draw some blood from the wife and test... usually for hormones to ensure the hormones are level. Its located IIANM, level 3 same building. Will have do this quite often and my wife hated it as rrr.had a bad exriance in drwing blood.

Once the blood test is OK, the course commence where you have to take injections for 10 days, same time everyday. I remember during early mornings I had to jab my wife..lol...blur blur..wife face so scared..kekeke...but after a few times you will be fine. There are 2 types of injection..once is synthetic, comes in like a diabetic pen style injector, the other more old school ..have to mix 2 vials and then inject using a small syringe, everyday also. The first one is much easier to work with.

After taking injections..just before the eggs extraction, got 2 extra injections that have to take. Those are rather big syringes... But luckily only 2. The egg extraction is done in same building and its actually quite quick. Will go under anesthetic..and the whole extraction process took like 1 hour. Wife was blur after coming out..so need some time to rest after that. Overall its a half day process. Normally according to Prashant, he takes about 8-10 really good sized eggs. Once extracted and inseminated, you will have 2 choices..either..to implant on 3rd day or wait till next month for the body to heal up. Best is to consult Dr Halena which is best. We tried both and I wont tell you which work. . Additional eggs/embryos can be frozen (additional charges apply). Best is to freeze the better ones, i.e day 5 blastocyst.

After implant, I remember wife had to take some pills ...and insert also. About 10 days later....you will have to go do a urine test. If positive, you do blood test to confirm. If negative......just remember its not the end of the world. Miracles happens in many ways.

Good luck and I am sure you are probably in the best hands in this field. Which reminds me I have to send a thank you not to KL Fertility as my boy is due next 3 weeks.

This post has been edited by gladfly: Jun 30 2014, 09:27 PM

Hi, i oso planning to go through ivf with dr helena on this coming july circle. Is it true normally fresh embryo success rate for IVF is very low compare to frozen embryo? I also hope i got more embryo can freezing atleast we can use in future. Thanks for make me more happy heard that Dr Helena is a very caring doctor. I hope i can success from my fresh embryo if GOD give hehe...One week to go....wish me luck.

You success under Dr Prashant if fresh embryo transfer or frozen embryo transfer? I planning to visit Dr Helena next Monday to take some blood test if result come out good i will proceed 1st 4 injection. 1st time abit confuse hehe....

My wife had 2 cycles. 1st cycles had 8 eggs only 2 were good transferred after 3 days. results negative. Second cycle, had 14 eggs, 6 eggs made it after day 5. ET 2 after 1 month , i.e frozen transfer. result- positive.

Draw you own conclusion le.

caveat- 2nd cycle we had different injections and had TMC supplements. TMC said wife womb was cold so needed supplements.

Ok thanks. So u use 2 circle of fresh embryo? Oooh .. for the second circle u stop 1 month then only transfer the frozen one? I heard they said fresh embryo normally success rate is very low right? My womb is cold also but i will try to withdraw the fresh egg and see how. Never try never know. That why sometime financial tied very think twice before proceed.

Yes ..my wife and I did 2 rounds of IVQ.

All I can say is..we asked the question- would freezing method have a better chance. Answer: No direct answer, but both are viable. The plus point of 1 month transfer is that wife has time to recover from the extraction. Maybe mentally better prepared kua more relax and better chance?.

Just to let you know...egg quality and sperm quality also plays a part. Doesn't mean when u extract 10 eggs ..all 10 eggs can be viable for transfer. depends on luck if the eggs mature past 3 days. % days will be best..but I think for fresh transfer 3 days is the time frame.

It is expensive the process..and I wish you all the luck. Before you start ..relax, have a good diet...quit smoke/booze and unhealthy food (coffee also restricted ). That's what they keep telling us. You will be given folic acid as supplement. Also if your vit D is low, Vit D supplement via drops.

Just did my vitamin d and insulin test all normal. That why Dr Helena was asking me if i am get ready can come visit her this circle and start the 1st IVF. On day 2 she need draw a blood test a progesterone and estrodiol blood test. If all ok then we proceed for the injection. actually earlier i also thinking of want to implant the frozen embryo.

Mind to share with me if let said we did and paid for the ivf package but the implantation we want to done it the next circle will it be additional charges beside the 17k ?

Mind to share the IVF journey what KLFC will do during from Day 2 till implantation. Sorry for too much query.

Thanks

Not an problem..as I was also blur when I did it with my wife. Its good to share such info around. Hope 1 day maybe you can help someone also.

Yes, the package is for 1 cycle only. 1 cycle means all your eggs used up. If you fail that's it. I don't know if extra charges incurred if you try more than 1 time implant. My case .. first cycle we only had 1 implant due to the fact we had 2 good eggs nia. Second cycle, we were successful at the first try. I know the subsequent implant will be charged at about 4k each time for the eggs kept frozen.

There will be a token discount if you decide to try again if 1st cycle fails.(duno if Halena practice it..but Prashant did).

As for experience, I can give a hubby view nia. Initially Wife did say the injections are quite painful. The trick is to make sure the syringe is at 90', straight in lo. There will be some side effect like bloating and so on, so bear with it. Remember to take it at same time lo..the nurses at KLMC is very friendly and able to guide you guys on how to take injections. You will go back to KLMC for checks and see the progress, where they will ultra scan you to see how many eggs are there. Once 14 days over, you will go to downstairs to do the extraction. There will be a room, and hubby is required to donate his sperm also that day....you will be anesthetized. and egg extraction takes about 1 hour nia. After that, rest abit and balik. They will ask you if you want to transfer fresh or later. If later, they will calculate the next fertile date and ask you come back lo.

It actually a quick process as it went by quickly for me. Don't worry too much, you are in great hands...I have great faith in KLFC people. The queue may be abit long, but overall the people there are great. Most importantly, don't worry too much..and don't put too much pressure on yourself. When our 1st cycle failed, my wife was devastated, but like I said and I believe miracles comes in its own way.

Feel free to ask anymore questions ya...