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PCOS - POLYCYSTIC OVARIAN SYNDROME: saya akan cuba bagi jawapan yang ringkas je
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InsyaAllah; nak dengar jgak update from awak nanti. Ramai org tanya pasal alternatif medicines dan saya faham kenapa dan dari konteks maner.
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Ada buat treatment jugak.Gynae bagi hormon and kadang kadang ubat utk kasi period jugak...
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buat la TFT; baru tau ok dah ke dak
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ahha..TFT tu apa yer. dah 25 delay..buat upt still -ve tapi sakit kat perut ni amat sangat..pakai heels tak boleh...mop lantai atau aktiviti yg ada kesan kat perut bila buat sakit. jumpa doc biasa..dia kata angin tapi bila makan ubat angin takde apa pun..lagi sakit kepala.
petang ni plan nak pegi klinik yg boleh scan..takut ada apa2x kat bahagian rahim & mintak dijauhkan.
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Salam...
Saya pun ada PCOS with typical PCOS symptoms (obese, irregular period, hirsutism, etc.) Period 3 - 4 bulan sekali baru turun. Lepas pergi check, doc prescribe Metformin and folic acid dan of course, kena turunkan berat badan la. Pernah doc prescribe Yasmin & Diane, tapi dua-dua badan saya takleh nak accept. Side effects terlalu berat pada saya so doc suruh stop.
Untuk regulate period, saya try minum apple cider vinegar (ACV) yg dibancuh air suam setiap pagi. Pernah sekali, period turun banyak sampai flooding , menorraghia. Saya minum ACV + serbuk cayenne pepper. Alhamdulillah, start bulan 5 period dah regular. Tengah bulan dah period, belum pernah miss lagi setakat ni. Sekarang saya dh kurangkan minum ACV, cuma 2x atau 3x seminggu sebab rasa tekak dah takleh terima.
Tapi saya percaya, penurunan berat badan dlm 10.5kg sejak dari bulan Disember 2014 pun sebenarnya yg tlg regulatekan hormon saya, jadi period pun teratur semula. Pemakanan pun kena jaga. Kalau PCOS, susu dan produk tenusu kena avoid, kafein, gula (termasuk kanji), soya. Itu antara apa yg saya dapat kumpul dari pembacaan online. Saya gantikan susu dgn susu kambing, nut milk (almond, cashew) tapi costly jugak.
Buat masa sekarang, masih lagi dalam proses utk mendapatkan berat badan yg ideal. Perjalanan ku masih la teramat jauhnya... |
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Alhamdulillah cik.nana. Well done sebab managed untuk turunkan badan 10.5kg. Susah tu. Sekarang Nana kena maintain kehilangan ini; jangan bagi dia naik balik. Tips nye makan metformin tu tiap hari dengan meals ie dgn breakfast, lunch, dinner. Dua, jalan cepat 45minit sehari 5 hari seminggu (ya saya faham di mesia memnag panas jadi berpeluh bila jalan.. tapi buat lah kat rumah atau dalam ekon kat opis. Juga, makan kena 3 kali sehari, jangan kurangkan. Makan sampai kenyang, jgn cuba diet eg makan separuh penggan ke apa.
cik.nana, dalam makanan seharian pon ada materials yg boleh pengaruhi menstruation; dalam medicine, kita panggil dia ''emmenagogue''.
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TFT tu thyroid function test lah; untuk adik awak tuh. eh, fieza nyer TFT pon normal ke?
hmm, if tak silap, you dah penah buat scans dulu, kan?
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Terima kasih, @ipes2. Saya baru read up pasal emmenagogue (tergeliat lidah bak hang). Sebelum ni saya cuma amalkan ACV. Aside from metformin apa semua, saya jugak ada buat acupuncture dan amalkan penggunaan essential oil (EO). EO baru je sebulan amalkan. Setakat yg termampu nak cuba, saya cuba.
Saya jugak dah buat HCG. Resultnya -- tube sebelah kanan blocked. Doc kata masih ada harapan utk pregnant TAPI ada risiko ectopic pregnancy. Tak apa, kita usaha je dulu, ye dak? Yg lain-lain, kita serahkan pada Allah SWT. Saya cuba untuk stay positif, tak mau stress-stress. Stress ni jugakla trigger to hormonal imbalance, kan?
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Fieza, TFT tu thyroid function test la?
