Jump to content

Recommended Posts

jocelyn,

no sperm at all? I have heard before low sperm count, no sperm at all is something new to me..... :ohmy:

Share this post


Link to post
Share on other sites
yes there is such thing... crude way of saying it, he is shooting blanks... *sorry*

How do we know whether got sperm or not? Only see doctor will know?

I want my hubby go for check up. Any recommandation for doctors?

Thanks.

Azoospermia

Share this post


Link to post
Share on other sites
jocelyn,

no sperm at all? I have heard before low sperm count, no sperm at all is something new to me..... :ohmy:

Azoospermia means no sperm found.

Oligospermia means less than normal sperm found (normal range 20 million sperm / ml)

In any case of subfertility 30% could be due to male factor.

That's why we need the couple to be investigated.

The male partner need to do some semen fluid analysis.

This kind of subfertility cannot be solved with ovulation induction drug like clomid.

Male factor need to be solved with ICSI method. Not even IVF.

ICSI is intracytoplasmic sperm injection where ONE sperm is injected into the ovum to cause fertlization.

Azoospermia may be cause by blockage of duct at the testis or inability to produce sperm.

Sometime to solve this problem the male may have to go through some biopsy of the testis in order to get that ONE sperm for the ICSI.

Usually done in specialised centre and you can imagine the bill, minimum you need to save 50K.

Share this post


Link to post
Share on other sites
jocelyn,

no sperm at all? I have heard before low sperm count, no sperm at all is something new to me..... :ohmy:

Azoospermia means no sperm found.

Oligospermia means less than normal sperm found (normal range 20 million sperm / ml)

In any case of subfertility 30% could be due to male factor.

That's why we need the couple to be investigated.

The male partner need to do some semen fluid analysis.

This kind of subfertility cannot be solved with ovulation induction drug like clomid.

Male factor need to be solved with ICSI method. Not even IVF.

ICSI is intracytoplasmic sperm injection where ONE sperm is injected into the ovum to cause fertlization.

Azoospermia may be cause by blockage of duct at the testis or inability to produce sperm.

Sometime to solve this problem the male may have to go through some biopsy of the testis in order to get that ONE sperm for the ICSI.

Usually done in specialised centre and you can imagine the bill, minimum you need to save 50K.

nckeat,

thanks... is there any specialist centre in m'sia? or he need to go s'pore? what is the successful rate? i think money wise, he is ok...

Share this post


Link to post
Share on other sites

The big one la.

Private: Damansara fertility centre, SJMC, Glenaegle etc

Public or research centre: HUKM (go private wing), HKL (they do in SJMC I think but cost discount 60%) but they choose their patient.

ICSI may need multiple specialist: Urologist, O&G specialist so it is only done in well established centre. IVF CANNOT solve this problem so don;t go to those small centre which offer IVF only. Partner age also a factor. If the female age more than 35, success rate is reduced. If more than 40, very markedly reduced.

Share this post


Link to post
Share on other sites
The big one la.

Private: Damansara fertility centre, SJMC, Glenaegle etc

Public or research centre: HUKM (go private wing), HKL (they do in SJMC I think but cost discount 60%) but they choose their patient.

ICSI may need multiple specialist: Urologist, O&G specialist so it is only done in well established centre. IVF CANNOT solve this problem so don;t go to those small centre which offer IVF only. Partner age also a factor. If the female age more than 35, success rate is reduced. If more than 40, very markedly reduced.

nckeat,

thank you. if he were to go to specialist center... which specialist should he look for 1st? still O&G?

Share this post


Link to post
Share on other sites
The big one la.

Private: Damansara fertility centre, SJMC, Glenaegle etc

Public or research centre: HUKM (go private wing), HKL (they do in SJMC I think but cost discount 60%) but they choose their patient.

ICSI may need multiple specialist: Urologist, O&G specialist so it is only done in well established centre. IVF CANNOT solve this problem so don;t go to those small centre which offer IVF only. Partner age also a factor. If the female age more than 35, success rate is reduced. If more than 40, very markedly reduced.

nckeat,

thank you. if he were to go to specialist center... which specialist should he look for 1st? still O&G?

O&G first, bring all the report / investigations results that previously done.

Share this post


Link to post
Share on other sites
The big one la.

Private: Damansara fertility centre, SJMC, Glenaegle etc

Public or research centre: HUKM (go private wing), HKL (they do in SJMC I think but cost discount 60%) but they choose their patient.

ICSI may need multiple specialist: Urologist, O&G specialist so it is only done in well established centre. IVF CANNOT solve this problem so don;t go to those small centre which offer IVF only. Partner age also a factor. If the female age more than 35, success rate is reduced. If more than 40, very markedly reduced.

nckeat,

thank you. if he were to go to specialist center... which specialist should he look for 1st? still O&G?

O&G first, bring all the report / investigations results that previously done.

nckeat,

Ok. Thank you very much!

Share this post


Link to post
Share on other sites
nckeat,

have u heard of any successful case b4?

Of course, ICSI is the treatment for male factor. Use PM, this is out of topic for this thread.

Share this post


Link to post
Share on other sites
nckeat,

have u heard of any successful case b4?

Of course, ICSI is the treatment for male factor. Use PM, this is out of topic for this thread.

oooooppsss..... sorry, forgot about that... okok... will pm u if have further inquiries... thanks!

Share this post


Link to post
Share on other sites

hi Islandgal, cutiecate and bchai13,

I just found out I'm pregnant (about 1 month), and looking for a gynae...

Im first time pregnant, so quite nervous and dunno wat shud do first...

