On Monday, I had my post-op appointment with Dr. Synn. As expected, the surgery did not find anything that would be affecting my fertility.
I got to see pictures of my insides. That was pretty cool. The only item that was out of the ordinary was a string of scar tissue behind my uterus. This was snipped off and removed.
Other than that, there was absolutely nothing the Doctor was interested in. So, he ran dye through my tubes (both were clear, the right one was a tad slow), scraped out my uterus, and sewed me back up!
So, everything inside me is "Frustratingly Perfect". Pretty much sums up my entire infertile existence! Nothing wrong... everything's textbook... no pregnancy. I guess when they say "unexplained" infertility, they really have no explanation.
Speaking of which, we re-ran certain tests of my Cycle Day 3 blood work. My 2004 numbers in comparison with 2007:
TSH (Thyroid Stimulating Hormone: Mid-range normal in most labs is about 1.7)
2004: 1.59
2007: N/A
FSH (Follicle Stimulating Hormone: FSH is often used as a gauge of ovarian reserve. In general, under 6 is excellent, 6-9 is good, 9-10 fair, 10-13 diminished reserve, 13+ very hard to stimulate.)
2004: 5.0
2007: 4.3
LH (Luteinizing Hormone: A normal LH level is similar to FSH)
2004: 3.7
2007: 2.6
Prolactin (Normal is < 24. Increased prolactin levels can interfere with ovulation.)
2004: 6
2007: N/A
Estradiol (Normal is 25 - 75. Levels on the lower end tend to be better for stimulating.)
2004: 51
2007: 65
All of my numbers are within the normal range. The weird thing is the tests show I have more, better quality eggs now than 3 years ago. Hmmm...
The update is as follows, we went ahead and tried to conceive this month using the "old school" method (my trusty ovulation monitor and good ol' fashioned baby-dancing). The Doc says there's less than 1% chance of conceiving this way, but who cares?! It was worth a shot.
Once cycle Day 1 of my next cycle hits (which it inevitably will, I'm sure), I will go in for an ultrasound to check that everything is good to go. Then I order my shots and that's when the fun begins!
Showing posts with label Surgery. Show all posts
Showing posts with label Surgery. Show all posts
Friday, July 13, 2007
Friday, June 15, 2007
Ouch! The Surgery.
Preparing for surgery: What an adventure this was. From IV holes in my hands to the “support hose” on my legs, all the way down to the air compressed booties on my feet, this was certainly something new. I felt like some kind of astronaut with all of my “gear”. And, of course, Ryan was by my side taking pictures of the whole experience on his cell phone. Gotta love a comedian...
The lady bruised both hands trying to get the IV in, but she
the other side of the OR...
The lady bruised both hands trying to get the IV in, but she called me "petite" so I let it slide.
and I was ready to go!
Soon it was time to wheel me into the OR. As we turned the corner, I saw a large dry-erase board to my right. Just like in Gray’s Anatomy, names were written under each room. I looked for my name frantically but before I could find it, I was whisked away in no time and into OR Room 2.
In the OR: I was asked to move myself from the gurney over to the operating table. Not exactly the easiest thing to do, but I managed to do it with whatever grace and dignity I had left (Although I’m pretty sure the anesthesiologist got a show in the process). Above me hung two lights the size of pizza pans. The room seemed empty and sterile. Then I was given some sort-of drug that made me feel loopy, which scared me. So, of course, I cried. Not the weepy, sobbing kind-of cry but a sad, pitiful cry – no sound, tears only. My right arm was stretched to the side with the IV and my left arm had the blood pressure cuff, which meant the nurse had to wipe my tears. How humiliating.
It only took a minute and I got myself together. Dr. Synn was fashionably late (what’s new) so I tried to make small talk with the nurses through my oxygen mask. Soon I heard that the Doctor had arrived. Next thing I knew, a cold feeling ran up through my right arm and I felt like I was slipping away. I actually said “thank you” to the anesthesiologist and waved goodbye to the nurses with my free hand. I am such a dork.
After the surgery: Now, I had told Ryan that I dreaded this part of the day. I told him how awful I would feel when waking up from surgery. I told him I would be tired, but uncomfortable, cold and nauseous. He said that it wouldn’t be as bad as I thought it would be. He said it would be like waking up from a long nap. I’ll let you guess who was right…
As soon as I could open my eyes, I began asking whatever nurse was beside me, “Did I have endometriosis?” over and over. The problem was that my mouth hadn’t woken up yet so it sounded more like “Diidihaveendometriosis?? DIIDIHAVEENDOMETRIOSIS???” Needless to say, it took about 5 minutes for her to figure out what I was saying.
