IVF at Sabah

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. :).

Update :

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
 

100 ulasan:

  1. Hi! I am planning to do ivf too at hospital likas but i have no idea where to start. Your blog helps a lot. Thanks. Do you have any idea how much smc charge for ivf? Is hospital likas is the cheapes in KKt? And what about their services? No rude nurses? The only reason why i hate to go to gov hospital is the rude nurses. i cant control my temper with their rudeness.

    Then, you mentioned on the time spent for the treatment is 2 months. It is not include the time before you were refered by clinic right? I'm afraid it takes longer when you do it at goverment hospital. Please help. My email is euphoria_707@yahoo.com

    BalasPadam
  2. I am sorry for replying here. But your questions are good and the answers will benefit others. Hope you don't mind.

    First question : SMC/private costs around 2-3 times then government hospital. SMC previous brochures shows that infertility treatment costs up to 20K. I guess that answers the second quest, that yes, Hospital Likas is the cheapest option in Kota Kinabalu/Sabah.

    For services in government hospital, as Hospital Likas being the major specialist center in Sabah, it is very busy. No one should expect fast and special treatment unless emergency. But, they still provide with the best and quality medical services despite the circumstances.

    As a doctor myself, nurses or health workers will be rude unintentionally if they are overwhelmed by the conditions. They will become rude if clients are too demanding or rude to them first or doesn't want to listen to their advice. So be patient and nice, they will be patient and nice too. But remember that personalities can effects communications. I have also seen non friendly nurse or attendants at private hospitals.

    About the time, yes the 2 months don't include referrals and investigations. You can speed things up a bit by doing infertility check ups at private lab/clinic first. Referrals can actually be done by any doctor either gov or private. However, referrals from gov clinic will only have to pay less than RM10 upon registration and referral from private will have to pay up to RM50 (if I am not mistaken). Then you just have to wait for the appointment.

    Hope this helps.

    BalasPadam
    Balasan
    1. Hai dr,
      Thank you dengan smua maklumat dari dr..sa sangat gembira jumpa blog ni..bagai ada harapan lagi..
      Saya baru berkhwin 3 thun lbih and sudah cuba untuk natural conceive tapi still x berhasil..
      Saya n husbnd sda buat fertility check up d O&G kk specialist centre under Dr Kana..
      Sperm count n morphology husband low n dr refer kami ke Dr Hatta Hospital Likas..so saya trus ke sana atau hendak call buat appointment ya?

      Padam
    2. Sorry for the late reply. Lebih baik telefon untuk buat appointment. Boleh telefon O&G Clinic Likas dan minta appointment. Kata ada referral dari dokter swasta. Tak pun ke klinik kerajaan dengan membawa semua dokumen dari dr swasta dan klinik kerajaan akan telefon untuk dapatkan tarikh.

      Padam
    3. Hai dr hh...😊😊cadangkan sy mcmna nak amb temu janji d hospital kerajaan utk ivf terkini d sabah.sy dah 2x ivf tpi dkt semenanjung..itupun swasta..so nak try kat sabah...dr bagi detail sbb sy tak tahu mana2 nak pegi..thank u dr

      Padam
    4. Sorry lambat balas. nak dapatkan temujanji di hospital kerajaan mesti ke klinik kearajaan dahulu. buat pemeriksaan pertama dan kemudian mereka akan rujuk ke hospital pakar utk rawatan lanjut.

      Padam
  3. Salam Dr,

    I am very happy to get to know your blog! Thanks for your kindness and willingness to share with others~

    May Allah bless you and your family.

    BalasPadam
  4. Salam Dr.

    Thanx for sharing all this useful info. I am 36 n husbd is 41 this yr and we been married for 6 yrs now and but i still fail to conceived.
    My husband is a smoker so i just wandering whether we still can proceed for ivf in HWKKS once we had the referral letter from Gov Dr? Or does smoker is contraindicated for d procedure in d setting?i badly needed d answer. Anyw, Tq in advance.

    BalasPadam
    Balasan
    1. Smokers are contraindication for IVF. Anyway, smoking itself can cause low quantity and quality of sperms. Creating a healthy environment for the pregnancy and baby is also by no smoking. After 3 months stop smoking then the couple can go for screening or the procedure. In my personal opinion no smoking is a sacrifice that must be made by any couple who wishes to conceive.

      Padam
    2. Hi Dr
      I have successfully make my 1st appoitment at Likas for the IVF, I am 39 married for 9 years and no kid, I am running out of time and am very puzzle when I read that that waiting could take years, can you please kindly tell me how long was your waiting period from your 1st appoitment to finally get your IVF done? Thanks alot for sharing all this
      Tikkahun@yahoo.com

      Padam
    3. Hi Dr
      I have successfully make my 1st appoitment at Likas for the IVF, I am 39 married for 9 years and no kid, I am running out of time and am very puzzle when I read that that waiting could take years, can you please kindly tell me how long was your waiting period from your 1st appoitment to finally get your IVF done? Thanks alot for sharing all this
      Tikkahun@yahoo.com

      Padam
    4. Andrew, after all the investigations are done and period is maintain to the proper date, the IVF is done within 2-4 months. It differs from one couple to another couple. Be patient and I pray the best for you.

