OB Follow up

I was extremely nervous once the Dr’s appointment had been changed. I thought the day would drag on, but it went so, so fast. Before I knew it dp and I were in the car and on our way. I honestly think that drive did more for my heart rate than any exercise ever could. Nothing like a bit of panic to get your heart rate up!!!

For the first time I had to wait to see the Dr, it was only about half an hour, which didn’t really bother me all that much. Once we were in we sat in silence for a few minutes while he read through all of the results and looked at the scan pictures.

First off he advised that the karotyping results weren’t in yet, which pi55ed me off. I had rung the pathology results area to ensure they would be ready PRIOR to making an appointment with the Obstetrician. They had told me they would be ready last week? Right, obviously?

He asked me to speak first. I told him I have recurring pain in my left ovary, before ovulation. And hence the reason I have a lot of in-depth ultrasounds of my ovaries. He said ‘oh that’s why they did that; because I knew I hadn’t requested them’. He said she must have liked me because usually they will not do anything outside of what is listed on the referral. So finally something went my way…..

He agreed that the pain would be the maturing follicles pressing on the scarred area. He also said he did not believe it was necessary to operate unless I was in too much pain. I later told dp that I would not opt for a surgery near my reproductive organs unless I was in so much pain I couldn’t walk.

The tricky part came when I was talking about the ectopic, and chances of it happening again. He said he is 90% sure I had an ovarian topic. Empty sac in uterus, large mass that kept growing in left ovary. But he could not tell me 100% that it was though, because he did not operate. He could only have told me for sure if he had operated and sighted the ovary for himself.

My concern personally is that I developed the scarring after the infection from the D&C, and that this is specifically what caused the ectopic. He said we will never know whether I scarred before or after the ectopic. But he said my chance of having an ectopic (with no history of ectopics) is 1 in 100. My chance of having an ectopic (with a history of ectopics) is 1 in 80-90. He is confident that I will carry my next pregnancy to term, barring any chromosomal abnormalities with the bubby. I’m glad he is confident, because I sure as hell am not.

My thyroid results came back at a perfect level, right in the mid range of normal. So another test can get crossed off the list.

I have therefore been given the green light to TTC this cycle, PROVIDING the results of the karotyping come back ok.

Next time I fall pregnant (please be soon, please be soon) I have to have bloods from the very beginning every 2 days to monitor BHCG and Progesterone. I have to have a scan at 6 weeks to check for an ectopic. I have to take baby aspirin from 7 weeks. And if my progesterone level is not adequate I will have to have that too. However he does not think progesterone is an issue as i do not have an LP defect.
So I have rung the pathology place again today, and have been told that my results will be ready tomorrow morning, and that hey will be faxed directly to my Dr. If I have not heard from him by lunch time, I will be chasing it up again.