She looked at my chart and told me, no. There was no mention of endometriosis. I was crushed and barely listened to the rest of what she said while I cried silently for about a half an hour. Meanwhile, she tried to convince me that it was a good thing, that I didn’t want endometriosis, that this means I’m healthy. All I could think was I did this for nothing.
That’s when the nausea set in. I’ll spare you the details as you can probably imagine what it feels like to throw-up repeatedly for hours on a completely empty stomach that has just been cut into and patched back together. They normally expect you to be in the recovery room for about an hour and I was there almost four. Finally, I made it home and, you know what? I think I made it through pretty well. I was walking on my own that same night!
Today’s Thoughts: Now, with a clearer mind, I am able to comprehend what the nurse was trying to tell me in the recovery room on Wednesday. Although, my chart did not say “endometriosis”, what it did say was that the Doctor removed scar tissue, lesions, and possibly fibroids. He also scraped my uterus. Any one of these things can affect fertility. Basically I am all “cleaned out and ready for a baby”, as the nurse said. So this was a good decision. It wasn’t that I did this for nothing. Good things can come from it. I have grown fond of my black and blue stomach and my old lady walk. Battle wounds happen when fighting infertility. On July 9th, I will meet with the Doctor and will get the real story, complete with pictures and all. Then we will see what comes next…
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Turns out, the nurse was overzealous in her analysis of the surgery results. She was probably just trying to stop my crying. For the real results of the surgery, see Post-Op Appointment .
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
I just have to say I am so grateful to everyone who has been such a support to me during this last week. Ryan was by my side the whole day; holding my hand, giving me popsicles and, most importantly, pretending not to be embarrassed as I threw-up for what seemed like the millionth time, this time right in front of the hospital. My mom spent Thursday cooking enough meals to last all week and stocking my fridge until I could hardly get the door closed. My dad called to check-up on me, leaving a voicemail message in a silly accent making me laugh. And many friends and family sent me emails and voicemails of love and encouragement. Thank you.
In the OR: I was asked to move myself from the gurney over to the operating table. Not exactly the easiest thing to do, but I managed to do it with whatever grace and dignity I had left (Although I’m pretty sure the anesthesiologist got a show in the process). Above me hung two lights the size of pizza pans. The room seemed empty and sterile. Then I was given some sort-of drug that made me feel loopy, which scared me. So, of course, I cried. Not the weepy, sobbing kind-of cry but a sad, pitiful cry – no sound, tears only. My right arm was stretched to the side with the IV and my left arm had the blood pressure cuff, which meant the nurse had to wipe my tears. How humiliating.
It only took a minute and I got myself together. Dr. Synn was fashionably late (what’s new) so I tried to make small talk with the nurses through my oxygen mask. Soon I heard that the Doctor had arrived. Next thing I knew, a cold feeling ran up through my right arm and I felt like I was slipping away. I actually said “thank you” to the anesthesiologist and waved goodbye to the nurses with my free hand. I am such a dork.
After the surgery: Now, I had told Ryan that I dreaded this part of the day. I told him how awful I would feel when waking up from surgery. I told him I would be tired, but uncomfortable, cold and nauseous. He said that it wouldn’t be as bad as I thought it would be. He said it would be like waking up from a long nap. I’ll let you guess who was right…
As soon as I could open my eyes, I began asking whatever nurse was beside me, “Did I have endometriosis?” over and over. The problem was that my mouth hadn’t woken up yet so it sounded more like “Diidihaveendometriosis?? DIIDIHAVEENDOMETRIOSIS???” Needless to say, it took about 5 minutes for her to figure out what I was saying.
She looked at my chart and told me, no. There was no mention of endometriosis. I was crushed and barely listened to the rest of what she said while I cried silently for about a half an hour. Meanwhile, she tried to convince me that it was a good thing, that I didn’t want endometriosis, that this means I’m healthy. All I could think was I did this for nothing.
That’s when the nausea set in. I’ll spare you the details as you can probably imagine what it feels like to throw-up repeatedly for hours on a completely empty stomach that has just been cut into and patched back together. They normally expect you to be in the recovery room for about an hour and I was there almost four. Finally, I made it home and, you know what? I think I made it through pretty well. I was walking on my own that same night!