      Padam
  5. salam Hazwani...sy jga bermasalah utk conceive..walaupun tlh mempunyai 3 org anak...tlh mencuba iui 3 kali tp gagal...then dr.suggest IVF....

    BalasPadam
    Balasan
    1. Saya doakan awak dan suami akan berhasil.

      Padam
  6. Salam Dr,

    Berapa total cost untuk buat IUI di gov hospital?

    BalasPadam
    Balasan
    1. Maaf tak pasti. Tapi patutnya kurang dari RM5K sebab tak perlukan embryologist.

      Padam
  7. Salam Dr,

    I interested to do ivf but I'm wondering whether in likas hospital will accept foreigner to do the ivf since its government hospital.. if they do accept.. what are the procedures.. Please let me know..

    In need..
    Hshal

    BalasPadam
    Balasan
    1. I am not quite sure. However, you will still need referral from a clinic to the fertility team at Likas Hospital. Therefore you can ask the clinic you are going if referrals can be made. I think you can do the IVF if it is needed, but of course the cost will be higher as foreigners are not subsidized by the government. Usually the price will be no different from a private clinic or hospital.

      Padam
  8. Askm dr, sy bru saja d sahkan hidap PCOS right n left dlm saiz 2-9mm, skiranya sy dpt kan surat rjukan dr clinic tuk pg ke clinic O&G.. Rasanya sy akan brjumpa doktor terus ka atau mcmana? Dan ingin membuat iui?

    BalasPadam
    Balasan
    1. Waalaikumsalam. Puan disahkan dan dirujuk dari klinik swasta? Saya harapkan pihak klinik tersebut telah mendapatkan tarikh temujanji untuk puan. Semua rujukan akan terus berjumpa dengan dokter O&G tetapi mungkin bukan langsung dengan unit fertiliti. Namun dokter-dokter O&G tersebut boleh bertanya langsung dengan unit fertiliti sekiranya perlu. Insyaallah anda akan ditangani mengikut prosedur yang ditetapkan oleh oleh unit O&G.

      Padam
  9. Hi, tak sangka, when I type in google, and that's where I found this blog and telling us about the infertility treatment can be done in KK. I've been married for over a year and still trying to conceive but to no avail. Prob because I'm already coming 35 soon and hubby is 40. Not sure whether to continue to try or it's time to seek for treatment. Dilemma. People always said, don't stress out and I've been stressed out physically and emotionally and trying to calm myself down.
    Any advice?

    BalasPadam
    Balasan
    1. My advice is don't give up. Memang akan stress but you still have to try. Try to keep a positive attitude facing this challenge. Since you are already married for a year, you should do the fertility check up. Don't postponed the check up too long. The sooner the better. I pray the best for you.

      Padam
    2. Thanks Dr...will do but rasa nervous at the same time because don't know how's the result going to be like if I go but looks like I have to. Adui, so many process to go through really makes me having goosebumps...

      Padam
    3. Goosebumps and nervous is normal. You are doing fine. Be patient and strong during this trial of moment.

      Padam
  10. Hi, for your info, Dr Cheong is working full time at SabahCare and Dr. Hatta also do consultation at our clinic. They are great doctors and very good in what they do. Thank you Hazwani for the great info and nice write up. You may visit sabahcare.com for info and give us a call for more information or appointment.

    BalasPadam
    Balasan
    1. Thank you for the update and compliment. It will be a pleasure to visit sabahcare.com and the clinic itself.

      Padam
  11. HI, may i know After I have registered with govt clinic how long do I have to wait to before I can be refered to Hospital Likas and what document is needed besides ic?

    BalasPadam
    Balasan
    1. You will be referred once all investigations are done. Investigations usually takes some time and for women, they need to take blood at certain days of their menstrual cycle. If you are working in the government, you can bring your GL. Hope this helps.

      Padam
  12. Hi, you mentioned on the time spent for the treatment is 2 months and HWKKS Clinics do not accept or appreciate walk-ins and need to do screenings at clinics and get a referral letter. Then how u had spend from day 1 go to government clinic to do screening till the two months treatment? Thanks in advance.

    BalasPadam
    Balasan
    1. I am sorry for not being too clear. 2 months is just the process of IVF and embryo transfer. From day 1 of getting your couple and you to be screened, referred, probably to stabilize any medical disorder and fitting in the waiting list, it can be from 2 months to half a year. The whole process takes time. Too long for some, but be patient and humble of going through this 'ordeal'. Insyaallah, it would end well.

