From my blog, anyone would know that I had done my treatment at Hospital Wanita dan Kanak-Kanak Sabah (HWKKS) or Hospital Likas. But there are actually another option which is Sabah Medical Center (SMC). However I cannot comment much on SMC services on the fertility treatment as I hadn't even surveyed them for the treatment. But if anyone wants to check it out they could check their website or contact them, as doing any treatment at private hospital will be faster and usually more individually time suited. This is the website address, www.sabahmedicalcentre.com But, since SMC is currently not at its optimum quality due to sharing of building with HQE2, I don't think they would be able to provide IVF/ICSI tretament. This is my personal opinion.
For IUI/IVF/ICSI treatment at Likas....Since it is a government hospital, you will need referral to the specialist clinic. Couples can go to any government clinic and seek for infertility treatment. The medical officers will do the preliminary tests and get medical backgrounds first. If the couples are suitable and agreeable for further treatment, then they will be refer to the O&G clinic at Hospital Likas. The consultants for fertility treatments are Dr Cheong and Dr Hatta. Both are nice, soft and caring doctors. They are also very busy. So expect to get a long waiting list of appointment date and to wait for an hour or 2 at each appointment. TTC for few years, so waiting for hours at appointments is basically nothing. Be patient. Updated on 26 June 2013. Dr Cheong is currently working full time at SabahCare and Dr Hatta is at Hospital Likas.
Price will probably change in the years to come. Of course IUI is cheaper than IVF/ICSI. The medications is what will be taking most of the cost. It will be up to 2/3 of the total cost. They will provide with some of the meds, then you will have to buy the rest. It can come up to 6K, depending on your need. Since the meds are hormonal you will need to bring a cool box and ice to store them when you get them form the clinic and pharmacy. The rest of payment is for daycare during ovum pick up (~RM1K+), embryologist (~RM800) and storage (~RM400). So total around 8K-10K.
Time spent for treatment is around 2 months. 1 month to get your menses at the right moment for ovum pick up (OPU), then another month for follicle stimulation. Getting the menses right is important as at Hospital Likas, as they will only do the OPU and transfer around one week per month (if there is no other problem/major holidays). So there will be months that the OPU/transfer week is in the early, mid or end of the month. This is to suit the clients diverse menses timing. Therefore compliance to treatment is important once started, as to not waste time, because you might have to wait a long time for the next OPU/transfer date.
After the OPU, the embryologist will inseminate the available ovums. Developed embryos will be then planned for transfer or froze for storage. If you are overstimulated, meaning the doctors got more than 20 ovum during the OPU, the embryos will be frozen and you will have to go through another month or two of treatment for frozen embryo transplant. If you are not overstimulated, the embryos will transferred at day 2 or 3 after OPU. Transfer means the embryos will inserted into the uterus through the vagina. There is no pain. The discomfort or 'pain' that is felt is usually from the follicle stimulation and OPU. My worst symptom was bloating. After the transfer, then the two weeks waiting (2ww) start. This is the worst period felt. There are no 'pantang' but just don't do heavy lifting. Nothing much to be done except prayers.
After the 2ww, or earliest is 10 days after transfer, a blood test of beta HCG is done. It can be done at Hospital Likas or any private lab. I think the cheapest and reliable private lab at Kota Kinabalu is Gribbles. But the result will come out in two days. If the results is more than 5, there is a possibility of pregnancy. Then wait for another 2 weeks for the first scan. This first scan is transvaginal and to see if there is any fetal sac with fetal pole inside it. If it is seen, congratulations, a pregnancy is confirmed.
This is my summary of my experience of IVF/ICSI at Hospital Wanita dan Kanak-Kanak Sabah. Any questions please comment or email. :).
Please note that HWKKS Clinics do not accept or appreciate walk-ins (even if just to get appointments) and non referrals cases. Even most private specialist clinics need appointments. So please do screenings at clinics and get a referral letter. Below are links of list clinics that you can go for screenings and early work-up.
1. Government Clinics
2. Klinik Nur Sejahtera
3. Sabah Care Specialist