Visit to the Fernandez Hospital

Hi,

So the title says it all! I decided to go to the Fernandez Hospital to take the treatment further ahead. The reason I chose this hospital is because this is the same hospital where most of the family members including my mom, my aunts & my cousins were born & this is the same hospital in Hyderabad that is know to encourage normal deliveries.

I booked an appointment for 10th July 2012, wanted to get an appointment with the Senior Doctor Dr. Shashikala, since she was out-of -station, her junior Dr.Sirisha was handling her cases.

My appointment was for afternoon! Once I reached there, the receptionist gave form to fill all the details & took a fee of approximately Rs.500 INR( Consultation fee(Rs.300)+ Registration fee(Rs.200).
They took a photo with the webcam & issued me an ID card.

Then I was sent to a cabin where the lady noted down my weight & B.P & started asking me all the details like how long have I been married & trying to conceive & other things like family health history etc. After that I was made to wait for some more time & then finally met Dr.Sirisha.

Dr.Sirisha

10th July 2012: 1. She prescribed Primolut-N 5mg twice daily for 5 days & Folvite(Folic Acid) 5mg
                             for 30 days.
                        2.  She asked me to get these tests done (1) Prolactin (2) OGTT(Oral Glucose
                             Tolerance test),(3) Insulin.
                             Test Results: Prolactin-Normal
                                           Insulin little high
                                           OGTT very high levels.

14th July 2012: Dr.Sirisha said since I have high insulin levels & OGTT, I should exercise, have a
                        balance diet & have tablet Metformin 500mg for 1-2 weeks until I get used to the
                        tablet.
                       She asked me to get another test HbA1c done & see the inhouse Endocrinologist
                       Dr.Raman to take an opinion from him too.

18th July 2012: Getting an appointment is sometimes very difficult, somehow managed to get it for
                         18th July evening. Dr.Raman asked me to exercise, have a balance diet & said I
                          could still keep trying to conceive.

21st July 2012: I was told by an intern Dr. Amrutha
                        (i) To have Clome- 50mg twice a day from Day3 to Day 7( Day1 is when the
                             periods start) to induce ovulation.
                        (ii) Day 10th, I should go to the hospital for Follicular Study.

23rd July 2012: Periods started.

25th July 2012: Started Clome-50mg.

1st August 2012: Day 10th. Went for Follicular study. Dr.Hema did the scan & prescribed
                          (i) Tamoxifen Citerate- 20mg, twice daily for 3 days.
                          (ii) Ecospirin-75mg once daily after food.
                          Was asked to come again on 4th August 2012

4th August 2012: Suggested Tamoxifen Citerate- 20mg until 7th August 2012 & asked me come back on 7th August. She said I would need more stimulation, so had to continue the same medicines.


7th August 2012: Doctor scanned & said the follicles are still small & asked to come back on 11th  August 2012. Was advised to discontinue using Tamoxifen. When askedabout the reason for the slow progress, she said since I have PCOS the size isn't growing.She said sometimes if given time they may grow.

11th August 2012: Went in the morning & after the scan Dr.Hema asked me to meet Dr.Shashi.
                             Dr.Shashi said, since I have PCOS, the follicles haven't grown, The follicle size
                             should be 18-20mm but mine was only 8mm. She prescribed these for my
                             next cycle.
                            (i) Metformin-500mg Twice a day with meals.
                            (ii) Folvite- 5mg daily once.
                            (iii) T-Duphaston 10mg starting from today,one tablet daily for 10 days.
                            (iv) Once I get my periods, from Day 2 to Day 6 ,T-Clome 50mg for 5
                                  days(Morning & Night).
                            (v) Injection GMH 150 Iu to be taken on Day 5th.
                            (vi) T-Tamox 10mg from Day 7 to Day 9th.
                            (vii) Day 8th should go for follicular study, if Day 8th turns out to be Sunday
                                   have to come on Day 9th.

So this is it, will keep updating about the treatment & the progress.

My Journey Towards Conceiving

Hi,

So this is my first post on the blog. The main reason behind me starting this blog was, I needed a place where I could talk about all those things that I'm experiencing during this journey, my emotions & my struggles & basically a place to pour my heart out & thought this blog would help somebody else like me who is going through the same phase.

OK, before I tell you all about what's happening in my life let me tell all in brief about me.

I'm  Rubee, a 28 years old well educated  housewife with a great husband, living in a joint family & trying to conceive since a year.

The journey towards getting pregnant started since December 2011, though I started noticing that I had irregular periods since the time I reached puberty, & regular visits to the gynecologist resulted in only temporary solution. I mean once I stopped the medicines within few months the same thing(irregular periods) would be repeated. Life went on, & then I got married an year back & tried to conceive naturally.Every month I would get disappointed looking at the HPT kit, was desperate to see two purple line but I could only see a single one. So after 6 months from the time I got married, I decided to see a Gynecologist, took few people's suggestions & visited a local doctor. Below is the course of treatment I took after visiting her.

  December 3rd 2011: 1. T.Modus 10 mg for 5 days to get my periods.
                  Tests: Doctor wanted me to get T3,T4, S.Tsh(Thyroid tests) & USG Pelvic & abdomen
                           Scan.
                  Results: T3,T4, S.Tsh were normal, however we found I had PCOS. I didn't get my
                  periods after having T.Modus, so was advised T.Novelon for 21 days.

 January 2011: Got my periods on 19th January & when I visited the Doctor I was advised
                                        1. T.Modus(10mg) twice daily for 10 days
                                        2. Once I get my periods( I got them on 16th Febuary) I was told on
                                            Day3(Day 1 is the day periods start) to Day 7 I should have Fertyl
                                            50mg once a day.
                                        3. Day 10th to Day 15 were the days to have intercourse.
                                        4. From Day 16th T.Duphaston twice a day for 10 days & Folic acid                
                                            tablets one everyday
                                            While I was eagerly waiting to do the UPT(Urine Pregnancy Test) at
                                             home, got my periods on 16th March 2011.

March: When I went to the Doctor in March, I was told not to have anything for this month & she
             wanted to wait & see.

April: Didn't get periods!
          Was told to have T.Modus(10mg) twice for 5 days & Himalaya EveCare syrup. Still didn't
           get periods until  April 30th.
  May: Was again advised to have T.Novelon once daily for 21 days.
          She wanted to me to get S.Fsh( Follicle Stimulating Hormone) & S.Lh(Luteinizing Hormone)
          asked to come back in 10 days.
          After 10 days, when I went with the reports which had normal results, she asked me get
          Husband's Semen Analysis done. The reports came out all normal. In the meantime periods
          started on 29th May 2012 & again had spotting on 7th June 2012.

For some reason I felt I was not on the right track for the treatment, after a few talks with friends who had already conceived & my aunt, they made me realize that the Doctor never asked me to get a follicular study done through these 6months. After a lot of thinking I finally decided I had to go to a corporate hospital for the treatment since it would be done in more organised way.