      Padam
  13. Thank you for posting this blog Hazwani, You provided the great information which will definitely helpful to us.


    Fertility Treatment Center

    BalasPadam
  14. Hi Dr Hazwani,

    TQ for sharing your ivf experiences at hosp Likas. I, too hd a successful ivf treatment wt hosp likas in 2011. Dr. Cheong and Dr. Hatta they both r very nice and caring docs. Now, after 2 years, i am ready for my frozen embryo transfer (I hv 6 embryos frozen at hosp Likas) :) scheduled for scanning on mon 9/9/13. I hope and pray that this transfer will be success too! I love kids, and always dream to hv lots of children..

    Just sharing.. At first when me and husband decided to undergo IVF treatment, we google a lot, yes a lot to find infos on IVF. We decided to do it wt SMC. We did all d fertility check up and so on so on there.. At last, d SMC's doc herself referred us to hosp Likas :) She informed us that Hosp Likas IVF treatment is much much much more developed than SMC.. (I am not sure for now) and the cost also much much much more cheaper :).. I am very grateful and deep appreciation to d SMC doc, she was very nice, she wrote us referral letter to hosp Likas, she even made a phone call to Dewi (d sweet n nice nurse at hosp Likas fertility clinic) to set my appointment to see Dr. Hatta & Dr. Cheong.. I have to wait almost 2 months to see Dr. Cheong & Dr. Hatta.. Quite a long wait i think but thank God, it was very worthy...
    Then my story began, just like Dr. Hazwani :) .. what you shared here almost d same experienced i hd... As for me, undergo IVF for the first time, u really need to be very emotionally & physically prepared. Emotionally, u hv to always think positive, IVF do not 100% guaranteed wt successful pregnancy. Among 6 candidates in my badge, there were only 3 of us succeed..
    Physically, huh... injecting d hormone to ur stomach by yourself everyday was just a torture for me.. but u hv to do it.. its protocol n mesti dilakukan.. D hormone caused me bloating, very bloated like im a 6 months preggie.. :) actually not even conceived yet..
    Then d rest, more or less same as elaborated by Dr. Hazwani :)
    Yes, gov hosp is very very busy most of d time... waiting is just normal here.. Just be very PATIENT.. There r only 2 fertility specialist in Hosp Likas, but too many patients to treat... So, just wait patiently.

    Dr. Hatta and Dr. Cheong, they r very very great doctors.. TQ docs! Well done & keep up d good work..

    And TQ to Dr. Hazwani too, its a beautiful sharing.. tq!

    BalasPadam
  15. hello Dr Hazwani..i'm 42 now..is it possible If I do the ivf? I'd been married nearly 10 years but still tiada rezeki..is it ok for me to do the ivf?

    BalasPadam
    Balasan
    1. it is possible, but the success rate and risks are higher. you can just do the screening first. if your husband and you are healthy, the specialist might consider.

      Padam
  16. Clinic Luyang can?

    BalasPadam
    Balasan
    1. Yes they can do the screening first. If all is well they would refer you O&G Likas.

      Padam
  17. Me and my husband had been married for coming to 2years and try to conceive but test result says my husband is having no sperm count(1st test) and no sperm seen(2nd test). What should we do?

    BalasPadam
    Balasan
    1. I am so sorry for not able to provide you with a good answer. I truly feel devastated with your screening results. Please get a personal professional advice. The answer I am giving here is my personal and not my professional opinion.

      If you are in other countries or religion that allows insemination using sperms from sperm bank, you and your couple has the choice of conceiving through ICSI/IVF using your ovum(if you don't have any problems ovulating) and the donor's sperm.

      However as a Muslim, this choice is not applicable. If this were to happen to my husband and I, the only choice we will have to take and hope for is to adopt a young child and breastfeed it as that will make the child a nursing child and therefore a 'mahram'.

      I pray for the best for you and your husband. I am sorry for not able to say much.

      Padam
    2. I think Ervinna Toh is answering your question. I had also ask Dr Hatta. You should get a professional advice and you can be referred to the fertility clinic of Hospital Likas. Sorry for the late reply.

      Padam
  18. salam dr hazwani..
    saya zue dan sy google info mengenai ivf dan blog dr come out on my screen..thank u sbb byk info bgs sy tahu..saya musykil tentang sesuatu..bln lepas sy dan suami dah jalani rawatan IUI for 1st time..mlgnya sy period bermkna rawatan tak berjaya...
    sy buat rawatan di sabahcare under dr.cheong..dr.cheong confirm sy dan suami masing2 sihat infact sy ovulate dgn bgs dan sperm suami sgt aktif...
    adakah peratusan nk dpt bby tinggi kalau sy buat ivf.? sy 25 dan suami 27 dan kami dh berkawin selama 3 tahun...

