empirical treatment just means they give you the medicine "just in case" because they can't figure out what's wrong with you and it's worked for other people. not sure exactly the difference between hysteroscopy and laparoscopy (even though they did both to me) but one goes through your belly button w/a camera so they can see in there and then they make an incision above your pubes (sorry if TMI) - i just know as i have a scar there - and that is how they do the surgery.
i'm surprised they wouldn't mention an HSG dye test? It's to check for uterine abnomailities (like a septum, for example). BUT - i could have skipped the HSG test and just gone right to the lap/hystero - because then they are already in there, looking around, and can fix things as necessary. If you do the HSG test first, and they find something strange, then they have to do the lab/hystero anyway. I did the HSG first because I was scared to be put under for the lap/hystero BUT I had to still have it anyway. So maybe this Dr just skips the HSG test typically?
I wish I would have skipped the HSG test just because it REALLY hurt me (it doesn't hurt everyone) because my right tube was little blocked and things were tight in there with the large septum.
if your insurance covers it - do the hysteroscopy. My procedure was around 8500 USD and insurance covered it.
found this online:
Laparoscopy is direct visualization of the peritoneal cavity, ovaries, outside of the tubes and uterus by using a laparoscopy. The laparoscopy is an instrument somewhat like a miniature telescope with a fiber optic system which brings light into the abdomen. It is about as big around as a fountain pen and twice as long.
An instrument to move the uterus during surgery will be placed in the vagina. Carbon dioxide (CO2) is put into the abdomen through a special needle that is inserted just below the navel. This gas helps to separate the organs inside the abdominal cavity, making it easier for the physician to see the reproductive organs during laparoscopy. The gas is removed at the end of the procedure.
A hysteroscopy is a way for your doctor to look at the lining of your uterus. He or she uses a thin viewing tool called a hysteroscope. The tip of the hysteroscope is put into your vagina and gently moved through the cervix into the uterus. The hysteroscope has a light and camera hooked to it so your doctor can see the lining (endometrium) on a video screen.
A hysteroscopy may be done to find the cause of abnormal bleeding or bleeding that occurs after a woman has passed menopause. It also may be done to see if a problem in your uterus is preventing you from becoming pregnant (infertility). A hysteroscopy can be used to remove growths in the uterus, such as fibroids or polyps.
and tell you to NEVER give up hope. Miracle do and will happen
All seems great so far. Last scan showed the baby 3 days ahead in size and with a heart rate of 179. My first OB appointment is tomorrow. For now I am still with my RE since I have remaining scheduled IVs. However, my Dr. is testing my NK cells again on November 1st and if they are at a normal level she feels I will no longer need the IVs. Other than that I will continue the progesterone until I am 13 weeks along (I am 9.5 now).
So how long did he actually spend with you answering your questions then? They are paid SO much money they should spend some time with you especially if you have waited so long for an appointment.
naughty me!
