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Their foods very delicious, both patients and LG cafe, during my admission. The staffs also very friendly, very recomended.
My husband and I visited TMC Puchong yesterday. This was my second experience of visiting a fertility doctor after Pantai Klang. I was much amazed the way the team welcomed us. My appointment was at 11,though there were a few patients in waiting room before me, I got my turn right 15 minutes after finished registration. Dr Navdeep was very professional, he explained each test precisely and nurses were very helpful too. Overall TMC 10/10.
Only 1 time ivf treatment and I succeed to have baby
Their foods very delicious, both patients and LG cafe, during my admission. The staffs also very friendly, very recomended.
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Tubal Ligation Reversal, also referred to as Tubal Sterilization Reversal or Microsurgical Tubal Reanastomosis, is the surgical procedure to restore female fertility after a tubal ligation was performed, often many years later. The procedure involves rejoining the separated parts of the Fallopian tubes, allowing for the possibility to conceive. Tubal ligation is commonly referred to as "having your tubes tied".
During a tubal ligation reversal, the blocked segments of the fallopian tubes are reconnected to the remainder of the fallopian tubes. This may allow eggs to again move through the tubes and sperm to travel up the fallopian tubes to join an egg.
Tubal ligation reversal is more likely to be successful if your tubal ligation was originally performed using clips or rings, rather than if segments of your fallopian tubes were burned in order to close them off (electrocautery). Some types of sterilization, such as the Essure or Adiana systems, aren't considered reversible.
Before the procedure, you and your partner will need to get a complete physical exam to find out if there is any condition that might keep you from getting pregnant after a tubal reversal. The physical exam usually includes a blood test, imaging test, and hysterosalpingogram (HSG). Your partner may also need to gets tests such as a sperm count and semen analysis to find out if there is any fertility problem. You and your doctor will need to discuss the success rate and your ability to get pregnant after the procedure. You should also discuss other options for pregnancy.
During the procedure, your doctor will likely use robotic or laparoscopic surgical equipment. A laparoscopic is a small tube with a tiny camera and surgical instrument attached to it. Your doctor will first look at your fallopian tubes using the laparoscopic camera. The tiny camera is put into your abdomen through a tiny incision. If your doctor sees that you have enough fallopian tube left and everything looks healthy, they will perform the surgery.
Once your doctor has decided it is okay to perform the surgery, you will be given general anesthesia. The surgery will also be done with laparoscopy, meaning your surgeon will make several incisions in your abdomen and insert a camera and small instruments to do the surgery. Using the microscopic instruments attached to the end of the laparoscope, your doctor will remove any damaged sections of your fallopian tubes and any devices from your tubal ligation, such as clips or rings that were used to block your tubes. Small stitches are used to reattach the undamaged ends of your fallopian tubes to the uterus. When the tubes are reconnected, your doctor will inject a dye into one end of each tube to make sure that the tubes have been reattached successfully.
Another way to carry out the surgery is a procedure called minilaparotomy. During this procedure, your doctor will make an incision in your abdomen to take the ends of your fallopian tube out of your abdomen. Then, your surgeon will remove the damaged parts of your fallopian tube and reconnect the healthy parts while the tubes are outside your body.
The whole procedure usually takes about 2 to 3 hours. It can be done in a hospital or an outpatient center. If everything goes well and the surgery is completed using “microsurgical” techniques, you may be able to go home around 2 to 4 hours after surgery. However, some women will need to stay in the hospital for 1 to 3 days. After being discharged from the hospital, you will have to stay in Johor for between 1 to 2 weeks or until your doctor gives you the all-clear to travel home. During your stay in Johor you will attend follow-up checkups.
The recovery time depends on the surgical method your doctor used. Typically, recovery takes about one to two weeks until you can resume your normal activities. During the recovery period, you may experience pain and tenderness around the incision. To help with the pain, your doctor may prescribe pain medication, or you can take over-the-counter medication. Many patients also feel extreme weakness during the recovery period. You should not bathe for 48 hours after your surgery and your stitches will dissolve.
You will need to follow all post-operative instructions that your doctor gives you. You will not have any activity or dietary restrictions after the surgery, but you should avoid any heavy lifting or sexual activity for a certain period of time. Your doctor will give you a timeline on how long you should avoid these activities. Normally, attempts to conceive can begin within four weeks after the procedure. Do not rub the incision, especially when you want to clean it, instead pat it gently.
