Today was my first appointment with Dr. Anderson. I have to say, I really loved him, his office and the staff. Not to mention it is a 5 minute walk from my office, gotta love working for a hospital. But anyways, the staff was very friendly and super nice. I was nervous as all hell, but once I sat down in the waiting room, that all lifted. Mostly because I was the only one waiting. I was afraid his office was going to be a factory of woman waiting and then I was going to have to rush through my appointment. But there wasn't. Just me and the fish tank. I got called back into his office and we chatted for about 30 or so minutes. He asked me about my history and I got to ask all my burning questions.
What questions, you ask!?!?! (here's a few)
1. Do you think that donating eggs in my 20's has anything to do with my problems now?
No, I have had many women in here donate eggs and never have a problem. They may eventually come back for new issues (MFI or other problems), but not many are related to the actually retrieval.
2. Is the scar tissue from my myomectomy an issue?
Yes, It really depends on how much of the uterus they cut through. If you scar easily, then we may have problems with implantation. I can check it out if I have to perform a LAP in the future.
3. Is the new fibroid going to be an issue?
Yes and No, it really depends on where it is and how big. If it is blocking the tubes or inside the uterus, then we could have issues. I will check it out on the ultrasound and then send you for a HSG to see if there is any blockage.
4. Is it possible for me to gear up to ovulate, but not actually ovulate?
Well yes, but from your charts over the last year and a half, I think you are ovulating. And your cycles are 25-26 days regularly, so I am not too worried that your aren't ovulating. I am more worried about the egg getting into the tubes.
5. Is it too early for me to be seeing you or should we try some more cycles on our own before starting treatment?
No, it isn't too early for you to be here. You are younger, so we have more time to try different things, but with your history of fibroid size, you need to get pregnant sooner rather then later. Your fibroid will continue to grow, so we need to get a jump start on that sucker.
Then I had a vag cam ultrasound (LOVELY) and a pelvic exam and then we talked about our next steps. From the ultrasound he saw that my right ovary may be stuck to my uterus (dude, ovary, why are you over there?) He thinks it may be because of the scar tissue, but wants to see if it is causing any blockage before I get alarmed. Also my fibroid is teeny tiny (according to him). Its 1.1 cm, which is nothing compared to the 14 cm one I had removed in 2007.
So our next steps are HSG for me (to see if the fibroid is blocking the tubes or if my ovary is causing issues), blood work for both and an SA for Baron. Then if all is good, we will try 3 IUI cycles and re-evaluate. I just feel calmer knowing that there is a plan in place and also that I don't have to chart or deal with my CBEFM anymore. PHEW! I will be monitored via ultrasound during the IUI cycle in March. So I think I am going to take a charting break in Feb, when my period shows and go from there. All in all, it was a good day. Fingers crossed things work out!
Sounds like a great appointment! I am so happy you have a plan. Enjoy not charting in February. ;)
ReplyDeleteI am so happy you like your RE and are moving ahead! :)
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