If you need to do a little catching up, here’s the original post in which I introduced our current struggles with Secondary Infertility: When Are You Going to Have Another Baby?.
As I promised in this post, I’ll be sharing a little more insight we received into our current struggles with infertility. A little bad news and a little good news, if you will, because that’s just the way the world works, isn’t it?
Since I like happy endings, I can’t go to bed bad at someone, and I hate ending on a sour note, I’ll start with the bad news first and we’ll work our way up to the good stuff. How does that sound?
The Bad News:
After our initial consult with Fertility, the tentative symptom-based diagnosis for me is endometriosis. That hit me like a ton of bricks, ya’ll. I did my own research ahead of time and consulted with Dr. Google (and basically did everything I urge my patients not to do) and had a feeling that was the diagnosis I would receive, but hearing those words come out of my nurse practitioners mouth stung, pretty bad. The rest was a blur. Cory asked the questions that I had spinning around in my head that I couldn’t quite extract from my brain and urge my tongue to form the syllables and vowels correctly to formulate a cohesive sentence. He squeezed my leg a couple of times while the nurse practitioner continued to discuss our options, but after hearing “investigative laparoscopic surgery” things got a little fuzzy. After she left the room and while we waited for the nurse to come in and answer any procedural questions we might have, the tears began to flow. I don’t even know why. The diagnosis isn’t necessarily 100%, but just the thought of having to undergo an sono HSG and then a surgery afterwards to “increase our odds” and “help with my pain” made me feel like this baby thing would just never happen. I’m an immediate results kind of a person, which doesn’t necessarily help me with this whole infertility thing in the least. But, my next step was to wait until the first day of my cycle to call and schedule my Sono HSG so we could assess my anatomy further and see exactly what we were dealing with…
The Good News:
As encouraged by our fertility NP, I underwent a Sono HSG, also known as a Sonohysterosalpingogram. (Not sure what that is? Here’s a humorous account of the procedure and here’s a more scientific one). As I mentioned before, I’m a big fan of research so I spent the many weeks prior to the procedure researching all about it and what it would entail. I mean, I had to do something while I waited for that first day of my cycle to call and schedule the procedure for crying out loud. (Note: impatience… again). I was thankful that Cory was able to accompany me for the HSG and was right by my side during it all. It’s not the most comfortable experience having a catheter inserted into your cervix while saline is injected into your uterus/fallopian tubes while an ultrasound wand is inserted in your vagina. (TMI? My bad). But, thankfully we received only good news after the procedure. Both of my fallopian tubes were patent (open) and there were no abnormalities noted within my uterus or my ovaries. Basically, everything was perfect and good-to-go for baby making. A huge sigh of relief was breathed and we began discussing our next steps. The MD said that I wouldn’t have to have the laparoscopic surgery if I didn’t feel it was necessary. She said that it would not boost my fertility enough to make a huge difference, as she believes I only have a very mild case of endometriosis. We could either go forth with the surgery or we can start with ovulation stimulating medication starting with my next cycle.
We chose the latter. The sooner I can get pregnant, the sooner the endometriosis pain will be in remission and we can deal with the endometriosis afterwards if need be and I’d rather not wait any longer to start really, really trying to get pregnant. Cory’s job was to have a semen analysis done and he survived the awkwardness (we live 45min away from the clinic, so he got to ::ahem:: provide the sample in the clinic) and everything checked out fabulous. I’m never going to hear the end of the bragging about the millions and millions of little swimmers he has… oy vay! Now we’re officially good to go for letrozole for my next cycle.
I mean, what? That was not what I expected at all from the sono, but can’t even begin to put into words the relief I feel! Granted, our journey to conceive the second time around is only just beginning, and I have a feeling that there’s a roller coaster of emotions that lies ahead, I’m just relieved to know that our journey is finally beginning.
We’re that much closer to our happy ending.