The success rate of tubal ligation reversal can vary widely, depending on various factors, including maternal age. Women under 35 tend to have a much higher success rate. Generally, 50% to 80% of women who have tubal ligation reversal can have successful pregnancies. While the success rate for women under 35 is 70% to 80%, women over 40 only have around 30% to 40% success rate.
Like any surgery, tubal ligation reversal also has potential risks and can lead to complications. Although it is rare, you will need to make sure that you understand all the risks and complications. Risks associated with this procedure include:
For an in-depth analysis and a look at how Tubal Litigation Reversal Procedures are performed, watch this short video
You may wish to consider in vitro fertilization (IVF) as an alternative to tubal ligation reversal. During IVF, your eggs are mixed with your partner’s sperm outside of the womb in a lab. The fertilized eggs are implanted directly into your uterus. You can also consider IVF if you do not get pregnant after a tubal ligation reversal.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Johor, the Southern Gateway to Malaysia, continues to prosper as a tourism destination. Johor’s geographical position draws many tourists from neighboring countries especially Singapore. Tourists flocked to Johor to experience its great shopping deals, cheap food, beautiful nature, and theme parks. Johor Premium Outlets, LEGOLAND Malaysia, and Sanrio Hello Kitty Town are the first of its kind in Southeast Asia. Johor is expecting a total of 17 million visitors in 2019.
Recently, Johor has become a thriving medical tourist destination. Johor recorded 60,000 medical tourists visiting the state in 2017 to seek medical treatments. As one of the biggest contributors to Malaysia’s rising medical tourism, the state keeps innovating and improving its health facilities to increase the number of medical tourists. Johor hospitals offer cutting edge technology with experienced doctors and at a reasonable price.
The hospitals in Johor are of world-class standards and accredited by global accreditation. One of the highest-rated hospitals in the state is Gleneagles Medini Hospital that offers a wide range of treatments. Cosmetic surgeries such as eyelid surgery and breast augmentation are the most popular procedures in Johor.
Johor offers plenty of attractions to discover. It is easy to see why many people are drawn to travel to the state. Tourists have many options to choose the kind of adventure they want to experience, from exploring incredible islands and tropical rainforests, admiring famous historical landmarks, spending a day in theme parks, to shopping in a cosmopolitan city of Johor Bahru.
The tropical weather allows Johor to enjoy a relatively stable warm temperature throughout the year. The highest average temperature is 33°C and the lowest is 31°C. Humidity is generally high in Johor so tourists are advised to pack light and comfortable clothing.
The rainy season usually starts from April to September and from October to early November. Some islands in Seribuat Archipelago may be ‘closed’ during the rainy season due to the rough weather.
Senai International Airport is the gateway to Johor. Located 32km from Johor Bahru, the airport serves domestic flights as well as international flights to and from Bangkok, Jakarta, Seoul, Guangzhou, and Ho Chi Minh City. Senai International airport serves budget airlines and is the hub for AirAsia and Malindo Air.
To reach the city center, tourists can take a taxi or Airport Shuttle Bus. A ride to Johor Bahru by taxi takes approximately 30 minutes while taking the bus will take longer. Remember that taxis use a coupon system, the coupon can be bought from the taxi counter inside the Aeromall.
Tourists from Singapore can go to Johor by bus or car via Johor–Singapore Causeway. Tourist who wants to avoid traffic jams can opt for the KTM’s Shuttle Tebrau from Woodlands Train Checkpoint to Johor Bahru.
Tourists visiting Johor Bahru can travel to different attractions within the city by using the bus service although it can get pretty confusing since the bus stops may not be shown clearly. It is advisable to directly ask the bus driver for the destination. Taxis are available in the state but it is best to insist on using the meter or negotiate the fare in advance.
To travel to other cities in Johor, tourist can ride long distant buses from Larkin Bus Terminal. Buses normally leave once every hour and have a reasonable price. If you wish to travel to many cities in Johor, renting a car is the best choice.
Tourists are only allowed to enter Malaysia if their passport is valid for at least six months after arrival. Most nationalities can enter Malaysia without a visa for 30 or 90 days. Several foreign nationalities including China, India, Myanmar, Sri Lanka, Nepal Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro must apply and obtain a visa before entering the country.
The Malaysian Immigration provides an online visa application for selected foreign nationals, the process is usually faster and easier. Those who travel to Johor for medical treatment can apply for eVisa Medical. The visa is valid for a single journey with a maximum of 30 days. Patients who need to stay for more than 30 days must obtain a long term Medical Pass.