    BalasPadam
    Balasan
    1. Maaf, jawapan untuk soalan awak ni lebih baik bertanya terus dengan Dr Cheong. Dia lebih pakar. Jawapan saya pasti hanya akan berdasarkan artikel perubatan yang saya dapat jumpa di internet. Blog ini hanya pengalaman peribadi saya. Saya doakan yang terbaik untuk awak. Jangan putus asa. Saya buat embryo transfer 3 kali, baru mengandung. Pernah saya baca pengalaman satu pasangan sampai 8 kali baru mengandung. Bersabar, berusaha, jangan berputus asa dengan semua cara yang boleh dibuat, berdoa dan tawakal. Insyaallah, Allah akan berikan kita rezeki.

      Padam
  19. As salam, sya telah berkahwin selama 3 tahun, suami saya berumur 37 dan saya berumur 27thn.baru2 ni suami saya telah melakukan ujian kesuburan..keputusan menunjukkan kandungan sperma ada sedikit iaitu 3 juta. Apakah rawatan yg paling sesuai untuk membolehkan saya hamil...iui, ivf....mohon pencerahan.

    BalasPadam
    Balasan
    1. Kerana jumlah sperm yang sedikit, anda memang memerlukan bantuan perubatan (IUI/IVF) untuk hamil. Dokter yang akan memberikan rawatan akan memberikan cadangan yang terbaik untuk anda.

      Padam
  20. Is doctor ask your husband to do the blood test to check is the scrotum problems or tube problems? If just the blockage of tubes, you still have hope. PESA can be done aspirate the sperm out and do ICSI.

    BalasPadam
  21. Assalam Dr Hazwani,
    do you know which clinic (or hospital) in KK i can do HSG test with female radiologist/doctor? ..i intend to do HSG test to check the tube fallopian, but concern about my aurat to male radiologist.. Or do you think i have any other option to check the tube rather than doing the HSG test?..

    BalasPadam
    Balasan
    1. Waalaikumsalam. FYI, Likas and QEH have female radiologist. However, if they are on duty at HSG, then you will get the female radiologist. I am not sure of private clinics, but you can Google radiologist clinic and find out who the doctor is.

      As an addition of knowledge, aurat of a female to another female is from navel to knees. Therefore your concern of aurat to only male radiologist is slightly wrong, as you will be exposing your aurat to a female radiologist. From that point of view, the dosa is still the same. However, being embarrassed is normal and understandable.

      In doing any medical procedure, 'look, touch and feel' is very important as it is the only method to properly exam a patient. Simple procedures like an ultrasound of the uterus can only be done by exposing the stomach (still an aurat) or taking blood pressure have to be taken by exposing the arm (aurat between male and female). Since the medical community have no other method to examine a patient (unless we have telekinetic or supervision power), it is a darurat for either male or female heath worker to see and touch the aurat of a patient (male or female patient). However in doing so, they must conduct the procedure professionally and reasonably, such as making sure the curtains are pulled closed, there are chaperone if the patient is the opposite sex and exposing the aurat as little as they can. This actually applies to all Muslims and Non Muslims.

      From my personal opinion, in doing the procedures professionally, the health workers and patients are unlikely to get dosa. They are more likely to get pahala. The health workers will get pahala for doing their job well and the patients will get pahala for taking care of their health. Wallahualam

      Padam
  22. Salam Dr, terima kasih blog Doctor banyak information. Maaf jika pertanyaan saya luar tanjuk. Saya ingin bertanya, boleh kah doctor rekomen doctor puan yang bagus di sabah? Kalau boleh doctor perempuan. Terima kasih doctor.

    BalasPadam
  23. Saya tak berapa pasti, sebab saya pun pergi ke hospital kerajaan. Boleh je Google O&G specialist Kota Kinabalu. Insyaallah akan keluar senarainya. Kebanyakan dokter2 O&G private di KK memang baik2 setahu saya. (hehehe...tapi yelah susah nak laku kalau garang2).

    Saya kenal Dr Cheong di Sabah Care. Dia memang baik. Di SMC, saya pernah dapatkan rawatan dari Dr Krishen. Dia pun okay. Cuma dokter2 O&G ni sibuk. Kekadang kena tunggu 2 jam walaupun dah ada appointment. Ni pun berlaku di hospital kerajaan dan swasta. Jadi kena bersabar.

    BalasPadam
  24. HI, thanks for ur info, it is a good blog.
    I wish to know that about the cost of IVF, the cost of IVF is about 8k to 10K as u mention, n u also mention that u did 3 times embryo transfer, is that the cost 8k to 10k is for one times ivf? If the ivf fail on the 1st time n do the second ivf the cost would be 16K to 20K? or just add on the embryo transfer fee that is embryologist (~RM800) ?

