May 5, 2010

Amazing what a second opinion can tell you!

We met with the top ranked RE in our state this morning. I was highly impressed immediately when I met him. Dr. P is extremely detail oriented and very thorough. He spent 2 hours with us and had pulled up every single documentation that was in the hospital records system and went through it all with a fine tooth comb.

Dr. P said that he disagrees with everything that Dr. M said.

1. I do not need IVF. At all. He was incredulous that Dr. M even suggested it.
2. It's not a polyp. It's the same fibroid that I had surgery on in February. It's submucosal. Half of it had been embedded in the muscular wall and has now popped out into the uterine cavity and is preventing us from getting pregnant. It does need to be surgically removed especially due to the increasing intensity of my periods. He was concerned when he heard my last period was 9 days long and I was going through super tampons paired with pads and soaking through both in less than an hour.
3. He agrees that the right tube is blocked but disagrees that it can't be removed and he wants to remove it. This would mean I would only get to ovulate out of one tube every other month but it decreases our risk of ectopic pregnancy which is sitting around 10% right now.
4. He disagrees with the diagnosis of diminished ovarian reserve and said that my FSH should never be tested when my ovaries are covered in cysts because they cause increases in your hormone levels. My FSH in September was 7.8 when I had no cysts.
5. Mr. Sunflower Bud has (in the doctor's exact words) amazing and perfect "donor quality" sperm that he doesn't see very often. Naturally, Mr. Sunflower Bud is all puffed up and feeling good about himself right now.

He said that once we get in there and get everything out, we should have no trouble getting pregnant and he would want to do the IUI (artificial insemination) without any fertility drugs until I actually show signs of ovulation problems. He's very conservative about fertility drugs and feels they shouldn't be used if you already ovulate fine on your own.

I feel like we actually have hope now. If we can just get this fibroid out once and for all...

I go back tomorrow for another SHG so he can get a good look at how the fibroid is situated and if there are any others. He also wants a more in depth look for himself at the blockage on the right tube. Dr. M wrote that it was a hydrosalpinx and Dr. P finds it hard to believe that is the case but won't rule it out until he sees it himself.

Afterward, we'll discuss scheduling the surgery. Another surgery... UGH. But at least this time I know it's just a means to an end.

I held a 4 week old baby girl tonight for over an hour. Just the feel of her in my arms and looking at her sweet face gave me restored hope and faith that one day I will be holding one of my own again.

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