WOW. I don't even now where to begin to try and re-tell the day I have had......
I went to my scheduled OBGYN appointment that I was lucky enough to secure at such short notice. He is just lovely, and he will be monitoring my pregnancies and delivering my children if we can sort out my 'broken uterus syndrome'.
We went over the number of pregnancies, number of miscarriages, gestational ages of pregnancies, types of miscarriages etc. DP and I had our medical history scrutinised and Dr OBGYN was very happy to know that dp has not had any testicular trauma (dp was very happy about this too).Then we moved on to my current pregnancy and the recorded HCG levels. They obviously caused reason for concern without even considering what wonderful news we had had from the ultrasound.
Dr OBGYN, being informed previously of what awaited him on my ultrasound, said that he does not believe that I have 2 pregnancies, instead he thought the ovarian one was a cyst and the actual pregnancy was the one in my uterus. So next Dr OBGYN took a look at the ultrasound. He um'ed and ah'ed and then proceeded to stand up me, dp and mum to explain what he thought while pointing away at pictures of my ovary and uterus. He entirely swapped his intial statement. Uterus had Pseudo gestational sac, actual pregnancy is INSIDE left ovary. He reserved his right to confirm that until he had done his own ultrasound.
So next was the joyous part for me. First I get the duck-bill instrument, usually reserved for pap smears, inserted so he could view my cervix with a big damn light. All good. Next was the fingers to see if he could 'feel' anything through the walls. And, if all that penetration was not enough, I was then given my second internal ultrasound in under 24 hours. Again he was kind enough to stand mum and dp infront of the screen and explained every detail of what could be seen.
So I at least had good news at this point. I did not lose twins. I only had one pregnancy which was within the left ovary. As my HCG rose, my uterus got its self into action and made a gestational sac, as all good - uterus's?, uterie? - do when you get yourself knocked up. But as the pregnancy was not in my uterus the actual sac was empty.
Next we discussed my options. Surgery - D&C to clear uterus of sac and surgery to remove pregnancy from ovary - 90% chance I would lose my ovary - Dr OBGYN not really interested in this scenario. Option 2. Have a Methotrexate injection in order to dissipate the pregnancy and hopeful it will 'flush' away (he said while making flowing movements with his hands from his make believe vagina). So Methotrexate option agreed upon. I figure tomorrow, the day after, next week?
Ah, no. NOW. Forms were written up as well as my pathology requests written up for the next SIX blood tests that are needed to track my progress. The whole process will probably take 3 weeks. The worst part, the part that I was trying to avoid, is that I will miscarry naturally. But if I want to keep my ovary, that is what I have to do.
So, next we get shipped of to the hospital, into EPAC. Thankfully he called ahead and ordered all his staff around while we were in his office. We were seen very quickly and all their stupid questions were halted with, my Dr has discussed this personally with the Registrar. After being looked at with the "you're full of 5hit" expression, I asked them to call the registrar before we proceeded any further.
Thankfully he arrived in a couple of minutes and told them everything was already sorted and they need not repeat everything that had already been established with Dr OBGYN.So, naturally, as I haven't had a blood test in 18 hours, I MUST need another one. Off for bloods we go. Then it was a case of sitting around until there was a bed ready for me on the ward. I was praying I didn't get sent to post-natal like my last miscarriage!! After getting up on the ward I had an hour wait before a Dr came to give me my injection. This is the first time I've had an injection in my bum and I was slightly nervous. I held mum's hand as soon as she picked up the needle it was actually quite painless, but the actual solution stung like cr@p once it was in. And my bum hurt for about 15 minutes.
After that it was four hours of observations before I coould get shipped off home.
So, here I am, with my sore bum, sitting on my lounge recapping he whirlwind day I have had!!!!
I will miscarry over the next 3 weeks. If my ovary is going to rupture it will be within 12 hours of the injection, so I have mum having a sleepover to be here for a shift change when dp goes to work. I can't be left alone
After all this is done and my hcg is back to 0, Dr OBGYN is going to start doing some testing on myself and dp. At least he gets to share in the blood tests this time, and I will be having a 3d u/s of my uterus. fingers croossed that if he finds something it is treatable.
One thing today showed me......I am never having my kids in a public hospital, the amount of time that dozens and dozens of pregnant women were waiting for appointments was just unreal. I cannot imagine they would be happy!!!! Thankful I quite like the Private hospital that my Dr delivers in.
So...... How was your day???