Dr Wong Choon Meng in Yan Specialist Clinic in Sri Petaling is nearby my house, and i've been doing some check-up there b4, i just feel quite comfortable with him, so i think i will go there for my pregnancy checking.

however, wat is the costs? since this is my first time, i really need to prepare the budget, i only know there's consultation fees, ultrasound scan, tests ect...

hope can hav some info fr u all, thanks in advance. ;)

Share this post


Link to post
Share on other sites

Today just went for our first session in UMSC with Prof. Eugene. Quite comfortable with him as he didnt press for unnecessary test even though he offer it to us. On top of that, Im quite surprised by the amount Im being charged for what he had done. We did blood test, urine test, scanning, consultation and medication for a total of RM260+. Now that makes me feel like DSH is slaughtering us during our first visit when we are being charged RM220 for consultation and scanning alone.

Share this post


Link to post
Share on other sites

andre, mine is more exp i think. I seen dr eugene @ umsc last mth & did pap smear & ultrasound only.. everything all together already around 250. Nevertheless, their price is consider on high side. Anyway i already switch to clinic already which the price is 50% or lesser than umsc.

Share this post


Link to post
Share on other sites

I thought pap smear cost about RM100?? NO?? Anyway, still better than what Im being slaughtered for in DSH. Practically nothing except seeing a water sag, paid and go home just like that.

Share this post


Link to post
Share on other sites
andre, mine is more exp i think. I seen dr eugene @ umsc last mth & did pap smear & ultrasound only.. everything all together already around 250. Nevertheless, their price is consider on high side. Anyway i already switch to clinic already which the price is 50% or lesser than umsc.

http://www.mma.org.my/html/pdf/prv_health_fac.pdf

Please referabove for reasonable fee, any fee above this is considered overcharge.

Specialist consultation: RM60-180

Pelvic ultrasound by gynae - RM90 (max)

Conventional PAP smear: market price RM30-50

So the total price would be depend on the consultation fee.

The cost can be as low as free (in public hospital inclusive ultrasound and pap smear with treatment if needed) to RM500 in certain well women package.

The cost of conventional PAP smear is RM8 (this is inclusive of the lab profit).

So choose your clinic wisely.

Reasonable market price for history taking, examination, ultrasound and PAP smear should be arounf RM130-RM150. Some places could be lower. :wacko3:

Share this post


Link to post
Share on other sites
hi Islandgal, cutiecate and bchai13,

I just found out I'm pregnant (about 1 month), and looking for a gynae...

Im first time pregnant, so quite nervous and dunno wat shud do first...

Dr Wong Choon Meng in Yan Specialist Clinic in Sri Petaling is nearby my house, and i've been doing some check-up there b4, i just feel quite comfortable with him, so i think i will go there for my pregnancy checking.

however, wat is the costs? since this is my first time, i really need to prepare the budget, i only know there's consultation fees, ultrasound scan, tests ect...

hope can hav some info fr u all, thanks in advance. ;)

hi huilan,

congrats to u! :smile:

so far i found Dr Wong is good, and i plan to deliver under him too.

the monthly checkup cost is around rm80 to rm100 for consultation & ultrasound scan & multivitamins; except for the month u opt for blood test + syndrome test it will hv additional cost, and this cost depend on u wan to do the test during end of your 1st trimester or 2nd trimester. if not mistaken, the add up of normal check up cost + the blood test & syndrome test will cost around rm700 if do during end of 1st trimester, around rm400 if do during 2nd trimester.

besides that, on 6th mth check up, there will be a special 3D & 4D scanning on the baby, it will cost rm200++ including the normal check up fee. a CD with baby photos & video will be given by the clinic.

hope my info help! :tongue:

Share this post


Link to post
Share on other sites
Today just went for our first session in UMSC with Prof. Eugene. Quite comfortable with him as he didnt press for unnecessary test even though he offer it to us. On top of that, Im quite surprised by the amount Im being charged for what he had done. We did blood test, urine test, scanning, consultation and medication for a total of RM260+. Now that makes me feel like DSH is slaughtering us during our first visit when we are being charged RM220 for consultation and scanning alone.

I went for check up with Dr. Eugene last Sat too. Perhaps I saw you all there :) Anyway, I had consultation, pelvic exam (due to contraction), scanning, oral glucose tolerance test and urine test (to check for infections). All in, it cost RM220++.

Share this post


Link to post
Share on other sites

I think I saw you but cant really remember cos I always meet peoples. My wife went into the scanning room after you. Doc told us that the one earlier is having twins. I bet its you lor.

Share this post


Link to post
Share on other sites

I did a pap smear test n vagina ultrasound(Feb 09) with Dr. Menon @ TMC cost about RM250 and i was shocked to see the price. I eventually as the nurse for discount and she walk in to the doc's room and come out with the bill of RM200. No doubt TMC is famous for their fertility treatment / women specialist.

My personal opinion is that I think TMC charges is way higher than other specialist or hospital. Or their charges is ok/reasonable for fertility treatment i.e. blood test, HCG, sperm counts, IUI, IVF?

Share this post


Link to post
Share on other sites
I think I saw you but cant really remember cos I always meet peoples. My wife went into the scanning room after you. Doc told us that the one earlier is having twins. I bet its you lor.

Hahaha!! Yah, I guess that's me

Share this post


Link to post
Share on other sites

hi dear all mummy..

need your all advice for the below hospital:

Hospital Pantai Bangsar

Hospital Pantai Cheras

1) any good gynae to intro?

2) what are the charges will be?

3) anyone gynae is under Dr Kim Wong

thank you all in advance for the info..

this is my first baby and i really do not know how to choose..

thanks dear...

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


×
×
  • Create New...