THE APPOINTMENT

31 Jan

As I drove to the appointment yesterday I tried not to bite my nails. I failed miserably and they actually hurt quiet a bit today. Once we got to the appointment I was told that it would just be a discussion so I didn’t need to put on a gown or anything. We told the attending nurse what medications we were on, when my last period was, our lack of positive ovulation kits etc… I told the nurse that we sent a packet of info and that all that stuff should be in there. She went to look for it and found it, THANK GOD! I put so much work into it. Anyway, she said she would make sure the doctor looked at it.

She then exited the room and we waited. Unfortunately my Ob/Gyns office is notorious for making patients wait. I don’t know why. At my last appointment I waited 47 minutes for my pap smear. I normally would not stand for this but the doctors there are AMAZING. So we waited probably about 20 minutes and Jennie came in.  Maybe she was reading my novella I sent to her, who knows. Jennie is on the far right.

team

The first words out of Jennie’s mouth were “You are going to think of me as the person who tortures you”… Jennie assisted Kristen during my tubal pregnancy. I don’t think she is a torturer but my god, having your uterus emptied is nothing I would wish on anyone. Jennie asked us how we were doing and we said fine and she said NO REALLY HOW ARE YOU DOING, ARE YOU GOING CRAZY and I was like OHHHH this is not small talk, she wants to know. So we went over what has been going on with my cycle and our lack of positive ovulation tests and our timing of sex etc…

First and foremost, after telling her that one month we did it twice a day for about a week and a half she responded with “You poor people, that needs to stop”. She told us to do it every other day starting no earlier than day 14, unless we want to of course, and no more after Day 24.

Second, she told me that I am most likely ovulating, judging by my temperatures, and that most likely my LH hormone level was too low for the test to pick up. She couldn’t explain to me why I did have positive tests and now negative but she was not worried. I never knew that maybe my level was below the line of measurement, never even thought about that!

Third, she told me to throw the ovulation kits OUT. She said to rely on the monitor. She told me to stop peeing on multiple sticks a day and that I should save my money

Fourth, we discussed my previous ectopic and she asked me if I had any pain during my cycle or during sex stating that may indicate if we really do have a problem.

Fifth, she told me not to hit the panic button just yet. Which really, we all know is TOO LATE. She told me she understands why we are frustrated and tired. She said that they feel the same way when they do IUIs or Clomid and they time everything perfectly and nothing works. She reminded us that there is a 20% chance of conception each month and that it may take us awhile.

She said she could offer us two options:

  1. Keep trying, forget the ovulation kits, use the monitor and stop having sex too much
  2. Order tests, Sperm Analysis, Blood Test to measure my progesterone level and confirm ovulation and an HSG

I started to well up when she said the first option. I totally didnt want to hear that but I am well aware we are under the year mark. She asked me to decide. I told her that I wanted to have Ty tested and that I was really concerned about my tubes being blocked. I also went into saying that I know our timing is off  in terms of the year mark but with work and stuff, I really want to dive in now. I also said that of course life passes you by as you are making plans and that you cant plan everything but emotionally I need to know if we have an issue because otherwise I will go crazy. Then I cried, I told her that I felt broken. Ty reached over to me and I know he was thinking “Oh God, not this crying fit again” but he was still supportive. Jennie gave me tissues and told me that she would order all the tests.

 

Ty will be going for the Semen Analysis late next week (after I hopefully ovulate), I will go for the blood test on the 8th to see what my progesterone levels are and if they can confirm or deny that I ovulated. As for the HSG, it will be scheduled for a Monday later on in Feb. Jennie is the only doctor that does that at the practice and she schedules them for Mondays at the hospital. I have to wait until I am done with this current cycle before we can schedule it. Jennie said that the procedure will probably hurt and she doesnt want me to think of her as the bad doctor. I told her I wouldnt especially if she agreed to these tests anyway.

 

After a yummy dinner we got home and I threw out the rest of the ovulation kits that I had. We went to bed happy(well not really, I had a huge headache but whatever, there was no pressure to get er done)

We, well at least I, left feeling heard and understood. So good things on the horizon… and more medical bills but they are worth it.

I am going to try to remain hopeful and less down… but like all cycles in life, you have the good and the bad, Im going to focus on the good.

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12 Responses to “THE APPOINTMENT”

  1. Kristin Sweigard January 31, 2013 at 12:30 pm #

    Your meeting sounds similar to one I had a year ago. Also told me to get rid of the Ovulation kits. Make sure when your husband does his analysis that you guys hold off on sex for the amount of days they tell you so that they can get the best reading of his guys. Also, the HSG is painful for 30 sec! Don’t look at the instruments on the table. I had some cramping after and a little bleeding, but otherwise fine and left with piece of mind. If your tubes are blocked, you will know then and there. Good luck with all the appointments. I know certain blood tests need to be done between so many days of your cycle for accuracy. Once you get through this hurdle, you will have a clear picture of what you need to do.