    BalasPadam
    Balasan
    1. The cost I am talking about here is the cost in 2011 to 2012. The cost is for 1 fresh IVF cycle from stimulation, ovum pick up, the fertilisation and embryo transfer. If fail and have to go through the whole process again, you will have to pay for it again. If only for embryo transfer, then the cost will decrease a bit. As I mentioned, the medications is most of the costs.

      Padam
  25. Slm dr hazwani..... sy da buat ivf , first ivf on nov 2013 negatif, now 7 feb 2014 buat frosen embrio transfer, skrg hari ketujuh, masih tak rasa apa2 ada mual ckit tp hlg2.... nak tya lps transfer bole ka embrio tu jatuh dr rahim? Sbb sehari slps transfer ada kluar daging kecil sgt warna merah..... risau sgt..... for ur infrmtion sy buat ivf kat hos likas jgk

    BalasPadam
    Balasan
    1. Salam...pertanyaan awak sebaiknya dijawap oleh dokter yang merawat awak. Tapi saya akan cuba jawap apa yang boleh, sebab saya bukan pakar IVF.

      Selepas embryo transfer, kita mengharapkan penempelan embryo. Penempelan ini sepatutnya berlaku dalam 5 hari ke satu minggu setelah persenyawaan atau kalau dalam embryo transfer, setelah transfer.

      Sekiranya embryo tidak melekat, embryo tidak jatuh tapi akan menghilang diserap badan.

      Daging yang keluar selepas transfer mungkin perdarahan kecil akibat transfer, tapi itu saya tak pasti.

      Jangan risau sangat. Sekarang memang masa hanya untuk berdoa, berserah dan jangan putus asa. Saya doakan awak berjaya.

      Wallahualam

      Padam
  26. During the ivf process, how often we need to visit Dr per week? i need to know this because i need to plan my leave. Or is that necessarily to take leave for two months if there is a need to review frequently or the process need to be done frequently? Thanks Dr.
    .

    BalasPadam
    Balasan
    1. Just around once to two times per week (but not every week of the two months). Near the ovum pick up day and embryo transfer day, the visits will be more frequent. You can ask for MC during your visits. No need to take leave for the two months of IVF process.

      Padam
  27. Hi dr hazwani,as i know,ivf process itself cannot claim jpa,but medicine used in ivf can claim,is it true?

    BalasPadam
    Balasan
    1. Yes it is true. You can use borang perubatan 1/09. You can try to apply from your department for the claim. Wether it is paid or not, it really depends on your department.

      Padam
  28. Is there a chance to have a twin if undergo ivf? It would be amazing if its twin... Or u can request for it?

    BalasPadam
    Balasan
    1. There will be chances for twins if during the embryo transfer, more than 1 embryo is transfer into the uterus.We can't request for it. It is God's will to make the twins to happen.

      However, bear in mind that a twin or multiple fetuses pregnancy is a high risk pregnancy. It isn't considered a normal pregnancy. Risk for the mother and babies are higher to get problems during the pregnancy and delivery. So care during the whole pregnancy will be more. If complications arises, than of course during or after delivery, the work or stress is also more.

      That is also why most specialists don't insert more than 2 or 3 embryo during the transfer.

      Hope this help answer your question.

      Padam
  29. What about IUI dr do u know how much it cost? We are planning to have IUI first and if its still no luck we will have ivf.. Thank u

    BalasPadam
    Balasan
    1. I am sorry...I don't know much about the cost of IUI since I am only talking from my own personal experience and not as a representative of any hospital or center.. It will differ from one center to another. You can contact each center by phone first to know the cost. I think it will be cheaper than IVF, but still cost a few hundred or thousands.

      Padam
  30. Dear Dr,

    I know probably you have answer this question before, i hope you don't mind explaining it again.

    Been married for 8 years now and had miscarriage during 3rd year of marriage. Since then no luck on getting conceive. I am very much interested to do IVF like you. How is the process? Do i call Hospital Likas O&G for make an appointment or should i go to the Klinik LPPKN in Api Api?

    BalasPadam
    Balasan
    1. Hello...no I don't mind at all. I was thinking of making a page of FAQ, but didn't come to it yet. But I will still don't mind answering any questions.

      To get an appointment at O&G Likas, you have to get a referral from a clinic. You can go to LPPKN or you can go to any Klinik Kesihatan.

      I prefer if you go to Klinik Kesihatan as the doctors usually know what has to be done first as most of them personally know the O&G working system, and it doesn't cost much (except for time. It will be a bit time consuming at Klinik Kesihatan).

      After completed the examination and tests, they will call the O&G Likas to get an appointment for you.

      Therefore your husband and you only have to make an appointment at a primary clinic. Try to get an appointment at your first day of menses or a week before it. It will make it easier for timing to get some tests done.

      Hope this helps.

      Padam
    2. Thank you for taking time to reply. I know you must be handful with your babies. How about going to Sabah Care, will they help to refer us to O&G Likas? I am just exploring option how to go about it.

