So, I ended up going to my doc's office yesterday. She took a vaginal swab and is doing a urine culture to see if it is an infection. We don't think this is very likely, but we have to cover all bases. If there is an infection, I'll have to be treated for it, and depending on what it is, it may push my lap back until I'm well
If there's nothing, we're going ahead with the lap as scheduled (5/22). She also did an ultrasound and didn't see anything unusual, which I was happy about. She did see the adenomyosis again ('pelvic congestion') but can't tell if this is causing the symptoms
The ultrasound showed a little something that could have been another polyp (I had had a hysteroscopy for polyp removal back in September), or it could have been nothing, but there' was no way for her to tell for sure. She said, after we do the lap and I've recovered, she may want me to go in for an office hydrosonogram (a lighter version of the HSG the way I understand it) to check for sure. But even if that is needed, I feel that is too much intervention for me at this point and I don't want to go ahead with it. Between my hysteroscopy in September and the laparoscopy I'm going to have now, plus the HSG I had two months ago (which didn't show any polyps, by the way, but the doc said they could have missed it depending on where the balloon was positioned
), that's too many surgery-like procedures in 8-9 months. I feel it would be way too early for more invasive tests.
The cyst in my ovary is still there - of course - and the doc said this time it looked almost definitely like an endometrioma (she hadn't ruled out the possibility of a dermoid, previously). However, I had two predominant follicles, one in each ovary, so I should be ovulating very soon. My lining also looked great, my doctor said. This to me was good news. It means that, even with the wacky things that are happening, my body is still trying to do its job, and this is what encourages me to think that I can still do this with a little boost, but as naturally as possible, no medical intervention.
Right now I just feel overwhelmed and emotionally tired. I think I need to take care of myself first and try to recover in a natural way (and maybe start homeopathy and possibly NaPro as soon as I recover from my lap). More medical intervention is the last thing I want at this point. I keep changing my mind through the whole process, but last night talking with my husband, we both agreed that the above plan is the best course of action for now. We want to keep trying naturally for at least a few more months, and then if nothing happens, we may consider a couple IUI rounds, but no more than 3. As for IVF, right now neither of us wants to go that far. Financially, emotionally and medically (with all the medication that could make my endo worse, plus my DOR which wouldn't exactly guarantee excellent results), plus the dilemma of possible frozen embryos we don't use (if any), we don't feel it's a great idea. Not for a while at least. The way we are thinking right now is, if it doesn't come naturally in another year or two (or maybe with a couple IUI rounds later), then we'd be better off starting the adoption process with the money we would have saved from not doing IVF. We might also look into foster-to-adopt, although it could even take a couple years or longer until one of your foster babies became available for adoption, as the vast majority end up reunifying with their birth families, so that's something we need to consider from an emotional point of view. But it's always an option, and it's also the cheapest one...
Interesting fact: as I walked into my doctor's office yesterday (it was at the very end of the day, so I was the only patient there) I overheard her IVF coordinator talking on the phone with someone - presumably an IVF patient - giving her bad news (I don't know what exactly hadn't worked, but she did say she was sorry a few times, and that she thought it would have worked, and that she has a good feeling for the future, and that she - the patient - had a year). So to me it sounded like a patient whose IVF didn't work or the cycle got cancelled, and she had pre-purchased cycles which she had to use up in a year. It may sound completely silly, but I took it as a sign that my feelings against IVF (in my individual case considering my problems - not IVF in general) are valid. Just happening to walk in right when bad IVF news were being delivered to someone. Then again, maybe I'm crazy...
In other news, I'm almost done with 'Inconceivable'. So her main regimen was vegetarian diet, no sugar, no gluten, lots of juicing and some herbs, fertility-special yoga every day and visualization exercises. Nothing too complicated, but it was actually quite inspirational how she beat the odds. Oh, at some point she also mentioned a 'colonic' (a fancy enema given by a specialist). It's considered a good way to clean up your system, and she did one of those.