Ha, kan dah tertukar saya ni.. fieza versus mia
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exactly.. stress tak penah membantu... cuma nak hilangkan nye agak susah... baca quran secara tartil dan perlahan di petang petang atau pagi yang sunyi amat mujarab.. juga bila kita memikirkan keadaan kita atas tikar sembahyang after solat.
ye, jika ade blocked tube, mmg ada risiko utk ectopics. Tapi wallahu'alam; siapalah kita untuk tengok masadepan.
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Haah....setakat ni ok.Cuma kena maintain metfromin untuk bantu turunkan lagi weight...
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salam..saya pun baru dr diagnose pcos, obese, irregular period, period dtg 3-4 bulan sekali. doc prescribed metformin 850mg, dan Diane 35 utk 2 bulan. First cycle makan diane, withdrawal bleeding turun 3 hari selepas last pill. keluar darah bnyk sangat dah macam miscarriage, siap keluar blood clots and cramping ( saya tak pernah ada sengugut). bleeding lebih 15 hari. sekarang dah abis cycle kedua, dan nak hampir seminggu stop diane, masih belum bleeding..cuma ada spotting warna brown yg amat sikit. risau jugak if tak bleeding. @ipes2 rasa sebab apa ye jadi camni?
saya pernah pregnant dan gugur 2x. first time at 11 week, dan 2nd time saya tak pasti brp week sbb saya ingat saya period, rupanya gugur sbb check upt positif. maklumla, period pun jarang-jarang so mmg taktaula pregnant. saya dah kahwin lebih 6 tahun. belum ada anak. sedih mmg sedih, tak pernah sehari pun tak menangis sbb ni esp after prayers  |
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waalaikumussalam wrbt,
itu correct treatment la tuh snowater.
kekadang, first period after so long tak periods tu agak kacau sikit eg menorrhagia, dysmenorrhoea ie mcm yg awak dapat tu lah
tapi biasanya after first few cycles, diane tu regulate la periods balik and things start to settle. maybe awak patut tunggu a few more cycles before changing the pill?
kami di sini, in PCOS, kami beri Metformin 100mg twice a day dgn OCP tu, dan kami enroll pesakit kami ke dalam programme weight loss. To help regulate the hormonal imbalance in PCOS, weight loss is a must.
depa ade check cortisol u tak. if so, berapa?
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takde plak dr check hormon cotisol, haritu cuma amik darah untuk check LH dan FSH, result saya taktau lg, jmpe doc lg seminggu ni br tau..nak check hormon cortisol untuk apa ye?
usually brp lama ye treatment for PCOS before trying to get pregnant? and usually for pesakit PCOS clomid membantu tak? my gynae kata after 2 months dia nak bg ubat lain to get pregnant, tak sure ubat apa.. |
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cortisol kita biasa buat esp 0900-cortisol. bukan apa, mudah aje ter-misdiagnose cushing's disease or cushing's syndrome dengan PCOS. malah ade ramai actually org yg takde pon PCOS tapi doctors yg tak biasa dgn endocrinology main diagnose je...walhal org tu ade hypercortisolaemia (eg cushing's syndrome etc)
bila boleh pregnant? good question; eventho dah ade good periods pon still kena ade weight loss, sebabbyk sgt hormonal issues if ade obesity sampaikan ramai wanita yg takde ovarian problems, takde peiod problems , takde PCOS etc tapi subfertile hanya kerana obese.
nak try clomid dah? tunggu dulu. bg la masa utk Tx for PCOS show some good. Metformin tu can help to lose weight tau.
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menarik bila dr cakap some drs can misdiagnose. (caution: long post luahan hati)
I was told I had PCOS masa pregnant 1st baby 13 yrs ago. Tapi x ada pun buat hormon test mcm yg dr cerita in here to confirm. Masa post natal checkup my gyne prescribed diane35. Bila buat search online, nampak mcm bnyk symptoms2 PCOS yg mmg ada; contohnya masa anak dara mmg period datang 3-4 bulan sekali, kalau datang pun sekejap2. Badan mmg berbulu lebat mcm lelaki, kecuali misai je tak ada, even bulu roma kat dagu pun kasar2 dah mcm janggut halus kekdahnya, bulu kaki mmg mcm kaki lelaki (too much info? no?) perangai pun mcm lelaki, seolah2 testosterone tinggi. Masa pregnant pun berat badan naik dgn sangat mendadak walhal cara pemakanan sama je. Before pregnant 1st time I was 47kg (height 151cm). Masa pregnant last at full term I was at 75kg. So I have been telling myself convinced that I have PCOS.
Anak kedua 3 yrs later pun mcm tu jugak. Berat badan naik mendadak. Last pregnancy I managed to shed all weight gain except for the last 5kg. I didn't take diane35 coz that time tengah breastfeeding.