    • maretilton January 31, 2013 at 12:54 pm #

      Thanks for the insight! We scheduled Tys test for two days after the LATEST point that we will ovulate, I want to make sure we get a clear reading. Also, he is under STRICT instructions that if he does the sample at home, he needs to get in the car and drive ASAP, not stop at Dunkin Donuts or whatever… and get to the hospital in under an hour, 40 minutes ideally. Jennie did say she may be on vacation in the window to do the HSG but she told me that I shouldnt worry and we would figure it out. I think I just really needed to hear someone tell me its okay to be frustrated, that they get frustrated and that we can figure something out.

  2. justamassachusettsgirl January 31, 2013 at 3:35 pm #

    Hey Mare, the HSG did hurt, but it was a necessary evil. If there’s no blockage, it’ll put your min at ease. If there is one, you’ll know the problem and can work toward a solution. Glad to hear you’re workin with your doc. And by the way, 2 times a day?! Good God. You two are like rabbits :).

    • maretilton January 31, 2013 at 4:26 pm #

      oh no… seriously, we are both disgusted at each other, dont want to see another private part and just do it because we should. Its not glamorous or passionate

  3. Mrs. S February 1, 2013 at 9:01 am #

    I really hope this works out for you and you get good answers. I would like to caution though, if the sperm analysis comes back poor, that’s not the end all be all. Mr. S’s SA was abysmal, but somehow one got through!

  4. kristenp06 February 1, 2013 at 1:17 pm #

    Take a few Ibuprofen about an hour or so before your HSG. That helps with the cramping. OH! When Ty gives his sample…make sure his hands are clean. This is going to sound horrible but my husband works in a factory and apparently didn’t wash his hands before he squirted in a cup and the doctor found bacteria in his sample. This led to my husband having to get a rectal exam and his prostate checked and all these crazy horrible tests. The doctors said he was fine and they determined it was from not washing up. I laughed and he learned his lesson. 🙂

    • maretilton February 1, 2013 at 1:57 pm #

      I am not taking the sample 🙂 Ty is going to make love to a cup at home and drive to the hospital. he is under strict orders not stop to get gas (that will happen the night before) or stop for coffee (he can die of thirst). He will literally wash hands, use no lube, sample, pull pants up, grab keys, get in car, drive to the hospital, deliver sample in less than an hour… which should take him 30 minutes to get to the hospital, and we have planned it NOT during rush hour lol. Fingers Crossed. I can only imagine the bacteria. Ty would totally have that during painting season and he would never EVER make that mistake if he had to get a rectal exam. I am going to tell him your story to re-enforce!

      • justamassachusettsgirl February 1, 2013 at 2:18 pm #

        Hahaha. All of these comments are reminding me of hubby’s “surprise” rectal exam when they referred him to a specialist because they thought his count was low (it wasn’t. He got tested again and it was normal. I just don’t think he waited long enough in between “samples”). He was mad at me for weeks because of the “violation.”

  5. fromheretomotherhood February 1, 2013 at 1:26 pm #

    I had a similar experience at my doctor’s. I cried when she told me my blood work was all normal because I thought she would just say that there was nothing she could do yet. Instead, she offered to put a referral into the fertility clinic since there’s a bit of a wait. I cried from relief.

    My HSG was mildly uncomfortable, but I took a prescription dose of naproxen 2 hours before as instructed. Just stronger than ibuprofen but same idea. Is the doc ordering an ultrasound? Without a pelvic ultrasound with antral follicle count there’d be no target for my treatment because everything else was normal.

    As for 2 times a day, dear god! J and I are lucky to make it happen every other day during the fertile window.

    • maretilton February 1, 2013 at 2:04 pm #

      No UltraSound Ordered yet. The HSG was ordered due to my previous tubal pregnancy. She wants to confirm I am ovulating, check Ty and make sure my tubes are clear. I believe then three months after that (the HSG) if we are still in limbo more tests.

      Oh yeah two times a day for one month. Another month we did it daily for two weeks straight, this month we are at 6 days straight, I want a night off tonight… 🙂

      • fromheretomotherhood February 1, 2013 at 2:15 pm #

        I don’t think I O until about CD 20. We did for the first time since AF the other night (CD 10) and today is CD 12, so if we keep with every other night we should tonight but I don’t know if I’m going to make a point of initiating. Now that we know we’re doing IVF it seems less necessary. God I can’t wait until sex is just for fun again (hopefully we get our sex drives back!).

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