Thursday, 28 April 2011

The results are in...

Got a call from Dr. R's office to make an appointment for my results that have come in. EXCITING! Good or bad... I want to know. It's better to know what is wrong and treat it instead of not knowing what it could be and to still be guessing as to what could be causing my infertility.

Dr. R let me know that the findings were what I had originally thought I had. Polycystic Ovarian Syndrome ..short form....PCOS (PCO.. as its' sometimes called). It's a complex disorder that affects about 10% of females. There are many symptoms that are in included but not every woman that has PCOS, has every single sympotm. Some women may only have a few, some may have many. The following is a list of some of the most common:


  • Anovulation (resulting in irregular menstruation
  • Imbalanced hormones
  • Amenorrhea (ovulation-related infertility/no periods)
  • Metabolic syndrome (Insulin resistance)
  • Type 2 diabetes
  • High cholesterol levels
  • Small cysts in their ovaries
  • Excessive hair growth
  • Weight gain
  • Infertility (not able to get pregnant) because of not ovulating.
  • Infrequent, absent, and/or irregular menstrual periods
  • Hirsutism (HER-suh-tiz-um) — increased hair growth on the face, chest, stomach, back, thumbs, or toes
  • Cysts on the ovaries
  • Acne, oily skin, or dandruff
  • Weight gain or obesity, usually with extra weight around the waist
  • Male-pattern baldness or thinning hair
  • Patches of skin on the neck, arms, breasts, or thighs that are thick and dark brown or black
  • Skin tags — excess flaps of skin in the armpits or neck area
  • Pelvic pain
  • Anxiety or depression
  • Sleep apnea — when breathing stops for short periods of time while asleep

Talk about overwhelming. Not to leave out the fact that PCOS may lead to heart disease and/or diabetes. FUN! Looks like I have a lot of research to do!


Sunday, 20 March 2011

Sonohysterography (SHG).... Oh what a fun!

Picture this.... it's your anniversary and while you dream about spending time with your spouse talking about your life together, laughing, eating and reminiscing about the good times, you are laying on "soft" examination table staring at a drop ceiling beige tile, while white knuckling the "cushion" under you, trying to hold back the tears of pain and repeating to yourself to relax, stay calm and it will be over soon. This is how I spent my 5th wedding anniversary.

My appointment was in the morning and since it was going to take me an hour at least to drive into the "big city" I decided to leave early as morning rush hour traffic is unpredictable! I was nervous. Nervous, about the drive, the appointment, the procedure, the results, the not knowing what was going to happen that day...... and the fact that my bladder was full of water did not help. Sometimes when people get anxious about a presentation, a speech, a big game, a first date....their bodies react in different ways. Sweating profusely, pacing around, deep breathing are things that can occur to help one release the tension.  When I am anxious about something... I need to pee. It's like my brain tells my bladder if you just relax and let go....the rest of us organs can settle down (never the case by the way!) So I run to the bathroom 3-4 times before whatever it is I need to prepare myself for in order to relax and regroup. How the heck was I going to do this now? I wasn't allowed to release anything until I did the preliminary ultrasound.

I arrived at the skyscraper and was welcomed by the receptionist who was probably around the same age as I am who informed me that things where running on time and I would be seen shortly. After an hour of waiting... my bladder was ready to burst (it's not that big to begin with!) I approached the counter to ask when I would be seen as I really needed to go to the bathroom. She informed me that the doctor had fallen behind and that I was the next person. And just as the words fell out of her mouth, the U/S tech. called my name. PHEW!! Only 10 more minutes of this bladder-water-baby and I will be free!!

The u/s went great! The tech was really nice and friendly. She did an inter-vaginal scan, a lower abdominal scan and she also checked my kidney's (which I was glad she did as my mother has had kidney issues all her life....not that I was currently having any...but it was good to check!). And I was all done....the first half anyway... A.K.A The easy part.

I went back into the waiting room where one of the receptionists informed me to have a seat and the doctor would come and get me for the second half in about 1/2 hour. PERFECT! I thought. I could have a bite to eat (as it was now lunch time) and take my extra strength Advil.  It was advised the I take it about 1/2hr before the SHG test to help with the cramping that may occur. So I ate my sandwich and waited in the reception area....spent my time watching Guy Fieri and Duff Goldman on the food network in mute (they had it muted...not sure why), took my pill and waited. Now I will let you know... when it comes to things like this. I am an "A" personality. You tell me a time...I expect that time. I'll give you an extra 10 mins.... but if you're not sure... don't tell me a time. 1 1/2hours after I sat down to eat lunch... I approached the counter and asked (kindly and not aggressively at all) if I would be seen soon..... after all, it was now early-mid afternoon and I did not want to be caught in traffic going home, not to mention my nerves were pretty much shot at this point. She looked at me blankly and asked me for my name again...typed away at the computer, ruffled through some charts, and finally said.... we couldn't find you, we didn't know where you had gone.