Anak 3rd pun 3 rs later pun cerita yg sama and it took us 3 yrs to conceive even without taking any protection. And this time my gyne/obgyn told me my uterus was inverted. This time I took diane35 after 1 year sbb my son stopped bf when he turned 1. Tapi ada at one point i bled twice a month and setiap kali bleeding for 9-10 days. Before that I made my own conclusion yg my period cycle is a 40 days cycle and that is why kdg2 miss period sebulan. So bila period for 10 days straight (heavy flow) twice a month, bila kala pulak nak buat ibadat. Husband pun dah start complain. Lepas buat check up to determine the cause of the frequent bleeding, turned out I had polyps dalam rahim. So apparently 1 bleeding session is the normal period cycle and the other bleeding session tu is from the polyps. And since I was advised that the polyps feeds on estrogen especially from contraceptive pills, I stopped taking diane35. Tapi gyne ada mention la, with PCOS, inverted uterus and polyps tuhan bagi rezeki anak sampai 3. Alhamdullillah.
Then out of sudden I got baby no 4 after 5 yrs of not doing any planning at all. Same story, berat badan mmg naik mendadak and my last weight before pregnant was 65kg and my weight before delivery was 91kg. Tapi x ada diabetes and clean bill of health. Anak pun besar 4.04kg. Ada sy cerita dlm post lain pasal baby besar. Asked my obgyn abt the polyps. Apparently keluar bersama2 baby sbb x detect during post natal check up. Inverted uterus pun dah normal balik and no signs of PCOS.
After 4 babies, we decided to stop. Tapi the natural way. We were very careful. Baru plan nak pasang IUD and waiting for my period cycle yg dah lambat 12 days. Buat UPT and I got 2 lines. Buat scan and I am with a baby at 8 weeks at the moment. Tapi I have suspected I am pregnant sbb all of a sudden berat badan mendadak naik to 5kg despite calories counting and regular daily exercises. The same routine yang sebabkan saya hilang 15kg telah tiba2 menyebabkan saya naik 5kg. So now I am pregnant at 40 tapi masih lagi wondering if I actually have PCOS?
Sorry for the long story and ampun if its not relevant to this post. Cuma sbb dari awal diberitahu saya ada PCOS and tiba2 ada possibility it was a misdiagnosed, rasa mcm disillusioned kejap. Confuse pun ada sbb ada certain symptoms are present (especially the weight gain part) but I am obviously fertile. Hence post luahan hati.
ampun ye kalau tak relevent... |
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anak sampai 5 macam mane awak ada PCOS ni  . tak aci la doctors diagnose PCOS tanpa ade blood tests. tak boleh ahh gitu, tak professional la. ye, memang awak ade several criteria eg hirsute tetapi dan periods nye oligomenorrhoea (jarang); tetapi ini tidak lah membawa kepada diagnosis PCOS.. main teka teka aje tak boleh la. kita doctors takleh la main rasa-rasa aje. kesal di hati..
apa apa pun alhamdulillah u ade zuriat 5 anak; rezki yang terbaik.
sebab itulah bila ada menstrual probs, maka kena check dgn mcm mcm blood tests esp hormonal, dan kena wat ultrasound etc; if buat USS awal awal dulu, sonographer tu tentu dapat tgk nya uterine polyps tu.
i nak remind u pasal weight gain during pregnancy ni... maybe u boleh tgk thread I pasal macrosomia and risks of diabetes etc..
good luck with your 5th pregnancy  ; rezeki Allah jgn ditolak
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hehe.. tau dah mmg bukan PCOS. Agak disappointed sbb yg misdiagnosed dulu tu is a fertility specialist. Hence why I trusted his view, then. Cuma post di atas tu nak menzahirkan perasaan frust sbb berat badan naik mendadak sgt. Penat rasa usaha menurunkan berat badan yg maha payah ni. Tu post emo hormon tengah tunggang langgang. |
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cara terbaik ialah beritahu doctors tentang kesilapan kami; nanti kami akan belajar darinya.
ye ke specialist? kami jika specialist, tak akan buat silap sebegitu.. bunyinya sama macam mekanik pegi tukar taya kanan padahal taya kiri yg bocor.
di byk tempat, org mengatakan mereka pakar didlam sesuatu bidang tetapi sebenarnya hanya melalui pengakuan sendiri dan bukan melalui training.. wallahu alam.
sekarang, cubalah tgk tgk berat badan tu..
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Author
Post time 1-10-2015 10:35 AM
