Showing posts with label out damned cyst. Show all posts
Showing posts with label out damned cyst. Show all posts

Be careful what you wish

11 comments

Awhile back, it seems live forever-and-a-day ago, I wrote in a post called, “Are you kidding me?” that I had a cyst on my right ovary and it seemed to be caused (rather than prevented) by the birth control pills I was taking for the start of my IVF #2 protocol. In the post I joked about someone coming over to punch me in the ovary to pop the bastard, but alas…no one came over to try.  So I had to wait it out for the danged thing to disappear on its own.  Next cycle it seemed fine.  Righty had no large follicles. I started birth control pills and again, this time 9 days later, I had a nice juicy cyst on the right ovary. Just big enough to cause problems. After the ultrasound I joked with DocO and said, “OK Doc.  How about you just punch me as hard as you can in the ovary and we’ll see if we can pop it.  Think that will work?”  Honestly he looked a bit surprised, realized I was joking and said back, “Well, there have been no scientific papers published on that method.  We could try to start a study, but I think it would be very difficult to find volunteers.”  We laughed and I agreed to try it their way, all science-y and proven and get the cyst aspirated.

I got my favorite ladydoc for this procedure, DrKAwesome. The cyst aspiration prep is similar to egg retrieval.  You undress, get into a gown, booties, hat.  They put yummy warm blankets on you and get an IV going and shoot you full of some happy drugs that are quite similar to having 2 double-martinis. Did I mention that I’m a happy drunk?  When the proper amount of loopyness sets in, they wheel you into the procedure room.  First you scoot onto the fancy mega stirrup table. Then you get a “WHOA good morning!” wake up call from a cold speculum and a special ultrasound wand with a retractable needle attachment is welcomed into the party.  DrKAwesome used the ultrasound image to line up the cyst and

***WHAM!**** punched me in the ovary

…or at least that is what it felt like.  Unluckily for me, stubborn ole righty shifted and rolled a bit during the punch (it was bobbing and weaving like a champ).  DrKAwesome had to do it a total of 3 times to get that bastard popped.  It felt exactly like getting punched multiple times in the ovary.  Luckily it is only uncomfortable for a brief time, there is a minute amount of bleeding (like a 1/2 tsp) and then you are given yummy crackers and sent home.  Afterwards you get to watch as much TV as you want and fall asleep on the couch and have MrBeep take you out for delicious Pho because it’s your pick for dinner.  Mmmmmmmm spicy beefy noodly soupy goodness.

So, um, yeah…being punched in the ovary?  Don’t ask for that and don’t joke about that, OK?

High aspirations

9 comments

Sorry I am writing so late.  I swear I am not doing this to build for dramatic tension.  I went in this morning for my blood work and follicle ultra sound and…

flucking
cyst
was
bigger

That’s right folks.  Now that I took a couple of extra days of birth control pills it has made the cyst a tiny bit bigger, by about a millimeter.  Nice huh?   DocO said that they would need to get the labs back and discuss options in their noon meeting.  They said that they would call and let us know whether they recommend delaying or aspirating the cyst.   I waited forever, then fell asleep on the couch when the phone rang at 4:15 p.m.  It was MrBeep wanting to know what the plan was.  I called the RE office and talked to Katie (I was next to call on her list, grumble grumble).  My E2 is even better (staying nice and low).  The plan is that I am going in tomorrow for a cyst aspiration about noon.  It is similar in prep to an egg retrieval and I have to get IV’ed and doped up a bit.  MrBeep will need to drive me home and be there in case I have any bad reactions to the medicine. 

After the aspiration, the plan is for me to start injecting micro-dose lupron starting on Sunday.  Finally, FINALLY I get to do something. 

There is so much going on right now.  mekate is going for egg retrieval tomorrow, K was retrieved today and should get her egg/fert report soon, Megan is holding out for a day 5 transfer hopefully on Friday, Pie is starting MDL a couple of days ahead of me (cycle buddy!), The Infertile Breeder (my friend from resolve boards) just got back a good 2nd beta after a first one that was a little scary.  Mad Hatter has given the finger to doctors who didn’t believe in the power of her ovaries and ovulated on her own.  She is currently in the 2WW.

Sprogblogger got heartbreaking news today, Shannon is remembering a sad anniversary, Sarah had devastating news this week too.  Please go give them all some support and love.

The universe is expanding, galaxies are spinning.  We are all along for the ride.  Love and hugs and magic sending out on the night’s wind and through the Seattle rain to you all.

I have a comment…fluck

18 comments

I went in this morning for my suppression check.  I finished the last of my 9 days of birth control pills on Sunday morning and this was The Big Day…and…we found another cyst.  It is borderline in size and may be on its way out.  I told DocO and the nurse I was feeling pains and pangs on my right side for several days about 2-3 days ago but things have quieted down for the most part.  Those pains have gone away, but there was still a cyst on the ultrasound.  I asked, “it’s on the right side, correct?”  Nurse Sara was surprised and said, “That’s right.  You’re just like the princess and the pea, aren’t you?”  “Yeah, I am by now” I told her.  It’s funny how much this ride can make you in tune with your insides.

