Menu
Jump to content

What's with the ads?

Ktgrok

update on the uber/hysteroscopy/IUD situation :(

Recommended Posts

So, long story short, he couldn't get the darned thing out. 

 

My cervix is SO crazy out of place from adhesions on my uterus that he couldn't' even visualize it well enough to put the scope in to TRY to get it out. He put two pillows under my butt and got down on his knees, but no good. So, now he wants to do it under anesthesia, and at the same time go in laparoscopically and remove some of the adhesions. 

 

I can't decide if that is a good idea or not. The adhesions are why I have painful pap smears, and probably why I have pain in my abdomen from time to time, and possibly why I have frequent urination. Nothing major, but there. However, it means surgery. He said he wouldn't be super aggressive, just try to take some down to make things more normal. He's also a TINY bit concerned that the uterus/fallopian tubes/ovaries may no longer line up. However, since I have had two children since my c-section, that probably isn't an issue. 

 

I'm wondering if my weight loss has also effected how things sit in there, with less fat to prop things up?

 

So, would you do the surgery at the same time? It would be outpatient, but surgery. Plus the costs associated with that.  Or he could try again at a different office with a table that tilts differently, but not sure that would work. That is how he got it in, though, so it might. Or knock me out at the outpatient center, do the hysteroscopy to get out the IUD, but not to the surgery to remove adhesions. 

 

No idea what to do, and so freaking annoyed/sad/ugh that this is getting more complicated. 

 

Before I left he set up the surgery for Tuesday the 11th, at 11am. I'd have to be there at 9am. I'm due to ovulate on the 15th. He said we could start trying right away, but really?

 

I'm thinking I may call and ask if he can try with the tilt table, if he thinks that will work, and when he could do that. 

Edited by ktgrok

Share this post


Link to post
Share on other sites

You're okay, this is normal. I promise. I would have them done at the same time. It can be horribly painful to have an IUD removed. Get it all done at once so you're properly medicated.

  • Like 9

Share this post


Link to post
Share on other sites

before agreeing to surgery I would suggest a 2nd (or even 3rd) opinion, preferably with someone with lots of experience with adhesions.

I know someone who has adhesions and had several surgeries and every surgery made them worse, worse, worse. It was like cutting off hydra's head.  I believe in their case they would have been better served by a more knowledgeable surgeon. 


p.s. do you mean *trying* trying?  I must have missed an update .... 

Edited by hornblower

Share this post


Link to post
Share on other sites

before agreeing to surgery I would suggest a 2nd (or even 3rd) opinion, preferably with someone with lots of experience with adhesions.

I know someone who has adhesions and had several surgeries and every surgery made them worse, worse, worse. It was like cutting off hydra's head.  I believe in their case they would have been better served by a more knowledgeable surgeon. 

 

 

p.s. do you mean *trying* trying?  I must have missed an update .... 

 

Yup...hubby's on board for another kid. Not so on board with surgery. And I already had 3 hours of dental work this morning, so that on top of this, on top of PMS hormones (starting period any second now) and I'm a basket case. 

 

Just ordered pizza and am going to curl up in a ball until it gets here. DH took the kids to my daughter's dance class, so I have a few minutes to myself. 

  • Like 1

Share this post


Link to post
Share on other sites

I had an IUD taken out under anaesthetic - it was an easy procedure and I was fine to go home the same day.  I don't know about the adhesions....

  • Like 2

Share this post


Link to post
Share on other sites

If the adhesions are causing you serious issues (defined by you...I would have to be in pain pretty constantly or pretty severely, but you should decide for yourself), let him take them down some.  But if the issues aren't serious, I'd leave them alone.  People who are prone to adhesions just get more adhesions with each surgery. 

 

You probably shouldn't get an IUD (or anything internal that you don't have to have) again, and should consider some long-term planning for your fertility.  You've had a C-sect, which means you'll probably have another with this baby, which means more adhesions.

  • Like 2

Share this post


Link to post
Share on other sites

If the adhesions are causing you serious issues (defined by you...I would have to be in pain pretty constantly or pretty severely, but you should decide for yourself), let him take them down some.  But if the issues aren't serious, I'd leave them alone.  People who are prone to adhesions just get more adhesions with each surgery. 

 

You probably shouldn't get an IUD (or anything internal that you don't have to have) again, and should consider some long-term planning for your fertility.  You've had a C-sect, which means you'll probably have another with this baby, which means more adhesions.

 

Further birth control will be on my DH, if you know what I mean. He has some referrals to a good urologist. 

 

My c-section was actually my first birth, I've had two VBACs since then, so not planning more surgery. 

Share this post


Link to post
Share on other sites

I think what I'll do is call tomorrow, and ask if he can squeeze me in to TRY the tilt table, in office, between now and when the surgery is scheduled. Not cancel the surgery, but try one more time. He totally understands that time is of the essence so I bet he could do that. That way I at least know I tried. 

