Honestly, even after I read a half dozen horror stories describing incredibly painful HSG experiences, what had me most nervous was the possibility of blocked tubes. I run marathons and have pushed myself through some intense physical pain, so I figured I had developed a high enough threshold to survive the HSG. (Not that I wanted it to be painful or discounted ANY of your absolutely horrible experiences, just….you know, trying to be tough and remind myself I can survive anything for a few minutes.) All I could think was, Just let everything look okay.
AND IT DID! 🙂
The elusive Dr. C did the procedure! The man I write about every third post! I haven’t seen him since our initial consult in October. I have been a little down on him lately, maybe subconsciously blaming him for my body’s reaction to Clomid? And if you have been reading my blog for a while, you know I have taken the liberty of emailing him twice. (oops.) When I walked in the room he was like, “Oh, my email buddy!” Me: “Errr, sorry!” Dr. C: “No, no, I love emailing with my patients.” Me in my head: Was that sarcasm?! Eeek.
I LIKE HIM AGAIN! He is funny, smart, confident and put me at ease. (I need confidence…I need someone saying this shizit is going to WORK!) He said he’d talk through the entire procedure and I should let him know if I was in too much pain and he would stop.
First he inserted a speculum and cleaned me up down there. (That part was like a pap, no biggie.) Then it was time for the dye. I didn’t even feel the dye going into me, I had to ask if it was happening. I felt a very mild burning sensation in my tummy area, but I honestly only noticed it because I was hyper-focused on how I was feeling. [Side note: I don’t ever feel ovulation, my OPKs never work, my breasts never hurt before my period, and since I’ve been off BC I have barely-there menstrual cramps….what is up with my bod? Is it numb?]
I heard him call out to the dude in the other room taking pics that my left tube had spilled…maybe 15 or 30 seconds later, so did my right one. YAY! Then we went through the images together and he said everything looked good.
He made a comment about how my uterus is deep and forward (something to Google later) and how that’s fine and normal. He also mentioned my cervix looks beautiful. Whatever that means?! OKAY! I’ll take it!
So, once again showing myself to be a totally inappropriate patient, I took the opportunity to talk with him about our treatment plan as soon as I was off the table (yes, wearing nothing but a hospital kimono-style robe and Converse high tops.
He asked, “Where are we now?”
Me: “We’re on an off month because the 100mg Clomid gave me a cyst.”
Him: “Right, well, you can call me a few days before your period and we can discuss what to do next.”
Me: “I actually booked a consult with you for next week to discuss just that. I was wondering what you think is best for me given how I respond to Clomid with thin lining?”
He flips through my chart and says, “Yes, you have thin lining. I took you down to 50mg to minimize that, we can get you to ovulate at that dose. That’s also why I’ve put you on estrogen.”
Me: “Okay, but if that doesn’t work, then what? Do you do Femara? Injectibles?”
Him: “I have used Femara on patients but I personally feel it doesn’t work as well as Clomid. You taking Estrogen with Clomid is almost the same as taking Femara. If Clomid doesn’t work this time, I would take it up a notch and go to injectibles. If you’re not ready for that because of finances or for any other reason, we can try Femara—but think of it as a very baby step up.” [Bloggies, clearly I’m paraphrasing, this is the gist.]
Me: “Okay, but you think we should give Clomid one more try and then re-evaluate?”
Me: “Well, we may not need that in-office consult next week afterall, you’ve answered my major questions.”
Him: “You can email me questions anytime.”
Me: “Thank you!!!!!!!!”
Him: “Are you okay? You seem a little shaky.”
Me: “I’m fine!” [I might’ve been shaking with relief? Or maybe I just was unexpectedly okay with the whole procedure? Or maybe it wigged him out that I jumped off the table and chatted him up? Haha. I dunno. I felt fine. And I was psyched I got some Qs answered.]
Hubs, the good egg that he is, was nervously waiting for me in the radiology lobby. He seems a little worried that I will abuse my new email privileges, but I promise I won’t. Hubs also said that as long as Dr. C and I were chatting, I should’ve asked him to subscribe to my new Twitter feed and to check out my blog. Hahaha. 🙂
To recap: HSG results looked fine (only side effects = super mild cramping as I sit here typing), I like Dr. C very much and I will start Provera Mon, Tues or Weds of next week and hopefully start this 50mg Clomid + Estrogen + Ovidrel + IUI cycle in early February. I haven’t ruled out next week’s in-office consult. Clearly I have a lot more questions and maybe it makes sense to see what kind of injectible plan he’d put me on, etc….and I like the idea of hubs getting to meet him and ask questions, too. But at the same time, didn’t we just discuss all the major stuff on my mind? What would you do?
Another question, while I’ve got you here. (Haha.) Has anyone heard of tube-clearing benefits of the HSG procedure? Does it really make it easier for the spermies to get around? I know my problems are a) not ovulating and b) thin lining, but I’ll take a boost anywhere I can get one. 🙂
Finally, and I’m sorry this is buried at the very bottom of such a long post, but I figured I’d jump right into my drama today: If you are an ICLWer, WELCOME! Perhaps it’s fitting that I launch ICLW week with a requisite HSG recap. 🙂