It took everything in me to not yell at this girl. ARE YOU KIDDING ME?!?! I calmly told her (okay...maybe I had a bit of anger in my voice) that I had been waiting not even 20 feet from her desk for the last 1 1/2hr. I did not leave the room even! She went pale... she knew I was right... she was either covering for someone else mistake or hers. I mean the waiting room wasn't even full. There where maybe 3 other people at the most who where there to see the same doctor. Within 10 minutes I was in the doctors examination room getting changed for the SHG procedure. Good thing.... as it gave me time to calm down from the blood that had been boiling inside of me. I took a couple of deep breaths and a lovely female doctor came in and introduce herself... we'll call her Dr. Hart. She explained exactly what she was going to do, and what she needed me to do. Asked if I had any questions... and got started.

She was honest. She did not sugar coat anything... and I appreciated it. Dr. R said it can be "uncomfortable".... Dr. Hart said it varied from uncomfortable to tolerable pain.  And that is why they recommend the extra strength Advil (Ibuprofen). She started off by doing another ultrasound again on my lower abdomen to see what everything looked like before inserting the saline-like solution into my uterus. And when she did......... the cramping began. Felt like regular menstrual cramping....uncomfortable... but not intolerable. Again she scanned around looking at different angles... and then.... she braced me for what was one of the most sharp but short painful experiences of my life!!! HOLY MOTHER OF PEARL!!! Not only was it uncomfortable with the syringe moving around my cervix...but I actually felt the saline solution shoot through my fallopian tubes. I gripped the table so hard that the doctor actually rubbed my hand and told me to relax my white knuckles that she needed the exam table for the next client!! I laughed and that relaxed me more! I tell ya if that's not cleaning the pipes, I don't know what is!!

In 3 seconds the sharp pain was over... but the cramping continued. I got dressed, went to my car and spent the next 45mins driving home, waiting for the cramping to end. I crawled into bed and tried to fall asleep but the cramping lingered. Sometime in between there, I fell asleep and my husband came home to ask me how it went. He got me an another Advil, made me dinner, and cuddle with me under the blanket that night while we watched a movie. Made the stress of the day worth it...... and knowing that it will get us one step closer to having our kids. :)

Monday, 28 February 2011

Dr. R.... :/

I got up early the day I had my appointment with Dr. R. I was excited to get the ball rolling on trying to figure out what may be wrong. My mind had been spinning the last few weeks with the possible outcomes and solutions that could help. Crazy? Yes. But infertility is not as uncommon as you make think. Having talked with friends in the past few years (as we are all entering that stage of life) it is amazing to hear how many people have trouble conceiving. I myself know at least 3 couples who have all undergone fertility treatments within the last few years.

I got there nice and early to make sure I had enough time to fill out any necessary paperwork. I knew that I would be waiting awhile as well...it's a doctors office. It's expected! Two hours later and only after I questioned when I would be seen.....I was finally seen! The appointment went so fast that my head was spinning! He went through my health history with me and asked me questions that I had already answered in the intake form (annoying!) and when he had me change to do a pap and physical exam....I was left naked with a paper blanket in a cold room for 20 mins!!! I was not impressed considering that I was cold and already stressed out about being there.

I left with a requisition for an ultra sound and blood work...and a collection of new words added to my vocabulary. Some of the information that I was given was a list of medications that I would have to take if I needed to undergo IUI treatments.  I was shocked. One medication alone was just over $300....that's per treatment! CRAZY!

A few weeks later, I still had not heard back from Dr. R's office on the result of the ultrasound and the blood work. I decided to call and follow up. Finally after 3 weeks post-testing, Dr. R's office called me to tell me to come in for a follow up visit (I live in Canada and receive "free" health care..which means they can bill for every visit, but not a phone consultation.) I book my appointment for the following week only for the doctor to tell me my progesterone is low (which I had already told him that at the initial visit) and that the ultra sound came back clear. He wanted me to go for further testing with more advanced technical equipment. He referred me to "the big city" office where they would be able to determine what was going on. The test that I would undergo was called sonohysterography (SHG) and it would help determine what might be going on....... fingers crossed!


Thursday, 3 February 2011

It's just the beginning....or is it?

It's been two years since my husband and I have been trying to have a baby. In October 2010 after about a year and half of trying...we thought that it would be a good idea to get checked out. So we booked an appointment with our family doctor to discuss what the next step would be. After reviewing our health history, and having a very positive pep talk...we left the office with a OB/GYN referral and a simple test for my husband to do.

My appointment with the OB was for Jan 2011. I thought that a 3 month wait was a bit long but at the same time...I thought maybe I was just wanting things to be speeding along faster. (Oh how I didn't know). The time of my appointment was scheduled for the middle of the day. I thought that I would take a chance to see if there had been any cancellations closer to the beginning or the end of the day so that I could still work a big chunk of the day. As I explained this to the receptionist...she broke the news to me that we actually had to completely rebook my appointment to another month as "Dr.R" (OB/GYN) was scheduled for surgery and would be off for a few weeks. I was rebooked to the end of March!

March. That would be 5 months from the original referral. I decided not to wait that long. I decided to let Christmas come, enjoy some down time and as well let the holiday madness and the madness at work come back down to normal. My life and my future are the things that are most important and if I want to know what is going on with my health....I need to take charge. The health system and the people who work within it will not. And I should know as I work in it!

Mid January came and I thought I would give Dr.R's office a call to see if there had been any cancellations. To my luck..the end of February was available. I TOOK IT!! I was not taking any chances! Stay tuned for for entry #2 to find out what happened at the appointment!