Today is a big day for me. I have my 2 week post-op appointment with my OB/GYN. My doctor and I have a fundamental difference about the use of progesterone in getting and sustaining pregnancy. I think it works and she thinks it doesn't.
Granted, she has an MD and I get squeamish at the sight of blood, but I have access to babycenter.com and have learned from other TTCers that progesterone helps.
Here is my case for why I want this magical elixir.
Fact:
1) Your body needs progesterone to have a normal leutal phase (14 days but at least 11)
2) Your body needs progesterone to support the pregnancy
3) When I would have progesterone draws 7 days after a positive ovulation test, they were always so low it shouldn't be able to support pregnancy
4) With both failed pregnancies I had bleeding immediately which later subsided, pointing to the fact that I didn't have enough progesterone
5)I haven't had a normal leutal phase since 11/08
6) My friend just had spotting at 6 weeks and got on progesterone, she is now 8 weeks and her HCG is going up appropriately, meaning the progesterone saved her pregnancy
7) Some friends from babycenter.com lost 2-3 pregnancies, took progesterone and now have babies
My Doctor's Beliefs
1) Studies show progesterone doesn't do anything
2) If you have a strong ovulation, you will produce enough progesterone
3) Progesterone just prolongs an unviable pregnancy
4) Progesterone has proven effective for people that have fertility treatments because there hormones have been manipulated so much but not others
5) Clomid (i.e. twin maker) can give you a stronger ovulation and then you shouldn't need progesterone
So before I left the hospital, the Fertility Dr came by to check on me and I asked her about this. She said in most cases my doc is right, but there are people with luteal issues that need progesterone to sustain pregnancy. LIKE ME!
I have been pumping myself up to be my own advocate with the doctor today and say I don't want to lose a third baby which could have been prevented by taking progesterone. Hopefully she will agree to either test me repeatedly for levels and if it looks borderline, give me the supplements. I don't want to say in an annoying way that the fertility doctor said I might need it but I want to make it known.
In other news, it has been two weeks and two days since my abdominal myomectomy (fibroid removal surgery) and I am feeling great. Not 100%, but have very limited pain. I am still not allowed to do much for 4 more weeks, but I feel strong.
Showing posts with label abdominal myomectomy. Show all posts
Showing posts with label abdominal myomectomy. Show all posts
Wednesday, August 5, 2009
Monday, July 27, 2009
Abdominal Myomectomy: What to expect when having a fibroid removed
It's official, I am mutant fibroid free. Sadly my doctor said they found a small fibroid that they left in because it would have required many more incisions and they didn't think it would affect pregnancy.
Since I am a craver of information, I will walk you through the surgery, from the patient point of view and any tips I can offer.
I was told to arrive at 8 am. They asked me to fill out paperwork, pretty much about what would happen if I die or go brain dead. Once completed, they walked me back to a prep room. My husband had a huge meeting that couldn't get moved so my mom went with me and my mother in law was to meet her later. I had wanted to go to the prep room alone, but my mom had a conniption and clearly what I wanted didn't matter. Although later when I asked her to leave and she refused the nurse made her. I am just modest and didn't want my mom and mother-in-law seeing the goods as the prepped me.
They had me change into a gown and give a urine sample. Once that was complete I got in a bed, the one I would later be wheeled to surgery in. A nurse came by and took vitals. Then about 10 different people came by to introduce themselves. I was at Northwestern's Prentice Women's hospital. It is a teaching hospital, so there were a lot of people of all levels coming in.
The Anesthesiologist came in. I told him I get nauseous from anesthesia. They gave me something to combat that. He asked if I get motion sickness and since I do, they put a sea sick patch behind my ear. This was the best thing I could have done, because there is nothing worse then coming out of surgery and feeling sick from the anesthesia. Even if you don't know if you get nauseous, tell them you get motion sick.
They couldn't fine a vein to put the IV, this took them about 25 minutes and 2 people. I kicked my mom out and my mother-in-law, who had somehow found her way to the surgery prep room.
My doctor came in and someone marked my abdomen with a marker to note where the incisions would go.
Once the IV was in, they gave me something to take the edge off. Surgery was set to start at 9:30 am and was to last 2 hours. I would then be in recovery for 1-2 hours before being take to my room. I vaguely remember being wheeled in the hallway to the operating room to have the fibroid eradicated forever.
