D&C

I had my hysterscopy and D&C today. Basically, I went in, they took all my vitals, started my IV, and then waited for the doctor. Once Dr. B arrived, he went over the procedure and I asked him about when we can go back to trying or if we needed to wait a month. He said that there was no reason to wait, we should go right back to it. So then I walked over to the room where the procedure was being done, laid down and they started the anesthesia. I was out in no time and the next thing I knew I was waking up. I had quite a bit of cramping at first, but once I laid there for a bit, I was ok. We left and went to McDonalds for breakfast. Now I'm at home relaxing. Still some cramping, but mostly dry mouth. I go back for a follow up visit with the doctor in 4 weeks. I will talk to the specialist tomorrow to determine our next course of action.

Cycle #5 - FAILED

Just got the results back from my STAT blood pregnancy test I took this morning and they were negative.  I am not shocked because I have been spotting lately and I just know Aunt Flo is on her way to see me.  So I go in for the D&C as scheduled tomorrow.  I'm still a little nervous but I'm sure everything will work out fine.  My next hope is that I won't have to wait too long before starting the next cycle again.  Obviously, since I ovulated this month, I will get CD 1 all on my own (no induction necessary), but if the doctor wants me to wait a month, then I'll most likely end up having to take the Prometrium again at the end of some amount of days.  As long as that doesn't end up being the cycle that never ends, I'll be happy to wait a month and go back strong.  I'll update tomorrow after my D&C, in the meantime, I need to deal with these killer cramps!

Ovulation, sweet ovulation!

Well I just got the call from my specialist and my progesterone level was 8.4.  She explained that anything over a 3 means I ovulated.  Anything over an 8 can hold a pregnancy.  So while mine isn't that high, it's still plenty high enough to get and stay pregnant.  So now I wait and see.  I think I'm going to start testing now and if it's positive, then I know it's because of the HCG trigger I had.  But if it's negative, then I know those meds are out of my system and any test after that should be accurate.  At worst case, I am going to do a blood test on Monday and a urine test on Tuesday before my procedure to confirm that I'm not pregnant BEFORE I do the D&C.  After that, I'll have to talk to the doctor before I find out if I can continue right away or if I have to wait a month before I can continue.

 

So far, I feel pretty good.  It's still pretty early, but I have had some food aversions.  For example, we got bbq boneless wings the other night and the smell made me so sick feeling and I normally love those.  Otherwise, I have been EXTREMELY moody, cranky, and emotional lately.  One minute, I'm so mad just because somebody bumped into me and the next I'm in tears.  I feel really good about this cycle, but then again this is the farthest we've ever gotten and I'm so happy that we are making progress.  It's ok if it doesn't happen this cycle, now we know what works and we can keep going in the future. 

Trigger Away!!!!

I went in for my ultrasound tonight and I had ONE big nice follicle - it measured 18.4 mm. So, I got my trigger shot - YOWSERS, that hurt!!! So now we do lots of BD'ing for the next 3 days to catch that little eggie when it releases. I go in for bloodwork next Monday to determine if I ovulated.

Monday, April 13 (CD 17) UPDATE

I just got off the phone with the doctor and he said the polyp is about 1cm which is pretty large and needs to be removed.  He wanted me to come in next week and so then I stopped him to ask about my current treatment and cycle and whether I had to stop mid-cycle (my biggest fear at this point) and he said "oh, no you don't have to stop, we'll just wait till this cycle is over".  So I hate to disclose this but if I trigger today or tomorrow, then I would know if I was pregnant by April 27 which means he will schedule me tentatively for Apr 28 for a D&C to remove the polyp. 

 

So now I'm just hoping that tonight's ultrasound will show a nice big follie that we can do the trigger injection.  I'll keep you posted.

 

Friday, April 10 (CD 14) UPDATE

I thought everything was going fine until I received a phone call from my primary OB and he said that Becky had sent him the ultrasounds we did and wanted him to see that there was something in my uterus, possibly a fibroid or polyp, but that she wasn't necessarily concerned about it. He called me on Friday and said that he was slightly concerned about it and that he wanted me to come in for another ultrasound, but this time with his people at the hospital. He also made it sound like it could be anytime in the next week or so and didn't really make it sound like this would interfere with this cycle's treatment. So, I got on the phone with the scheduling people and they actually had an opening that evening at 6:30, so I said GREAT! I went in and right away she was able to see a polyp. She said it was pretty large and surprised that I wasn't bleeding irregularly or anything, which I'm not. Then she moved on to my ovaries and went to the left one. I didn't think her machine was as clear as Becky's, but I did see the dominant follicle again (or at least one of them). It measured 13mm which is up 2 mm from Thursday, which is what the recommended growth is. So with that, the follicle should have been about 15mm on Sat, 17mm on Sun, and hopefully at least 19mm on Monday, which is big enough for a trigger shot. I also forgot to mention that I called Becky after I got off the phone with my doctor and she told me that lots of girls get pregnant and they have fibroids and polyps and never have any complications. She also said that mine looked like it was at the top and generally, eggs don't implant there, so it shouldn't impact implantation that much.

The other neat thing is she gave us a picture of our 13mm eggie to keep. Below you can see that in the top center of the picture is my left ovary. All the black blobs are cysts/follicles that could potentially hold an egg. There are lots of cysts since I have PCOS. The one large follicle that has the crosshairs around it is my dominant follicle. In this picture, it measured about 11mm.

So as of Monday (today), I'm still waiting to hear back from the doctor about my ultrasound and what he wants to do about it. The best news for me would be that he wants to take care of it, but that I can continue the current cycle first and that there's still a good chance this cycle. If that's true, the other good news is if I have a nice big follie at my ultrasound at 5:30. Wish us luck!!!

Thursday, April 9 (CD 13) UPDATE

I know I'm a little behind, but I wanted to post a separate update about April 9 and April 10 separately.  On April 9, I had an ultrasound scheduled with Becky (well, it was one of her technicians, but still) in the morning.  On the ultrasound, they found 2 great looking follicles on my left side.  One was measuring 11mm and the other 9mm.  All the other follicles on both sides were still around the 4/5mm size.  However, the dominant follicles should have been measuring at least 15mm.  At this point we had to make a decision.  We could 1) do nothing and hope the 2 dominant ones continue growing on their own, 2) use more Clomid and hope that encourages them to grow more, or 3) use an FSH injection to really encourage them to grow.  It was a pretty easy decision when Becky told us that most likely they wouldn't be able to grow on their own anymore at this point and by using Clomid, if it even worked at all, it could potentially recruit all the eggs to grow more which increases the risk of multiples.  So our plan of action was to do the FSH injection and then I would come back on Monday (4/13) to see if the follicles are big enough to trigger ovulation.  The FSH injection was actually delivered to my work and then David gave me the injection that night.  He did a very good job and I'm proud of him.  It really didn't hurt at all.  So far, I never received any side effects from the injection, I didn't even get a bruise.