Today’s Thoughts: Now, with a clearer mind, I am able to comprehend what the nurse was trying to tell me in the recovery room on Wednesday. Although, my chart did not say “endometriosis”, what it did say was that the Doctor removed scar tissue, lesions, and possibly fibroids. He also scraped my uterus. Any one of these things can affect fertility. Basically I am all “cleaned out and ready for a baby”, as the nurse said. So this was a good decision. It wasn’t that I did this for nothing. Good things can come from it. I have grown fond of my black and blue stomach and my old lady walk. Battle wounds happen when fighting infertility. On July 9th, I will meet with the Doctor and will get the real story, complete with pictures and all. Then we will see what comes next…
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Turns out, the nurse was overzealous in her analysis of the surgery results. She was probably just trying to stop my crying. For the real results of the surgery, see Post-Op Appointment .
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
I just have to say I am so grateful to everyone who has been such a support to me during this last week. Ryan was by my side the whole day; holding my hand, giving me popsicles and, most importantly, pretending not to be embarrassed as I threw-up for what seemed like the millionth time, this time right in front of the hospital. My mom spent Thursday cooking enough meals to last all week and stocking my fridge until I could hardly get the door closed. My dad called to check-up on me, leaving a voicemail message in a silly accent making me laugh. And many friends and family sent me emails and voicemails of love and encouragement. Thank you.
Monday, June 4, 2007
Ain't I Lucky!
Just wanted to share:
Several weeks ago, I mentioned to my boss that I would be having surgery for endometriosis as it may be a possible cause of my infertility. I told him that I would let him know when I had a date and that I would need about a week off work.
Several days ago, he came into my office with information from the internet on endometriosis. He had written down the name of the disease and researched it to learn more about it. He found information about certain foods on a website just for endometriosis and printed out some items to give me.
I was just so stunned that he took the time to research something that was impacting my life. While many bosses would have been thinking about the “time off” I was requesting, my boss was thinking about me. Ain’t I lucky!
On a side note: I have a few dates lined up.
My pre-op appointment will be Monday, June 11th at 8:30am.
My surgery will be Wednesday, June 13th at 12:30p.m.
My post-op appointment will be Monday, July 9th at 11:15am.
Several weeks ago, I mentioned to my boss that I would be having surgery for endometriosis as it may be a possible cause of my infertility. I told him that I would let him know when I had a date and that I would need about a week off work.
Several days ago, he came into my office with information from the internet on endometriosis. He had written down the name of the disease and researched it to learn more about it. He found information about certain foods on a website just for endometriosis and printed out some items to give me.
I was just so stunned that he took the time to research something that was impacting my life. While many bosses would have been thinking about the “time off” I was requesting, my boss was thinking about me. Ain’t I lucky!
On a side note: I have a few dates lined up.
My pre-op appointment will be Monday, June 11th at 8:30am.
My surgery will be Wednesday, June 13th at 12:30p.m.
My post-op appointment will be Monday, July 9th at 11:15am.
Thursday, May 24, 2007
Surgery Consultation
Yesterday, I had my surgery consultation with Dr. Synn. I was glad I didn't have to pay for the appointment because he basically went over everything he already told me: what the surgery involves, the risks, etc. However, I was surprised to learn that, once the surgery is over, we will keep going with fertility treatments immediately. For some reason I was thinking that we would "try" naturally for a few months. Not so. And, if I have endometriosis, time is of the essence because it starts growing back immediately, so we have to get right back on the treatments which means about $1200/cycle starting immediately. Here I was thinking that the surgery would be the only treatment/expense for a while but it turns out I was wrong. Ryan and I will need to sit down and have a money talk. But, all in all, it went well. The girls at his office will call my insurance to verify they will cover the surgery and then the hospital will call me to schedule the surgery. I should hear from someone in about 8 days.
Monday, March 5, 2007
A New Plan
Okay, so I lied…It’s barely the beginning of March, but I have another update. My plans for treatment are changing somewhat. I have been having some symptoms (I’ll spare you the details) that are reminiscent of endometriosis.
Endometriosis is a condition where tissue similar to the lining of the uterus (the endometrial stroma and glands, which should only be located inside the uterus) is found elsewhere in the body, from the outside of the uterine wall in mild cases to all throughout the body in more severe cases. Apparently, I have a family history of this disease and I match a few of the symptoms, one of these being… infertility.
So here’s my conundrum: Do I stop all treatments, wait until we have better health insurance through the PD, and investigate this possibility ~OR~ Do I save up money and continue on with treatments as planned, after all the “cure” for endometriosis is pregnancy.
