I had an appointment with Dr. Vaughn this morning. You know you are a fertility patient when a month going by without seeing your doctor leads you into withdrawal. I was happy to be back in the saddle again!
During the exam, as Dr. V moved the sonogram wand around, right to left, it was clear that growth was taking place!
Sadly, that growth was my fibroid.
Since it appears she wants to be acknowledged, I shall call her Franny. Franny has been a part of me since my first sonograms with Dr. Vaughn. During my laparoscopic surgery last June, Dr. V had elected NOT to remove her, as she didn't appear to be in a place that would affect fertility. Also, if he had taken her out, I would have had to stay overnight at the hospital and my recovery time would have increased from 3 days to two weeks. Hence Franny stayed.
Maybe out of sympathy that nothin' else is currently growing inside me, she's decided to up her anty. Unfortunately she is growing toward my uterus, and starting to push into its left side. So what does this mean? It means if a wee Lambie baby attached to that section of my uterus, it would be as if there was extremely shallow, nutrient deficient soil there, and that little one wouldn't be able to grow. Of course I asked Dr. V if he thinks that might have been what caused our miscarriage, and he said it was unlikely, but not impossible.
The choices go like this:
1. Leave Franny alone and keep her monitored. Proceed full steam ahead with another round of injectables, and should a pregnancy occur, fingers and toes crossed that the little one implants anywhere but the lower left side of my uterus. Franny could be a bit uncomfortable with a pregnancy, but shouldn't pose any risks to the baby.
2. Remove Franny now. This would entail another laparoscopic surgery, an overnight at the hospital, 2 weeks off work for recovery, and a "100% guarantee" (according to Dr. V) that once I did get pregnant, I'd have to deliver by C-section. This is because part of my uterine lining would be cut with Franny's removal. Dr. V assures me they patch everything up extremely well, and that the lining should hold fine for a pregnancy, but likely couldn't withstand labor.
Given these choices, it isn't hard to see which way I'll go. Tonight begins ROUND TWO OF INJECTABLES! The prayers are going to be off the charts this month, b/c if we don't conceive this round, there is a really good chance Franny will have to come out (especially if she continues growing). I think I may go back to this years' vision board and specify that the words "birth" and "deliver" are meant for a BABY, not a FIBROID. Clarity of intention, people.
Ah, Gonal-F, we meet again. Please be as freakishly friendly & fertile as last month!