I am still alive....

July's cycle was a bust.  No miracle happened.  On to the next cycle....

We did 25mg clomid daily (half a tablet) CD3-8.  I went in for my midcycle ultrasound and I had 3 mature follicles - 18, 18, 19- and my endometrial lining was thick (can't remember the details).  We decided to trigger and have timed intercourse.  I started the progesterone suppositories and eventually and inevitably got my period on 8/26.  Ugh.  I am frustrated. 

Unfortunately, my husband and I have been dealing with some issues in our marriage and I am wanting to take some time off from actively trying.  We are very strong and I know we will get through this, but I want to take a couple months off in order to take that stress away.  I have felt a very strong need to have a laparoscopy/hysteroscopy again.  I felt like there was more going on with my own body that has been impacting fertility.  I also have been having horrible back pain that is impacting my quality of life and ability to do things... like sitting in a chair or laying on the floor.  When I got my period, I called and scheduled an appointment with the doctor to make a decision whether we continue to go through treatment or go forward with the procedure and take some time off from trying.  Since I was wanting to take some time off trying, I thought this would be the perfect time to go through with the surgery.  So....

Today I am recovering from my second laparoscopy and hysteroscopy.  I had the procedure yesterday at 1pm and was able to come home about 6pm.  My parents were able to take the twins with them up to our lake cabin to give me some time to recover.  I can't lift hem for 2 weeks, so we are going to need to get creative.  When talking to the doctor, typically second laparoscopy surgeries with removal of endometriosis does not increase fertility like the initial procedure will.  Unless of course there is something structural going on.  My biggest reason for wanting the procedure done was relief of my back pain, but I also had a gut feeling that something else was wrong. Initially, we were just going to do the laparoscopy, but with the concern of Asherman's after my first d&c, we decided to do the laparoscopy because I have had a second d&c.  Why not do it all while I am already under for this procedure. 

The procedure went very well.  She removed endometrial tissue that was adhering my uterus to my posterior pelvic wall... right where all my back pain is.  They also removed what appeared to be a second accessory fallopian tube... yes, that would mean I had 3 fallopian tubes?!  The pathology report came back and it was tubal tissue.  She thinks they missed it during the first laparoscopy because of the significant adhesions I had... still not sure how you miss a third fallopian tube!   My actual, working left fallopian tube was tied up like a pretzel.  She thought that the accessory fallopian tube was causing my left fallopian tube to get tied up.  She flushed out both tubes and now both are working appropriately!  She also did a hysteroscopy and found some mild adhesions in the lower uterus.  She actually had some difficulty inserting the scope into the uterus.  She was able to remove these "filmy adhesions" rather smoothly.  All of these things were directly impacting fertility!!!  I KNEW I needed this procedure.  Always trust your gut!!!  Dr V said that this was definitely a case where a second laparoscopy and hysteroscopy definitely impact fertility because of all the structural things that she found.  Yay!!

Now if I can get my hubby to actually do the things he says he is doing.  I have a SA scheduled for tomorrow to get a baseline.  I have vitamins for him to take (if he will take them) and am hoping he will give up the chewing and drinking.  I can only hope that the SA results will give him a reality check.  It takes 3 months to improve the SA results, so this is the perfect time.  We obviously have to take this month off and can start trying next month... if we/I want to. 

I am going to continue to lay on my couch and watch some smut TV in total silence for the next 20 minutes.  Then I have to go to a therapy appointment and then take my "babies" to their preschool open house?!?!  What?!?!  This can't be happening!!


Until then... I am going to enjoy.  This doesn't happen often!