I started to come to in a hospital room with glass doors. I heard noise and people say, "Dana, Dana, we need you to lift up so we can slide this board underneath you and take some x-rays!" It was such a bizarre feeling. I couldn't stay awake and they kept saying my name. I remember trying to lift and it hurting a lot. I did what they asked and then feel back asleep. I did remember seeing a clock and it was after 1pm. I heard people talking in the hall and finally they came in to move me to my room.
I remember having an oxygen tube in my nose which remained for about 5 more hours. I got up to my room and they asked me to transfer to the other bed. They put the two beds side by side and I remember saying, "I can't" and then apologizing for my failed attempts.
My moms say I was really out of it and looked quite pale. The nurses were fantastic. They said my goal for the night was to sit up and dangle my feet in the bed. I had heard from my parents doctor friends that the quicker you walk the better you do. At night when they had me dangle my feet, I asked if I could walk. This was great, because the night nurse loved me for this. I think she is used to big babies who have to be goaded. After this, she treated me like gold.
Big tip- ask for a second gown. I didn't want to bare all. The nice nurse gave me the second gown and was able to put it on like a cape and snap it on (can't put it on normally because of the IV). This kept me amply covered until I put on real clothes on day two.
Walking wasn't so bad. I got light headed when I stood and definitely walked very slowly. The first night I went down the hall and back and was spent.
I have to say I slept horribly that night. They come in a lot to check on you, which is good. The next morning they took out my catheter. This wasn't painful at all. It felt similar to when the OB/gyn takes out the speculum in an exam. They weird thing was after, going to the bathroom felt odd, like I couldn't feel when I was done. The first time I went to the bathroom it was bloody. They weren't worried.
Speaking of such personal matters, I heard you bleed a lot after the surgery. I didn't find it was bad. It was never worse then the lightest day of your period. I had this spotting until 5 days post op and nothing since. They give you pads there which are the biggest things you have ever seen.
After I got the catheter taken out, I asked to put on my clothes. I brought comfy, stretchy, black sleep pants. They were perfect. They gave me underwear which I heard was essential. It is essentially boy short cut. Once I got home, I was able to wear my own stuff.
The second day was the worst day in terms of pain, but honestly not horrible. After that, getting out of bed got easier and easier. I ended up spending 4 days in the hospital (three nights) because I got a 101.5 fever one night. This is common with this surgery. They didn't find any infection. They said I was doing well for where I was in the recovery process.
On the third day, I showered myself and washed my hair. I didn't have restrictions, just don't rub the incision.
My own doctor stopped by each morning and the residents stopped by throughout the day (usually 2 times). Nurses were in at least every 4 hours. By the time I left, I was walking faster and even walked myself to the car.
Now, a week post surgery I am doing really well. My mom is staying with us for 5 more days. She has been cooking and cleaning. I have been going on 2-3 good walks a day. The pain is completely bearable, it doesn't hurt much to get out of bed, which had been the worst of it. The biggest change is I am so tired. I slept 10 hours last night and felt like I could sleep more.
One weird thing is how much my stomach has swelled. Since I have been on this fitness kick, I have been measuring my waist. When I got home I was 4 inches bigger than when I went into the hospital. I am now down to three. I feel a bit buddah-bellyish. Another interesting fact was that my fibroid was making my uterus the size of a 14-week pregnant uterus.
If you have questions, shoot me a comment.
Since I am a craver of information, I will walk you through the surgery, from the patient point of view and any tips I can offer.
I was told to arrive at 8 am. They asked me to fill out paperwork, pretty much about what would happen if I die or go brain dead. Once completed, they walked me back to a prep room. My husband had a huge meeting that couldn't get moved so my mom went with me and my mother in law was to meet her later. I had wanted to go to the prep room alone, but my mom had a conniption and clearly what I wanted didn't matter. Although later when I asked her to leave and she refused the nurse made her. I am just modest and didn't want my mom and mother-in-law seeing the goods as the prepped me.
They had me change into a gown and give a urine sample. Once that was complete I got in a bed, the one I would later be wheeled to surgery in. A nurse came by and took vitals. Then about 10 different people came by to introduce themselves. I was at Northwestern's Prentice Women's hospital. It is a teaching hospital, so there were a lot of people of all levels coming in.