  • Like 1

Share this post


Link to post
Share on other sites

Have you had an ultrasound so they can visualize its location? 

 

http://www.obgmanagement.com/home/article/how-to-identify-and-localize-iuds-on-ultrasound/af8d50041a988099ed8068b13fa38903.html

 

I think you'd want that done first as that would help determine the proper course of action. 

 

Yes, it is right where it should be. 

Share this post


Link to post
Share on other sites

In other news, the uber ride went fine. The one on the way there was great...very personable with a clean car and dash board cam and gps system that was mounted up by the steering wheel so he could see it easily. The ride home the car smelled like smoke and the driver was a bit odd and was using his phone, in his hand, to navigate. I didn't rate him well. 

  • Like 2

Share this post


Link to post
Share on other sites

Yup...hubby's on board for another kid. Not so on board with surgery. And I already had 3 hours of dental work this morning, so that on top of this, on top of PMS hormones (starting period any second now) and I'm a basket case.

 

Just ordered pizza and am going to curl up in a ball until it gets here. DH took the kids to my daughter's dance class, so I have a few minutes to myself.

Epic hugs :(. I agree with getting a second opinion before agreeing to the adhesion surgery. I'm sorry the doctor couldn't remove your iud easily.

Share this post


Link to post
Share on other sites

I would never get an abdominal surgery unnecessarily or just because it may or may not be helpful, especially without a ton of fertility tests and consults. IUD removal, yes. Then a hysterosalpingogram or whatever is next. Is this an OB/gym or a fertility specialist's recommendation? Pain could be fibroids, or other things.

Share this post


Link to post
Share on other sites

I would never get an abdominal surgery unnecessarily or just because it may or may not be helpful, especially without a ton of fertility tests and consults. IUD removal, yes. Then a hysterosalpingogram or whatever is next. Is this an OB/gym or a fertility specialist's recommendation? Pain could be fibroids, or other things.

 

A regular Ob/Gyn. 

 

And I think I agree with you. Just can't make up my mind for sure. 

Share this post


Link to post
Share on other sites

I'm going to go counterculture here and say I would have the surgery.   Mostly because time is of the essence and what if the adhesions aren't just scar tissue from c-sections but undiagnosed endo?  You could go six months without conceiving and end up having the procedure anyway. I'd just get it over with, but that could be my annoyance at trying to have another but having multiple miscarriages over the past few years.

Share this post


Link to post
Share on other sites

I'm going to go counterculture here and say I would have the surgery.   Mostly because time is of the essence and what if the adhesions aren't just scar tissue from c-sections but undiagnosed endo?  You could go six months without conceiving and end up having the procedure anyway. I'd just get it over with, but that could be my annoyance at trying to have another but having multiple miscarriages over the past few years.

 

That's another question, isn't it? I have to wonder, given that he was able to get the darned thing in a year ago, and now can't get it out. Does that mean the adhesions are worse? Or is it just the natural fluctuations of my cycle? In other words, I know my cervix changes position a bit at various points in my monthly cycle, so maybe I was at a different point, and that was why it was easier before. or it really was the different table that made the difference. 

 

Still thinking I'll see if he can get me in between now and then, to try with the special table. IF that works, we'll try to get pregnant. If it doesn't, I'll probably do the surgery. 

Edited by ktgrok
  • Like 1

Share this post


Link to post
Share on other sites

Yeah, I'm sure where your cervix is in your cycle makes a huge difference.  Like, the second day of my period my cervix is super low.  Wonder if he could do it then?

Share this post


Link to post
Share on other sites

Huge hugs. I am glad you and your husband came to an agreement. I know nothing about adhesions or IUDs so I'm just here for the  :grouphug:

Share this post


Link to post
Share on other sites

Ugh, I was up half the night thinking/worrying about this. Which is ridiculous. This is not a terrible thing. But ugh! I hate medical stuff. And I am supposed to send my teen (my babysitter) to his father's tomorrow (3 hours away). Need to figure out when I can get in so I can figure out when to send him, and hope his dad doesn't get annoyed if we have to reschedule. He hasn't been there in forever, due to sickness, school schedule, etc. 

Share this post


Link to post
Share on other sites

Left a message for the doctor, after going round and round with the nurse and appt scheduler. They did NOT seem to grasp what I was asking. I just need to know, does he think it is possible with the tilt table, or is he pretty positive we NEED anesthesia to get the IUD out? If that option was more because we could do the adhesions at the same time, I'd rather try once more on the tilt table. And I would need him to schedule it, because it would be over a month if I just go with what they give me at the front desk, and he specifically said he would get me in sooner, and not to worry about that. Ugh. 

 

And the nurse kept saying that if I don't want surgery I need to cancel it. Yes, I understand that! But I don't KNOW if I want surgery, which is why I need to talk to the doctor. If he thinks there is a decent chance of getting it out without surgery, I don't want surgery. But I don't know if that is what he thinks. (downside of going to that appt on vicodin)

Share this post


Link to post
Share on other sites

(((hugs)))

 

Thanks. I haven't heard back yet from the doctor, and am just feeling bummed out. I think I've decided NOT to have surgery, but then, is that dumb if I have to be under for the hysteroscopy anyway?