      Padam
    3. Sabah Care certainly has the ability to examine and treat you. They can refer you to Likas, but personally I think it is a bit 'rude' to do the examinations there and treatment else where because of cost since they can do the whole package.

      But if you go and see other private O&G specialist for examinations and then referred to Likas, I personally think it is better.

      But as I say, this is my personal opinion. Dr Cheong and Dr Vijay at Sabah Care are great doctors, I don't think they would mind. You can call up the clinic and asked first before making an appointment to go there.

      Padam
  31. Hi Dr.,
    would you explain more about IUI procedure? Thanks

    BalasPadam
    Balasan
    1. IUI is intra uterine insemination. This means the ovum will still meet the sperm in the uterus of a women. The process usually involved by stimulating the women to ovulate and during the peak of the month for ovulation, the sperms of the man will be inserted to the uterus by the help of the doctor.

      IUI is more like giving a shortcut to the sperms. The sperms are sometimes washed before the insemination. So the sperms are prepped and sent to the uterus in hoping the shortcut will give a better chance of conception.

      Hope this answer your question.

      Wallahualam.

      Padam
  32. Hi Dr.....

    I did my ivf last year 15 oct 2014..... and i am a momma to be now.... your blog is very informative and i learned and prepared alot base on your blog. Thank you very much.

    BalasPadam
    Balasan
    1. Thank you so much. I did made this blog in hope that it will help to ease a bit for couples doing IVF. The journey has just begun for parenthood. I pray for you everything will be fine. Feel free to contact me .

      Padam
  33. Hi dr...saya nak bertanya klu kos untuk buat iui selalunya berapa ya? Sya telah berkahwin selama 9thn dan sampai skg masih belum ada rezeki. Amatlah menyedihkan bila tiap kali bjumpa saudara-mara mereka mesti bertanya bila kami akan menimang cahaya mata...membaca blog dr ini seakan ada sinar cahaya kepada hati kami.

    BalasPadam
    Balasan
    1. Maaf. Kos IUI saya tak berapa pasti. Pastinya ia lebih murah sedikit dari IVF. Hospital kerajaan pasti juga akan lebih murah dari swasta. Kos ini akan mengikut individu, kerana keperluan ubat-ubatan yang berbeza. Harga ini lebih baik bertanya langsung dengan pusat-pusat yang menyediakan perkhidmatan tersebut.

      Adalah lebih baik membuat sahaja dulu pemeriksaan dan kenal pasti apa masalah ketidaksuburan pasangan dahulu. Tidak semua masalah ketidaksuburan perlu diselesaikan dengan IUI atau IVF.

      Maaf jika jawapan saya tidak memuaskan hati.

      Padam
    2. HI, saya pernah bertanya kepaka kawan yang pernah membuat IUI di hospital Likas, anggaran satu cycle RM150. walaupun bagaimanapun, doktor di Hospital Likas memerlukan pemeriksaan terperinci temasuk memeriksa sama ada fallopian tube ada ter block kah atau pun tidak, Kos tersebut adalah tidak termasuk dalam kos prosedure IUI itu sendiri.

      Padam
  34. Assalamualaikum doc..

    Boleh saya tahu berapa kos IVF di Hosp Likas? Saya merupakan Government Servant di Sarawak, bolehkah saya menggunakan GL utk melakukan IVF/ICSI, untuk cover the medications? TQ

    BalasPadam
    Balasan
    1. Kos ini akan berubah-ubah. GL hanya digunakan untuk temujanji dan beberapa ubat di klinik. Kos-kos lain harus ditanggung sendiri oleh pasangan tersebut. Kos yang harus disediakan adalah dalam 8-10k. Tapi tak sekaligus. Kos akan keluar beberapa ribu setiap kali temujanji. Tapi untuk lebih tepatnya kena tanya di Hospital Likas, sebab seperti saya kata, kos ini akan berubah dan tertanggung kepada keperluan pasangan.

      Padam
    2. Thanks doc. will check with Likas later.

      Padam
  35. Salam Dr. Hazwani,

    I have been reading your replies about the IVF for quite sometime. I'm hoping to see someone asking you about zero count sperm and someone did. (thank you). Us too, have the same problem. DH screening result (he did it once), came back as NIL count of sperm. and thats it. He refuse to do treatments and so. It is devastating, of course. TTC for almost 4 years now. And he just give up. Miracle do happened, right? Now, we are looking for adoption. We "almost" got one (for 3 times) but one baby died in his mom womb, 2 refused (they did not want to give the baby for adoption after they saw the baby) to give. Well, since then, "hoping" is not really a good word to us. Anyways, thank you so much for your entry, Doc.

    Mia

    BalasPadam
    Balasan
    1. Salam...

      Had you also read that your husband can still go for treatment? I notice your husband refuse but there are treatment and Dr Hatta did told me that he does treatment for men too.

