Dr. Salleha Binti Khalid
Pakar O&G (Kesuburan/Fertility)
MRCOG (RCOG, UK), MSc Health Science (UK)
O&G Specialist (Fertility)
MRCOG (RCOG, UK), MSc Health Science (UK)
Dr. Wan Norizah Wan Musa
Pakar Perunding O&G
MBBS (UM), MOG (UKM)
Consultant O&G Specialist
MBBS (UM), MOG (UKM)
Sudah bertahun mendirikan rumah tangga, bermacam-macam suplemen kesuburan telah dicuba, dan kalendar waktu subur (ovulation tracker) sentiasa dipantau. Namun, ujian UPT masih memaparkan satu garisan. Soalan saudara mara, "Bila nak berisi?" semakin merobek emosi.
Masalah terbesar anda: Kitaran haid anda sentiasa "ke laut". Kadang-kala haid datang sebulan sekali, kadang-kala hilang terus selama 3 hingga 6 bulan. Jika anda mengalami situasi ini, anda mungkin antara 1 daripada 10 wanita di Malaysia yang menghidap Polycystic Ovarian Syndrome (PCOS).
Apa Itu PCOS & Kenapa Ia Menghalang Kehamilan?
PCOS adalah satu keadaan di mana ketidakseimbangan hormon mengganggu fungsi ovari (kilang telur) anda. Secara normal, ovari akan mematangkan dan melepaskan sebiji telur (ovum) setiap bulan untuk disenyawakan oleh sperma.
Namun, bagi penghidap PCOS, telur-telur ini tidak dapat membesar dengan sempurna. Telur yang "terbantut" ini akan bertukar menjadi sista-sista (cysts) kecil yang banyak di dalam ovari. Akibatnya, proses pelepasan telur (ovulasi) tidak berlaku. Apabila tiada telur yang dilepaskan, tiada haid yang turun, dan sudah tentu—proses pensenyawaan untuk hamil tidak dapat berlaku.
You have been married for years, tried various fertility supplements, and diligently monitored your ovulation tracker. Yet, the pregnancy test consistently shows a single line. The constant questions from relatives, "When are you having a baby?" tear at your emotions.
Your biggest problem: Your menstrual cycle is completely unpredictable. Sometimes it comes once a month, sometimes it disappears completely for 3 to 6 months. If you are experiencing this, you might be 1 in 10 women in Malaysia suffering from Polycystic Ovarian Syndrome (PCOS).
What is PCOS & Why Does It Prevent Pregnancy?
PCOS is a condition where a hormonal imbalance disrupts the function of your ovaries. Normally, the ovaries mature and release an egg (ovum) every month to be fertilized by sperm.
However, for women with PCOS, these eggs fail to develop properly. These "stunted" eggs turn into multiple small cysts inside the ovaries. As a result, the release of the egg (ovulation) does not occur. When no egg is released, there is no menstrual period, and of course—fertilization to achieve pregnancy cannot take place.
Selain Haid Tak Teratur, Semak Simptom PCOS Ini:
Besides Irregular Periods, Check These PCOS Symptoms:
- Kenaikan Berat Badan Mendadak: Sangat sukar untuk menurunkan berat badan walaupun sudah menjaga makan (akibat rintangan insulin).
- Pertumbuhan Bulu Berlebihan (Hirsutism): Tumbuh misai halus, janggut, atau bulu lebat di kawasan dada dan perut (kesan hormon testosteron yang tinggi).
- Masalah Jerawat Kronik: Jerawat tumbuh dengan banyak dan teruk, terutamanya di kawasan rahang (jawline) dan leher.
- Rambut Gugur: Rambut semakin menipis di bahagian tengah kulit kepala (seperti corak kebotakan lelaki).
- Tompok Gelap Di Kulit: Kulit di kawasan lipatan seperti leher, ketiak, dan celah peha menjadi gelap dan tebal (Acanthosis Nigricans).
- Sudden Weight Gain: Extremely difficult to lose weight despite dieting (due to insulin resistance).
- Excessive Hair Growth (Hirsutism): Growing fine mustaches, beards, or thick hair on the chest and abdomen (due to high testosterone levels).
- Chronic Acne: Severe acne breakouts, especially around the jawline and neck.
- Hair Loss: Hair thinning out at the center of the scalp (male-pattern baldness).
- Dark Skin Patches: Skin in skin folds like the neck, armpits, and groin becomes dark and thick (Acanthosis Nigricans).
Masih Bolehkah Saya Hamil Jika Ada PCOS?
Sudah tentu boleh! Jangan sesekali berputus asa. PCOS bukanlah penamat jalan untuk bergelar ibu. Walaupun ia menyukarkan proses kehamilan secara semula jadi, perubatan moden mempunyai pelbagai jalan penyelesaian.
Langkah pertama yang paling kritikal adalah melakukan ujian saringan kesuburan bersama Pakar O&G untuk melihat keadaan rahim dan ovari anda secara terperinci menerusi Ultrasound Transvaginal dan Ujian Darah Hormon.
Selepas disahkan, Pakar Kesuburan (Fertility) kami akan membantu merancang strategi kehamilan anda. Rawatan mungkin bermula dengan perubahan gaya hidup dan diet, diikuti dengan pemberian ubat-ubatan stimulasi ovari (seperti Clomiphene atau Letrozole) untuk memaksa telur anda pecah. Jika perlu, teknologi bantuan pembiakan seperti IUI (Intrauterine Insemination) atau IVF (Bayi Tabung Uji) sedia menanti untuk merealisasikan impian anda.
Can I Still Get Pregnant If I Have PCOS?
Absolutely! Never give up hope. PCOS is not the end of the road for becoming a mother. Although it makes natural conception difficult, modern medicine has various solutions.
The most critical first step is to undergo a fertility screening with an O&G Specialist to examine your uterus and ovaries in detail through a Transvaginal Ultrasound and Hormonal Blood Tests.
Once diagnosed, our Fertility Specialist will help plan your pregnancy strategy. Treatment usually starts with lifestyle and dietary changes, followed by ovarian stimulation medications (like Clomiphene or Letrozole) to induce ovulation. If necessary, assisted reproductive technologies like IUI (Intrauterine Insemination) or IVF (In Vitro Fertilization) are available to make your dream a reality.
Berhenti Teka-Teki. Mulakan Langkah TTC Anda Bersama Pakar.
Stop Guessing. Start Your TTC Journey with an Expert.
Ketahui punca sebenar kenapa anda sukar hamil. Jadualkan ujian Saringan Kesuburan bersama Pakar Fertility kami di Hospital Pakar An-Nur hari ini.
Find out the real reason why you are struggling to conceive. Schedule a Fertility Screening with our Fertility Specialist at An-Nur Specialist Hospital today.