The Anesthesiologist came in. I told him I get nauseous from anesthesia. They gave me something to combat that. He asked if I get motion sickness and since I do, they put a sea sick patch behind my ear. This was the best thing I could have done, because there is nothing worse then coming out of surgery and feeling sick from the anesthesia. Even if you don't know if you get nauseous, tell them you get motion sick.
They couldn't fine a vein to put the IV, this took them about 25 minutes and 2 people. I kicked my mom out and my mother-in-law, who had somehow found her way to the surgery prep room.
My doctor came in and someone marked my abdomen with a marker to note where the incisions would go.
Once the IV was in, they gave me something to take the edge off. Surgery was set to start at 9:30 am and was to last 2 hours. I would then be in recovery for 1-2 hours before being take to my room. I vaguely remember being wheeled in the hallway to the operating room to have the fibroid eradicated forever.
I started to come to in a hospital room with glass doors. I heard noise and people say, "Dana, Dana, we need you to lift up so we can slide this board underneath you and take some x-rays!" It was such a bizarre feeling. I couldn't stay awake and they kept saying my name. I remember trying to lift and it hurting a lot. I did what they asked and then feel back asleep. I did remember seeing a clock and it was after 1pm. I heard people talking in the hall and finally they came in to move me to my room.
I remember having an oxygen tube in my nose which remained for about 5 more hours. I got up to my room and they asked me to transfer to the other bed. They put the two beds side by side and I remember saying, "I can't" and then apologizing for my failed attempts.
My moms say I was really out of it and looked quite pale. The nurses were fantastic. They said my goal for the night was to sit up and dangle my feet in the bed. I had heard from my parents doctor friends that the quicker you walk the better you do. At night when they had me dangle my feet, I asked if I could walk. This was great, because the night nurse loved me for this. I think she is used to big babies who have to be goaded. After this, she treated me like gold.
Big tip- ask for a second gown. I didn't want to bare all. The nice nurse gave me the second gown and was able to put it on like a cape and snap it on (can't put it on normally because of the IV). This kept me amply covered until I put on real clothes on day two.
Walking wasn't so bad. I got light headed when I stood and definitely walked very slowly. The first night I went down the hall and back and was spent.
I have to say I slept horribly that night. They come in a lot to check on you, which is good. The next morning they took out my catheter. This wasn't painful at all. It felt similar to when the OB/gyn takes out the speculum in an exam. They weird thing was after, going to the bathroom felt odd, like I couldn't feel when I was done. The first time I went to the bathroom it was bloody. They weren't worried.
Speaking of such personal matters, I heard you bleed a lot after the surgery. I didn't find it was bad. It was never worse then the lightest day of your period. I had this spotting until 5 days post op and nothing since. They give you pads there which are the biggest things you have ever seen.
After I got the catheter taken out, I asked to put on my clothes. I brought comfy, stretchy, black sleep pants. They were perfect. They gave me underwear which I heard was essential. It is essentially boy short cut. Once I got home, I was able to wear my own stuff.
The second day was the worst day in terms of pain, but honestly not horrible. After that, getting out of bed got easier and easier. I ended up spending 4 days in the hospital (three nights) because I got a 101.5 fever one night. This is common with this surgery. They didn't find any infection. They said I was doing well for where I was in the recovery process.
On the third day, I showered myself and washed my hair. I didn't have restrictions, just don't rub the incision.
My own doctor stopped by each morning and the residents stopped by throughout the day (usually 2 times). Nurses were in at least every 4 hours. By the time I left, I was walking faster and even walked myself to the car.
Now, a week post surgery I am doing really well. My mom is staying with us for 5 more days. She has been cooking and cleaning. I have been going on 2-3 good walks a day. The pain is completely bearable, it doesn't hurt much to get out of bed, which had been the worst of it. The biggest change is I am so tired. I slept 10 hours last night and felt like I could sleep more.
One weird thing is how much my stomach has swelled. Since I have been on this fitness kick, I have been measuring my waist. When I got home I was 4 inches bigger than when I went into the hospital. I am now down to three. I feel a bit buddah-bellyish. Another interesting fact was that my fibroid was making my uterus the size of a 14-week pregnant uterus.
If you have questions, shoot me a comment.
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