There is a good chance I don’t have this disease, but then again there’s a chance I do. Our infertility is considered “unexplained”, meaning all our tests look perfect. I have plenty of good eggs, my hormone levels look good, and Ryan has a high amount of “team members” so-to-speak. Could endometriosis be causing our problems? There’s only one way to find out, which involves surgery as described below:
Laparoscopy is the most common procedure used to diagnose and remove mild to moderate endometriosis. The surgeon inserts a lighted viewing instrument called a laparoscope through a small incision. The doctor can view the internal organs to look for signs of endometriosis or other possible problems. This is the only way that endometriosis can be diagnosed with certainty. Then the doctor can remove any visible endometriosis implants and scar tissue that may be causing pain or infertility.
At the same time, this procedure would also be performed:
A hysteroscopy is a procedure in which the doctor uses a hysteroscope to look at the inside of the uterus. A hysteroscope is a thin tube with a tiny camera. The doctor can guide a tool into the uterus to remove a fibroid tumor or just to check for any abnormalities therein.
Recovery time is 1-2 weeks for these procedures. For people who do have endometriosis, the chances of getting pregnant following the surgery are 75%.
After thinking, praying, and talking with my doctor, I feel that I should pursue this possibility. The worst case scenario would be a $200 deductible plus 20% of the cost of the surgery with the conclusion that this possibility is ruled out. Best case scenario would be discovering what might be wrong, repairing it (although this would be a “band-aid”; it will come back again), and getting pregnant. Sounds like a bet worth taking to me…
At the rate they're going, Ryan will start at the PD sometime in late March. He will have to be employed for 30 days and then the health coverage will start at the beginning of the next month following. We have heath insurance coverage now, but with 10 times the deductible amount. So right now it looks like in May I'll be eligible for the new insurance. I have heard some hospitals have waiting lists for this type of procedure so who knows when it will actually happen. But now we have a plan, albeit a new one, but it's still a plan! J
Endometriosis is a condition where tissue similar to the lining of the uterus (the endometrial stroma and glands, which should only be located inside the uterus) is found elsewhere in the body, from the outside of the uterine wall in mild cases to all throughout the body in more severe cases. Apparently, I have a family history of this disease and I match a few of the symptoms, one of these being… infertility.
So here’s my conundrum: Do I stop all treatments, wait until we have better health insurance through the PD, and investigate this possibility ~OR~ Do I save up money and continue on with treatments as planned, after all the “cure” for endometriosis is pregnancy.
There is a good chance I don’t have this disease, but then again there’s a chance I do. Our infertility is considered “unexplained”, meaning all our tests look perfect. I have plenty of good eggs, my hormone levels look good, and Ryan has a high amount of “team members” so-to-speak. Could endometriosis be causing our problems? There’s only one way to find out, which involves surgery as described below:
Laparoscopy is the most common procedure used to diagnose and remove mild to moderate endometriosis. The surgeon inserts a lighted viewing instrument called a laparoscope through a small incision. The doctor can view the internal organs to look for signs of endometriosis or other possible problems. This is the only way that endometriosis can be diagnosed with certainty. Then the doctor can remove any visible endometriosis implants and scar tissue that may be causing pain or infertility.
At the same time, this procedure would also be performed:
A hysteroscopy is a procedure in which the doctor uses a hysteroscope to look at the inside of the uterus. A hysteroscope is a thin tube with a tiny camera. The doctor can guide a tool into the uterus to remove a fibroid tumor or just to check for any abnormalities therein.
Recovery time is 1-2 weeks for these procedures. For people who do have endometriosis, the chances of getting pregnant following the surgery are 75%.
After thinking, praying, and talking with my doctor, I feel that I should pursue this possibility. The worst case scenario would be a $200 deductible plus 20% of the cost of the surgery with the conclusion that this possibility is ruled out. Best case scenario would be discovering what might be wrong, repairing it (although this would be a “band-aid”; it will come back again), and getting pregnant. Sounds like a bet worth taking to me…
At the rate they're going, Ryan will start at the PD sometime in late March. He will have to be employed for 30 days and then the health coverage will start at the beginning of the next month following. We have heath insurance coverage now, but with 10 times the deductible amount. So right now it looks like in May I'll be eligible for the new insurance. I have heard some hospitals have waiting lists for this type of procedure so who knows when it will actually happen. But now we have a plan, albeit a new one, but it's still a plan! J
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