      I know it is difficult for both of you, but please don't give up. Whatever your choice is, please don't give up. Sometimes it's also helpful if we remind ourselves why we want we a child. Remind ourselves it is because of Allah.

      We want a family because of Allah. We want a child to raise for Allah, to pray for us when we die. I really do know it is sometimes difficult to be patient when we are given such test by Allah, but please preserved.

      I pray that the best will happen to you and your husband.

      Wallahualam

      Padam
    2. Dear Mia...stay strong...i know exactly how you feel..cos we r on d same boat dear...u r not alone. We do have a support group (FB & whatsapp). U r welcome to join us.

      Padam
    3. Hi Imah, would like to join the support group if you don't mind providing the details. Thanks! ☺

      Padam
  36. Assalamualaikum Dr,
    Berapa kos utk buat iui di swasta ye?
    Sy dan isteri dah cek basic checkup di sabahcare (sperm normal, hormon ok), hsg pun normal..
    Plan lepas ni try clomid, then buat iui..

    BalasPadam
    Balasan
    1. waalaikumsalam...maaf..saya tak tahu kos di swasta...lebih baik tanya terus ke tempat2 yang menyediakan perkhidmatan tersebut.

      Padam
  37. Assalamualaikum. Berapa kos buat IVF di Hospital Kerajaan?

    BalasPadam
    Balasan
    1. Waalaikumsalam.

      Kos boleh berubah2 mengikut masa dan keperlua seseorang.

      Bayaran juga bukan sekaligus tapi sebahagian-sebahagian. Setiap kali paling banyak ialah 2 ribu.

      Total dalam 8 ribu ke 10 ribu.

      Padam
  38. If you are having trouble getting pregnant or staying pregnant, you are not alone and need not to feel dejected. The bright side is that many couples with fertility problems have gone on to have babies after the clinical treatment by the experts. Since almost three decades, Indira Infertility Clinic Specialists have helped a clutch of couples navigate smoothly through the often complicated process of infertility curation and ultimately fulfil their dream of parenthood.

    BalasPadam
  39. Good. i really appreciate you for the work you have done. For more details about IVF Treatment visit us:-IVF Treatment India

    BalasPadam
  40. Assalam dr... saya berumur 40 thn. Doktor mengesahkan saya ada pcos sejak 15 thun yg lalu. Pada April lalu, Dr ada buat DD+C sbb saya mengalami pendarahan abnormal dan mendapati saya menghidap endometriosis tissue... adakah saya boleh buat ivf/icsi.?

    BalasPadam
    Balasan
    1. Waalaikumsalam...terlebih dahulu saya ingin beritahu bahawasanya pertanyaan awak sebaiknya dijawap oleh pakar kebidanan...saya hanya boleh menjawap secara umum.

      Secara umumnya, IVF boleh dibuat walaupun mempunyai endometriosis atau PCOS. Namun setiap pesakit adalah berbeza keadaannya walaupun penyakitnya mungkin sama.

      Puan harus diperiksa oleh pakar infertiliti untuk mengetahui kemungkinan untuk melakukan IVF. Mungkin perjalanan puan adalah lebih sukar dari saya, tapi jangan berputus asa dahulu.

      Teruskan semangat dan usahalah. Saya sarankan secepat yang boleh kerana usia puan sudah menjejak 40.

      Wallahualam.

      Padam
  41. Assalam Alaikum... Masha Allah very good and informative write up on IVF...

    For more information on IVF in Delhi, India visit Dr Manika Khanna's website

    BalasPadam
  42. Gd evening Dr.,

    Been married for 14 years now and my daughter is 12yo. Wanting another addition to the family was very long overdue not knowing that i had fibroid in me.. knew about the fibroid in May 2015 and had myomectomy in sept 2015..my fibroid was 15cm..hoping everything would be normal unfortunately i failed my HSG test..my tubes are blocked.. *sigh*...dont know wat else to do..doctor did propose ivf..but stil wanting a miracle..come to the question, Dr., does the ivf process needs d husband to be actively involved..i mean when are the times that the husband must be in d clinic..my husband does travel alot bcos of duty..

    BalasPadam
    Balasan
    1. I am soo sorry for the late reply. i would have replied earlier if you drop by at my FB page.

      Husband needs to be around during the ovum pick up. He should be there to give his sperms for the IVF. Of course one or two visit before the procedure for sperm check.

      Other than that, he can come when he can.

      All the best

      Padam
  43. Ulasan ini telah dialihkan keluar oleh pengarang.

    BalasPadam
  44. Hello dr..

    Surat refferal dari klinik dr.rajagoopal boleh tak?

    BalasPadam
    Balasan
    1. Boleh. tapi sila telefon klinik O&G likas dan buat temujanji dengan iringan surat rujukan tersebut.

