AFM, I had my follow up post surgery DR appointment at 11am this morning, and the DR did a vaginal ultrasound. I was still a little nervous about having a male DR even though he also did my surgery as well. The funny thing is that I was sedated before the DR even came in to do the surgery so it didn't even seem like he was ever even in the surgical room. I just reminded myself that the DR has already seen the goodies along with my insides, so no need to be nervous anymore!!!
He also looked at my incisions and felt my stomach, pushed on where my ovaries and everything is to make sure it all was normal, and he said I was healing up good, and that everything looked normal.
So I had my written list of questions for the consult portion of the appointment and I asked him several questions and these were the answers I got:
-He confirmed that I only have mild case of endo.
-Unfortunately the scar tissue can come back over time, and the surgery can also leave scar tissue
-The endo can grow back but the DR says I have about 1 year to TTC after the surgery and for my fertility to be high, before the Endo could grow back
-There is a 5 to10% chance the Endo can grow back
-One way to tell if the Endo has grown back is if I get any cysts or I have alot of pain, these are signs the endo is back
-The only way to prevent Endo from coming back is to take birth control. Or during pregnancy the Endo stops during that time frame, of course I can’t take Birth control because I am TTC right now,
-The DR recommends 3 cycles of IUI before he would refer us to do IVF. He doesn’t feel anything more than 3 cycles would make sense and if it was going to work for us than it would by the 3rd cycle.
-The DR says we have about a 3 to 5% chance of DH & me getting pregnant on our own through traditional
-The DR. won’t RX me clomid without pairing it up with IUI at the same time. (Although I already have 50 mg of clomid that I can try on my own if I want to try timed
with the clomid, despite the DR’s objections.)
-The DR thinks we have a 15% chance of pregnancy with IUI and clomid, and the normal success rates for IUI with couples that don’t have low sperm counts is 10% to 20% so our odds aren’t really that different even with DH’s lower sperm count numbers.
-I have an increased risk of tubal pregnancy due to the Endo, scar tissue and the condition of my one tube that had problems with dye flowing through although it did flow through and is open a far as the DR can tell. So that means if I get pregnant that the DR will want to monitor me very close at first to make sure the pregnancy isn’t tubal.. Which is scary to me…. So I am not thrilled about that news
So overall, the appointment went well, and I feel like I got a lot of good info. From the DR, he was very nice and patiently answered all of my questions. DH & I are trying to plan what our next moves are and when we want to do the IUI. The DR would prefer for us to do IVF because there is a success rate of 50% but he knows the costs are a concern for us. The only negative is that every cycle of IUI we pay for will take away from our ability to be able to afford IVF one day. But at the same time the IUI might work, and could save us a lot of $$ if it does, so I need time to think this all over. I think DH just wants to make me happy at this point and will be on board with me however I decide to move forward at this point. I will keep you girls updated on our future plans though. Right now I am trying to pick between doing IUI in October or just using my 50 mg of clomid and timing
on our own.