Monday 8 September 2014

Post-op appt and Fertility Clinic

Monday 8.09.14 - we had both the post-op appointment with the OB/GYN that performed my surgery and our first specialist appt with the Fertility Clinic. They ended up being on the same day due to my surgeon being very ill the week before and pushed all his appts. Both went really well.

At the surgery follow-up we discussed the fact my Bicornuate Bicollis Uterus is now back to a Unicornuate Uterus with no rudimentary horn or fallopian tube, not even a second cervix! No other pelvic mass (pelvic kidney). interesting! We talked my Endometriosis and how long it would take to grow back, we would be looking at 6 months or so, advised to get a move on fertility wise. Likely cause of Endo is my periods travelling backwards up fallopian tube. Common apparently. He checked my incosions, all healing very well, couldnt believe how small they were! Will post a before and after at some point, i thanked him for not turning my cute button into an outie, looks like ill be able to wear my piercing again, DH is going to love that! Last but not least we talked about that ovary. "Ill have that" he said, when im finished with it of course. Not sure if he wants to actually keep it?? Or just wants it out, its a functioning streak ovary, thats not meant to happen, so think he was calling dibbs as he might want to research. Really not looking forward to that surgery as apparently it can cause  hormonal inbalances which can shorten my life span, if it stays put I risk cancer, so decisions mine really. He is also very confident we could harvest eggs from it laprascopically, cost to do that privately tho... Eeek.

We went for lunch to ponder on that conversation before we headed off to our next appt.

We arrived at the fertility clinic early (as we do for all our appts). We read girly mags and endometriosis pamphlets while we waited, which seemed to be some time, busy place! Finally my registrar from public hospital called us round. So glad it was someone I know and someone that knows our situation.    She also knows the surgeon that did my surgery so a win/win. She and I talked about the paperwork re waiting lists and confirmed dates etc a she went to check on waiting list times, turns out the public funding has already run out for the year so we will be waiting till next calendar year. She advised she had been talking to senior fertility specialist at the clinic about me, and the dicky ovary, and they were discussing the need for a laparoscopy, as specialist at public was 'waiting to see' if i needed one. She was shocked and surprised when told her I was nearly 3weeks post op with Stage 2 Endo and Adhesions removed and showed her pictures of my functioning streak ovary. She took the pics through to the other specialist as it shows its quite roomy up there by the liver, however her response was what I expected, they wouldnt harvest eggs from that ovary as they only harvest through the vagina and it definitely would not be covered by public funding. Great! IVF just became very tricky.

Right, so plan is we will do 4 more Clomiphene cycles starting September taking us into the new year in the hopes that left ovary keeps firing instead of the right and with the Endo removed it might actually work this time! We are not bothering with IUIs at this stage in the piece but still possible we can do 1st round IUIs x4 then a cycle of IVF but we would be stupid to not go for IVF x2 with my increased chances of late miscarriage and preterm labour.

I hope to have an update for you once I talk to hospital at end of this week.