Anti Mullerian Hormone Test (AMH)

Blood test to tell you ; Its now or never for a baby! 


Kira maknanya sekarang dah buleh jangkakan lah berapa lama lagi masa yang ada dan tinggal untuk kamu berkeluarga dengan jayanya. Faham tidak? Lebih kurang lah tu. Itu aku baca melalui sudut emosi aku. Kalau kasar, maka kasar lah bunyinya. Tolong kering kan hati sikit kalau baca belog I okay.

Omaigod. Baru kemarin dapat tau pasal test ni. Kemarin jugak untuk pertama kalinya dalam tahun ni bertapak ke pantai jumpe gynae untuk sekian kali. Sebab dah lama tak tengok bakal bakal anak mummy dalam ovary tu. Hahahahahahaha. Muntah kot!

7 follicles sebelah kanan, 3 sebelah kiri comel aje macam mummy. Lol nak jugakkkkk! Walaupon endometrium tidaklah membanggakan sangat lagi. Takpe pelan pelan ye nak. Balik rumah perlu disogok sedikit estradiol kasi kick sama dia. Friday kita pegi tengok anak anak mummy lagi. Ewah menggeletis nak jadik mummy kot yea pon. Payah la. Hahahahaha. Grrrrrrrrr :P

Itu adelah protokol yang biasa biasa aje, bagi aku tak suspen apa langsung sebab aku tak makan ubat  atau menyuntikkan diri sendiri bagi membesarkan follicle tersebut. Jadi cycle adelah seperti biasa dan normal lah, setiap 30 hari ( lebih kurang ) tanpa jemu witch itu akan datang melawat. Jadi sekarang apa?

Untuk amalan tahun ini, pertama sekali kena lah buat blood test apa yang patut, takkan nak pegi lompat menonong cucuk ubat tak tentu hala kan. Antara yang dah selamat dibuat kemarin adelah CA125, thyroid, dan ade beberapa lagi yang sama penting jugak.

Dan yang paling nak tau sesangat adelah Anti Mullerian Hormone Test (AMH). Aku heran dalam banyak banyak aku membaca tak pernah lagi terbaca pasal AMH ni yang gila punye penting dan wajib aku tau lah kan. Mungkin Allah tak nak bagi aku terbaca awal sebab takut aku stress tak tentu hala kot? Ha ha ha ha Alaaa you know me.. drama queen besaq.

Itu adelah lengan aku yang ala ala kabut serangkai mawar. Banyak darah kena cedok semalam uols, balik rumah terus rasa kekurangan nutrien dan tenaga. Cheh. Terus rasa lapar memanjang. Macam macam nak makan. Okay tell us something new Sash.

Jom sama sama gandakan ilmu serba sedikit dari hasil google. Nak ilmu banyak kena cari sendirik jangan malas.

Anti Mullerian Hormone

Also known as: AMH; Mullerian-inhibiting hormone; MIH; Mullerian inhibiting factor; MIF; Mullerian-inhibiting substance; MIS

How is it used?

Anti-Mullerian hormone (AMH) is not a routinely ordered test but may be useful in specific circumstances. Women of childbearing age may have an AMH test ordered along with other hormone tests, such as estradiol and FSH, to estimate the remaining time left to conceive (ovarian reserve). These tests are also useful in evaluating ovarian function and possibly in predicting the onset of menopause.

AMH may sometimes be ordered on a woman who will be undergoing assisted reproduction procedures such as in vitrofertilization (IVF); the concentration of AMH present is related to her likely responsiveness to treatment. A low level of AMH reflects poor ovarian response, indicating that a decreased number of eggs would be retrieved after ovarian stimulation. For this purpose, it is typically ordered along with other hormone tests and a transvaginal ultrasound (to count the number of follicles as a reflection of the woman's egg supply).

AMH can be elevated with polycystic ovarian syndrome (PCOS) due to the increased number of follicles and may be ordered to evaluate this condition.

Some ovarian cancers produce increased levels of AMH and/or inhibin B, which may be used as tumor markers to help evaluate response to treatment and monitor for recurrence.

In an infant with genitals that are not clearly male or female (ambiguous genitalia), an AMH test may be ordered along with chromosome testing, hormone testing, and sometimes imaging scans to help determine the sex of the baby. In an infant boy born with no visible testicles, low levels of AMH may account for the ambiguity of genitalia. If the testicles have not descended but are present in the abdomen, this test may be used to help determine whether they are functioning normally by measuring the AMH level.

When is it ordered?

An AMH test may be ordered when evaluating ovarian function, fertility issues, especially when considering assisted reproduction procedures such as IVF, and when a doctor wants to determine a woman's likelihood of enteringmenopause.

AMH may be ordered when a woman has signs and symptoms of PCOS.

What does the test result mean?

During a woman's childbearing years, a decreased level of AMH may indicate low ovarian reserve with diminishing fertility, resulting in minimal or less responsiveness to IVF treatment. It can also indicate premature ovarian failure.

An increased level of AMH is often seen with PCOS but is not diagnostic of this condition. Increased AMH may also indicate an increased or even excessive responsiveness to IVF and a need to tailor the procedure accordingly. A decreasing level and/or significant decline in AMH may signal the imminent onset of menopause.

Negative to low levels of AMH are normal in a female during infancy and after menopause.

When AMH is used as a tool to monitor an AMH-producing ovarian cancer, then a decrease in AMH indicates a response to treatment and an increase may indicate cancer recurrence.

Sekarang baru faham. Tapi kena baca lagi sebelum result keluar supaya aku tak jahil di kemudian hari. Bila gynae explain nanti,  kurang kurang aku kena ada idea jugak supaya buleh bertanya balik berpandukan keputusan tu nanti. Maknanya lepas dapat result nanti buleh lah tahu dengan lebih tepat lagi la apa yang aku nak tahu sangat sebelum ni. Heh. 

Resultnya memang lambat lagi pon, kalau kat Pantai diaorang akan hantar ke Singapore untuk dianalisis sampel darah tu dulu. Kurang kurang 3-4 minggu jugak.

Harap harap semuanya akan baik belaka. Susah jugak nak cakap banyak banyak pasal ni selagi tak tengok keputusan tu sendiri kan. Tapi yakin itu perlu sebab tu sanggup aje aku buat dengan muka pasrah. Keputusan yang lain lain tu Jumaat dah buleh dapat. 

Redha itu indah katanya :)

Tak takut lah sangat. Alah bisa tegal biasa kot. Am just too eager to know what's next :)

Singgah makan yong tau foo di Berjaya, Bangsar kerana kesedapan dia yang luar biasa. Pastuh balik rumah teringin nak makan pizza pulak. Layaaannnn aje lah si suami itu. Mentang mentang lah bini dia asyik cakap nak pingsan manjanggg gara gara kekurangan nutrien kemarin. Drama.