Share this post


Link to post
Share on other sites

Thanks. I haven't heard back yet from the doctor, and am just feeling bummed out. I think I've decided NOT to have surgery, but then, is that dumb if I have to be under for the hysteroscopy anyway?

 

It's not dumb.  You are weighing risks.  Neither option is a guarantee.  You choose what makes the most sense to you, and if it doesn't work, it doesn't work.  It doesn't mean it was a bad choice, just that the odds weren't in your favor.  (Cue Hunger Games scene)

 

I hope whatever you choose works out, and if it doesn't, be confident that it isn't "your fault" for choosing between two unclear and unknown options!  It just is what it is.  

 

Best of luck with number 4!

  • Like 1

Share this post


Link to post
Share on other sites

It's not dumb.  You are weighing risks.  Neither option is a guarantee.  You choose what makes the most sense to you, and if it doesn't work, it doesn't work.  It doesn't mean it was a bad choice, just that the odds weren't in your favor.  (Cue Hunger Games scene)

 

I hope whatever you choose works out, and if it doesn't, be confident that it isn't "your fault" for choosing between two unclear and unknown options!  It just is what it is.  

 

Best of luck with number 4!

 

Thank you. Honestly, even the doctor was going back and forth on what to do, so I guess I shouldn't beat myself up for not knowing. 

 

But I hate being in limbo. I REALLY wish they would call me back!

Share this post


Link to post
Share on other sites

Hope they have called by now.

I know you are anxious to get started on the next little one--deep breaths and find your peace. It'll help with conception if you are calmer! <3 to you.

Share this post


Link to post
Share on other sites

Ugh, so I finally called. The message was never relayed to the doctor!!!! And the next appt on the books to just come in and try again is the 25th. So I left a message asking him if the anesthesia is still his preference IF I'm not dong the laparoscopic surgery at the same time, as really the adhesions are not bothering me. If he says no, I'll beg him to get me in sooner. If he says yes, then I'll figure out then if I want to do the surgery, but I'm leaning towards no, just getting the IUD out. 

 

I also left a message this afternoon with the surgery scheduler asking about cost, if I need to do pre-op labs ahead of time, how long to expect to be at the outpatient surgical center, etc. 

Share this post


Link to post
Share on other sites

I just had my ovaries and fallopian tubes removed a few days ago; there were adhesions on one side, so they were cut. The surgery wasn't bad, so unless you are really opposed to the anesthesia, then I would advise this as the way to go. That's just me though; I respect your reasons for wanting to avoid anesthesia.

Share this post


Link to post
Share on other sites

I just had my ovaries and fallopian tubes removed a few days ago; there were adhesions on one side, so they were cut. The surgery wasn't bad, so unless you are really opposed to the anesthesia, then I would advise this as the way to go. That's just me though; I respect your reasons for wanting to avoid anesthesia.

 

HOnestly, a large part of it is that if I can get the IUD out with a $35 copay I'd rather do that than pay thousands to go under anesthesia, you know?

  • Like 1

Share this post


Link to post
Share on other sites

 

I can't decide if that is a good idea or not. The adhesions are why I have painful pap smears, and probably why I have pain in my abdomen from time to time, and possibly why I have frequent urination. Nothing major, but there. However, it means surgery. He said he wouldn't be super aggressive, just try to take some down to make things more normal. He's also a TINY bit concerned that the uterus/fallopian tubes/ovaries may no longer line up.

 

From what 3 different OBGYN doctors told me, there is really no such thing as removing scar tissue to make it better because every time they cut, you will get new scar tissue. Some people heal very nicely where there is barely any scar tissue, but others' bodies overdo and scars are awful and huge and painful. I would get another opinion and ask lots of questions as well as have another doctor go over previous doctors' notes from your previous C-sections and any other abdominal surgeries to see if there was anything noted about scar tissue and overall condition in that region in your particular case.

  • Like 1

Share this post


Link to post
Share on other sites

From what 3 different OBGYN doctors told me, there is really no such thing as removing scar tissue to make it better because every time they cut, you will get new scar tissue. Some people heal very nicely where there is barely any scar tissue, but others' bodies overdo and scars are awful and huge and painful. I would get another opinion and ask lots of questions as well as have another doctor go over previous doctors' notes from your previous C-sections and any other abdominal surgeries to see if there was anything noted about scar tissue and overall condition in that region in your particular case.

 

I've only had the one c-section, the other two were vaginal, so no one has been in there to look around, you know? If I'd been thinking I could have asked my bariatric surgeon to have a peek maybe, but that isn't his area. He was up higher, not down there. 

 

I know lap is supposed to make less scar tissue, but yeah, it could totally come back. I'm thinking I'll probably skip that part, and just get the IUD out. 

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

×
×
  • Create New...