Pengalaman keberhasilan IVF – Keluarga Ike
Salam kenal Sister semua… Saya Ike (31) & suami(30). kami telah menikah sejak 30 Agustus 2006 (3 thn ++) dan sekarang lagi hamil 10 minggu. Dahulu sebelum hamil, saya adalah pembaca setia website ini. Website ini memberikan info LUAR BIASA dan meng-inspirasi saya u/ ikut IVF; dan saya punya nadzar akan berbagi pengalaman pd tmn2 seperjuangan jika program IVF sy berhasil.
Singkat cerita, Kami akhir memutuskan ikut IVF di RS Bunda bulan Desember 2009 metode long protokol. Hal ini merupakan “rejeki” saya krn pas browesing saat pikiran kalut tiba2 nyasar ke website RS Bunda dan kebetulan ada Promo memperingati hari Ibu. I”ll take it that promo only 39 jt;
Masalah kami sebenarnya lebih pada faktor suami; suami sy OligoTeratoSpermae (Jumlah <20 jt/ejakulasi; sperma a=0; bentuk normal hanya 6% ), Awalnya saya mencoba alami namun setelah 1 thn pernikahan baru sy putuskan ke Obgyn dan hasil nya sperma suami OT; sy mentreatment suami dengan berbagai cara2 spt di website ini dan website tetangga namun hasilnya kurang memuaskan perbaikan bentuk sperma hanya 1% per bln dan cenderung fluktuatif tergantung kondisi fisik dan pikirannya.
Pertama kali ke Obgyn di RS Gading Pluit dengan dr irsal yan dan insem 2x gagal; tahapan seperti biasa H+2-3 dateng; H+3-11/12 stimulasi ovum dengan clomid (profertil, provula; serophene dll); H12/13: Suntik Pregnil dan suami ambil sperma dan langsung inject sperma ke rahim. Sebenarnya dr irsal menawarkan IVF, karena u/ kasus ini solusi paling tepat dan cepat adalah IVF; namun karena saat itu financial belum ready ya.. terpaksa pending dulu.. soalnya berbarengan renov rumah KPR hehehehe;
Dr Obgyn ke-2 Karel; karena posting dari temen2 murahnya bayi tabung di RS Abdi Waluyo hanya 14 jt kami pun mencoba kesana; dan kita tahu sendiri antrian di dr karel itu….. ampunn.. sampe malem2 hehe; dr karel putuskan normal dulu sambil check kondisi rahim; hormon; sperma; dan bulan berikutnya dijadwalkan untuk Insem/IVF; prosesnya s.b : dinormalkan hormon2 tubuh (progynova) setelah itu proses = stimulasi saat insem pake oral stimulus =clomid; namun setelah H14 di check kondisi telur; ternyata telur sudah pecah dan dr karel baru sadar ttg hal itu dan menyarankan u/ insem …. waduh kacau… abis itu kami sdh kapok dan putuskan u/ berhenti ke beliau;
Dr Obgyn ke -3 dr indra-RS Bunda; orangnya komunikatif dan pasiennya tidak padat dan kami coba nyari yang cepat saja karena dokter lain lagi padat2nya; tp pengalaman kami dari konsul pertama; beliau pernah mengatakan kegagalan adalah faktor biasa, minimal kita sudah berusaha. Berawal dari kalimat tsb kami putuskan “hengkang” ke dokter lain di RS yg sama.
Dr Obgyn ke -4 dr ivan rizal sini-RS Bunda; Beliau anaknya yang punya RS Bunda (Rizal Sini-Orang awak). Lulusan FKUI dan RANZCOG (Royal Australian and New Zealand College of OB/GYN) tapi pasiennya kebanyakkan ekspatriat/Bule/India dll; Dari sini lah cerita berawal; Beliau mengatakan : “Pasangan seperti Anda ini sangat tepat ikut IVF dgn tingkat keberhasilan lebih dr 60%”. Awal screening darah; PAPSMEAR; hormone;
Terus proses Down regulation sebagai berikut;
- 23 Des 2009 : USG
- 24 Des –7 Jan 2010 : Synarel Nasal Spray.