      Padam
  45. Assalamualaikum Dr.
    Saya terjumpa blog ni sebab saya google tentang IVF di kota kinabalu. baby ivf saya dah berumur 4 tahun dan saya sepatutnya menjalani ivf utk baby#2 minggu ini. cuma suami saya tiba2 perlu bertugas di kotakinabalu bermula minggu hadapan. jadi saya sedang melihat option utk buat ivf di sana. dlm entri ni dr mention ivf 2 bulan. ada short protocol tak utk ivf di kk? ivf saya pada 2011 lepas menggunakan short protocol. tq

    BalasPadam
    Balasan
    1. Mohon maaf...soalan ini hanya boleh dijawab oleh Unit Fertiliti Hospital Wanita dan Kanak-Kanak Sabah sendiri. Sekiranya puan ingin melakukan IVF kedua (proses dari awal) di hospital kerajaan Sabah ini, puan tidak akan diterima kerana telah mempunyai satu anak hasil dari IVF. Akibat kekangan kewangan dan permintaan yang tinggi, Hospital Wanita dan Kanak-Kanak Sabah hanya membuat IVF pada pasangan yang tidak mempunyai anak sama sekali.

      Namun terdapat hospital dan klinik swasta di Sabah yang melakukan IVF. Puan boleh bertanya kepada dokter puan untuk berikan rujukan kepada dokter-dokter yang berada di Sabah.

      Padam
  46. Hi dr,I would like to seek for your advice on few matters. It's because I'm staying in Tawau and I'm searching hard to get a solution for my problem.

    My problem is about infertility. I and my husband both are 33 years old, married for 4 years and I had a miscarriage in 2013. Then after that we have been trying to conceive for over 2 years yet we failed. Of course in between we went for medical consultations too. We went through tests on fertility, results are good and we both are normal. This is what I'm wondering why I can't conceive since my miscarriage. I went for a gynae in KL and the gynae suggested me to go for HSG. But sad is Tawau Hospital doesn't provide this.

    And the latest check up was just 2 days ago at Tawau Hospital. Again the results of we both are good and normal. I requested the doctor to give me a reference letter so that I can bring it to any gynae yet she advised me to go back to see her next month on my day 2. And sorry I forgot some informations, before this I have been taken Duinum pills for 4 months. I understand that this medicine will have side effect, so the KL gynae told me to stop taking this further. But the hospital gynae suggested me to consume again next month. I'm helpless now. Could you please give me your opinion and suggestion? Looking forward for your reply, dr!

    BalasPadam
  47. Hi Hazwani, I have an appointment with Hospital Likas O&G department on 9th May16, just want to know first appointment what kind of preliminary check will they do? I am suspected to have fibroid or adenomyosis, when we can see the fertility specialist? First appointment will be seeing MO or nurse or Dr?

    BalasPadam
    Balasan
    1. first appointment will usually be with MO. However, specialist are around for the MOs to consult. If the specialist can be seen on the same day, a specialist will see you.

      Padam
  48. Ulasan ini telah dialihkan keluar oleh pengarang.

    BalasPadam
  49. Hi doc,
    Saya telah melakukan BTL selepas melahirkan anak ketiga (kesemua anak lahir secara operation) atas nasihat docktor. Ketiga-tiga anak saya adalah lelaki dan saya ingin hamil lagi untuk mendapatkan anak perempuan. Bolehkah saya melakukan IVF untuk mendapatkan anak perempuan?

    BalasPadam
    Balasan
    1. Hi.

      Mohon maaf saya lambat membalas. IVF memang boleh dilakukan sebagai salah satu ikhtiar setelah melakukan BTL.
      Namun harus saya mengingatkan puan tujuan BTL dinasihatkan kepada puan untuk dilakukan setelah melahirkan anak ketiga.
      Tujuan BTL tersebut adalah untuk mencegah kehamilan keoada puan kerana kehamilan seterusnya amat berisiko kepada diri puan semasa kehamilan dan juga semasa proses kelahiran (berisiko tinggi pendarahan dan rahim koyak samada kelahiran normal ataupun bedah).
      Di Malaysia khususnya hospital kerajaan, IVF bertujuan untuk mendapatkan kehamilan. Tidak bertujuan khusus untuk mendapatkan kehamilan kembar, memilih jantina ataupun bebas kecacatan atau penyakit. Ini adalah kerana ia akan menambah kos dan secara peribadi saya merasakan ia kurang beretika (kecuali untuk beberapa kes untuk bebas penyakit dan kecacatan).
      Adalah saya mengharapkan puan dapat menerima penerangan saya yang lambat ini.
      Saya memahami perasaan yang menginginkan anak perempuan, tapi saya mendoakan puan dapat fokus dan redha dengan ujian tanpa anak perempuan sendiri demi diri, keluarga dan agama puan.

      Padam

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