Thursday, January 29, 2009

UPDATE: No surgery required & we're on antibiotics

Great news! My doc consulted a couple of his colleagues and they all decided that another surgery might create more scar tissue than it's worth so instead I'll be treated with a D&C procedure that should remove some necessary scar tissue. We will not know until the actual procedure how many days this will tack onto the start date of IVF but should find out in the next couple of weeks.

My next steps are to call the IVF nurse when I start cycle day 1 (probably tomorrow) and they'll schedule in the procedure for cycle days 6-10. This procedure is pretty invasive so I'll probably have to take it really easy for a few days afterwards to be sure everything heals properly.

Ed and I started a 10 day course of antibiotics yesterday because my culture came back with positive for UREAPLASMA UREALYTICUM which is a bacterial infection (gross, right?!). The IVF nurse explained that this is not something they look for at the OBGYN and its presence can cause damage to the fallopian tubes, cause infertility, and miscarriage (as most of you know we did experience a miscarriage 10 years ago)!! After the 10 days, I'll be retested to make sure it's gone.

Oh the drama and this roller coaster continues...

Friday, January 16, 2009

Stuff about uterine adhesions

I thought I'd update to include links regarding the scar tissue (adhesions) that will need to be surgically removed sometime in February.

Stuff about adhesions: http://www.gynecare.com/bgdisplay.jhtml?itemname=adhesions_pelvic_pain_basic_information

Stuff about the procedure: http://www.med.umich.edu/1libr/wha/wha_hystutad_crs.htm
To ensure my uterus heals properly an intrauterine balloon will be placed in the uterus for a few days after surger to prevent wall to wall contact.

Once the surgery is complete, we will contact the IVF nurse to set an IVF schedule. At this point we know this delay will add about 45 days to our current schedule of possibly starting in late February.

Wednesday, January 14, 2009

Post-op Hysteroscopy Appointment, 1/14/2009

Today I had a second Hysteroscopy performed in order to check out how my uterus has healed since the surgery and to gauge whether or not my body is one step closer to being ready for getting pregnant via IVF.

I was given the same meds: valium (for relaxation), vicodin (for pain), and another shot for muscle relaxation. The procedure was probably only a 4 of 10 for pain even when they had to go searching for a video tape for recording.

The results are a bit gloomy. The doctor found scar tissue that's the size of a quarter of my uterus. In order to correct this, I will need another surgery to remove the scar tissue and will have a balloon placed in my uterus for about 4 days. The surgery will be outpatient and the recovery will be pretty quick (a few days) - we are thrilled about that!

We do not have a date for surgery yet and are recovering from our numbness with receiving the news. My good friend reminded me how it's better to go through this now than possibly it become a reason for a future miscarriage and she's so right. We sit here and realize how completely lucky that we have practically zero in our medical history, we have amazing doctors, a fierce support system, and each other. We truly are lucky.

As always, we'll keep you posted.

Schooled in everything IVF, 1/9/2009

Ed and I visited with the IVF nurse to learn more about what consists of a cycle including medications and the procedures given along the way. We learned a lot, most of which will be documented as we follow our own journey down our first cycle sometime in next few months. Generally we know we'll have one nurse that will become our lifeline into the process and will follow the day to day activities but also help with self injection lessons, where to get the best deal on the medications, and ensure we march to medication and procedure schedule.

Our immediate steps will mainly include figuring out what IVF plan we'll want to pick and gathering up the funds necessary. It's a mix of excitement and nervousness for Ed and I but hope that like everything else in our life it'll just fall into place.