So I’m a great IVF patient on paper.  My lab results came back great…again.  I am well suppressed, the cyst doesn’t seem to be causing an estrogen spike.  My E2 is at a nice low 37.  My FSH is 8.1.  I have 10-15 follicles on each ovary (yeah, we’re talking like 20-30 eggs percolating in there gals).  There is so much to raise my hopes, so many good things that hint at a great start, but here come the cysts in to make my princess bed all lumpy and uncomfortable.  <sigh>

So here’s the current plan, I took another birth control pill today and will do so for 2 more days.  I am supposed to go back on Wednesday for another ultrasound, and hopefully the cyst will measure smaller and we can get this show on the road.  If it is unchanged or bigger..well I dunno.  I guess I’ll have to lay on that bed after I make it.  Peas and all.

I was reading and commenting today and I got a word verification that summed up my thoughts on this exactly…

fluck

Yes ladies and germs…fluck, which could mean what we think of first or the optimist in me says it can be a compound word for follicle and luck, which is exactly what I need right now.

Taking a shot on goal (aka why I chose to wait)

13 comments

All I can feel right now is how truly sick I am of waiting.  It seems like 90% of this game is spent waiting for the right time.  I want to be active.  I want to participate.  I want to roll up my sleeves and get to work.  I want to take my shot.

I had to wait for a BFN every month while TTC on our own. I had to wait for the right cycle days to go through tests and procedures.  I had to wait through two uterine surgeries and recovery.  I had to wait for results and healing.  All that waiting took over 4 years.  Even now that we have achieved the place where we are down to business/on to the big stuff/major intervention-o-rama, in the last 10 months I have only been able to try 2 IUI’s (1 clomid + 1 natural) and 1 IVF cycle.  In 10 months.  Everything else has had waiting due to tests and clomid causing cysts and/or a thin uterine lining, now embryo lab closure and recommended months off and now cysts again.  3 out of 10 months that had a shot in hell to work.  Those really aren’t good odds for success.  While I am a very patient person…Yes. Thank you for asking, I AM very sick of waiting.

So back to last Thursday afternoon.  Our IVF coordinator nurse called and told me that the doctors discussed the 14mm ovarian cyst and decided that it was just too borderline for them feel comfortable starting IVF this cycle.  As DocO said to me in the exam room, “the size of the cyst makes it really come down to a judgement call.  It is absolutely on the dividing line in terms of size for when we would postpone.  Obviously if we go ahead and it’s successful and you get pregnant then we would call it the right choice, but if we had to cancel mid-cycle or get bad results then we would call it the wrong choice, but there is just no way to know which on which side this coin would fall.”  The nurse, said that after DocO, the embryologist and the other doctors discussed the case, they thought it would be best to postpone.  I asked about aspirating the cyst and she said they discussed it while reviewing my case, but preferred not to aspirate.  She explained it is an invasive procedure and there is no guarantee there would not be complications or sometimes a cyst just returns anyway.  She asked me if I had any questions and how I was doing.  I started to talk to her about a few details and then just lost it.  I hate it when I cry in front of strangers, but I couldn’t stop myself.  I talked to her between sobs about how frustrating it seems that I am always soooo damned close.  I had some minor success last time, the baseline gave me excellent results and now here I am waiting again. I’m terrified that I’ll just be in the same place a month from now. Which is just one more month of being closer to 41 and do you know how bad my chances become as each month goes by?   She did say that it was really borderline and that if I wanted to continue anyway or get the cyst aspirated that they would do it. She said that if I wanted to talk to DocO that she would have him call me right away and that they understand how upsetting this all can be.  They just wanted to give me the best shot.  They wanted my starting point to be perfect to ensure the best chance of success.

I called MrBeep and told him the news that the IVF nurse was talking to DocO and will call me back soon.  I didn’t know what was the right decision.  Should I wait for the next cycle or just get the cyst aspirated and risk it?  MrBeep comforted me and told me whatever I wanted we could do.  We discussed our options.  We considered if we started the cycle and it was cancelled or failed, then it would be 2-3 months before we could try again.  If we waited, it would be 1 month.  We decided to just aspirate next month if another one came up.  I did have to take birth control a very long time, (14 days) due to the lab closure, and perhaps a shorter length would remove this complication.  One month would probably not be the make or break for my eggs or hormones.  Those have been looking good lately, but the waiting is still very hard on me. I am a person who acts, who has always worked hard to achieve things and that drive does little for me here.  There always seems to be some impediment, some obstacle in my way.  I can’t even get to anything close enough to call utter failure so I can just give up or move on.  I seem to be stuck forever on the bench, waiting to just get in the game.

GoMightyBeaversMrBeep used to play hockey on his college team. (Go Mighty Beavers!)  He explained it to me this way -- the more shots you take the better your chances to make a goal.  So we definitely need to be aggressive to take as many good shots as possible.  But sometimes your best option is to wait a little, get closer and take your shot from the best angle.  Sometimes you have to skate around to wait for that perfect shot.  The truth is we are impressed with our doctors, we consider their knowledge and advice to be very important.  They’re the coach recommending waiting for a different play, better circumstances to get that best shot at goal.  

After discussing it with MrBeep and calming down, we both knew that waiting a month was the right decision.  After talking to him all of my tension disappeared, I didn’t feel like crying anymore and some hope for the future was restored.  He does that for me, he calms my soul.  I am a better person for knowing him, but it is still very hard.  When the IVF nurse called back, I told her I was OK and we would wait.  She was really kind to me and suggested that I enjoy some wine and maybe get a massage some time soon.  She also talked to me a little about a wellness program in the area for ladies going through IVF.  I may check into this.  In the meantime I will do my best to keep my spirit up and practice my slapshot.

 

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