Pre - Op

Today was my pre - op appt. with my RE, they guy who is doing my surgery. I know it might sound kooky but I always have fun when I go to his office. He is beyond brilliant, sooo super smart that he is funny. So I take a rest with both my feet in one stirrup in a lovely paper gown with a matching paper lap blanket and wearing nothing else. Hello!!!...it's cold in here, I'd be warmer if I could just make a small bon-fire out of my paper finery. It was so cold that Personally I think having to lay on your back with your legs spread and feet in stirrups is bad enough, you'd think they would provide some warmer attire. I digress .... the RE comes in and we proceed to take a look - see at my uterus from the inside out. All is as it should be, except my bleeding is a little heavier at this point than he would like pre-operatively, so if by 12pm Wed. I am still bleeding I am to slap 2 estrogen patches on my butt and wear them till I go into the hospital for surgery on Thurs.

I was able to ask about the bc pills and how they affect my salpingitis and the pain. He confirmed what I thought all along, the bc pills or mainly the progesterone in the bc pills aggravate the salpingitis, therefore making my pain levels rise. He said he did not believe that the salpingitis has not prevented implantation of a pregnancy, but due to the diverticulitis hubby's sperm and my egg just might not be meeting in the tube. Ok, so now what, the tube will be gone, thus eliminating my pain but without the tube where are the sperm and egg supposed to hook up? Around the corner at the other tube you say, ok, so why hasn't that happened already. Funnily enough he said that pregnancy usually calms the salpingitis, ie it is not aggravated and causing me pain. Ironic, pregnancy would help ease my pain, yet I haven't been able to achieve that.

After my exam we met in his office to go over the planned procedure (Laproscopic) and discuss all risks. Not a fun, but a necessary conversation. He laughed and said he needed to admit something. He said he only did the diagnostic Lap. surgery in April because I demanded it. He truly did not believe he would find anything wrong. My HSG, and the many many ultra-sounds had all shown everything within normal limits. He said when he saw the salpingitis on my tube, he looked around the drape at me and said " Damn!...she wasn't crazy after all." LOL ... Some people might not see the humor in this, I did, because I know him and know it was not intended as an insult. He said I have to give you this one, you knew your body even if all other diagnostics said otherwise. The plan is to do the complete removal and resection with the scope, with 3 tiny incisions in my pubic area and one through my belly-button. If he can't control bleeding he will cut me open like a c-section procedure. He does not anticipate that happening as he does not believe that the salpingitis infiltrates my actual uterine cavity. Worst case scenario, besides death (not gonna happen) is losing my uterus to uncontrollable bleeding. I am not too worried, I have Faith in my RE but most importantly God. Right now it will day surgery, and recovery at home for 1 week barring no complications.

OOOO... I showed the RE my belly-button and the protrusion he left me with. I explained that my Mom made my belly - button (I was an unplanned homebirth) and he messed it up. He laughed and told me to write with a sharpie on my stomach and put an arrow pointing to my belly- button with the words "Fix me" so that he doesn't forget....LOL. I plan on doing just that and will post a lovely picture. We also discussed future fertility only vaguely, basically we want me to heal and then come in for a re - group. At this point, I am want my FSH tests and other blood work repeated once I heal so that we can see where we are at and go from there. I told him I still want a baby with hubby, and am willing to give it my all, but I refuse to make myself insane in the process.

So, we are all good and ready to go. My pain seems to be worse everyday, so I am actually looking forward to this procedure. I have thoughts on my peaceful state at this point, with infertility, my surgery etc, but I will save that for another time.