- 5 Jan : Haid dan check E2 dan P4; Hasil : Prog: 1,05 Estradiol(E2) <10
- 7 Jan : USG menentukan Dosis suntikan Gonal F; saat itu dr Ivan tentukan 150 dulu kebetulan kami ikut program IVF terendah :1800iu ; Synarel Nasal Spray terus dipakai guna mengendalikan hormone;
- 8-12 Jan : Synarel Nasal Spray dan Gonal-F 150 x 5 hari;
- 12 Jan : USG dan Check Hormon E2; Hasil : E2:1119; tinggi sekali artinya sy merupakan good reponsder( Stimulasi dosis rendah saja E2 sdh tinggi); disini dr ivan hati2 dalam menentukan dosis gonal F dan beliau putuskan turunkan dosis ke 75iux3hr;
- 15 Jan : USG dan Check Hormon E2; Hasil : E2:3348; terlalu mengkhawatirkan terjadi OHSS maka dosis diturunkan lagi menjadi 37,5 iu x 2hr;
- 16 Jan : Suntik Ovidrel 250cc jam 20:30bekerja selama 36 jam guna persiapan OPU; synarel stop; OPU dilakukan pada 18 Jan pagi 8:30; Persiapan puasa 6 jam sebelumnya, tidak minum juga; Pagi dating tanpa make –up;cat kuku dan wagi2an
- 17 Jan : Off semua kegiatan IVF dan bed rest’
- 18 Jan : OPU dapat 10 telur : 1 abnormal; jadi tinggal 9 telor; suami ambil sperma;
- 19 Jan : 9 telor di icsi dan 7 yang terbuahi; 7 terbuahi : 2 cell;
- 20 Jan : Saat Fase pembelahan 4 cell; dari 7 embrio : 2 embrio masih 2 cell (poor embryo); 5 embrio 4 cell
- 21 Jan : 5 embrio : 2 embrio 4 cell; 2 embrio 4 cell semicompated; 1 embrio 5 cell semicompated. Kami putuskan untuk ditrasfer 3 embrio: 1 embrio 5 cell semicompated dan 2 embrio 4 cell semicompated; sisnya di freeze; dan kemudian diberikan Crinone; duphaston dan folic acid; dan dijadwalkan 4 Februari Tes kehamilan Beta HCG;
- 2 Feb : Sehabis OPU sy mengalami sesak/sakit perut, lingkar perut terus bertambah karena sudah tidak kuat nahan sy ke dr ivan dan ternyata sy mengalami OHSS. Dr ivan memutuskan untuk tes kehamilan dimajukan hari itu juga dan akhirnya ambil urine dan darah untuk tes kehamilan; sore hari hasil tes kehamilan sdh ada dan sy diterima sms dari dr Augustine (Patient coordinator prog IVF) : “Selamat ! bhCG = 103,50, bagus (positif hamil) dr ivan minta datang RS untuk dirawat mala mini krn darahnya cenderung pekat dan perlu infuse
- 3 -7 Feb : dirawat di RS BUnda karena OHSS; dan albumin rendah < 3; Setelah itu peak dari OHSS reda dan albumin normal; disarankan minum 2 L /Hr dapat obat Ascardia (pengencer darah);
- 10 Feb : D-Dimmer masih tinggi artinya darah terlalu pekat sampe 2400; ditreatment lovenox 0,4; oleh dr ivan dioper dr hematologi dr djumhana RS Mitra Internasional jatinegara; karena di Mitra Jatinegara penuh pasien akhirnya sy nyari jadwal praktek beliau di RS PELNI dan disurh chek darah lagi; alangkah terkejutnya level D-Dimmer mencapai 3442; lgs dr djumhana menaikkan dosis lovenox 0,6; medixon dan antasida;
- 18 Feb : kehamilan 6 minggu dr ivan menjelaskan mau melihat janin, kadang terlihat kadang tidak; namun setelah di USG terlihat kantong kehamilan tapi janin belum terlihat; seiiring dengan itu saya masih berjuang dgn dr djumhana menurunkan D-Dimmer takutnya karena darah terlalu pekat malah darah tidak bs mengangkut makanan ke janin sehingga janin tidak berkembang; namun hasilnya D-Dimmer menunjukkan level : 1200; (alhamdulliah masa –masa Puncak dari problem kekentalan darah sudah mulai kecenderungan jenuh turun) walaupun masih diatas batas normal 500;
- 05 Mar; USG ke dr ivan u/ melihat seorang janin; alhamdullilah janin terlihat secara jelas dan terdengar detak jantungnya….air mata bahagia berlinang di pipiku; kami merasa perjuangan kami selama ini pay off dan kami bersyukur berapapun yg dikasih Allah; dan keluar dari ruangan dokter ivan, sambil duduk di kursi antrian melihat temen2 seperjuangan yang masih tahap stimulasi dengan menenteng Gonal-f dalam Es, kami teringat waktu dulu saat kami Bawa Gonal F dalam Es tersebut dengan menggunakan motor vario suami dan di parkir di RS Bunda; Dalam hati kami mendoakan agar temen2 sukses program IVF….
- 18 Mar: Check D-Dimer di RSCM; hsl: 590; alhamdullillah kurang dikit lagi ke normal 500;
Alhamdullillah nadzar sy sdh sy lakkukan dengan menulis cerita ini, semoga cerita ini menginspirasikan temen2 senasib menambah keyakinan sehingga Program IVF nya berhasil Aminnnnnn………….


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